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r _ ' DTSCLOSIIRE STAT�'T FOR OWNER CITY QF ZBPHYRHII,LS BUYLDING DBPAR'!'�' _: h�v� xeaa� aad ful7.y understaad and agxee �o the pravisions of thi.s ia�trume�t. The uadersigned st�tes sad affira�s that h� ax she ie desirous of coastruetiag, r�aovating, addi�ng ta ar reroofiag his or her own �omicile, that he ox �he aetually occupies, or vaill cecupy by Sa1C� CIOIR�.C1IEr �nd same is uot for reat, lease ar sale. That he or she s3xa11 comply �arith the followiag coaditiaas: 1. That the owaer aad he or ehe alone sha�1 act a� the builder for all phases of coa�structioa. 2. That �he owa�r will comply with all provisioas of the City of Zephyrhills ord3.naaces amd codes pertiaeat to the buiZdiag. 3. Tha� ia� the �v�ut vari.ous phases af aoastructiost are stsbcontracted, he wiZl eagag� oaly gropexly licea�ed subcoatrac�ors aad wi12 pe�soaally supervise � such work. �. That ia the eveat the Suildiag Iaspector shall xequire correctiaas ta be made, the ownez will �seume full respcasibility to 3�asure they mre made, and upon completion wi21 ea31 for a reinspectiez� before praceedfng �vitls the buildia,g. 5. That the owaer �hall aesume ful.2 respoasibiZity foz �he coastructiou aad wil3 not expect su,pexvision of his wark from the City of Zephyzha.11s Sui2t�iag Departme�nt. � S. That prior to £iaal 3aapeotioa aay ac�ditional fees, iacluding re3.nspectioa f�es, must be paid ia £u13.. �. �ritteai reques� �rom this office ehal7. coastitu�e aa o�ficial not3ce to pay additianal fees. 7. That the owaer sha11 comply 4+rith all City, State aad Fec3e�e1 Iaws �.n regard �o sacisl security, workman's compeasation, lien latas, etc. , whe�e applicable. 8. fihat the owaer sha11 comply ws.th all the safety codes i�eued by the Florida Iadu�atrial Commi�s3.aa. 90 Stats law requise�' construetaon ta be dos:e by liaeased cantractors. You ha.ve applied fos a permit uader aa e�remgts.oa to that law. The exemption allaws you, a� �he oam�r af your property, to ac� as your owa cantractor raith eertaia �cestricti.aas evea thaugh you da no� b,�.ve a license. You mu�� pravic�e direct oneite stipervisioa of the caus�ructio� yoursel�. You m�y 'build or improve a , one-£ami.Iy ar two-�amily r�sideace cr a farm outbuildiag. You may �3so build � or improve a comme�cisl buildiag, P=Qvid�d yaur aasts do aot eacce�d $?5.000. The buildiag os xesfdeace must be for your owa use or oceupaucy. It may nat ' be built ar substanti�liy improv�d for sale or le�.se. If you eell oar lease a buildiag you have built or substantially improved youra�lf withia 1 year aftex the coastsuctioa is coa►p3et�, �h� law will psegum� that you built ox i siabstaatially impraved if for sale or �eas�, whictn is a vio3.�,tian o� this exemptiaa. You may aot hire aa ualiceased person ta �ct as yo�zr coatzactox as , to supexv38e people workiag oa your builciiztg. It is lroux zespousibility to make sure that peopZe employed by �rou have 13ceases requir�d by s�at� law and by aosaaty or municipal liaensiag ardiaancee. You may aot del�g�te the respazis3�bility for snpervising work to a lie�nsed coatractor who is aot liceased to perfaza�: the work b�ing done. Aay p�rsoa working on yaur building wha is slot liceas�d must wark uader yaur d3.reet supervisioa anc3 must be e�►ployed by you, which m�aas that yau must deduot F.I.C.A. aad withhcldiag tiasc � and pravide raarkers' campeasation far that employee, all as pacescribeai by law. Your construat3.oa must eamplj► with all appZicabZe Iaws, ardiasaces, build3.ag codes, aad zoaiag regulati ns, . O"WI3ER'S SIGNATURE �.- DATE �27�l� r�n�ss 552� ,t,}� �mti..,�.�r„ �c �-s-s��- _'_, P�otdS 2C>3 - ��3 -?"?5°f WITT�TSSS PBRM=T # � � � � �. • j � I