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D:ISCLOSlJRB S'l"A'.rBIIBIr.r :POll. OWIIBR crry OF ~.IlX~ATT.T_CI BmLDJJIIG DBPUTJIlDr.t ~~e to ~:~sf~~~s instrument. have read and fully understand and '!'he undersig:ned states aDd affixms that he or she is desirous of constructing, renovating, ad.... ftg to or reroofing his or her o.n daaicile, that he or she actually occupies, or w:l.ll occupy by said domicile, and same is not for rent, l.eaae or sale. 'l'hat he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for al.l. phases of construction. 2. 'l'hat the o.ner w:l.ll ccmply with all provisions of the City of Zephyrhills or..i ftaJ1("es and codes pertiDeu.t to the buil.ding. 3. That in the event various phases of construction are subcontracted, he wil.l. engage ODl.y properly licensed subcontractors and will perscmal.ly superv1.se such work.. 4. That in the event the Building :ID8pector shall require corrections to be made, the owner will. assume full responsibility to insure they are made, and upon cOlllpletiOll will. ca11 for a reinapectiOll before proceeding with the bull.ding. 5. That the owner shall. assume full. respousibil.i ty for the construction and wil.l. not expect supervision of his work from the City of Zephyrhil.l.s Building Department. 6. 'l'hat prior to fiD.aJ. inspection any ac:lditicmal. fees, incl.uding reinspection fees, must be paid in full.. A written request from this office shall. constitute an official. notice to pay additicmal. fees. 7. That the owner sbal.l. compl.y with all. City,. State and Federal l.awe in regard to social security, workman's compensation, l.ien l.aws, etc., where appl.icabl.e. 8. That the owner shall. compl.y with all. the safety codes issued. by the Fl.orida Industrial. Calamission. g. State l.aw requires cODStructiem to be done by l.icensed cemtractors. You. have appl.ied for a permit UDder an exeaption to that l.... '!'he exemption al.l.ows you., as the owner of your property, to act as your own cemtractor with certain restrictions even though you do not have a license. You must provide direct onsite supervisiem of the ccmatructiem yourseJ.f. You may build or improve a one-family or two-fami1y reaidence or a faza outbui1diD.g. You may al.so build or :i.JDprove a c~cial. building, provided your coats do not exceed $25,000. The bai1ding or residence aust be for your own use or occupancy. :It may not be bui1t or substantially improved for sal.e or l....e. Xf you sell. or 1ease a . bai1ding you have built or suhstantial1y improved yourself within 1 year after the constructiem is comp1ete, the law wi11 presume that you built or substantiall.y improved if for sale or lease, which is a violatiem of this exemptiem. You may not hire an 1Dll.icensed persOn to act as your contractor or to supervise peep1e 1IO%'kiDg on your bail.diD.g. Xt is your respcmsibility to make sure that peep1e emp10yed by you have licenses required by state law and by county or DlUDicipal. 1icenaing or-'iftaD.ces. You may not de1egate the respcmsibil.ity for supervising work to a licensed contractor who is not 1icensed to perfoZ1ll the work being done. .Any persem workiDg em your bui1diD.g who is not licensed aust work uncler your direct supervisiem and must be eapJ.oyed by you, which -.afta that you must deduct P.:I.C.A. and withho1diD.g tax and provide workers' compensation for that emp1oyee, al.1 as prescribed by law. Your constructiem must ccmpl.y with al.1 appl.icabl.e laws, ordift.1tces, bui1ding codes, and zoning~. attiionsons.. . O1IlGIR' S S:IGIIATDRB ~ DATE I~ - 1'0 - (] y JIDJ)V'lHiS ..3 ~ 7 <./ ( 0 6 If: 0\ . V (:: PROBE '7x _ r-' .5 Cf q WJ:TNBSS- ~~ )k1L PBRIIr.r i