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<br /> � DISCI,QSIIRE STATE�� FOR QWNER
<br /> � CITY OF Z8�H7CREiILLS BIIILD2NG DBPARTP�+iT
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<br /> I. �'�,�4 a,)j� �,..b���r3N� have read aad fu11y underetaud and
<br /> agree to the provisa.oaa af this iastrumeut.
<br /> The �uadersigaed s��tes assu affisms that he or she is desirous o� constructing,
<br /> renovating, addiag to or reroafiag ha.s ar her owa domiei3.e, that he or she
<br /> actually oacupies, or will occupy by said domicile, and same 3s not for
<br /> xeat, lease or sale. That he or she sha11 comply with the �ollawiag coaditions:
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<br /> 1. �'�hat the owaer and he or ehe alaae shall ac� as the builder for a11„_phases,._of ,_. F
<br /> icanstruati.on. - -`-
<br /> 2. 'That the awaer w311 comgly w3th all pravisioas o� the City of Zephyrhills
<br /> �ardiaances and cades pertineat to the buildiag.
<br /> 3. That ia the even� varioua phases of conetructian are eubcoatracted, he wi1Z
<br /> Ieac�a�e anly praperly Iiaenaed subeoatractora aad,will persoaally su,pervise
<br /> �sueh work. :
<br /> 4. �hat ia the event the BuiZdiag Inspeator sha21 iequire aorzeation� to be made,
<br /> ��he oivner will asaume full respoasibili�y to in�ure they are made, aad upoa
<br /> �completioa will call �or a reiaspection before proceediag wi�h the build3.ag.
<br /> 5. �hat the owaer shall aesume �u11 respaasibility for the coastruction aad will
<br /> not e�cpect superva.sion of his work �ram the City of Zephyrhiils Suildiag
<br /> Dep:�r�snent. .
<br /> 6. Th�,t prior to iEiaal ianapection aay adciitioaal fee�s, inelud3.ng reiaspeetion
<br /> fees, must be paid ia full. A writtext request �ram this of�ice shall
<br /> coast�.tute aa afficial aot3.ce to pay additional feee.. '��
<br /> fi. iThat �he ovaaer sha12 aom,ply with all City, St�ate aad FedeEral laws ia regard ta
<br /> social seeurity, workman's campensatian, 2i.en laws, etc. , whe�e appls.cable.
<br /> 8. Thati �he owner sha11 eomply with all the safety codes issuedrby,:.the Florida , �
<br /> Iadustsial Cammissioa. , , , .
<br /> 9. State law requires aonstructioa ta be doae by liceas�d cantractors. Xou have
<br /> app?.ied �ox a permit uader aa earemptioa to th�.t Iaw. The exemp�ioa allovas
<br /> gou, as th� awaer o� your propesty, to act as yaur own caatractor with cezt�ia
<br /> res�rictious evea though you do not have a licease. Yau must grovide direct
<br /> oas3te supervis3oa af the coastructioa gourself. You may'Y�ui2d or improve, a
<br /> one-fam3ly or two-family resideuce or a farm out;buildiag. You may alsa build
<br /> or improve a commerc3al buiidiac�, providled your casts do aot exceed $7,5,000.
<br /> The buildiug or resideace must b� for your owa u.se or accupsacy. Tt m�y not
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<br /> 2ie buiZt or substaatial2y improved for sale or 2ease. If yau sell or Iease a
<br /> buildiacig yau have built ar substaatially impraved yourself vai�hia 2 year �fter
<br /> the coaetruetioa .is complete, the law will preaume that you built ar
<br /> eubstaat3.ally improved if for sale or lease, rahich is a violatiou of this
<br /> e.xemption. You may ma� hire aa ualiceased persaa to act as your coa�ractor or
<br /> to supervis� people warkiac� aa your bu#.Idiag. It is your respaasibility to
<br /> :n�ke sure that people emp].oyed by yau have liceases zequized by state 2aw aad
<br /> �y county or muaicipal lic�asiag ordiaaaces. You may aat delegate the
<br /> responsibility fos supex�ris3ag v�rork to a licensed coatractor•who is aot
<br /> l�ieens�d to perform the work beiag daae. Aay gersoa workiag on your building
<br /> who 3s aot liceased mu�t work under your direct supervision aad muat be
<br /> eiaplayed by you, whieh meaas that yov� must ded�ezet F.I.C:A. aad �3.thholding t�
<br /> a�nd proyi.de warkers' campensatioa fox that employee; al1 ae prescribed by lavr,
<br /> Y�our caaetruc�iata muat co wi�h ali applicable laws, oxdiaaaces, buildiag
<br /> codes, aad zonin�, re
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<br /> QWNER'S SIGNATi7RE `�� DAR'E �,�G, i 2 'Za 1 C�a
<br /> ADDRESS �6s( l.�'R l/�'
<br /> P�orr� Sf/�3..��2 c�a 3S'
<br /> i�TITY�ESS PBRMIT #
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