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<br />DISCLOSURE STATEMENT FOR OWNER
<br />CITY OF ZEPHYRHILLS BUILDIRG DEPARTMENT
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<br />I,
<br />to the provisions of this instrument."
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<br />K/l /J'? / K' L: Z
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<br />have read and fully understand and agree
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<br />The undersigned states and affirms that he or she is desirous of constructing,
<br />renovating, adding to or reroofing his or her O~l domicile, that he or she actually
<br />occupy, or will occupy by ~~~/L ~~ said domicile, and same is not for rent, lease or
<br />sale, That he or she shall comply with the following conditions:
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<br />1, That the owner and he 01' 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 />), 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 />5, That the owner shall assume full responsibility for the construction and
<br />will not expect supervision of his work from the City of Zephyrhills
<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 propertYf 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 ~o building codes and zoning regulations, It is your
<br />responsibi;city to make sure that people employed by you have licenses
<br />required by state law and by county or municipal licensing ordinances,
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<br />DATE: JA/V
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<br />WITNESS:
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<br />DATE, J/1/1/. -:-:f'~~r.
<br />OWNER: ~~~~~~
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<br />ADDRESS: 39 3/ t5 C7~,4 /V?L:? ....-9 1"6-,
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<br />WITNESS:
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<br />PERMIT #
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<br />Z EPA' Y/E'I"/.I.L,L ~ "-cL, PH: Y/3-779 - 7C7 7/
<br />.335'c,.L~
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