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} , .- ' DISCLQS�R�'s ST�i'PE�NT FOR 019N8R , ' CI3.'7C OF ZSPIiYRSILLB BtTILDINt� DEPARTI�7T . t I, � have read aad fu11y uaderetaas3 asld agree ta the provisioas af thie instrument, The uadersigaed sta�es a�ad a�firme tha� he ar she is de�sirous of canstructiag, reaovatiag, �ddiag to or reroofiag his or h�r owa damiaile, that he or she actually occup�es, or will occupy by said domicile, aac� same is aot for reat, 3ease ar s;ale. That he ox she shmll eoiaply with the follawing coaditioas: 1. That the owaer aad he or she alane ehall aet as the builder for all phases of atmstruction. ' 2. That tbe o�ener will comply with a�ll psav3.sioas of the City of Zephyrhills oxdin�nces aud cades pertineut �a the b�ildiag. 3. That in the eveat varioue phase$ of aoa�tructiaa are subcontractec3, he wi31 engage oaly properlg liceased subcont�raators aind wi3.I per�ommallg supervise � such work. i 4. That ia th+e eveat the Suilding Iaspector �hall require correctians ta be mede, i the os�sxer svill a��ume fu12 respoaeibility to iasure they are m�d�, aad upo� i compl�tian will call for a re3.aspection before proceediang s�ith th� b�aildiag. ' 5. Tha� the oiener ahall ass�me #ull reapans3.bility fo= l;he coastruct3oa aad wi12 not +e�spect supervisioa of hfs vaork �'ram the City o� Zephyrhzlls 8uilding � Departmeat. � 6. That prior to fiu�a iaspectioa aay a�d'it3onal f�es, facludiag reiaspectian j �ees, muet be paid ia fuil. A writtea regu+est fsam thi.s affiae sha17. i coastitute aa o�ficisl aotiae to pay addition�l �ees. .� 7. That th� o+waer sha21 eomply,with a11 Ca.ty, State and Federal law� ia regard ta social security, workman's campensation, lien laws, ete. , whe�e applicable. 1 8. That tla� owaer shai2 comply a*ith all th� safety cades iasued by the Florida � sadustrial Commiaeiaa. 9. State l�.w requirea ccnstruction to be c�oae by licens�d contr�etors. You have applied £or a permi� uncier aa exempti.oa to tl�at law. Th�e �sce�ption allo�s you, �s the avaner o� your grapesty, to act as yraus awa contr�etor with certaia restxictiaas evea though yau do aot have a 2iC�ase. Yau must psovide direat ansite supervisioa of th� canstructioa yourself. You may build or immtprove a ome-f�mily ar two-family r�sideace or a g�rm outbuilding. You mmy also build as improve a comm�rci�1 buila'ta.ag, provz.ded your aosts do not �xceed $75,000. The buildiag os xe8idence must be for yaur o�,ra use or occupaacy. It may not be built or substantsally improved for sal� ar 2ease. If g►�au se1Z or leaee a � buildiag you have built or subetaatially improved yourself wi�hia 1 y��r after i . t�e coastruction ie complete, th� law will preeume that you built or � substaatially improved if for sale or 1e�se, �hiah is a vioiatiaa of thf� ! ex�mptian. You may aot hire �aa ual3cezssed persaa to act ae yo�s.r coatractor or to eup�rvise people wa=king an your bu3ldiag. It is your resg�onaib3lity ta '' make �sure that people emplayed b�yr you have Ziaeases requir�d by state law aad � by cauaty ar municipal liceasiag ordivaaces. Yau may not delegate th� , j reepoasibaZity for supervisiag wark to a �iaeased coatractar teho ,is aat i licensed to perform the work b�ing dane. Rny person warki�g oa your buildiag � who is aot lioeased muet woxk urader g►aur c�irect superwiaioa aad must be i ---- �l��d by.�.►out w��sh_�e,aas t�+� - �r�v,_gtus�-�ed��-�.-�-:�.-�r.--aad-witlrho3-diag t�- ---- _ __--.- ---- � aad provide warkers' compeasatian for that employee, al3 ae presor3bed by law. Your caastructioa mast comply wi,th all ap licab2e law8, o,rdiaaaces, buildiag � ea�es, asid zoaiag r� Iationa. � (� i OWNER'S S UFtE DATE ��j�'f / �. l4DDRESS � ' ' pgp,Ng _ _ ' l WITItiTBSS PSRMYT # �