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• DISCLOSIIRE STATBi�NT FOR OWN�R CITY OF �BPIiYRHILLS HIIILDIl�?G DBPAR.TN�NT I, have read aad fu11y understand aad agre� ta the provisioas of this instrumeat. The uader�a3gaed st�.tes aad affirms that he ar she is desirous of coastructiag, reaavatin�, addiag Go ar rerootiag h3� or her o�a dom3.cile, that he ot she actually accupies, or will acaupy by eaid domicile, and same is aot for r�at, lease or sale. That he or she shall camply with the followi.ag aoaditians: 1. That the owner aad h� or sh�: a2aae sha].1 act as the builder for a1l �phasee of aoastruction. � � ..-. 2. That the owaer will comply with all psovi,aiaas of �the City af 2ephyrhills oxdiaances an�d codes pertinent to the bui.Zdia+g. 3. Th�t ia the svent vasious phases of coastruatioa are stlbcoatracted, he Wi11 engage oaly praper3y liceased subcontractors aad mill personally eup�rvise such work. • �. That in th� event the 8uildiag raepector shall require aorreations ta be made, the owaer w*i11 assusne full resgaasibility to insure they are mad�, mad upon aompZetion v�ill call for a reiuspection b�fore psoceediag with the buildiag. � ' 5. That th� owaer shall assume full resgoaeibility for the coastruction aad wi11 aot e�cp�ect su�p�svis3oa of h3.s work from the Citg of Zephgrhills Buildiag Departmexrt. ., � 6, That prior ta fiaal iaspectioa �zay additioaal fees, includiag reiaspectian f�es, must be paid in full. � s,r�itt�a reguest from this o�fiae shall canstitute an o�fici�l aotice �o pay addition�l fe�s. 7. That the owaer shall complg with all City, State aad Feclsral laws ia regard tc sacial seaurity, workman's aompensation, lien 1aws, ete, , where app3iaab2e. 8. That the owaer shall comply wit� all th� sa�ety codes i�ssued by the Florida Induetria2 Commissioa. 9. State law requires construction �o be doae by liceased coatractors. You have agpliec� for a permit uades aa exemp�ioa to that law. The exemption allaws you, �� the cwaer of yaux� property, to act as your own aoatractar with certain restriations evea thaugh yau 3o not h�ve a Iicease. Yau must pro�r3de direct onsite supervision of the coastructioa yourself. You may build or iiaprove a oae-family or two=family residence or a �arm outbuilating. You may also build ar imprave a eommereial buildiag, provided ycur casts r3a aot exceed $75,000. The buiidxag or residence must be �or your owa uee or occupaacy. It may aot - be built ar aubstraatially improved for sale or_.lease. If you sel7. or lease a buildiagyouu have.bu�.lt or sube�antially improved yauraelf withia 1 y�ar after � the coastsuction is oomplet�, t]se l,aw will-presume that you built or� substaatially impzoved if for sale or l�ase, which is a violatioa o� this ei�empti,on. You may not hire aa ualic�ased persoa to act as your CO]1�I'BCtQi' or to' supervise people working oa your buildirigr. I� i.s your respoaBi.bility to make sure that p�cple employ�d by you h�ve liaeaees requir�d bg state law aact by couaty oz snuaicipal liceusiag ordiaa�.ces. You may aot de3egate the respoas3bility far supervising work ta a lic�ased caatractor who is aot Iiceased to perfozm the worlc beiag daae. Aay person raorkiag oa your building � who is aot license.d mu�t work uader your direct supervisa.on and mus� be _ �loyed by_ ►�ouL_whic�.m�e�as_tha�t�n» must-.d�d�xc�-�-.-�-.-C:3��ad-wit-h�clding tax_..___.—_---- T and provide workers' compensation fox that employee, alI as prescribed by Iaw. ' Your caastruatioa must comply with �11 applicable laws, ordiasac�s, buildiag co�es, and zoaiag regulatious. > o�R-� 5�� - �� - 1- �o f '7 Ann�ss• 1 j �r -;� 1 PHONE, 1 WJTTNESS PSRl�lIT # � . r� � � � __ -