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I <br /> . i . <br /> ( <br /> i DISCLOSIIRl� STATEMENT FOR OWNER <br /> ( CITY OF ZEPHYRHILLS BIISLDING DEPARfiM'l:NT <br /> I <br /> I, I . ' have read aad fu11y understand aad <br /> agre� t the provisiorts af this iastrumeut. <br /> The I dexsigned state� aad affirnis that he cx she a.s desisous a� canetruating, <br /> reaa� atiag, addiag to or reroof3.ng b,is or her owa domicile, t�„�; �+.._.:*- she <br /> aet�u 21y occupie , or �cvill oaeupy by sa�.d domici2e, aad same is aot for <br /> eu <br /> ren'�� ease ar sale. That he ar she shaZl camply with the following conditioas: <br /> 1. ! hat the ownez and he ar she aloae sha21 act as the builder far alI phase�s of <br /> onstruc�ion. <br /> 2. i at the o�aez �+ri21 camg2y with ali provisions cf �he Gity of Zephyrhil2s <br /> 3. �rdiasaces aad codea pertineat Co the buildiag. <br /> hat ia t�he eveat various phasee of coaetzuctiaa axe subcon�racted., he will <br /> �agage only pxaperly 13.censed subcontractors aad will persoaally superviee <br /> uch work. <br /> 4. �hat 3.a the event the Building Iaspector shall require aarrectians ta be made, <br /> � he owaer will assume full xespa�sib3.lity to iasure they are made, sad upoa <br /> � ompletio�a w3Z1 c�Zl fox a xeiaspectian �before proce�diag with the buii8iag, <br /> 5. ibat the owaer sha11 aestune full reeponsibility for the conatruction aad w31I <br /> ot expect supervieioa of his work fram the City of Zephyrh3.11s Suilding <br /> �epar�ment. ' <br /> 6. hat prier to fiaal inspection aaay additiaaal fees, iaeludir�.g reinepectioa <br /> ees, must be paid a.a full. A writtea request from this affice sha23 <br /> oastitute an offiaial uotiae to pay addi�ioaal fees. <br /> 7. f�hat the owner shall camQly with all Gity, State aad F�cieral laws ia regard to <br /> 8. �aeial security, workman's eompensation, Zien lacas, etc. , where appliaable. <br /> hat the owner sha11 camply with all the safety codes iesued by �he Florida <br /> �adus�rial Cammissioa. <br /> 9. � tate law requ3.rea coastructioa to be doae by licensed aoatractors. Yau have <br /> pplied for a permi.t under aa exemptioa ta that law. The exemptioa allowe <br /> �ou, as the awaer of yaur property, to act as yaur awa coatraator with certaia <br /> �� estrictiaxis aven though you do aot have a licease. You mus� pravide direct <br /> nsite supervisiaa af the eonstruction yourself. You may bui2d or improve a <br /> ae-�amily or two-family residence or a fa�n outbuildiag. Ycu may al�so build <br /> � r improve a commexcial buildiag, provided your costs do aot exceed $75,Q00. <br /> �he buildiag or reaideace must be for youz owa use ar occupat;►cy. It may aot <br /> �e built or subetaatially improved fox sale or lease. zf you se11 or lease a <br /> �u3.ld3ag you have built ar szsbstautially iampraved yourse2� w3thia 1 year after <br /> �he coastructioa is complete, the law will pre�ume �hat you built or <br /> �ubstaatially 3mproved if for sal� or �eas�, wh�.ch is a violation of �his <br /> � emptioa. You may aot hire an uar�licezased person to act as your contsactor or <br /> � o euperviee people workiag aa yaur building. It is youar respona3.bility to <br /> ake sure that peop2e employed hy yau have liceases requ3red by state 2av�* aad <br /> iy couaty or municipal ].3.ceasiag ordivance�a. Yau may aot delegat� the <br /> esponsibility for supervisisYg wosk to a liaenaed coxitractor who is aot <br /> iceased ta perfarm the work beiag dor►e. Aay pezsoa workiag an yaur buildirig <br /> ��'ho is aot liceased muet work under your d3rect euperviaion aad must be <br /> nplayed by you, wh3.ah means that you must deduct F,I.C.A. aa8 wi�hholdiag tasc <br /> ind provide wozkers' compensa,tion for �hat employee, all as pxesexibed by law. <br /> �aur conatructioa must comgly with a11 applicable lasvs, ordinaacee, buildiag <br /> iodes, and zoaa.ag regulatioae. <br /> ��WNERrB SIGNAT DATE � <br /> i <br /> DR85S �b <br /> � <br /> HQNS - <br /> IITNE3 PERMIT # <br /> I <br /> I <br /> I <br /> I <br />