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__ —� DI�aCY�OSiTRE S�'l4TE�'P FOR OWNER CIfiY OF Z2�FIi'YRHILLS BIIILDZ2tiT� DEPART'�T I. /'� /'/" � have read arld fully undesstaud aad agr�e to th provisioa�a af t s instrument. � _ The unc�exsigaed states and affirms tha� he or she is desi,rous of caastxuctiag, r�aavating, addiag ta or reroofing his or her awa domicile, that he or she a.ctually ocaugies, ar wi7.l oceupy by �aid domia33e, aad same is aot for , reat, lea�se or sale. That he or she shall compZg with th� fol�owiag conditions: 1. That the owner and h� or she aloae shall act as the builder for all phases o� caastruction. � 2. That the owa.er wilZ aamply �rith all pravisiaas of the �ity af 2ephyrhills , ordiaaaces �ad cades gertineat to the bni2diag. , � 3. That in the eveat various phases of coastruction �re sixbcontraated, he will engage oal.y properly liceased subcoatractars aad will p�rsaaally eupervise such wotk. 4. That in the event the Sui2diag Iaspector shall require correatioaa �o be made, � �he owner will aasume full respansibi2i�y to insure they are =nade, aad upcn complet3on w311 aall �or a reinspecti.an b��oxe praceediag wi�h the bui.ld3ag. 5. That the owa+er sha11 aseume full respaasibilitg for the coastruction aad wi11 aot e:xpect superviaion of his vaork lEram the City of Zephyrhille Suildiag Departmeat. � 6. That pri.or to iEival inspection aay ada'titioual fees, iaeiudiag reiaspectiaa fees, must be p�id in fu11. A writ�eu request tram this office sh�ll � coastitute an of�icial not:Lce to pay addita.onal .feee. 9. That �he owaer shall com,ply with �11 City, State aad Fed�eral laws a.x� regard to sacial security, workman's campensa�iaan, Iien laws, etc. , sahere applicable. 8. That the owaer s2aall comply with all th� safety cades issued by the Flarida Iandust�rial Commissioa, 9. Sta�e law regui.ses aonstsuctioa ta be doae by:l3sc�ns�d cantractars. You h�ve appli�d �or a permit uader aa exempta.oa to that l�w. The exemp�ioa allows you, a�s the avaaer of youz propexty, to aat as your awa coatractar with certaia restrictioxas ev�n thaugh you do aat have a Zicenee. Yau must provide dir�ct oasite snpervision af the con�tructioa yaurse2f. You may build ar improve a one-faznily or two-familg rssidenae oz a tarm outbuilding. Yau �tay a2sa build or impsove a commercial build3ag, provided your costs do aot �xeeed $T5,OOQ. The buildiag or reside�nce must be for your owu use or occupaaay. Tt m�y ao� b� bui2t or substantially improved for sale or lease. If you sell or lease a builciiag you have built ar substaatirally ia�praved yours�If withia 1 ye�,r after the coastruction 3s comg�.et�, th+� ].aw will presume tha� you bui2� or substassti.ally improved if far sale or lea�se, whicb is a violatioa of this escemptioa. You may aot hir� an ualiceased persaa to act as yaur caatraator or � ', �ca supervise peaple workiag oa your buildiagr. It 3s your responsibility to make sure that p�aple employed by yau hav�e licenaes required by state Iaw aad �I by coianty ar muaicigmZ Zieeasiag azdinaaces. You may aat de3eg�t� the � responsibilsty for superva.siag rrork to � licensed coatractar who is aot liceased ta per�orm the work beitig done. Any persaa workiag oa your bv,31d3ag who is not liceused must work under yous diacect supervisian aad must be � —---_._. ein_,Play+ed_by._You� i,h�ch m�,aas that_3rou-must-deduct-F.�.-C��:-aad-withho3-diag�-tax�------ ---- ; aad pravide workers' compensation £or that employee, alI as pr�$cribed by law. ' Your constructiaa must comp with all appl3cable 2aws, ardiaanc�s, building � codes, aad zo�ning regulat ns. OW13ER'S SIGN�UFt,Ery �� ,, E ADDRE3S t a� 1 PHONS V�lIT2a8SS �,} PSRI�IT # I . I