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. . . OWNJm-8UII,DF.R M'FJI>^VJT STATE OF FLORIDA ) COUNTY OF PASCO ) DEFORE me, the undersigned nuthority, persollillly nppeared DOf\ctld.. ~- (o<:;)ro./ve..5 . who b(dng by me first rlllly sworn, under oath, deposes and states as fa 110ws: I do hereby swenr/nffjrm: That I own the property described liS f::; IU- er cA.l vi 31-/ I J..j /Ou-r m.a 111"1 c ,Ur, f};)! J If V kto SLU' r L of- c2gg Disclosure StAtement Stllte IfJ'" ref]ui res cons truction to bl'! dOlle by licensed contrl.lctors. You have IlpplJ.ed for a permit under an exemption to the law. The exemption allows you, as the owner of your property, to Act as your own contractor even though you do not hAve a license. You must supervise the construction yourself. iou may build or improve a one-family or two- family residence or 11 farm outbuilding. You moy also build or improve a commercial bui Iding el: a cost of $25..000.00 or Ipss. The building must be for your own use and occupancy. It may not: be built for sale or lel1se. If you sell or lease a building you have built yourself within one year after the construction is complete, the law w1ll pre- sume that: you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by Sl:ote law and by County or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervis :ton and must be employed by you, which means that you must deduct F.I.C.A. And withholding tax and provide Workers' Cc~pnnsation for that employee, all as prescribed by low. Your construction must comply with all applicable lAWS, ordinances, bu.i.1di.ng codes, nnd zcning reguluUol13. That I have read the foregoing, and am m.,rare of my responsibilities and liabilities J____J~_~ __~~~.... an~ ~n horohv Rvr~~ to each of the