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A . y DISCLOSURE STP,TII�NT FOR OWNER � CITY OF ZBPfiYRHILLS BUILDING DFPARTMFsI�t'.� ' I, 1 �(� �`M� '� r1�-'rl C�.�2 have read aad fully uaderstand and agree to the pravisiaas of this instrument. The uadersigned stat�s aad affirms that he az she is c3�siraus of coastructing, reaovatiag, addiag to or reroafiag his or her owa domicile, that he or she I actualZy oceupies, or v�rill occupy by said damicxler and same is uo� for ! reat, lease or sale. Tha� he or she sha�ll comply with the follawiag coaditioas: � 1. That the awner and he or she alaae shall. act as the builder far all phaaes of � coastructioa. ' 2; Tha� the owner s�a3.11 comgly with alI. gravisioas of the City of Zephyrhills ordiaances aad codes gertixa,ent to the buildiag. 3. Tha� ia �he event variaus phases of constructioa are svbcoatrae�ed, he will engage aalj► proper2y liceasea� subcontractors aad will persaaally supervie�e such work. � 4. That ia the �veat the Suilding Zaspector shall reguire correctioas to be mad�, the owa�x wi1,1 aseume full respaasibility to a.nsuse they are made, and upaa eompletioa wiZl call for a reiaspec�iaa before prace�8iag with �he buildiag, �; 5. That the owaeac shall assume fuil responsibility for the conatruction aad will � not expeat su,pervisioa of his work �rom t�he C3ty o� Zephyrhills Suilding Departmeat. 6. Tha� priar ta fiaal iappec�ion aay additioaaZ fees, includiag reiaspection fees, must b� paid ia full. A writtea request fram this affice sha21 constitute aa official aot3.ce to pay additiona�l fees. , 7. That the owaer shall camplyr with all Cit�r, State and FederaZ laws in regard to sociaZ security, workman's eompensatian, lien laws, et�. , where appl§.cable. I 8. That the owner sh�ll comply with all the safety cades i,esued by the Florida Indu�trial Cammission. 9. Sta�e law require� construc�ion to be doae by liceased contxactars. You have appl3ed �or a permit uuder an �ac�mption Go th�t la�r. The e�cemptian allows you, as the a�aer of your progerty, ta act as your own caatractar with certain xestrictions even though you do aot have a licease. Yau must pravide direct � oasite supervision of �he eonstruatioa yourself. You may build or imprav� a one-�amily or two-tamily residence or a farm outbuildiag. Yau may also build or improv+� a commercial buildiag, provi@ed youz costs do ao� exceed $75,OOQ, The building or residence must be for your cwa use or accupaacy. �t may aot be built or substasitially improved far sale ox lease. �f you se11 or lease a buil.diag yau have built or substaatially a.mprov�ci yours�If within 1 year after the coastructioa is complet�, the later will preaume that you built� or subsbant3ally impxoved if for sale or leaset whicb is a violatiaa af this exemptioa. Yau may not hire aa ualiceased person to act as your coa�ractor or to superv3se people workiag ou your buildiag. It is yaur reeponsibility to make sure tha� p�.apl� emplayed by you have liaenses required by state la� and by couaty or muaicipal liceasiag ordiaaaces. You may aot delegate the sesponsib3lity for supervisiag wark ta a liceased contraatar who �s aat � liceased to pexform th� work beiag daue. Any persoa warking oa your buildiag who is aot liceased muat work uader your direct supervisioa and must be �mplayed by you, whieh meaas that yov. must deduet F.I.C.A. aad zaithholdiag tax and provide workers' campensation for that employee, all as prescribed by 1aw. Your coastructian must camply with a11 agplicable laws, ordiaaaces, bui3diag codes, aad zoaiag xegulatio9ns. OWNER'S SS�LdA'L'URE DATE � ' �� '�7 ', �D��S �� — 5�aa �►xox�. � -31�-2-t �� wxxx�ss r$xruz # �