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DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BIIILDING DEPARTMENT _. ��\�� ' have read and fully understand aad agree to the provisions of this i:nstrument. The undersigned states and affirms that he or she is desirous of coastructing, renovating, adding to or reroofiag his or her owa domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for reat, lease or sale.' That he or she shall comply with the followiag conditions: 1. That the owner and he or she aloae shall act as the builder for all phases of coastruction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertiaent to the buildiag. 3. That in the event various phases of coastruction are subcontracted, he will eagage only properly liceased subcontractors and will personally supervise such work. 4. That ia the event the Building Iaspector shall require correctioas to be made, the owner will assume full responsibility to insure they are made, and upoa completioa will call for a reinspection before proceeding with the building. 5. , That the owner shall assume full responsibility for the constructioa and will not expect supervision of his work from the City of Zephyrhills Suilding Department. 6. That prior to fiaal inspectioa any additional fees, includiag reinspection fees, must be paid in full. A written request from this office shall coastitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State aad Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commissioa. 9. State law requires construction to be done by liceused coatractors. You have applied for a permit under an exemption to that law. The exemptioa allows you, as the owaer of your property, to act as your own contractor with certain restrictioas even though you do aot have a licease. You must provide direct onsite supervision of the constructioa yourself. You may build or improve a one-family or two-family residence or a farm outbuildiag. You may also build or improve a commercial building, provided your costs do aot exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a buildiag you have built or substantially improved yourself withia 1 year after the coustruetioa is complete, the law will presume that you built or substantially improved if for sale or lease, whieh is a violation of this ' exemptioa. You may aot hire an ualiceased person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have liceases required by state law aad by county or municipal licensiag ordiaances. You may not delegate the responsibility for supervisiag work to a liceased contractor who is aot licensed to perform the work beiag doae. Any persoa working oa your building who is aot licensed must work under your direct supervisioa and must be employed by you, which means that you must deduct F.I.C.A. aad withholdiag tax and provide workers' compensation for tha � employee, all as prescribed by law. Your constructioa must comply wit p icable laws, ordinaaces, building codes, and zoning r u s. OWNER'S SIGNAT DATE pC � �� 7 ADDRESS • PHONE WITNESS PFsRMIT #