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D:ISCLOS'DRB STA'l'BIIBR".r FOR OWRBR CJ:TY OF ZlIPBYRB:ILLS BU:ILDDIG DBPARTMBRT ~/OffJ/ ea~&1 to the provisions of this instrument. :I, ag:aee have read and fuJ.ly understand and The undersigned states and affirms that he or she is desirous of constructing, reJtovating, adding to or reroofing his or her own domicile, that he or she actlually occupies,' or will occupy by said domicile, and same is not for r~t, ~ease or sale. That he or she shal~ comply with the fo~lowing conditions: ~. That the owner and he or she alone shall act as the builder for a~~ phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4 . That in the event the Bu:i~diDg' :Inspector shall require corrections to be made, the owner wi~~ assume full responsibility to insure they are made, and upon comp~etion wi~l call for a reinspect ion before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from. the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in fuJ.~. A written request from. this office shall constitute an official notice to pay additional fees. 7 . That the owner shall comply wi th all Ci ty , State and Pederal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Plorida :Industrial Commission. 9. State ~aw requires construction to be done by ~icensed contractors. You have app~ied for a pe%1llit under an exemption to that law. The exemption allows :you, as the owner of your property, to act as your own contractor with certain ,restrictions even though you do not have a license. You must provide direct !onsi te supervision of the construction yourself. You may build or improve a lone-family or two-family residence or a farm outbuilding. You may also build lor improve a commercial building, provided your costs do not exceed $25,000. 'The building or residence must be for your own use or occupancy. :It may not Ibe built or substantially improved for sale or lease. :If you sell or lease a . !building you have built or substantially improved yourself within 1 year after ~ construction is complete, the law wil~ presume that you built or !substantially improved if for sale or lease, which is a violation of this ~emption. You may not hire an unlicensed persOn to act as your contractor or ito supervise people working on your building. :It is your responsibility to ~e sure that people employed by you have licenses required by state ~aw and py county or Dl11Dicipal licensing ordinances. You may not delegate the ~esponsibili ty for supervising work to a licensed contractor who is not 1Licensed to perform the work being done. Any person working on your building .,..ho is not licensed must work under your direct supervision and must be 1-P~oyed by you, which means that you must deduct P.:I.C.A. and withhOlding tax ~d provide workers' compensation for that employee, all as prescribed by law. 'tour construction must comply with all appliCable laws, ordinances, building cj:ades, and zoning r~~tions. /J....... / ~~. DATE ~-/.3- oy PERIIl:T #