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s . � DISCLOSURE STATE�PTT FOR OWNER CITY OF �13PHYRfiILLS BtTILDIN� DEPAR�2�'P I I� ��CS� l��+Q-�.�"�" ha�ve read aad fully uuderstaad aud I� agree to the provisioas• of this instrumerst. T3�e uadersic,�r�,ed states aa�i aftisms that he or she is desirous of coagtxucting, renovatiang, addiag �o or reraofia� his ar her awa damicile, that he ar she actually accagi�s, ar tvil�. oeaupy by �aid domic3le, aad same is nat �ar rent, le�se ar sale. That he or she shall campZy v�rith the follawi.ag aaaditioas; 1. That the owaer and h� ar ehe alorae shall act as the bui].der for all phaseB o� cans�ruct�.oa. 2. That the awaer will aamp2y with aIl provisious af the City of Zephyrhi3.is ordiaaaces aad cad�*s pertiaentc to the b�aildiag. 3. That in the event various phasea o� coaetructioa are au}acoa�raeted, he will engage only properly liceased subcoatraatars aad s�ill personally eupervise such work. 4. That in the event �he Buil�3iag Iaspeetor sha21 r�quire correatioas �o be ma�de, the o�+rner wi11 assume ftall r�sgaasibility ta iasure th�y are made, aad upoa completiosz will call �or � rei�nspection before proaeediug wi�h th� buiZding. 5. That the owsser sha11 aseume �u7.1 respaaeibil3ty for the coas��uctioa and will not exp�ect aupervseioa af his work from the City of Zephyrhills 8uildiag I�egartm+�at. 6. That pr3or to �iztai inspeetian any adc'�'itioaal feae, includiag reiaspectian fee$, anu�st be paid 3a full. A writtea reqnest froia this office shall coa��.�ute an official notice to pay additional fees. ' 7. That �h� owaer shall comply with �11 Csty, S�ate and Federal laws ia regard ta ' social security, workman's compensa�ian, lien laws, eto. , where applicable. $. That the owner shall camply with aIl �he safety codes issued by the Florida Iadus�arial Camm3ssioa. 9. State la+r� requires constructioa ta be doae by licensed eontractors. You hav� applied for a� permit uader aa e�cemptioa to that. law. The eacemp�iaa allows you, as the awner o:E your property, to aat as yaur own caatractar with certaia res�rict3ans even though yau do aat hav� a I�.cease. You must provide disect oasite supervisiaa of th� constructioa yo�srse2f. Yau may build or improve a one-fa�mily or t�o-family resideaee or a farm outbuildiag. You may a2so bui.ld � or improve a commercial build3.ag, prov3d�d your casts do ao� exceed $75,OQQ. The buildiag or resideace must be for yous owa use or occup�acy. �t may aot be built or subetantially i.mproved for sale or lease. IE you sell or lease a buildiug yau hav� built ar svbstaati�lly improved your�elf wi�hia 1 year after the coastruction is comp2ete, the l�va wil�. presums that you hui3t or subetant3ally improved if for sale or lease, which is a violatioa of this exemptioa. You may uot hire aa ualiaeused pesBaa to act �s your coatractor ar tc supervi�e peaple workiag on your bu3ldiag. It ie your respoasibility �o make sure that peopl� emploSred by you have liaeaaes required by state lmw aad by couuty ar xnunica.pal licensing crdin�n.ces. You may not de2eg�te the reaponsibility for supervisiag wark �o a Zicensed coatrac�or who is aat licensed to perform the work b�iag doae. Any persan work3ag oa gour building who is aot liceased must +work un,der youar direct aupervisian aad must be --------- em�Ioyed b��u�thi�h._m�aa�thatyouu-mus�-c��duc�t-�.-F:C.�--�d-witlr3io-l-diag-rt�—_--.-J--_ and pravide work.ers' eampensation for that emgloyee, a.12 as pr�scriber�t by Ia�t. Xour ccastruc�iaa must comp].y with all ag�plieable laws, osdiaauc�s, buildiug cades, aad aoaiag regul t3 s OWNER'S SIGNAR' DATE � �,�Q�J'I� �nn�ss S 3 � 1 J pxorr�.�13�!24�� i va=�ss Psx�x # � �