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DJ:SCLOsmtB STATmlBR'l' B'OJi. OWRBR cr.rY OJ!' ZBPBnB:ILLs B1T.[LJ)DIG DBPARTIIBII1'1' Ja-m~J !lO//I~"ot{)or/-A agree to the provisions "&f th:i.s instrument. I, have read and fu11y understand and The undersigned states and affirms that he or she is desirous of constructing, renovating, addiJig to or reroofing his or her O'WD. dcaici1e, that he or she actua11y occupies, or wi11 occupy by said c:lomici1e, and same is not for rent, 1ease or sa1e. That he or she sha11 comp1y with the fo11owing cOD.d:i.tions: 1. That the owner and he or she a10ne sha11 act as the bui1der for &11 phases of construction. 2. That the owner wi11 comp1y with a11 provisions of the City of Zephyrhi1ls ordinances and codes pertinent to the bui1ding. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will perscmal.ly supervise such work.. 4. That in the event the Bui1ding J:nsp8ctor sha1l require corrections to be made, the owner wi11 assume fu11 responsibi1ity to insure they are made, and upon completion wi11 ca11 for a reinspection before proceeding with the bui1di.ng. 5. That the O'WD.er sha1l assume fu11 responsibility for the construction and will not expect supervision of his work from the City of Zeph.yrhills Building Department. 6. That prior to final. inspection any additiona1 fees, including reinspection fees, must be paid in fu11. A written request from th:i.s office sha11 constitute an officia1 notice to pay additional. fees. 7. That the O'WD.er sha11 comp1y with a11 City, State and Federa1 laws in regard to socia1 security, workman's compensation, lien laws, etc., where app1icable. 8. That the 0WD.er sha1l comp1y with all the s~ety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by 1icensed contractors. You have app1ied for a permit under aD. 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 ensi te supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a faxm outbuilding. You may a1so build or improve a cOllDerCia1 bui1di:a.g, provided your costs do not exceed. $25,000. The bui1ding or residence aust be for your own use or occupancy. It may not be built or substantia11y improved for sale or lease. If you sel1 or lease a . building you have built or substantia1ly improved yourse1f within 1 year after the construction is camp1ete, the law wiJ.1 presWlle that you bui1t or substantia11y improved if for sue or lease, which is a vio1ation of th:i.s exemption. You may DOt hire aD. unl.icensed person to act as your contractor or to supervise people working on your building. :It is your responsibi1i ty to make sure that people employed by you have licenses required by state law and by county or DlUDicipa1 J.icensing ordi-qances. You may not delegate the responsibili ty for s-upervising work to a J.icensed contractor who is not 1icensed to perfOrDl the work being done. Any person working on your bui1ding who is not 1icensed DlUSt work under your direct supervision and must be emp10yed by you, which :means that you DlUSt deduct F.:I.C.A. and withhoJ.di.ng tax and provide workers' compensation for that emp1oyee, a1l as prescribed by law. Your construction must comply with a1l applicab1e laws, ordinances, building codes, and zoning regu1ations. OWHBR.' S ADDRESS PROBE DATE J- tj-()f WIT.RBSS PBRJaT #