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DISCLOSURE STATEMENT FOR OWNER <br /> CITY OFZEPHYRH|LLS—BUILDING DEPARTMENT <br /> ' J" � �� <br /> |. have read and fully understand and agree to the <br /> provisions of this instrument. <br /> The undersigned states and affirms that haorshe is oonmtnuobng. renovating, adding bomr <br /> nanom�nghis or her own domicile, that heur she autuaUyp���piea. or will occupy bv said <br /> domicile, and oomm is not for rent, lease or sale. That he or she shall comply with thefnUmming <br /> conditions: <br /> 1. That the owner and he or she alone shall act as the builder for all phases of construction. <br /> 2. That the owner will comply with all provisions of the City mf ZephyrNUn ordinances and codes <br /> pmdinenttothe building. <br /> J. That in the event various phases of construction are mubcontraotmd, he will mnQaQm only <br /> properly licensed subcontractors and will personally supervise such work. <br /> 4. That in the event the Building Inspector shall require corrections to be made, the owner will <br /> assume full responsibility to insure they are madm, and upon completion will oa|| for a <br /> mainmpaotion before proceeding with the building. <br /> 5. That the mvvnar shall assume full responsibility for the construction and will not expect <br /> supervision of his work from the City ofZaphyrhiUs Building Department. <br /> 0. That prior blfinal inspection any additional fees, including nainmpectionfeaa. must be paid in <br /> full. A written request from this office shall 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 social security, <br /> vvorhman'a compensation, lien laws, eto.. where applicable. <br /> 8. That the owner shall comply with all the oedetv codes issued by the Florida Industrial <br /> Commission. <br /> 9. State law requires construction to be done by licensed contractors. Yo6 have applied for <br /> permit under an exemption to that law. The exemption sUoxvo you, as the owner of your <br /> property, to act as your own contractor with certain restrictions even though-you do not have <br /> m |ioensa. You must provide direct onaibo supervision of the construction yourself. You may <br /> build or improve a one-family ortwo-family residence or a hann outbuilding. You may also <br /> build or improve o monnnmanuia| bui|ding, provided your costs do not exceed $75.000. The <br /> building or residence must be for your own use or occupancy. It may not be built or <br /> substantially improved if for sale or lease, which is a violation of this exemption. You may not <br /> hire an unlicensed person bm act on your contractor orbo supervise people working on your <br /> building. It is your responsibility to make auno that people employed by you have licenses <br /> required by state law and bv county or municipal licensing ordinances. You may not delegate <br /> the responsibility for supervising work to a licensed contractor who is not licensed to perform <br /> the work being done. Any person working on your building who is not licensed must work <br /> under your direct supervision and must be employed by you, which means that you must <br /> deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all <br /> as prescribed by law. Your construction must comply with all applicable |oxwa' ordinances, <br /> building codes, and zoning regulations. <br /> � <br /> OWNER'S SIGNATUREDATE <br /> ADDRESS <br /> PHONE <br /> WITNESS PERMIT <br /> ' <br />