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DXSCLOSURB ~ ~ OWBD. crrY OP ZBPBDuI:r:I.Ls BD'XLDDIG DBPUT.IIBIr.r Ja/X.tJ' (i.)tL!/(i{' <- agree to the provisions of this iDst2:'tlllatmt. 1:, have read and fuJ.~y understand and The UD4ersigned states and affirma that he or she is desi.rous of constructing, renovating, ......i'rig to or reroofing his or her 0IfD a.c.ici~e, that .he or she act~~y occupies, or w:l.~~ occupy by said ~ci~e, and same is not for rent, ~eas. or sal.e. That he or she shaJ.~ cOlllp~y w:l. th the f0110wing CODdi tions : 1. That the owner and he or she al.one shaJ.1 act as the bui1der for al.~ phases of constxuction. 2. That the owner wi11 ~~y with 81~ provisions of the City of Zephyrhi~~s or(J'; "'vnrces and codes ~inent to the buildi.ng. 3. That in the event various phases of construction are subcontracted, he wi1~ engage onl.y proper~y ~icensed subcontractors and. wi~~ personal.~y supervise such work.. 4. That in the event the lSui~diDg :In8pector shaJ.~ require corrections to be made, the 0WDer wi~~ as8'Wle fuJ.~ responsihi~i ty to insure they are made, and upon cClllp~etion wi~1 cal.~ for a rainspection before proceecling with the bui~ding. 5. That the OIfDer shaJ.~ assume fuJ.1 respons:lbi1i ty for the construction and wi~~ not expect supervision of hi. work from the City of Zephyrhi~~s Bui~ding Depart:lllsJ1t. 6. That prior to fiaaJ. inSpection any additional. fees, incl.wti.ng reiDspection fees, DDUlt be paid in ful.l.. A- written request from this office shaJ.~ constitute an official. notice to pay additiaaaJ. fees. 7. That the owner shal~ cOlllp~y with 81~ City,. State and Pederal. ~aws in regard to socia.l sec:u.ri.ty, wor~' s COIIIpensaticm., ~ien ~_, etc., where app~icab~e. 8. That the owner shaJ.~ CCIIIIp~y with 811 the safety codes issued by the P10rida I:DdustriaJ. c:o.ai.ssion. .9. 8tate ~aw requires cODiltruction to be done by ~icenaed contractors. You have app~ied for a pexmit under an exemption to that 1aw. The exemption al~ows you, as the owner of Ydur property, to act as your own contractor w:l.th certain restrictions even t:hou9h you do not have a ~icenae. You must provide direct onsi te supervision of tIhe construction yourse1f. You may bui~d or improve a one-fami1y or two-fa.i1y residence or a fazm. outbui1ding. You may also bui~d or improve a c~ial. bui~diDg, provided your costs do not exceed $25,000. The 1)u:i..~diD.g or resideDice JDIUIt be for your own use or occupancy. Xt may not be bui~t or substantia.llly improved for sal.e or 1e..e. Xf you seJ.~ or 1ease a ,bui~ding you havebui~t or substantial.~y iJIlproved yourse~f within 1 year after the construction is call1plete, the ~aw wil~ pre8Ullle that you bui~t or substantial.~yimproved :if for sal.e or 1eaae, which is a v:i.o~at:f.on of this exemption. 1(ou may not h:i.re an lIDl.iceused person to act as your contractor or to Supervise peop~e worJd.Dg OlD. your bui~diDg. 1:t is your responsihi1ity to make sure that peop~e 8llDP1oyed by you have ~ic8DSes required by state ~aw and by COUD.ty or DlUDici~ licenaiD.g ordiuances. You may not delegate the responsihi~ity for sup~is:f.Dg work to a 1:f.cenaed cOlD.tractor who is not ~ic8D8ed to perform the work being done. Any perSOlD. workiDg on your building who is not licensed aust work 1JDder your direct supexvisiOlD. and aust be emp10yed by you, which .ana that you DlUSt deduct p.x.e.A-. and withho1ding tax and provide workers' c__....-ation for that emp~oyee, a.l1 as prescribed by ~aw. Your constructiOlD. DIWI OIIIp~y with iLLl. applic:ab~e 1aws, ordinances. bui~ding codes, and zoning tions. OBBR.' 8 J.~.S PBOIIB DAD '-Y-d wr.rJIBSS. )--/0 - Aq't'/l! v PDIIrl' .