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;: .; � �sscLasu� sx�z� �o� awrn�R CITY OF ZTPHXRHILLS BIIILDIIdG DEPA.RTI�IENT I, h�ve read and fully ,�ae=st�ua aad agree to the pravisiaae of this iaat�eat. Th� undereign�d states aad affirms that he ar she is desirous of coastructia�, reaovatiag, addiag ta ar reraafiag his or her owra dlomicile, that he ot ehe actually aceupies, or will oecupy by said damieile, aad eame is aot for r�at, lease or sale. That he or she shaZl compZy with the followiag coaditions: 1. That th� owaer aad he or she aloae shall act as the builder for all phases of coastruction. 2. That th� cwner wi21 aomgly with all provisioas of the City of Zephyrhille ordinances aad eodee pertineat ta the buil�iiag. , 3. That ia the eveat var3ous phases of eoastruc�ioa are subcontraat�d, he wiil eagage ouly ,properly liceaeeci subcontractoxs aad will personally supervise such work. 4. That ia the event the 8uildiag Inepector shall require carrectiaas to be made, the ot�ner vaill aesum� full responaibility ta iasure they �re ma8e, aad upon aompletion will c�21 far a reiasgec�iaa befor� proeeediag with the building, � 5. That �he atvaer �hall assume full reaponaibility foz the coastruetioa and will � not expect supervisioa of his work �rom the City of Zephyrhills Suildiag Dep�r�meat. 6. That prior to £ia�l inspection aay addit3.oaa1 fees, includiag reiaapectioa fees, must b� gaid in full. A written request �rcm th3.s affie� sha21 coastitute asa o�f3.cia1 notice to pay additional fees: 7a Tha� the owner shall comply with a11 City, Stat� a.nd Federal laws ia regard ta soca.al security, woskman's compensation, lien laws, etc. , whete applicable. �. That the owaer shall comply w3th aIl the safety cade� issued by the Flarida Iadustrial Comm3.ssian. 9. State laar requir�s canstruction ta be daa+e by laeeased caatraators. You h�ve applied tor a permit uad�r aa exemptioa to th�t law. The e�cemptioa alloms yau, aa the own�r of yaur property, to act as yaur ovaa coatractor with cextaia restrictious even though you do aot have a licease. You must provide direct ansite supesvision of the aoastructioa yourse7.£. You may'build or improve a one-fasniZy or two-family resideuce or a �arm outbuilding. You may alsa bui3.d or improve a aommesc3al buildiag, grov3.ded your costs do aot exceed $75,40Q, The buildiag ar resideace mus� be fox your awn use os occupancy. Zt may aot be built or substantially improved for sale or leaee. Tf yau sell or lease a builc3iag you have buil� or eubstaatially impraved yourself withia 1 year �fter the constsuetioa is compZete, the law will presvme that you bui3t ar substaatiallg impxoved if for sale or lease, which is a violatio�, of this exempti,oa. You may mot hire au ualiceased persoa to act as your caatxactor ar , ta superva.se people workiag oa your build3ag. It is your respoasibility to make sure that people employed by you have liceasee required by state law and by coutzty ax muaicipai liaeusiag ordiaances. Yon may aot d�legat� the sespaasibil.ity far sug�rvising work to a liceased caatractor who is nat liceased to perfornn the work beiag daae. Aay persoa workiag oa your building who 3.s uot licenaed must v�ork uader your direct supervisioa aad must be . employed my you, which meaas that you mus� deduct F.I.C.A. aad withholdiag tax and provide work.ers' cam a a.on foz that employee, m11 as prescribed by Iaw. Yonr canstructioa mu c w'�h all app3ieabZe Iaws, ardiaaaces, buildiug codee, aad zoaiag r s. . . OWNER�S SIGNATURE DATE 3 (/zU �� �nnx�.ss �' o �` L 33..SYd2 P�iONB WITNESS PBRMIT # I i