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DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT 411'a 4 444t�41 N)6", have read and fully understand and agree to the proves, bAi 4fWs'inbtrument. U The undersigned states and affirms that he or she is desirous of constructing, renovating, adding r reroofing his or her own domicile,that he or she actually occupies,or will occupy by �A nddl fo owl domicile, and same is not for rent, lease or sale. That he or she shall comply ith t e owing conditions: 1. That the owner-and he or she alone shall act as the builder for all phases of cons'truction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the,building. 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. .1'That in the event the Building Inspector shall require corrections to be made, the owner will assume full, responsibility to insure they' are made, and, upon completion will call for a reinspection before proceeding with the building. 5. 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 rei Inspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws,etc.,where applicable. 8. That the owner shall comply with all the safety 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 that 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 license. You must provide direct onsite supervision of the construction yourself. You may - build or improve a one family or two-family residence or a farm, outbuilding. You may also build or improve a commercial building,provided-your costs do not exceed $75,000. The building or residence.must be for"yourown use or occupancy. It may not be 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 your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the 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.17.1-.C.A.`brtd:withholding-tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. �WNEKSSIG ATU RE� 6-ATE /,9 -7 ADDRESS fljrff� r nt PVV L I (I-XI PHONE WITNESS PERMIT I/Masteifonns/OwnersAffidavitNovO7