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DISCLOSURE STATEMENT FOR OWNER CITY OF ZZPHYRHILLS BUILDING DEPARTM BUT I, <4 it Ire 4�'_Nk have read and flully understand and agree to th provisions of thi"nstrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by - - - - - said domicile and same is not for. rent, lease or sale. That he or she shall comply with the fIollowing 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 provisions of the City of Zephyrhills ordinances and codes pertiment. to the building. fi 3. That in the event various phases of construction are subcontracted, he will 'engage only properly licensed subcontractors and will peisoUally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they I are made, and upon completion will call for a reinspection before proceeding with the building. s. ThAt 't�e owner shall assume full responsibility for the construction and will not ek',_p-.,ect supervision of his work from the City of Zephirhille Building Dop.ax. neat, 6. Tt prior to final inspection any additional fees, including reinspection must be paid in full. A written request from thisloffice shall titute an official .notice to pay additional fees. 7. iFrb the owner shall comply with all City, State 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 safety code is�1ued 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 that law. The I exemption allows you, an the owner of your property, to act as your own contractor ntractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build o3pimprove a one family or two.-family residence or a farm outbuilding.` You may also build or improve a commercial building, provided your costs do dot exceed $75,000. The -building or residence must be for your own use or occIupanc3e.. it may not be built or substantially improved for sale or lease. If 1you sell or lease a bi#lding you have built or substantially improved yourselt within I year after the* d6nstruction is complete, the law will presume that y I ou built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act 'as your contractor or to supervise people working on your building. It is yourl responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not1delegatethe responsibility for supervising work to a licensed 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 direct supervision and must be employed by you, which means that you must deduct F.I.0 and withholding tax and provide workers' compensation for that employee, all prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S DATE 2��_2_1 ADDRZS:-!��qM_ -.:s r tv-�FLO ul SYT75 -STIStl PHONE P 13- 15t V-cf-331v- WITNESS PERMIT #