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<br />OWNER-8UIT.DER AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF PASCO ) <br /> <br />the undp rs igned author i ty, perSOll!llly appeared ~c...l< <br /> <br />----, who being by me first duly sworn, under oath, <br /> <br />BEFORI: me, <br /> <br />8~~ <br /> <br />deposes and <br /> <br />state.s <br /> <br />i1 S f 01 .I ow s : <br /> <br />I do hereby swcar/Affirm: <br /> <br />That I own the property described AS <br /> <br />~ l nn--.S , Iv ~<- C3v-3. k:" ~ <br /> <br />!JR.. <br /> <br />Disclosure Statement <br /> <br />Statl: I {J\e :-PfJlIi res cOII~;tructjcJfl to 1,,~ done LlY 1 iCi~tis"d contriictors. <br /> <br />YOI! !1n'.lf' Appl Led <br /> <br />for A rermit lIndf~r an exemption to the ],jw. <br /> <br />Thp exemption allows you, AS the owner of <br /> <br />your property, to net ns your own contractor even though you do not ]wve Il 1 icensc. YOll <br /> <br />musl. supcrvisp thf~ construction your5cl C. <br /> <br />You may build or improve n one-family or two- <br /> <br /> <br />You m,JY also build or improve [l commel-C inl <br /> <br /> <br />TIIP bujlding must be fo!' your o\\'n use Rnd <br /> <br />family r(~sid(~nc(; or n farm outbuilding_ <br />building 2t Il cost of $25,000.00 or If'ss. <br /> <br />OCCUPilIlr:y. <br /> <br />It may not be built: for ~;i1h~ or lellse. <br /> <br />If you sell or lease i1 building you <br /> <br />not hire an unljcenscd person as your r:ontrnctor. <br /> <br />sUlne that you built it for sale or lease, which is i1 violation of this exemption. <br /> <br />have built yourself \,il:Jdn one y(~nr nfter th(~ con~~trl.1ction is complete, the 181,1 will pre- <br /> <br />You may <br /> <br />thnt people pmploycd hy YOll hav(. ] icenses reqlJir(~d hy SLntf~ Jnw {lnd by r:olJnty or munjr:.ipnl <br /> <br />It j s yonr re';pon5 ibi] i ty to make Sllce <br /> <br />licensing ordinances. <br /> <br />Any person working on your bu.ilding who i~; nol licensed must \,1ork <br /> <br />under YOllr supervis j on and I1111S l be employed by you, which means tha t you must deduct <br />F.I.e.A. flnd \eithholding tax and provide Workers' CC'Tlpensation for thilt employee, illl AS <br /> <br />prescribed by lnw. <br /> <br />Your construction must comply I,'ith all applicablf' 1m,s, ordinances, <br /> <br />building c':)<1es, and ;~cniJ~g l"o.g:.11n(;ol;::;. <br /> <br />Thilt <br /> <br />have rend the foregoing, ilne! am il\olnre of my rcsponsibilities and liabilities <br /> <br />for constructioll l,Iork on the above-descrihed property ;]n <br />aforesaid stipUJiJLjOllS. <br /> <br />FURTHER AFFJ ANT SAYETH NOT. <br /> <br /> <br />hereby ngrec to eAch of the <br /> <br />/1f'J.I <br />~l/JJ /(6 !jc ~) <br /> <br />ignature <br /> <br />tolOY) <br /> <br />. <br /> <br />8 '\'-I~, GFq.~,< <br />Address <br /> <br />V/l' <br /> <br />, <br /> <br />2-fh)A-c-' elf \ <br />- J1(p los> <br /> <br />Date <br /> <br />SWORN to and subscribed before me <br />this ~ day of ~~ <br />.,~ <br /> <br />~YlCadwc <br /> <br />tfutary Public <br />State of Florida at Large <br /> <br />,,':W..\f.~;';', Sharon L Barber <br />::)?'.' t.&:."p~ MY COMMISSION # CC814789 EXPIRES <br />'"'~;7,'.r~ March 7, 2003 <br />',~~'.~?}~~,;;~., BONfJW THRU TROY FAiN INSURftNCF IN( <br /> <br />My Commission Expires: <br /> <br />Print, Type, or Stamp Commissioned <br />Name of Notary Public <br /> <br />Personally Known _ or Produced Identification <br /> <br />v 'J;/ L-- <br /> <br />-, <br /> <br />Type of Identification <br /> <br />N~ <br /> <br />PC93053047 <br />