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- <br /> . DISCLOSURE STATEMENT FOR OWNER <br /> CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT <br /> � have read and fully understand and agree to the <br /> provisions= this"instrument. <br /> The undersigned states and affirms that he or she is desirous of constructing, renovating, adding <br /> reroofing N �nmr� �mdom��' ��he���ea����o�up�s. mrx�|o�upybn ' said <br /> domini|m, and same is not for rent, lease or sale. That he or she nhoU comply with the following <br /> conditions: <br /> 1. That the owner and hmor she alone shall act as the builder for all phases ofconstruction. <br /> 2. That the owner will comply with all provisions mf the City of Zephvrh|Um ordinances and codes <br /> pertinent to the building. <br /> 3. That in the event various phases of construction are aubcontmaotad, he will engage only <br /> properly licensed subcontractors and will personally supervise such work. <br /> 4. That in the enmrd the Building Inspector ohmU require corm»obmna to be nmade, the owner will <br /> ooeuma full responsibility to insure they are modm, and upon completion will call for a <br /> nminspmcUwm before proceeding with the building. <br /> 5. That the cmvnor shall assume full responsibility for the construction and will not expect <br /> supervision of his work from the City mfZephyrhiUn Building Department. <br /> 0' That priorbmfina| inmpect]mnanyadditiona|feea. |ndodingnainapacdmnfeea. muatbepaidin <br /> full. /\written request from this office shall constitute on official notice bo pay additional fees. <br /> 7. That the owner shall comply with all City, State and Federal laws in regard to social security, <br /> vvorkmon'ocompenoodion' lien laws, etc., where applicable. <br /> O. That the owner shall comply with all the safety codes issued by the Florida Industrial <br /> Commission. <br /> 0. State law requires construction to be done by licensed contractors. You have applied for a <br /> permit under an exemption to that |mxx The amosmodou sd|cmva you, as the owner mfyour <br /> property, to act as.your own contractor with certain restrictions even though you do not have <br /> a |icenoe. You must provide direct unmiha supervision of the construction yourself. You may <br /> build or improve e one-family or two-family residence or o femo outbuilding. You may also <br /> build or improve a commmnu|o| building, provided your costs do not exceed $76.000. The <br /> building or residence must be for your cxmn use or occupancy. ;t 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 bo act oo your contractor orhosupervise people working on your <br /> building. It is your responsibility to make aupa that people employed by you have licenses <br /> required bv 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 mnaenm that you must <br /> deduct F.|.C.A. and withholding tax and provide worker's compensation for thotmmp|oYaa. all <br /> as prescribed by |smv. Your construction must comply with all applicable |sumo' mrdinonoas, <br /> building oodam, and zoning regulations. | <br /> ' <br /> OWNER'S SIGNATURE <br /> ADDRESS S& <br /> PHONE / <br /> WITNESS PERMIT ` <br /> / <br /> ` <br />