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DISCLOSURE STATEMENT F R OWNER CITY M 4i OF ZZPHYRHILLS BUILDI G DEPARTMENT ce.(G- hav read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or Sh is. desirous of constructing, renovating, adding to or reroofing his or her o domicile, that he or she actually occupies, or will occupy by Sa domicile, and same is not for rent, lease or sale. That he or she shall compl with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provision of the City of Zephyrhills ordinances and codes pertinent. to the buildin 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That *in the event the Building Inspector shal require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection befor� proceeding with the building. S. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written reques from this office shall constitute an official notice to pay addition 1 fees.. 7. That the owner shall comply with all City, St to and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. S. That the owner shall comply with- all the safe y codes issued by the Florida Industrial Commission. 9. state law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to th t law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a li ease. You must provide direct onsite supervision of the construction yourse f. You may build o�; improve a one-family or two-family residence or a farm utbuilding. You may also build or improve a commercial building, provided yo r costs do not exceed $75,000. The building or residence must be for your o use or occupancy. It may not be built or substantially improved for sale o lease. If you sell or lease a building you have built or substantially impr ved yourself within I year after the construction is complete, the law will pr sume that you built or substantially improved if for sale or lease, hich is a violation of this exemption. You may not hire an unlicensed pe son 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 li enses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a lice sed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your dire t supervision and must be employed by you, which means that you must de uct F.I.C.A. and withholding tax and provide workers' compensation for that e*Oloyee, all as prescribed by law. Your construction must comply with all applic le laws, ordinances, building codes, and zoning regulations. A. OWNER'S SIGNAT - DATE ADDRESS 0 _ PHONE CAS41r 0 9 to WITNESS PERMIT #