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DISCLOSIIRE ST�TII�T FOR OWNER CITY OF ZSPHYRIiIT,LS HIIII,DING TaEPRRTI�T I, �/�/L Ci/{�l�'! ��;IC� have read and fully ua,ders�and and agre� to the provisiaae of this instrumeat. The uaders3gaed states aad affirms that he ar she is desirau� of conatructing, reaavatiag, addiag ta ar rercofiag his ar her owa domicile, that he or she actualZy ocaupies, or will occupy by said domicile, and same is not for reat, lea.se or sale. That he ar she shall comply with th� Eollowiag eoad3tioas: ' Z. That the owaer aad he os she aloae sh�ll act as the buiZder for all phases of I coastructioa. � 2. That the awaer wi11 comply with �11 proviaioas of the City of Z�ghyrhills osdi.aaaces aad codes pertiaieat to the buildiag. 3. That iia th� event vaxious phases a� coa�tructiaa are subcontsacted, he will engage oaly prap�rly liceased subccatrac�ors aad wi1l persoaally eupervise suoh wark. 4. That ia the event the 8uildiag Iaspec�or sha11 require correat3ons to be made, th� owaer will a�saume fuZl respoasibi2ity ta iasure they are ma�e, mnd upan completion wzll ca11 far a reiaspectiaa before proceediag w3.th the buildiug. 5. That the os�aer shall aesume fu21 r�spaasibility for the coaetructioa aad v�i11 not expeat superviaion of his work from th� City of Zephyrhills Buildiag Departmeat. 6. That pr3or ta fixsal iaspeet3.oa aay addi�iana3 fees, iacludiag xeiaspectioa fee�, mu�t be pa3d a.n fu11. A wri.tten request from this o�fice sha7.1 coastitute aa of�ici�l aotiae to pay additional fees. 7. That th� orwner shall comply wi�h all City, State aad Feder�l 1a.ws isz regard to sacial security, workman's aampensatian, Iien laws, etc. , where applicable. 8. That the awner shall comply with all th� saf�ety codes issued by the Florida Iadustria2 Commissian. 9. State 1aw requires const�uctioa to be doae by 1i.ceased coatractars. You have applied for a permit uader aa exemption to that law. �h� �emptiaxz allavas yo�a, as the araaer of your prope�ty, to ac� as your own coatractar with certaisa restriction� evea though you do aot hmve a Iicense. You must prov3de direct onsite sup�rvisioa of the aoastructioa yourself. You may build or improv� a oae-family or twa-�amily residenc� or a farm outbuildiag. You may aZso build or 3mpxov� a �ammexcial buildiag, grovid�d yaur ecsts da nat exaeed $75,000. The building or residence mus� b� far your owa use or occupaucy. It may aot be bui2t or avbstaatially improved £or sale or l�ase. =f you sell or lease a building you h�ve built or sube��atiaZly improved your�elf within 1 yeas ��ter the constxuctio� io COIAQ�.�t�� the las,r will presume th�t you bui2t or substaatially imgroved 3f for sale or 2ease, which 3.s a violat3oa of this e3cemgtiox;. You may rtot hire aa unlicea�ed pesson ta act as your aoatractor or �o supervise peop2e working oa Srour buildiag. It is your responsibility to make �sure that peaple employed by you have liaeaaea r+�guireci by s�ate law aad � by couaty oz muaicipal liceattiag ardiaances. You may aat d�legat� the respoasibility far supervisixag work ta � Iicenseti caatraotor who fs aot i.icensed to pexform �h� work beiag done. Any persoa warki:ag oa your buildiag who is aat liceased mu8t work uader youx direct eupervisioa aad must-b� --_-�--_�loy�d b��ou� wb,��,h�t►eaas th�.t..3r.cai--must-deduc�--g�I-:-��--�ad-witlrha�-diag�tax�_�--___- --- aad provide workers' aampensation €or that employee; aiZ as prescrib�d by Ia`v. Yovr ccastruation must comply with all applicabSe Iaws, ardiaaaces, buildiag codes, an,d zoning regulations. a_--' ��2� � �� f� o��s siGru�v� � n�� Anr,�ss �xor� � t�7ITNI3SS PSRMIT # �