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�' <br /> DISCLOSIIRE STAT� FOR OWNER <br /> CITY OF ZBPIiYRHILLS BIIILDING DBPRRTN�NT <br /> _, have read and fully under�taad aad ' <br /> agr e to the provi8ioas of this instrumeat. <br /> The undersigned states aad affirms that he or she`is desirous of coastructing, <br /> reaovatiag, addiag to or reroofiag his or her osaa domicile, that he or she <br /> act�ally occupies, or will occupy by said domicile, aad same is aot for , <br /> rea , lease or sale. That he or she shall comply with the followiag coaditions: <br /> 1. That the owuer and he or she aloae shall act as the builder for all phases of <br /> coastructioa. <br /> 2.. That the owaer will complyr with all provisioas of the City of Zephyrhille <br /> ordiaaaces aad codes pertiaeat to the buildiag. <br /> 3. That ia the eveat various phasea of coastruction are Bubcontracted, he will <br /> engage oaly properly licensed subcoatractors aad will persoaally supervi�e <br /> such work. <br /> 4. h�t- ia the eveat the 8uilding Iaspector shall require correction� to be mad�, <br /> the owaer will aseume full responsibility to iasure they are made, aad upon <br /> completion will call for a reinspection before proceediag with the buildiag. <br /> 3. hat the owaer shall assume full respoasibility for the coastruction aad will <br /> ot expect supervision of his work from the City of Zephyrhills Suilding <br /> epartmeat. � <br /> 6. hat prior to �iaal iaspectioa aay additioaal fees, iacludiag reiaspectioa <br /> ees, must be paid ia full. A ti,rritten request from this office shall <br /> oastitute aa official notice to pay additional fees. <br /> 7. hat the oarner shall comply with all City, State and Federal laws ia regard to <br /> ocial security, workman's compensation, lien laws, etc. , whete applicable. <br /> 8. hat the owaer shall comply with all the safety code� iseued by the Florida <br /> adustrial Commissioa. <br /> 9. tate law requires construction to be doae by liceased contractors. You have <br /> pplied for a permit uader aa exemption to tha.t law. The exemption allows <br /> ou, as the ov�aer of your property, to act as your owa coatractor with certaia <br /> estrictioas evea though you do aot have a license. You must provide direct <br /> nsite supervisioa of the coastructioa yourself. You may 'build or improve a <br /> ne-family or two-family resideace or a farm outbuildiag. You may also build <br /> r improve a commercial buildiag, provided your costs do aot exceed $75,000. <br /> he building or reeideace must be for your owa use or occupaacy. It may not <br /> e built or substaatially improved for sale or lease. If you sell or lease a <br /> uildiag you have built or substaatially improved yourself arithia 1 year after <br /> he conetruction is complete, the lav�r will presume that you built or <br /> ubetaatially improved if for sale or lease, which is a violatiomm of this <br /> emption. Yoia may aot hire aa ualiceased persoa to act as your coatractor or , <br /> o supervise people workiag on your builc3iag. It is your respoasibility to <br /> ake sure that people employed by you have liceases required by state law aad <br /> y county or muaicipal liceasiag ordiaances. You may aot delegate the <br /> esponsibility for supervisiag work to a liceased coatractor who is aot <br /> iceased to perform the work beiag done. Any person workiag oa your building <br /> ho is not liceased must work uader your direct supervision and must be <br /> loyed by you, which means that you must deduct F.I.C.A. and withholding tax , <br /> ��nd provide workers' compensation for that employee, all a6 prescribed by law. <br /> our coastructioa muBt comply with all applicable laws, ordiaaacee, buildiag <br /> odes, and zoaiag re 1 ions. , <br /> WNER�S SI DATE 1 1 r�0� L� <br /> ' DR8SS � <br /> HONS <br /> ITNESS PERMIT # <br /> I <br />