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DISCLOSURE Sx�T� FOR pWNER ' ° � CITY OF ZBPHYRHII,LS BIIILDII�TG DEPARTP�P]T _: �`Y��VI�-� t�.��it,.1�P.1"� have ace�d aad fully tinder�taad and. agree to the provisiaas af this iaet�ent. The uadersigned states aad affirmB that he or she ie desirous of caastructiug. reaovating, addiag to or reroafiag his or h�r owa domic3le, that he ar she aetua23.y occupies, os tvill ocaupy by �aid domic3le, and same is aot £or z�,nt, Zease or sale. That he or she sha31 comply w:ith the foZlowiag coaditioas: 1. That the ow�ner aad he or she aloae shall aat ae the builder for all phases of coastructioa. � 2. That the awaer w3.i1 camply with all provisioas of the City of Z�phyrhille ordinaaaes aad cod�s pertiuetat to the buildiag. 3. That ia tlae eveat variaus ph�,ses of eoastructian are subcontracted, he wi22 engage onlZ► properly licensed subaontractors aad wi21 p�rsaaally supervise auch tvork. g. That in the event the 8uildiag Iaspector shall require correcticns to be made, the at�vner will as�svme fu21 responsibility to insure Ghey are made, and upon eamp3etioa w321 e�i2 for a reiaspeetioa before praceeding with the buiidiag. 5. That the owaer shall assume full resgotisibslity for the coastr.uation aad will not �acpect superv3sioa of his work from th� City af Zeghyrhills Suildiag Departmeat. 6. R'hat prior to £iaal inspecbion aay addit3oaal fees, iacludiag reinsp�ction fe�s, must he paid ia �ull. A written request £rom thi� of£ice �sha12. con�titute aa offscial aotiae to pay ac�d3tiaaal fees. 7. That the or,ezaer shall camply with all City, Stat� aand Federal laws in regard ta sacial security, workman�s compensation, lien laws, et�. , where applicable. 8. That the owaer shail ccmply svith all the safety codes issued by the Floxida Industrial Commis�iaa. 9. State 1aw requires aonstsuc�ion to be d,one by liceasad coutractozs. You l�ave applied for a permit uader aa exesaptiou ta that lasa�. The �acemptxoa a2lows you, as the ov,�ner of your property, to act as yaur owa aoatractox wa.th certaia restrictions evea though you do sxo� h�ve � licenee. You must gravide d3.rect onsite supervi�ioat, of the coastruc�iaa your$elf. You may build or im,prove a one-fami2y or t�o-fami.ly z�sid�aae or a farm outbuiiding. You may also build or improve a eoaunaxcial builciiag, provided youx eosts c3c aot e.�ccee� $?5,000. The buildiag or re�eideace must be �or yaur awa uee or oacupaacy. It may not be .built or substantially impraved for sale or lease. If you aell or lease a ' buiidiag you hav� built or su��taa�ially improvedl yourself w3thin 1 year after ', the coa�str�actian is campZet�, th� law vaiZl preeume that you built or �� subs�aatiall� imgrovec3 3f for sale or le�.se, which 3s a violation of �his exe�mptioa. Yau may aot hire aa ualiceasec�. per�oa ta act as your aontractor or �i to superv3se people workin oa g your buildiag. =t is your respoas3.b3.lity to � mak� sure that peopl� employed by you have licenaes required by s�ate law aad by couaty ar mua3.eipal liaeaeiag ardin.aaces. You �y aot delegate the reapons�.bai.Zity for supervisiag wark to � 13c�ased eoatractor �vho f s t�ot liceased to pexform the wosk beiag doae. Aay person workimg oa your buildiag who ie �noC licensed mus� work uader yaur diruct eup�rvisiou aad mv.st be ------ �I.�ed_byyouu� wI�G�]Y1��s�hai- �cav.-must-dedact-��--��C-�--aad-withho3�diag tax_ ..__.------- --.-- and provid� workers' aompensation far that em,ployee, a11 as pzeacribred by law. Y'our construatio�n must eomply with all agp2icah2e laws, ordiaaaces, buiidiag . codes, aad zoniag regulatiaas. OWNER'S SIGNATURE DATE � � , ADDRESS ' ' �'�L � psoza�. �t=�u�t�-�!�� . I �ITNSSS PSR�IT #�