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<br />D:ISCLOStJRB STATBMBR"l' POR. OWNBR <br />C:In OP ZBPBYRBl:LLS SU:ILDDIG DBPUTJlBNT <br /> <br />:I, :It Vl1 ~ i:e.~ P e.r r~ have read and ful.ly understand and <br />ag2f-ee to the Jfrovisions ~f this instrument. <br /> <br />~ undersigned. states and affirms that he or she is desirous of constructing, <br />r~ating, adding to or reroofing his or her own domicile, that he or she <br />acUually occupies,' or will occupy by said domicile, and same is not for <br />r~t, lease or sale. That he or she shall comply with the fOllowing conditions: <br /> <br />1. That the owner and he or she alone shall act as the builder for all phases of <br />construction. <br />2. That the owner will comply with all provisions of the City of Zephyrhills <br />ordinances and codes pertinent to the building. <br />3. That in the event various phases of construction are subcontracted, he will <br />engage only properly licensed. subcontractors and will personally supervise <br />such work. <br />4. That in the event the Building :Inspector shall require corrections to be made, <br />the owner will assume ful.l responsibility to insure they are made, and upon <br />completion will call for a reinspection before proceeding with the building. <br />5. That the owner shall assume full responsibility for the construction and will <br />not expect supervision of his work from. the City of Zephyrhills Building <br />Department. <br />6 - That prior to final inspection any additional fees, including reinspection <br />fees, must be paid in ful.l. A written request from. this office shall <br />constitute an official notice to pay additional fees. <br />7. That the owner shall comply with all City, State and Federal laws in regard to <br />social security, workman's Compensation, lien laws, etc., where applicable. <br />8. That the owner shall comply with all the Safety codes issued by the Florida <br />:Industrial Commission. <br />9. 'State law requires construction to be done by licensed. contractors. You have <br />applied for a permit under an exemption to that law. The exemption allows <br />you, as the owner of your property, to act as your own contractor with certain <br />restrictions even though you do not have a license. You must provide direct <br />onsi te supervision of the construction yourself. You may build or improve a <br />bne-family or two-family residence or a farm outbuilding. You may also build <br />lor improve a commercial building, provided your costs do not exceed $25,000. <br />~e building or residence must be for your own use or occupancy. :It may not <br />~e built or substantially improved for sale or lease. :If you sell or lease a <br />. ~lding you have built or substantially improved yourself wi thin 1 year after <br />~e construction is complete, the law will presume that you built or <br />pubstantially improved if for sale or lease, w~ch is a violation of this <br />~emption. You may not hire an unlicensed person to act as your contractor or <br />~o SUPervise people working on your building. :It is your responsibility to <br />1pake sure that people employed by you have licenses required by state law and <br />1y county or mun.icipal licensing ordinances. You may not delegate the <br />esponsibility for superviSing work to a licensed contractor who is not <br />icensed to perform the work being done. Any person working on your building <br />he is not licensed. must work under your direct supervision and must be <br />~loyed by you, which means that you must deduct F.:I.C.A. and Withholding tax <br />td provide workers' c~sation for that employee, all as prescribed by law. <br />our construction must comply with all appliCable laws, ordinances, building <br />odes, and zoning regulations. <br /> <br />='8 <br />uss <br />,~ <br /> <br />wfrTJmSS <br />I <br /> <br /> <br />c:2 - / ;;2. -0'/ <br /> <br />PBRlaT # <br />