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y . DISC�OSIIRS STATEP�T FQR OI4NER CITY OF ZSPF3YRFiILLS HIII�DII�TG DBPARTA28�T I, ��'r'� ��"�� have read aad fu11y uaderstaad aad a�re�e to the provis3oa of �his iastrumeat. The uader�igaed etates aad affirms that he or she is desirous of constructing, reaovatiag, addiag to or reroofiug his or her owa domicile, that he or she , actually occupies, ar will accup�• by said domici].e, and same is aat for r�at, lease or sale. That he or she shall comply with the foZlawiag coaditions: 1. That the owaer aac� he ar �he alaae shall act as the builder for all phaees o� C4136tZ'11C�7.031. 2. That �he otva�r will comply with aZl provisioas of the City of Zephyrhills ordiaa.aaes an� codes pertiaeat to the buildiag. 3. That ia the event variaus phases af aoa�tructioa �x� subcoatracted, he will eagage oaly properly lic�ased �ubcoatractors aad wi11 p�rsoaally supervise such work. 4. Th�t in the eveat the Buildiag Iaspectar sha1Z requize corrections �o be made, the o�aaer �ei12 assume fu21 respaneibility to iaeure they are made, aad upoa campletioa will aali for a reiaspection be�oxe proceediag arith the buildiag, 5. That the owaer shall assume full re�poasa.bility fos the construatiau aad i+*ill aat expect supervisiaa of his �rork fram the City of Zephyrhi33.s Huilding Departtneat. 6. That priar to iEiaal 3nspectioa aay additioaal �ees, includiag r�iaspectiaa fees, muet be paid ia full. �i writteu r�quest fram �his affxce sha�l con�titute aa o�ficial aotxc� to pay additioasl fees. 7. Tha.t the owaer sha12 comply with all Ci.ty, State aad Pe�eral. Iaws ia regard to saeial security, warkmanrs compensation, Iien laws, etc. , where applicable. 8. That the cwaer sh�ll comply `eith all the safety codes issued by the Floxida Sadustrial Commissioa. 9. State law requ�re� construction ta be doae by liceased contractors. Y'ou have applied fcrr a permit uader aa exemptiaa �o that Iaw. The eacemgtion allows yau, as the awnear o� yaur property, ta sct as your own coatractor with ce=taia restrict3oas evea though yota do aot ha�re a licease. You must pacovide direct oasite aupexvi�ioa of the coastruatioa gaurself. Yan m�y build or imprave a oae-fsunily or �wo-familg resid�:aae az ra fa.sm outbuildiag. You may a3sa build ar impsove a cosa�ercia7. buildiag, provided your aosts do ao� exceed $75,000. The bi211CISACJ or r�sidence must be for yaur ortim use or oceupa�acy. It m�y ao� be built or substantially impraved for sale or ].ease. If you se7.l or lease a buildiag you have built ar subetaatially 3mproved yousself within 1 year after the caastraeticn ie eompZete, th� l�w wil2 ps�svime t�t you built or substaati�lly iaeproved if far sale or l��se, sehicl� is a vialatian af this exemptiaa. You may aat hiace �a, ualicensed p�rsan to act ae your caatractor or to superviee peopl�e warkiag oa yaur buildiag. It is your respoasibility ta make sure �hat peogle emp�oyed by� you hav� Zicens�s required by stat� lav� aad by coun�y or mvaieipa2 lieeasiag art�3aaac�s. You may not de2egate the respansibilsty for supervi�ing work to a liceaeed contractor wha is aot liceased ta perfoxm the work beiag done. Any persoa work3ag oa your building who is aot 13ceased must tvark uadex your directi sugervision. a�nd must be -------- e�l�ed_by�ou��v��.��tg_�7zat �rn�: mu�t-ded2��-R.�:C-�-:--e�d-wit�o-rdsnt„T�s�t----_�__ -- ---- and provide workers' compensation for that emplayee, a2I as prescribed by law. Xaur cons�ructioa must ao ly with al agplicable lav�s, osdiaaaces, buildiag codes, �,nd aaa' Iatio .� ��T �}� awr�R.�s szcrr� D�E � , , �nn�ss gaoNs_ �ax�sss �z�� # � � �