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* DISCLOSURE STATEMENT FOR OWNF'R '� ' CITY OF ZEPHYRHILLS BUILDING DEPARTMENT � I, � ( I Z � j� have read aad fully understand aad ' agree to the provisions of this iastrumeat. I The undersigned states and affirms that he or she is desirous of coastructiag, I � reaovating, addiag 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 rent, lease or sale. That he or she shall comply with the followiag conditions: � l. That the owaer aad he or she alone shall act as the builder for all phases of ' coastruction. 2. That the owaer will comply with all provisioas of the City of Zephyrhills ordiaances and codes pertiaeat to the building. 3. That ia the event various phases of construction are subcoatracted, he will • eagage oaly properly licensed subcontractors and will persoaally supervise such work. 4. That ia the eveat the Buildiag Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reiaspection before proceediag with the building. 5. That the owner shall assume full respoasibility for the construction and will aot expect supervisioa of his work from the City of Zephyrhills Building � Department. 6. That prior to fiaal inspection any additional fees, iucluding reinspection fees, must be paid ia full. A written request from this office shall constitute aa official notice to pay additional fees. - ' 7. That the owner shall comply with all City, State and Federal laws in regard to � social security, workman's compensation, lien laws, etc. , where applicable. , 8. That the owaer shall comply with all the safety codes issued by the Florida Iadustrial Commission. 9. State law requires construction to be done by� licensed contractors. You have �� applied for a permit under an exemption to that law. The exemption allows you, as the owaer of your property, to act as your owa contractor with certaia restrictions evea though you do aot have a license. You must provide direct oasite 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 buildiag, provided your costs do not exceed $75,000. The buildiag or residence must be for your own use or occupancy. It may not be built or substaatially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself withia 1 year after the coastruction is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violatioa "of this exemptioa. You may aot .hire an unlicensed persoa 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 and by couaty or municipal licensing� ordiaances. You may not delegate the respoasibility for supervisiag work to a licensed contractor who is not licensed to perform the work being doae. Aay person workiag on your building who is not licensed must work uader your direct supervisioa aad must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinaaces, building codes, and zoniag regulatioas. OWNER'S SIGNATURE ��A-e.1..01, � DATE?�02/��j ADDRESS T �- 3 3S�a � Pxor� - � i.� - r' i�,' -- `)� '1 5 , WITNESS � PERMIT # II I