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° ' � DISCLOS'4RE ST�TET+�7T FOR OWNSR . CITY OF �JBPIiYRHILLS SIIILDIRT� DEPARTi�,'NT I, have read a�d fully uaderst�ad and agree to t]ae prov3sioas of this iastrument. The unctessign�d states aaa� affirms that he or she is desiroue of constructing, � reaavatiug, add�.ng to or reroofiag hi� ar her ovaa domiaile, that he or she aatually occupi�s, ar will oecupy by said damicale, and �aame is not for rent, leas� ar sale. That he or she .shaZl comply with the fol�owiag coadstioas: 3. That the owner aad h� ox she aloae shall ac� as the builder for all phases of , caaastruction. � , 2. That the owa�r c,r311 aom,ply s�rith �3.1 pzovisiaas of the �ity of Zephyrh3.11s ardiaaaces aad cades pertiaeat to the buildiag. 3. That ia the evenC varioua phases of coa�truction �re subecatracted, he will engage only properZy liceased subcontraatar� aad will p�rsonal].y supervise �uch work. 4. 2'hat in the eveat the su�zai�� Iaspector �hall require correatioas to be mad�, � �he owaer �,ra.11 assume full r�spaa�ibiZi�y to iasure they are made, aad npon ' completioa will ca11 for a reiaspeetion befor� praeeediag t,ri�h the building. �, 5. That the a�vaer shall assume full reepoueibility for the coas�ructioa and. will not expec� superviaioa af his work iErom the City of Zephyrhills Suildiag Departmeat. . ' 6, That pri.or ta �izial iasgeatian say adc'8:itiaaal £ees, inciudia� reiuspectiaa fees, must b� paid s.n full. A writtea r�quest �rom this o�fice sha21 '� aoastitute an officfal aotice to gay additional fees. ' �; 7 o That the av�aer shall comply with al]. City, State aad Fed�r�.l laws i� rega�r� ta � social security, workman's campensatian, la.en laws, etc. , where applicable. ' 8. That �he o�ra�r shall comply with �I1 th� safety codes iseued by the Florida . '� Iadus�rial Commxssiaa. - 9. State law regui�es aonstructioa to b+e done by licensed contractors. You have applied for a permit uad�r aa exempta.aa to that l�w. The exemptiaa allows you, as the awaer of your property, to act as youx osva caatsactar with c�ztaia restrs,ctioas even though you do aot have a licease. Yc�u must provide dir�c� � ons3te supervisioa of th� con�truetiaa yourself. You may builc3 or improve a , o�e-family or tvao-fami.ly r�s3dence ar a �arm outbuil.diag. You sinay also build or 3mprove a commercial build3ag, provided your casts �o aot eacceed $75,4QQ, � The buildiag or r�sidence must be for your owa use or accupaacy. It may aot b� built or substan�ially improved for sale or lease. If yau sell or lease a bui3diag yau hav� built ar stibstaati�lly im,proved youraelf wi�hia 1 year �f�er the coastrtzetion �.s complete, the law will presume tha� yoea bui].t or , substaat3aZly improved if for sale or lease, which is a viclatioa of this � exesnptioxi. You may aot hire aa ualiceaxsed ge�saa to act as yaur caatr�ctar or � a to supervi�e peopl.e workiag oa your buildiag. It is yaur responsibility to I� ', make sure that people �mplayed by yov. have lic�naes required by state law aad ` lay aauaty ar u�u�aieipal licensiag ord3aanees. You may not delegate the responsibility for supervising wark �o a licensed coatraator who is aot � liceuaed ta perform the work beiag daae. Any person workiag oa your builc3ing � who is aot licensed muet woxk uadex your dixect supervisian aad muet be j ___��_ e�loy�d__b�_You�. wh�.a�meaae�ha�3►.au-must-deduc-t-�.-I:C-:�.-�d-witb3so-l-ding-tax___---'.--- and provide WpTIC�TSr aampensation for that emp2oyee, a31 as �r�scrib�tl by law. � Yaur coaatructioa must comply with all appliaable laws, orda.xxax�sees, bui3diug � codes, aad zoniag regulat3ons. � b '"['' ^� � O[n1NER'S SIGNAPURE ' � ""-'-� DATF' \�..*�.►S �C.rZ.� Z.Q J� '� ADI3RI�SS � Z. 3 � Ar ,� �� PHOPIE �J � l7 Q Z„ Ia7IZ�78SS PSRPQIT # I k