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<br />OWNER-BUH.DER AFFIDAVIT <br /> <br />STATE OF'.FtORIDA ) <br />COUNTY OF PASCO ) <br /> <br />BEFORE me, the undersigned <br /> <br />au thod ty, pe",ona]] y appear cd 2 [".e <br /> <br />;-) <br />CA_-dM <br /> <br />__, who being by me first duly sworn, under oath, deposes and states <br /> <br />as follows: <br /> <br />I do hereby swear/affirm: <br /> <br />That I own the property described as <br /> <br />/tf ~O <br /> <br />J/ <br /> <br />(JIlo (}OOOrJ <br /> <br />(..J I S'() <br /> <br />Disclosure Statement <br /> <br />State law requires construction to be done by licensed contractors. You have applied <br /> <br />for a permit under an exemption to the law. <br /> <br />The exemption allows you, as the owner of <br /> <br />your property, to act as your own contractor even though you do not have a license. You <br /> <br />must supervise the construction yourself. You may build or improve a one-family or two- <br /> <br />family residence or a farm outbuilding. <br />building e.t B cost of $25,000.00 or less. <br /> <br />You may also build or improve a commercial <br />Tile building must be for your own use and <br /> <br />occupancy, <br /> <br />It may not be built for sale or lease. <br /> <br />If you sell or lease a building you <br /> <br />have built yourself within one year after the construction is complete, the law will pre- <br />sume that you built it for sale or lease, which is a violation of this exemption. You may <br /> <br />not hire an unlicensed person as your contractor. <br /> <br />It is your responsibility to make sure <br /> <br />that people employed by you have licenses required by State law and by County or municipal <br /> <br />licensing ordinances. <br /> <br />Any person working on your building who is not licensed must work <br /> <br />under your supervis ion and must be employed by you, which means that you must deduct <br />F.I.C.A. and withholding tax and provide Workers' Co~pensation for that employee, all as <br /> <br />prescribed by law. <br /> <br />Your construction must comply with all applicable laws, ordinances, <br /> <br />building cades, and zoning regulations. <br /> <br />That I have read the foregoing, and am awnre of my responsibilities and liabilities <br />for construction work on the above-described property and do hereby agree to each of the <br />aforesaid stipulations, <br /> <br />FURTHER AFFIANT SAYETH NOT. <br /> <br /> <br />-') <br />o <br />~# <br /> <br />Ie 5tt'1L-/{) ilk/Y' l.~L; h/ <br />2 "'-fjYJ!ft~ssd( 5'/1'11/ <br />~~L,? <br />,.tate <br /> <br /> <br />at Large <br /> <br />My Commission <br /> <br />~ ---- <br />r------__. __.---' -._______~ <br />NeTAlty ,,-~'" .......... <br />E. - ~ ............ "AT! CF FtClRm'" "'" <br />XpD~~SS'/'ON iXP n <br />i __ ~ ..JIJLI 1l,.I.lIl1:) <br />. G!NERAL D1S. lIW. <br />\- ~ <br />......-- -'-. <br /> <br />Print, Type, or Stamp Commissioned <br />Name of Notary Public <br /> <br />. ---~_.- <br /> <br />Personally Known _____ <br /> <br />or Produced Identification <br /> <br />~LP 60- 'lgG, <br /> <br />(4 <br /> <br />::L~O-IO <br /> <br />Type of Identification <br /> <br />PC93053047 <br />