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+ " DISCL05i7R� STATEi�tl'S FQ� O�NSR CITY QF ZBPHYRHILLS BIIILDIY+'�G DEPARTP�RTT I, S��'{'\��2.C..� have read aad Eully wnderstaad aud agree ta the provie3oae af this iastrument. The uad�rsigaed states aasd affirms that he or she is desirous of construc�iag, xeaovatiag, adding to or reroofing his or her owa domicile, that he or sb.e aatually occupies, or will acaupy by �aid domicile, aad same ss aot foz r�at, lease or sale. That h+e ax she shall camply with the following coa8itioas: 1. That the ov�ser aad he cr she aloae shall act as the buii�der for all phases of canstsuction. � 2. That the os,raer r�vill complg with all pravisiaa8 of the City af Zephyrhills ordiaaaces and eadee pertiaeat to the bui2diag. 3. That iu th� event var3one phaees af coaetruction are subcoatracted, he will eagage anlZr pxoperly liceased subcoaCraators aad will persoaaZly supezvise such work. 4. That ia the eveat the Suildiag Iaspector sl�a2l xe+quis� corxections �o be m�de, the ot,raer wil2 assume fu11 respaneibility to iasure they are m�de, and upon campletioa wiZl cali for a reiaspection before praceedis�g with the buildiag, 5. That the owuer shall aesume full re�poasa.bilitg for l;he caastruction, and will � aat �gect supetvieioa o£ his work £rom th� City of �ephyrhills Build3.ng Department. 6. Tb,at priox to £iaal iaspec�ion aay additiaaal teee, iscludiag reiaspect3oa �ees, muet be p�id ia full. � wsitten r�quest from this office shaZ1 con�ti�ute aa official aotice to pay addition�l fees. 7. Tha� th� awaer shm1Z aomgly w3th aZl City, 5tate aad Feaera.3 Iaws ia regard to saci.al seeurity, workman's campensation, Iien I.aws, et�. , where applicable. 8. That the awaer shall camply vaith all �he safety oodes iseued by the Florida Iadustrial Commiseioa. 9. StaGe law require�s caaetruetio�a to be done by lieensed cantractors. Yau have - appZzed foar a pazmft under aa �emptica to th�t Iaw. Th�e e�cemptioa al2ow� you, �s the awaer o� your property, to act as your owa cantxactor wsth cextaia xeatrict3.oae evea though yota do aot have a license. You must grovida direct oasite supervieioa of the coas�ruct3oa yourse2f, You may build or imprav� � one-f�mily ar ts�o-famsly resid�ace oz a fazm out3�uild3ng. You may alsa build or improv�e a commercial building, pra�rided your costs do aat exceec� $?5,000. The buildiag or sesideace must b� for yaur owa use ot ocaup�.ncy. IG may na� be built or substaatialiy impraved for sale or lease. =f grou sell ar lease e buildiag you h�ve built or substaat3ally 3mproved yourself wi�h3a 1 y��r ��ter the coastruet�.oa is eomp2et�, the law vaill presume that you built or sub�taatialiy improvetl �,f fat� sale ar le�ee, which is a vialatian af this ex�tiaa. You may aat hir� � ualice�sed p�rsaa to ac� �s yaur coatsactor or to supexvi�e geo�rle workiag oa gour building. Yt is your ze�ponsibility to make suxe that people emgloyed bg you have licenses rec�u3r�d by stat� Ia� and by coua.ty ar munie�Lg�I liceasiag ardis�aaces. You may not delegate the respoas3b3lity for Bupervieiag work to a liveaeed coatractor wha xs aot Iiceused ta perform the arork beiag doae. Aay pereoa workiag oa your builc�ing who is not licensed muat work uadex lrour direct aupervisiaa aad inust be __------- eJplo_yed byyouu,� whi��t►�aas—that_�mu-must-dedt��t-R.��:�-.--sad--�rithhcrrdin��tax- --------- -- -- aad pravi.de workers' aampensatian far that employee, all as prescribed by Iaw. Your eanetructiaa must aomply with all agplieable lawa, ordiaaaces, buiidiag codes, and zoa3ag regulatioas. 06�NER'S SIGNATUREG�r��/��---/,;� DATE �,{J ",��''l � . .. ADDRBSS � �saNa. 20 7 � �.� i�T'ITNBSS PSRMIT # ; I - - � -