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- \ <br /> ' . ' � DISCLOSURE STATII�NT FOR OWNFR <br /> CITY OF ZEPHYRHILLS BIIILDING DEPARTMENT <br /> I. ✓r °e���� ����� have read and fully understand and 'I <br /> agree to the provisions of this instrument. � 'I <br /> � � <br /> The undersigned states and affirms that he or she is desirous of coastructiag, <br /> reaovating, adding to or reroofiag his or her own domicile, that he or� she i <br /> actually occupies, or will occupy by said domicile, and same is not for � i <br /> rent, lease �or sale. That he or she shall comply with the following conditions: <br /> 1. That the owaer and he or she aloae shall act as the builder for all phases of <br /> constructioa. ' <br /> 2. That the owaer will comply with all provisioas of the City of Zephyrhills <br /> ordinances and codes pertineat to the building. <br /> 3. That in the event various phases of coastruction are subcontracted, he will <br /> engage only properly liceased subcontractors and will personally supervise <br /> such work. <br /> 4. That in the eveat the Building Inspector shall require corrections to be made; <br /> the owaer will assume full responsibility to insure they are made, and upon <br /> completioa will call for a reiaspection before proceeding with the building. � . <br /> 5. That the owner shall assume full responsibility for the coastruction and will <br /> not expect supervision of�his work from the City of Zephyrhills Building � <br /> Department. <br /> 6. That prior to final inspection any additional fees, iacluding reiaspectioa <br /> fees, must,be paid in full. A written request from this office shall <br /> constitute an official notice to pay additional fees. <br /> 7. That the owner shall comply with all City, State and Federal laws in regard to <br /> social security, workman's compensation, lien laws, etc. , where applicable. <br /> 8. That the oivaer shall comply with all the safety codes issued by the Florida <br /> Iadustrial Commissioa. <br /> 9. State law requires coastruction to be doae by licensed .contractors. You have <br /> � applied for a permit under an exemptioa to that law. The exemptioa allows ! <br /> you, as the owaer of your property, to act as your own contractor with certain <br /> restrictioas evea though you do aot have a license. You must provide direct , <br /> oasite supervisiou of the construction yourself. You may build or improve a <br /> one-family or two-family resideace or a farm outbuildiag. You may also build <br /> or improve a commercial buildiag, provided your ,costs do not exceed $75,000. <br /> The building or resideace must be for your owa use or occupancy. It may not ; <br /> be built or substantially improved for sale or lease. If you sell or lease a <br /> buildiag you have built or substantially improved yourself within 1 year after ' <br /> the constructioa is complete, the law will presume that you built or I <br /> substaatially improved if for sale or lease, which is a violation of this <br /> exemption. You may aot hire an unliceased person to act as your contractor or <br /> to supervise people workiag oa your building. It is your responsibility to ; <br /> make sure that people employed by you have licenses required by state law aad <br /> by county or municipal liceasiag ordiaances. You may aot delegate the � <br /> responsibility for supervising work to a liceased contractor who is not , <br /> licensed to perform the work being doae. Any persoa working on your buildiag � <br /> who is not liceased must work under your direct supervision aad must be ; <br /> employed by you, which means that you must deduct F.I.C.A. and withholding •tax <br /> and provide workers' compensation for that employee, all as prescribed by law. � <br /> Your constructioa must comply with all applicable laws, ordinances, buildiag � <br /> codes, and zoaing regulatioas. ' <br /> OWNER'S S IGNATURE_�C DATE t��-� / �r� �, <br /> ADDRESS �J ,�' <br /> PHONE !,� — � <br /> WITNESS PERMIT # <br />