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I I I, agree ') . 1\ I ct\ to the DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPBYRHILLS BUILDING DEPARTMENT -~\:{ II / have read and fully understand and proviSions of I this instrument. The undersigned states and I affirms that he or she is desirous of constructing, renovating, adding to or r~roofing his or her own domicile" that he or she actually occupies, or will .loccuPY by said domicile, and same is not for rent, lease or sale. That he or she sl1a.ll comply with the following conditions: 1. That the owner and he ~r she alone shall act as the builder for all phases of construction. ! 2. That the owner will CO~lY with all provisions of the City of Zephyrhills ordinances and codes pe tinent to the building. 3. That in the event vario s phases of construction are subcontracted, he will engage only properly li ensed subcontractors and will personally supervise such work. 4. That in the event the B the owner will assume f completion will call fo 5. That the owner shall as not expect supervision Department. 6. That prior to fees, must be constitute an official 7. That the owner shall social security, wor 8. That the owner shall co Industrial Commission. 9. State law requires cons ruction to be done by licensed contractors. You have applied for a permit un er an exemption to that law. The exemption allows you, as the owner of yo property, to act as your own contractor with certain restrictions even thoug you do not have a license. You must provide direct onsite supervision of t e construction yourself. You may build or impr~ve a one-family or two-famil residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building ,or residen e must be for your own use or occupancy. It may not be built or substantiall improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is comp ete, the law will presume that you built or substantially improved i for sale or lease, which is a violation of this exemption. You may not ire an unlicensed person to act as your contractor or to supervise people work"ng on your building. It is your responsibility to make sure that people loyed by you have licenses required by state law and by county or municipal l'censing ordinances. You may not delegate the responsibility for supe ising work to a licensed contractor who is not licensed to perform the ork being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which m ans that you must deduct F.I.C.A. and withholding tax and provide workers' co en~ation for that employee, all as prescribed by law. Your construction must,cly with all applicable laws, ordinances, building codes, and zoning regyl~j;ons.' ,! / ? r i.1) ;" DATE l.{~~, /~) I . ilding Inspector shall require corrections to be made, 11 responsibility to insure they are made, and upon a reinspection before proceeding with the building. ume full responsibility for the construction and will f his work from the City of Zephyrhills Building additional fees, including reinspection 11. A written request from this office shall otice.. to pay additional fees. ly with all City, State and Federal laws in regard 's compensation, lien laws, etc., where applicable. ly with all the safety codes issued by the Florida to OWNER'S SIGNATURE ADDRESS PHONE WITNESS PERMIT #