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, . . <br /> DISCLQSIIRE STATE1�2dT FOI2 OWNER <br /> CITY OF ZBPHYRHILLS BIIILDINC; DBPARTT�NT <br /> I, �t c � `�,,��C3S have read aad fu11y uader�tand aad <br /> agr e ta the prova.sions of this iastrumeat. <br /> The' uadersigaed s�ates and affi�ns that he or she is desirous of construeting, <br /> rea vatiiug, addiag to or reroofiag his o� her owa domiciZe, that he or she <br /> act ally occupies, or wi11 ocaupy by said domicile, aad eame is not for <br /> ren , lease or sale. That he or she shall comply with the follo�wiug coaditions: <br /> 1, 'That the owaer aad he or sh� a1on� shall aet as. th� builder far aIl phases of <br /> coastructioa. <br /> 2, That the owner vuill com,ply with a�ll provisions of the Ca.ty of Zephyrhills <br /> ardiaaaces aad cod�es pertiaeat ta the buildiug. <br /> 3. That ia the event var3ous pha�es of coaatructioa are aubcoatraat�d, he will <br /> enc�age anly psoper2y 2ie�as�r� subcoatacactars aad wi1Z person�lly isupexvise <br /> sueh wozk. , ,, .. <br /> 4. Th�t ia the evea� the Suilding 2aspector sh�11 r�quir� correatiaas ta be made, <br /> the owaer will aesume full respoasibility to iasuare they are made, aact upon <br /> completion will call �or a reiaepectian before proceediag with the build3ag. <br /> 5. 2hat �ha owner shal.l assvme £u11 respaasib3lity for the constructioa and will <br /> stat eacpeat supesvisioa of his work �rom the City af Zephyrhil2s $ui2diag <br /> Deparbmeat. <br /> 6. That grior ta �iaal iaspeetioa aay add'itioaal feee, iaeludiag reiaspeetion <br /> �ees, must be paid 3,a fu11. A writtea. request �ram this office sha11 <br /> caastitute an afficial aotice to pay additional feee. <br /> 7. �hat the owaer sha13 comgly �rith a13. City, State and Federal Iaws in regard ta <br /> ocial security, workman's compensation, lien laws, etc. , whete appZiaable. <br /> 8. hat the owaer sh�ll comply with all the s�fety cades is�ued bg the Florida <br /> ndus�rial Commis�ion. <br /> 9. ta�e law requires coastruction ta be doase by liceased caatraatars. You have <br /> PP�ied �or a permit uader aa e.acemptiou to that Iaw. Th� eacemptiaa allow� <br /> ou, as th� owaer of your prcgerty, to aat as you= own cantractaz with certain <br /> estrictio=as evea though yau do aat have � Zi.ces�.se. You must provide direot <br /> as3te supervisioan of the aonstruction youraeZf. You may 'build or improve a <br /> ue-family or two-family reaideace or � fasm ou�Gbuildiag. You may also build <br /> r improve a commercial buildiag, prravicYed your cost�s do uot exceed $75,000. <br /> �he buildiag or residenee mnst be �or your owa use or occupaacy, xt may no� <br /> e built or substa�tially improved for sal� ar lease. If yau sell ox leas� a <br /> l�uildiag yau have built ar eubstaatial].y imprav�d your�elf within 1 y�ar �fter <br /> the co�nstructioa is complete, the law will preaume that yau built or <br /> �ubetaatially improved i� for sale os Iease, which is a violatioa of this <br /> emptioa. Yau may aot hire aa ualicensed petsoa to act as yaur coatsactor or <br /> a superva.se peaple workiag ast your buiZding. It a.s your responsibiZity �o � <br /> �►�.ke sure that peopl� employ�d by gou have Ziceases required by state laFr and <br /> y couaty or muaicipal licensiag ordiaaaces. You may aot delegate the <br /> espoasibility for supervis3ng work �o a licensed coatr�etor who is aot <br /> iceus�d to per£orm the wark being done. Aay p�rsoa workiag oa your bu3lding <br /> v�ho is aat liceased must work uader youz c3i=eet sv.pervisioa and must be <br /> �loyed by you, which me�as that you mnst deduct F.I.C.A. �d vrithholdiag tax <br /> a�nd pravide warkers� campensation fos that employee, a11 as prescril�ed by law. ' <br /> Your caastructiou muat comply with all applicable laws, ordiaaaces, buildiag <br /> odes, aad �onimmg regulat3oas. <br /> . ' <br /> R'S SIGNATURE � G1�.13��`" V�Wt7��� DATE ��� 1�" �,LQ � <br /> �� DRBSS S�jL{�� L'',T .cSs �" <br /> � ax� <br /> w� �rn.ss p���r � <br /> � � . <br /> i <br />