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<br />OWNER-BUII.DER AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF PASCO ) <br /> <br />BEFORE me, the undersigned authority, personally appeared GIU-I~ GtZkt:rJ <br />. who being by me first duly sworn, under oath, deposes and stateR <br /> <br />as f 011 ows : <br /> <br />I do hereby swear/affirm: <br /> <br />That I own the property described I1S '=:>92'2- 3Tt:.f'Hf:-N:S PA1l-t , <br />F1.....oILi 6 "" <br /> <br />z.t:..f' H 'I e. H h_l-S I <br /> <br />Disclosure Statement <br /> <br />StRtn 1rJ\~ rf'quin'\s construction to bp. donfl by licenRed contnictors. Yon have I1pplJ('d <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 />mllst supervise the construction yourself. <br />family residence or 11 farm outbuilding. <br /> <br />iou may build or improve a one-family or two- <br />You may also build or improve a commercial <br /> <br />building e.t 11 cost of $25,000.00 or l~ss. Thp building must be for your own use ;md <br />occupancy. It may not be built for sale or lease. If you sell or lease a building you <br />have built yourself tdthin one year after the construction is complete, the law will pre- <br />sume that you built it for sal~ 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 YOll have licenses required by State law and by County or municipal <br />licensing ordinances. Any person working on your ~uilding who is not licensed must work <br />under your supervision and must be employed by you, which means that you must deduct <br />F.I.C.A. and withholding tax and provide Workers' Cc~rensation for that employee, all as <br />prescribed by law. Your construction must comply with all applicable laws, ordinances, <br />builrHng codes, find ~cning regu1.JtiOll3. <br /> <br />That I have read the fore~oing, iJnd am aware of my responsibilities and liabilities <br />for construction work on the above-described property and do hereby agree to eRch of the <br />aforesaid stipulations, <br /> <br />FURTHER AFFIANT SAYETH NOT. <br /> <br />x <br /> <br />, " <br /> <br />G.G~ <br />Owner's Signature <br /> <br />Cc9'2'l. s-t'''-PHof.....J ':~ PATH 2.~PH'7~'<-L:;' <br />Address <br /> <br />A-. 1-:7. 03 _ <br />Date <br /> <br />SWORN to and subscribed before <br />this 11~ day of ~l' <br />t'j . <br />(}-lDO~ <br /> <br />me <br /> <br /> <br /> <br />Nota $'~' 'Jic DANAL.DUDECK <br />Stat ~ 'b~l IOlt! . 88 <br />~" "'~l ~~ July 2l#X' <br />"'~P.f.,r..~., Bonded Thro Nolary PullIic Und9lwrllell <br /> <br />My Commission Expires: <br /> <br />Print, Type, or Stamp <br />Name of Notary Public <br /> <br />Personally Known ~ <br /> <br />Commissioned <br /> <br />or Produced Identification <br /> <br />-, <br /> <br />Type of Identification <br /> <br />PC93053047 <br />