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OWNER-BUIJ.DER AFFIDAVIT STATE OF FLORIDA ) COUNTY OF PASCO ) BEFORE me. the undersigned authority, personally appeared , who being by me first duly sworn, under oath, deposes and states d S f 0 11 ow s : I do hereby swear/affirm: That I own the property described IlS Disclosure Statement Stllt~ IfJ\<l ,l'qui res com;truction to l)(.~ don~ by ] icensed contnictors. YOll hllve IlppU.C'd 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 yoursel f. family resi.dence or 11 farm outbuilding. You may build or improve a one-family or two- You may also build or improve a commercial buildi.ng .?t !l cost of $25,000.00 or l~ss. occupancy. It may not be built for sale or Thl' building must be for your own use i'lnd le~se. If you sell or lease a building you have built yourself tdthin one year after the construction is complete, the lat" will pre- sume that you built it for sal~ 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 State law and by County or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. And withholding tax and provide Workers' Cc~rensation for that employee, all as prp.scribed by law, Your construction must comply with all applicable laws, ordinances. builrHng codes. find ;>;cning ,l:egul.Jtiun::;. That I have read the foregoing, und am aware of my responsibilities and liabilities for construction work on the above-described property and do hereby agree to eAch of the aforesaid stipulations, FURTHER AFFIANT SAYETH NOT. ~@J Owner's Signature c:>-:3P7 ~~ Address ~~ Date 33S42- SWORN t~\pnd subscr\b;d~pafore me this ~ day of ~ f).. Ocr3 . No't~~~~ State of Florida at Large ""U"'" /1\"" r~ S, Caggiano ~~~iJ' ~ MY COMMISSION;I DDl14845 EXPIRES Print~... . - or ~t-Mav.i, ~mis' d ~"~Rf:!l\.' , SONDEDTHRtlrRoYFAIN INSURANCf.IN~ 1. on e Name Or: "Notary Publ ic Personally Known ~r Produced Identification My Commission Expires: 1Ll2LN-1\ 4- ~ YY\I).. y 5);)..0 CXI -, Type of Identification PC93053047