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D:ISCLOSURE STATEMENT FOR OWRBR. C:ITY OF ZBPHYRB:ILLS BU:ILD:ING DEPARTMENT :I, agr~e have read and ful.l.y understand and The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicil.e, that he or she actual.l.y occupies, or wil.l. occupy by said domicil.e, and same is not for rent, l.ease or sal.e. That he or she shal.l. compl.y with the fol.l.owing conditions: 1. That the owner and he or she al.one shal.l. act as the buil.der for al.1 phases of construction. 2. That the OWDer wil.1 compl.y with al.l. provisions of the City of Zephyrhil.l.s ordinances and codes pertinent to the buil.ding. 3. That in the event various phases of construction are subcontracted, he wil.l. engage onl.y properl.y l.icensed subcontractors and wil.l. personal.l.y supervise such work. 4. That in the event the Buil.ding :Inspector shal.l. require corrections to be made, the owner wil.l. assume ful.l. responsibil.i ty to insure they are made, and upon compJ.etion wiJ.J. cal.J. for a reinspect ion before proceeding with the buiJ.ding. s. That the owner sha1l. assume fu1l. responsibil.ity for the construction and wil.l. not expect supervision of his work from the City of Zephyrhil.l.s Buil.ding Department. 6. iThat prior to final. inspection any additional. fees, incl.uding reinspection fees, must be paid in fu1l.. A written request from this office shal.l. constitute an official. notice to pay additional. fees. 7. That the owner shal.l. compl.y with al.l. City, State and Federal. l.aws in regard to social. security, workman's compensation, l.ien l.aws, etc., where appl.icabl.e. 8. That the owner shal.l. compl.y with al.l. the safety codes issued by the Fl.orida :Industrial. Commission. 9. State l.aw requires construction to be done by 1icensed contractors. You have appl.ied for a permit under an exemption to that l.aw. The exemption al.l.ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a l.icense. You must provide direct onsi te supervision of the construction yoursel.f. You may buil.d or improve a one-famil.y or two-famil.y residence or a farm outbuil.ding. You may al.so buil.d or improve a commercial. buil.ding, provided your costs do not exceed $25,000. The buil.ding or residence must be for your own use or occupancy. :It may not be buil.t or substantial.l.y improved for sal.e or l.ease. :If you sel.J. or l.ease a buil.ding you have buil.t or substantial.J.y improved yoursel.f within 1. year after the construction is compl.ete, the l.aw wil.l. presume that you buil.t or substantial.J.y improved if for sal.e or 1ease, which is a vioJ.ation of this exemption. You may not hire an unJ.ic8Dsed persOn to act as your contractor or to supervise peopl.e working on your building. :It is your responsibil.ity to lmake sure that people employed by you have l.icenses required by state l.aw and by county or municipal licensing ordinances. You may not delegate the responsibil.ity for supervising work to a l.icensed contractor who is not l.icensed to perform the work being done. Any person working on your building who is not l.icensed must work under your direct supervision and must be empJ.oyed by you, which means that you must deduct F.:I.C.A. and withholding tax and provide workers' compensation for that empl.oyee, al.l. as prescribed by l.aw. Your construction must comply with al.l. applicable l.aws, ordinances, building codes, and zo~g regul.ations. ~ ~ _",- ,OWNER'S DATE .:<. - e:z 3 z; f IADDRESS ~s S-f~ { , jPBONE ue-y l.I '- C' <2S !W:ITNBSS PE:RH:IT #