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_ ______ � i —- ----- � y . i DISCLOSURE STRTSMBNT' POR OT�VNER CITY OF ZSPIiXRSTLLS BIIILDIN6 DEPART&�1'P I, �' h�ve zead aad fully uaders�aad aad agree to the pxoviaiane o� this iaetsum�nt. The�,uadersigaed etates aad aff3.rms that he or she is deaixous af coastructiag, reaovatiag, addiag ta ar reraofing his or her owa doma.c3.le, that he or she actually oecupies, or �xill accugy by said domicile, aad s�me is aat for xeat�, lease or saZe. Tha� he or she sha�.l aamply with the follawiag caaditions: 1. �That �he owaei aad he or she alone eha11 act as the bnilder far all phases ,af �coastruction. _ 2. �hat the owner tvi12 eamply with a2I provis3.aas af the Gi�y af Zephyrhi2lB ordinaaaes aad aodes per�iueat �c the bu32diag, . • 3. Th�t in the eveat va�ious phasea of coas�ructioa are subcontrae�ed, he s�ill " �g�ge oaly propexly liceaaed subcoatractors sud wi11 peraanally supervise such work. , 4. That ia the eveat the Sui.ldiag Saspector shal7.•xequire correctioas to be made,, , the oHmer wi21 assume full respoae�ibility to iasure they are made, aad upon � eompletion will caZl for a xeinspectiau before proceediag arith the buildin+g. 5. T�at the owaex ehall assume full re$goasibility for the caastructioa and prill not expect auperv3.sion of his work fzom �he City of Zephyrh311s 8uildiag D�epartmesit. � 6. That prior to fiaa2 iaepectioa aay additioaal fees, iaa2u8iag re3.aspection f�ees, must be paid ia fu11. A writtea reques� �rom this of�iae shall caastitute aa oiEfi.cial �notice to pay addition�� fees. ` 7. T�hat the owaer shall camply w3th a11 City, State and Fedeacal law� ia regasd to social security, workman's com,pensation, lien laws, etc. , whete applioable. 8. T}iat the owaer sha11 eamply with all the safety codes ieeued by the 8loxida I�tida�tsiaZ Commissioa. - 9. St��ate 1aw requires caastrtac�iaa ta l�e done by licensed coats�actors. You have ap�lied �or a permit vader aa exemptioa to �hat law. The exemptioa allowe you�� , ae the ovvner of your propertS►, t�o act as your owa coatractor with certaia reistrictioas evea thaugh you do ao� have a licenee. You must provide direct on��i�e supesvisiaa of the cozistructioa yaursel.f. Yau may'built� ar improve a , oa�e-tamiZy or two-�amily ses3flea�e or a f�rm outbui�ld3ag. You may aZso busld I or�improve a commexcial bisilding, provided your costs da aot exceed $75,OQQ. { The buildiag or reaideaqe must be for your ot�va use or occupancy. It may aot be�built or eubstanti.�3:ly improv�d �or eale or lesee. If you eell or lease a bui3diag you have biiilt or svbstaatially 3mproved ycurself within I year after the conetsuctioa ie comp3ete, the law will gsesvme that yau built or sul�staatir�lly improved 3.f for aale ar lease, which 3s a violation of bhia exemptian. You may aot hire aa ualicenaed peraoa to act a� your coutractorc or to �supexvi�e people vaorkiag oa yaur buildiag. It is your responsibility to makf� sure that people e.mployed by yau have 2icenses required by sta�e law and by couaty ox mun3.eipal liceasiag ordi�nanees. You may not deiegate �he xes�oas3.bility for eup�rvisiag work to a 13eensed coatractor who 3a aat lic�easesl �o pearfarm the work beiag doae. Aay persoa workiag on yaur building wha�ia aot liceased must work under yaur direct supervis3.oa aad must b� emplayed by you, wh3ch means that you mu�at deduct F.I.C.A. aad withholdiag tax and�pravide warkersr aampeasation for that employee, a23 as pxesesibed by law. You coz�struationi musG eomp].y �+rith all appiicable laws, ordiaaaces, buildiag cod�s, �.nd zaniag regulatiane. . Ot+7NERt S SI URE � DATE � oCQ I I ADLIRBSS � t t,_' � )-t _� - �- �I��, .3'��I-(� PHO� �Scl��-�'��i� ' WITk�tBSS PBRMTT # � , I � .