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<br />DISCLOSURE STATEKEIIT FOR OWNER <br />CITY OF ZEPIIYIUIILLS BUILDING DEPARTMENT <br /> <br />I, <br />to the <br /> <br /> <br />have read and fully understand and agree <br /> <br />The undersigned states and affirms <br />renovating, adding to or reroofing <br />occupy, or will occupy by <br />sale. That he or she shall comply <br /> <br />that he or she is desirous of constructing, <br />his or her own domicile, that he or she actually <br />said domicile, and same is not for rent, lease or <br />with the following conditions: <br /> <br />1. That the owner and he or she alone shall act as the builder for all phases <br />of construction. <br />2. That the owner will comply with all provisions of the City of Zephyrhills <br />ordinances and codes pertinent to the building. <br />3. That in the event various phases of construction are subcontracted, he will <br />engage only properly licensed subcontractors and will personally supervise <br />such work. <br />4. That in the event the Building Inspector shall require corrections to be <br />made, the owner will assume full responsibility to insure they are made, and <br />upon completion will call for a reinspection before proceeding with the <br />building. <br />S. That the owner shall assume full responsibility for the construction and <br />will not expect supervision of his work from the City of Zephyrhi.lls <br />Building Department. <br />6. That prior to final inspection any additional fees, including reinspection <br />fees, must be paid in full. A written request from this office shall <br />constitute an official notice to pay additional fees. <br />7. That the owner shall comply with all City, State and Federal laws in regard <br />to social security, workman's compensation, lien laws, etc., where <br />applicable. <br />8. That the owner shall comply with all the safety codes issued by the Florida <br />Industrial Commission. <br />9. State law requires construction to be done by licensed contractors. You <br />have applied for a permit under an exemption to that law. The exemption <br />allows you, as the owner of your property, to act as your own contractor <br />even though you do not have a license. You must supervise the construction <br />yourself. You may build or improve a one-family or two-family residence or <br />a farm outbuilding. You may also build or improve a commercial building at <br />a cost of $25,000 or less. The building must be for your own use and <br />occupancy. It may not be built for sale or lease. If you sell or lease <br />more than one building you have built yourself within 1 year after the <br />construction is complete, the law will presume that you built it for sale or <br />lease, which is a violation of this exemption. You may not hire an <br />unlicensed person as your contractor. Your construction must be done <br />according to building codes and zoning regulations. It is your <br />responsibility to make sure that people employed by you have licenses <br />required by state law and by county or municipal licensing ordinances. <br /> <br />DATE: /1- g- ~/r <br /> <br />WITNESS,'71_""(t JJ; ~.L(f <br />WITNESS: <br />PERMIT ~~ 'Iv Y h f3 <br /> <br />DATE, 75.0 c/, t - /? 7 y. <br /> <br />OWNER:L o~- /:V9c~y <br />- J '1 -, /11"/ 5.""7- <br />ADDRESS: '- J I C?\ / --- I (0 7X.. /, <br />2,f/Jil4/l h y If {f ,r=-L PH: 7/] 8 - 380;< , <br />/' / <br />