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D:ISCLOS1IR.B STATBIIBR'l' POR owmm C:In OF ZBPBYRB:ILLS BUJ:LDDtG DBPARTJIBNT ~{(!Au.J1to ~e provisi~ of this instrument. :I, agree The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own doDlici~e, that he or she actua1~y occupies, or wi~~ occupy by said doDlici~e, and same is not for rent, ~ease or sale. That he or she shal~ comply with the fo~~owing conditions: ~. That the owner and he or she alone sha~~ act as the builder for a~J. phases of construction. 2. That the owner wi~~ comp~y wi th a~~ provisions of the City of Zephyrhi~~s or"] nances and codes pertinent to the bui~ding. 3. That in the event various phases of construction are subcontracted, he wi~l engage only properly licensed subcontractors and will personal~y supervise such work. 4. That in the event the Bui~ding :Inspector sha~~ require corrections to be made, the owner wi~~ assume ful~ responsibility to insure they are made, and upon comp~etion wi~~ ca~~ for a reinspection before proceeding with the bui~ding. 5. That the owner shal~ assume ful~ responsibi~i ty for the construction and wi~l not expect supervision of his work from the City of Zephyrhi~ls Building Department. 6. That prior to final inspection any additiona~ fees, including reinspection fees, must be paid in full. A written request from this office shal~ constitute an official notice to pay additiona~ fees. 7. That the owner shal~ comp~y with al~ City, State and Federa~ laws in regard to social security, workman's compensation, ~ien ~aws, etc., where app~icable. 8. That the owner sha~~ comp~y with a~~ the safety codes issued by the F~orida :Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have app~ied for a permit under an exemption to that ~aw. The exemption a~~ows 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 onsite supervision of the construction yourself. You may build or improve a one-fami~y or two-fami~y residence or a farm outbuilding. You may also build or improve a commercial bui~ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be built or substantial~y improved for sale or ~ease. :If you sel~ or lease a - bui~ding you have built or substantia~~y improved yourse~f wi thin 1 year after the construction is comp~ete, the ~aw wi~~ presume that you bui~t or substantia~~y improved if for sale or ~ease, which is a vio~ation of this exemption. You may not hire an unl.icensed person to act as your contractor or to supervise peop~e working on your bui~ding. :It is your responsibi~i ty to make sure that people emp~oyed by you have licenses required by state law and by county or municipal licensing ordin.;mces. You may not de~egate the responsibility for supervising work to a ~icensed contractor who is not licensed to perform the work being done. Any person working on your hui~ding who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.:I.C.A. and withho~ding tax and provide workers' compensation for that emp~oyee, a~l as prescribed by ~aw. Your construction must comp~y with a1~ app~icab~e ~aws, ordinances, bui~ding codes, and zoning r OWHBR' S S:IGBATURB ADDRESS 3'1~ PHONE DATE //- 9-tJ Y WI:T:NESS PBRKIT #