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. Y <br /> DISCLOSIIRE ST�TEMENx' FOR OWNER <br /> CTTY F EPHXRHTLLS BUII,�ING DBPARTI�]T <br /> T, I� hav� read aad fuZZy understaad and <br /> agxee the proviaiaas o� thie insttumeab. <br /> The �uadersigned etat�s aad aff3.rms th�t he or she is deeirous of coans�ructiag, <br />' reaovating, addiag to or reroofiag his ar her awa dom3ciie, that he or ehe <br /> actu�al2y aceupies, or vaill oecupy by aaid domicile, aad same ia uot for <br /> rent; lea�e or saZe. That he or she �hall comply with �he follawing caaditions: <br /> 1. �'ha� the owae= aad he or she alone Bha11 act as the builder far all phases of <br /> coa�tructiaa. � <br /> 2. ��That the owaer wi21 comply with a21 provisi.oas of the City of��Zephyrhills <br /> ordinaaees aad codes pertineat ta the bu3.ldiag. <br /> 3. Th�� ia �he event varioua phaseg o� aoas�ruatiaa are subcantsacted, he wi21 <br /> eagage oaly propexly liceaeed subcoatractors aad wi11 persoaal].y supervise <br /> �uch work. <br /> 4. b,at ia the eveat the Su3ldiag Taspectar sha11 xequire cosrec�ions ta be made, <br /> the ownez will aseume fuil re�paagi3si2�,ty to iasure. they are made, aad upan <br /> eompletioa will call for a x�3nsgectios�. befcire prcceeding with the buildia�g. <br /> 5. That the ovaaer shall aesume full sespoasibili�y far �he aonstruction aad wi12 <br /> nat expect eupesvision of his wark fxom the C3.ty of Zephyrhills �uildiag <br /> Departmeat. <br /> 6. R?hat pzior to fiaal 3napection any adlcliti.onal fees, iacludiag reiaspectioa <br /> ���es, must be paid ia �u33. A �xittea reques� frazn this office shaZl. <br /> constitute aa official aotice to pay additianal fees. <br /> 7. �at the owaex shall camply witla all City, Sta'�e aud Federal ].aws ia xegasd to <br /> social securi�y, workmaa's compensation, lien laws, etc. , whete appliaable. <br /> 8. R'�iat the awaer �hall campZy with aZl the safety codes imeued by the Florida <br /> IadustriaZ Commi.ssiaa. <br /> 9. S��tate law requirss aonstrue�iosa ta be dane bIr lieeas�d aoatractors. Yon have <br /> appl3ed tor a permit uader an exemptioa to that ].ava�. Th� exemption allows <br /> y��u, a� the owuer af your proper�y, to act as your owa coatractor with certaia <br /> restric�ions evea though you da aot have a licenee. You must provide direct <br /> onsite supervisian of the eaastructioa yawre�lt. You may'buii8 or improve a <br /> oae-familg or t�+ro-family xes3deae� ar a farm outbuildiag. Ycu may a2so bui3d <br /> ar unprove a comtnexcial building, pxovided your eo�ts da aot eacceed $?5,000. <br /> The buildiag or xeeidence mus.t be for your owa use ar occupaucy. I� a►ay aat ( <br /> b� built or eubstaatial].y impraved tor sale or lesse. If you sell ar leaee a <br /> b��.3.diag ycu have built os substaatially impxoved yousaelf withia 1 year after <br /> t �he con�txuction is comp3ete, �he law will. presume that you built os <br /> aubataatially impraved if for sale or lease, whieh a.s a violation of this <br /> exemptioa. You may aot hire aa ual3ceased person to act as your coatr�ctor ox <br /> tc�i supervise people warking an your buildiag. It is your respoas3bility to <br /> rc�a:ke sure that peap3.� emplayed by yau have Iicesi8es reguired by s�ate la�r and <br /> by� cauaty or muaieip�l licea�ing ordiaaaces. You may aat de2egate the <br /> respons3bility far eupervisiag work to a licensed eantractor who is aot <br /> li�ceneed to pexfarm the woxk being doae. Any persoa workiag oa yous bnildiag <br /> wh�o ia siot lic�naed must work under your direct supervision astid must be <br /> em�ployed by you, which meaas that yau mu�t deduct F.T.C.A. and withholdiag tax <br /> and psovide wc�ckers' ccmpensation for that emp3ayee, a31 ae pzescribed by Iaa►. <br /> Yo�r coast�uctiaa must camplj► w3th all ap 'eable 3aw$, ardiaaaces, bui2ding <br /> co�es, �nd zaaiag regul ioas. <br /> O�RrS SIGNATURE ~ DATE � � // <br /> ADDR$SS Z �I� <br /> PIiONE -- - .t�� <br /> �� f <br /> wx�sss PBRMIT # <br /> II <br /> , � <br /> � ( '� <br /> ; j I <br /> � � <br /> I <br />