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�; c DISCLOSURE STF�TEt�1T FOR OWPaER CTTX OF ZSPIiYRHII�L�^ SUILDINC DEPARTP9ENT' c �, ��,t�,,�G"� �� hav� read aad fully uaderstaad aad agree to the pzovisions o� this iastrrxmeat. The undersigaed states aad a�firms t3sat h� ar she is desirous of coastzucting, reaavatiago adding to or reraofiag ha.s or her owa damicile, that he ar she actually �occupies, or wil], occupy by Z.CI.-� smid domicil�, aad same is no� for reat, lease or sale. Tha� he or she shall comply w3th the fallawiag aonditioas: 7.. That th� owaer aad he or she aloae shall act as the buil.der for aIl phases of canstructian. ' � v 2. That the owa�r` will camply svith all psavisioas-of the City �of Zephyrhill's- - - ordiaaaces a�ad cod�s pe=tia�at ta the buildiag. 3. That ia the event various ph�ees of constructiaa are szxbcoatsacted, he will engage oaly propexly licensec� subcoatractor�s sad wi11 pereoaally aupervise such wark. 4. That ia the event the Buildiag Zasg�ector shall requ3re correctiaas to be mad�, the owsuer will assume fu11 respaasibility ta iasure th�y are made, aad upon aomple�ion wi21 cal.1 for � r�iaepeatian befare praceediag with the buildiag. 5. That the awner shall ae�wme �ull respoasibility for the con�tructiaa aad will aot expect supervisiaa af his tdark fxam �h� Citg af Zephyrhil3a Suildiag Depaartmeat. 6. That pr3or to fiaal iaspeetataa aay additioual fees, includiag reiasp�ction fees, muet b� pai8 ia fu11. A written request from this office aha11 coastitute aa afficial aota.ce to pay addlitiaa��l �ees. 7, That bhe ovaaer sha1Z comply with a11 City, State asad Federal 2as�s iu regard to soaial security, warkman's eampensation, Iien laws, etc. , where applicable. $. That �he owaer sha11 camply with a11 the safety codes issu�d by the Florida Iadus�r3al Commie�ioa. - - � 9. State la�w requires conatz�uctioa ta be doae by liaensed contraatars. Yau hav� - agplied fox a permit u�.der aa eacemptioa to that law. The e�cemptioa allows you, a.s the acvaez of your property, to act as yaur owa coatractor with certai� restrictiona even though you do �not hae� a� license. You must_ pravide direct onsite eupervision af the con�tructioa yourself. You may build or imgrove a one-family or twa-familg residenc� or a farm autbuildiag. You may a2so build or improv� a commercial builciing, provided yaur aosts da aat ea�ceed $�5,000. _ The building ar residence must be for your own use or occupaacy. It may aot be built or substa�atially improved `for sale ar lease. If you s�11 or lease a buildiag yau bav� built ar sub�taatially 3.mproved yourself withia 1 ye�r after the coastzuctioai i's' complete, the la`a �;ri1Z presum� that you."built. or° � substaatia3ly ia;proved if for sale or le�se, whicl� is s violatian of this exempt3oa. You may aot hire aa ualic�ased peraoa to aat as your caatractor or to supervise peapl� warkiag oa youx buildiag. It is yaur respoasibility ta make sure that g�eople emplayed by yau have 2sa�nses r�c�aired by atat� lava aad by county or muaicip�.l 2ic�nsiag czdiaanees. You may aat delegate the respoasibility for supervising work ta � licease�3 cantrac�or who �s aot 3iceased to per�orm the work being doae. Aay person warking oa gour builcia.ag who is �aot� licea�ed must saaxk under yaur direat sup�rvision aad must be �].oyed by.�.►ou� w�,ic��nQ�as_that._3rau-must-deduct R��-.-C-�--aad-vai�hha-Ycting�t�— ---_-_ � � and provide workers' eompensata.on for that employee, all as ps�scribed by Iaw. Yo�z construct3on must aomply with all applicable 1aws, ordiaaaces, buildiag codes, aad �oaiag r atioas. OWNER�S SIGNATURE � r V �� DATE � � � � ADDRESS ., `' PHOI�TE, O ',. 6dITN8SS ` , �. ' PSRPRIT # , . .x , . � � , - ' � .