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, DISCLOSIIRS STATEMENT FOR OTii't�T�R CITX OF ZEPHYItHILLS SUZLDING DEF'ARTMENT _• ,L��6�6� � ��'=6 �-� �t"-��=, � have read and fully unders�aad and agree to the provisioas of this instrument. � � The undersigacied states aad affirms that he or she is desirous of constructing, renovating, addiag ta ar reroafing his or her awu domicile, that he or she actually occupie�, or will occupy by �//��said damicile, aad same is aat for rent, I.ease or sale. That he or she sha1l. camgly with the follovTiag conditioas: 1. That the oaraer aad he or she al.oae shall act as the builder for all.�ghases of coastruction. ; �.. � � � 2. Tha� the owner wi11 comply with all provi.sioas of the City of ZephyrhilZs ordiaances an.d eades perti�ent to the buiZding. 3. Tha� ia• the event varzous phases of construcGa.on are subcon,tracted, he will eugage only� properly liceased s�ubcoatractars aad will peraanall.y supervise such work. 4. That in the event the Building Iaspector sha11 require corrections to be made, the awaer wi1.1 assume full responsibility to insure they are made, aud upon completiaa will call �or a reinspectioa before proceeda.ng cvith the building. 5. That the owaer shall assume fu1.1. respoasa.bil.ity for th� coristructiozl and will not expect sv.pervision of his work from the City af Zephyrhills Buildiag Departmeat. 5. Tha� prior ta fiaal inspeet�ian any additiona2 fees, iacludiag reinspectian fees, must be paid in £ull. A writtea request from this office ahall canstitute an affi.ciaZ noti.ce ta gay additioaal fees. 7. Tha� the owner shall comply wi�h all City, State aud Federal laws ia regard to social security, warkman's compensat.ion, lien laws, et.a. , where applicable. 8. That the owaer shall comply with all the safety cades issued by the Florida Industrial Commissioa. 9. Sta�e law requires eon,structioa to be done by liceased contrae�ars. You have applied for a permit under aa exemp�a.on �o that law. The exemption allaws �rou, as �he owaer of your praperty, ta aet as your own contractar with certairi restrictions evea though you da not have a licenae. Xou must provide direct oasite supervisioa of the coastruction yourself. You may build or improve a oae-famiZy or two-family residence or a �arm outbv.ildiag. You may also build or a.mprave a commercial buildiag, provided your costs do aot exceed $75,000. The building or resideace must be for your ov,rna use ar occugancy. I� may aot be built or substaatially improved for sale ar lease. If you sell or lease a building you have bui].t or subs�aatially impxoved gourselt withiu 1. geas after the construction 3s camplete, the law will presume that you built or substantially improved if for sale or lease, which is a vialati.au of thi� e�cemptioa. Yau may not hire aa unliceased persaa to act as your con.trae�ar os to supervise peopZe workiag oa. your buildiag. It is your respoasibility to make sure that people employed by yau have licenses required by state law and by couaty or municipal licensiag ardinaaces. You may aot delegate the respaasibility for supervising work to a liceased coatractar wha is not Iiceased ta perform the work being done. Auy person cnforking on yaur building who a.s aot liaensed must work uader your direat supervisioa and must be empZoyed by yau, which meaas that you must deduct F.I.C.A. and withholdiug tax and provide workers' aompensation for that employee, aZl aa prescribed by law. Youac coastruction must co ly w'th a 1 applicable laws, ordiaaaces, building eodes, aad zouiag regul ion . OT�tNER'S SIGNA'rURE DATE L �'� � �� ADDRESS � � PHONE WITNESS PEsRMIT # I � _ ,