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. , � DISCLOSURS ST�T�iT FOR Oi9NER CI3'X 8F ZSPHYR�ILIaS 8'UTLDING DEPAR't� _, have read aad fu1l.y vaderstand and agsee to the provisions of this ias�rumeat. The undessigaed sta�es aad affirms that he ot she is c2egirous af COII8�S11Ctln�� reaavati�g, adt�ing to or r�rao�iag his or her ovaa damicile, t1lxat he os she actually oceapies, or will oacupy by �aid domicile, aa8 same is aot �or r�nt, leas+e or sale. That he or she shall camply with the fo2lewiug aanditions: 1. That the ovaaer aud he ar ehe alone sl�a11 act a� the builder far al�. phaees of coastructioa. 2. T3iat the owaer will cemply vaith a12 provisioas of the City of Zephyrhille osdiaaaces aad cad�s pertiaeat ta the buildiag. 3. That ita the eve�t variou� phases ot aoastzuctioa are subcontracted, he �eill. enga�e oaZy propexly Iicensed subcantraators aad �e311 pessaaally superviae j suah work. j 4. That in the eveat th� 8uildiag Znspeetor ehall xequire corzectians to be made, f the o�s�es will assume fu11 responsibility to iasure they are made, and upoa i coaipl�tioa w3I2 call for a refaspection befaze praceediag with the buildiag. ; 5. That tlae owaex sha11 assume full responeibil.ity for the aons�ructioa aad wil7. f aot expect supexv3.sion of bi� work from the Citg of Zepbyrhills Huilc�i.ag � Departmeat. i 6. That prior to fiaal iaspectioa aay add'it3oaal tees, ineludiag reiaspectioa � fees, must be paid ia full. A writtesa requ�st fram this office sha1Z i aonetitute aa otfieial aotice to pay additianal f�eB. i 7. That th� awa�r sh��.I aompZy w�th all Citg, State aad 8ed�r�l la�es ia zegard to � sacia2 se+curity, workman's comp�nsatian, lien laws, etc. , v�here applieabZe. 8. That tY►e a�eaer sha11 compl.y with a11 the safety codes issued by the Florida Iadustri�l Commis�ion. 9. State las� requires canstructioa ta be dorae by► Ziceased contra�tors. You hav� � applied for a permit uader aa eacempti,aa to that la�a. The exe�►ption allows ( you, as th�e ovaaer of your propetty, to act as yaus owa coatractar with cer�aia restrictions ev�a though yau da aat have a licease. You aaust provide diseot oasite sup�rva.si.oa of the aaastsuatiaa yaurself. You may build or i�prove a one-f�amily ar two-�amiZy resideace or a E�rm outbuildiag. You may alsa build or 3.mpsove a eommexcial bnildiag, pravided yous aa�ts do act escceed $75,000. The buildiug or resideaee mu�st be tor your o�su use or occup�ucg. �t may aot be built or evbstaatia2ly 3mpraved �or eale or lea�se. If you sell ar Zeae� a , bu�.lc�iag you have built or substantially impraved yaurseZf withia 1 g�ar �fter � . tIxe coastxaction is complet+e, th� 3sw will preeume that you bu31t or l substaat3a21y improver� if for sale az le�se, �ehich is a violatioa af thfs eacemptioa. You a�y aot hire aa ualiceused pexsan to �ct as your caat�aa�or or to supervise people working on 'roiar bu3ldiug. It is your reaponsibi3ity to � m�k� sure that people employed by you h�ve licen�es r�qui=ed by state law aad � by aouaty or mvaicip�3 Iiceasiagr ardiaaaces. You ma�r nat deleg�t� the � respoasibil3ty for Bupervisiag yaark tc a lic�naed caatractor tvho is aot � liceased to perforcn the wark beiag doae. Aay per�oa working e�a your buiis�ing � who is aot liceased must work uader your direet sapervisioa �a.d �►exst be i _ empl�ed_by.�•onL.�rh�.s�..msaas tbat �r.ou-�►ust-c1ed��-i�.-�:G-�;--aad-�ritt�xcr�d�ag-tax_. .-._-- _ ....-- --.- t and pravide s�aarke=s� c�peasation for that employee, all a�s prescribed by 1aw. , ( Your coa�trv.ction must complg w3th all applicab2e I��s, ordina�aces, buiiding j codes, and zaaiag segu atioas. � � OWNER'S SI6NATtJRE F DATE � d�(, t� 4 � i ana�ss 1 ' ! PHONS d � I wzsz�asss �� # , �