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I r DISCLOSlJRB STATBIIEln' FOR OWNER CITY! OF ZBPBYRBJ:LLS BUJ:LDDIG DBPARTIIBHT I, agree to the provisions of this instrument. have read and ful.l.y understand and The undersigned states and renovating, adding to or actual.l.y occupies, or wil.l. rent, l.ease or sal.e. That affirms that he or she is desirous of constructing, oofing his or her own domicil.e, that he or she qccupy by said domicil.e, and same is not for l:\.e or she shal.l. compl.y with the fol.l.owing conditions: l.. That the owner and he construction. That the owner ordinances and codes p That in the event vari engage onl.y properl.y l. such work. That in the event the the owner wil.l. assume compl.etion wil.l. cal.l. f That the owner shal.l. a not expect supervision Department. That prior to final. i fees, must be paid in constitute an official. That the owner shal.l. c social. security, wor That the owner shal.l. c Industrial. Commission. State l.aw requires con appl.ied for a permit you, as the owner of y restrictions even thou onsite supervision of one-famil.y or two-fami or improve a commercia The buil.ding or resid be buil.t or substantia . buil.ding you have buil. the construction is c substantial.l.y improved exemption. You may no to supervise peopl.e wo make sure that peopl.e by county or municipal. responsibil.ity for sup l.icensed to perform th who is not l.icensed mus empl.oyed by you, which and provide workers' c Your construction must codes, and zoning regul. ~ she al.one shal.l. act as the buil.der for al.1. phases of 2. 3. l.y with al.l. provisions of the City of Zephyrhil.l.s Jttinent to the buil.ding. ~s phases of construction are subcontracted, he wil.l densed subcontractors and will personally supervise 4. .l.ding Inspector shall. require corrections to be made, ~l. responsibi1i ty to insure they are made, and upon zt a reinspection before proceeding with the bui1ding. ~ full responsibility for the construction and will. df his work from the City of Zephyrhills Buil.ding 5. 6. to 8. additional. fees, incl.uding reinspection ~l.l.. A written request from this office shal.1 ~otice to pay additiona1 fees. l.y with a11 City, State and Pederal. laws in regard , s compensation, 1ien laws, etc., where app1icabl.e. l.y with all the safety codes issued by the Plorida 7. 9. ction to be done by 1icensed contractors. You have r an exemption to that law. The exemption a1lows ujr property, to act as your own contractor with certain h! you do not have a license. You must provide direct iB construction yourse1f. You may buil.d or improve a y! residence or a farm outbuil.ding. You may al.so buil.d ~uil.ding, provided your costs do not exceed $25,000. cjra must be for your own use or occupancy. It may not 1y improved for sal.e or lease. If you sell. or lease a or substantia11y improved yourself within 1 year after ~ete, the law wi11 presume that you built or i~ for sal.e or 1ease, which is a viol.ation of this ~re an unl.icensed person to act as your contractor or ng on your bui1ding. It is your responsibil.ity to loyed by you have 1icenses required by state law and ~censing ordinances. You may not de1egate the ising work to a 1icensed contractor who is not ~rk being done. Any person working on your buil.ding I work under your direct supervision and must be ans that you must deduct P.I.C.A. and withh01ding tax ensation for that emp1oyee, all as prescribed by law. ~1y with a1l appl.icable laws, ordinances, building tio~. WITNESS OWNER'S ADDRESS PROBE DATE - /11--/3 -OJ PBRHJ:T #