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<br />OWNER-BUII.DER AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br /> <br />) <br />) <br /> <br />DEFORE me. the unders i,ned author it,.. pers ona 11,. appeared ) Ii ~ if (J eO Iltl a IJ II <br />, who being by me first duly sworn, under oath, deposos and state~ <br /> <br />1 <br /> <br />d S f 01 lows: <br /> <br />I do hereby swear/affirm: <br /> <br />'I <br /> <br />ThAt r own the property described flS <br />12-~-2-J -DO~D-ODS"OO - bD~ 0 <br /> <br />..5 4 1.. 2... <br /> <br />:>--3 '2.c! -SIt '2z'~ <br /> <br />Disclosure Statement <br /> <br />Stflt~ 1m.: rp<1uire!'l conr.truction to b,~ don~ hy licensed contrHctors. YOI1 have nppU,ed <br /> <br />for Il permit under an exemption to the law. <br /> <br />The exemption allows you, as the owner of <br /> <br />your property, to Act as your own contrnctor even though you do not hAve a license, You <br /> <br />must supervise the construction yourself, <br />family residence or 11 farm outbuilding, <br /> <br />You may build or improve a one-family or two- <br />You may also build or improve a commercial <br /> <br />building .?t 11 CO!'lt of $25,000.00 or ll?ss, <br /> <br />TIlt'" building must be for your own use And <br /> <br />occupancy. It may not be built for sale or lease. If you sell or lease a building you <br />have built yourself tdthin onp. year after the construction is complete, the law will pre- <br />sume that you built it for sale or lease, which is a violation of this exemption. You may <br /> <br />not hire an unlicensed person as your contractor. <br /> <br />It is your responsibility to make sure <br /> <br />that people employed by you have licenses required by State law and by County or municipal <br />licensing ordinances, Any person working on your building who is not licensed must work <br />under your supervision and must be employed by you, which means that you must deduct <br />F,I,C.A, And withholding tax and provide Workers' Cc~pensation for that employee, all as <br />prescribed by la~', Your construction must comply with all applicable laws, ordinances, <br />builriing codes. -'lnd ~c:1ing ,::egu lcJt1 01;:; , <br /> <br />That I havl'! read the fore?;oing, and am awnre of my responsibilities and liabiliti.es <br />for construction work on th~ above-described property and do hereby agree to ench of the <br />aforesaid stipulations, <br /> <br />FURTHER AFFIANT SAYETH NOT, <br /> <br />'i <br /> <br /> <br />~~e~~j~ <br />642.-2- ~3 ~ sri- <br /> <br />Address <br /> <br />2tpR~ "=1-/A- <br />{-30-05 <br /> <br />Date <br /> <br />SWORN to and subscr~ed before me <br />~ day of re.bL'I.Me( <br /> <br />y <br /> <br />9;!s:(JO <br /> <br />Notary Public <br />State of Florida <br /> <br />My Commission Expires: <br /> <br /><(ft9/~ol <br /> <br />at Large <br /> <br />.t(JV;S' 17;: @/.;J;1dr?/,4 <br />~rint, Type, or Stamp Commissioned <br />Name of Notary Public <br /> <br />Personally Known ~ or Produced Identification <br /> <br />Type of Identification <br /> <br />~lMll"lon.DDIICIIf_ <br />.....,... <br />IondId ...... <br />PIartde Notary A8M.. .... <br />.................. <br /> <br />"C93053047 <br />