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II" ~ISCLOSURE STATEMENT FOR OWNER CITY bF ZEPHYRHILLS BUILDING DEPARTMENT The undersigned states and renovating, adding to or re actually occupies, or will rent, lease or sale. That have read and fully understand and his instrument. ffirms that he or she is desirous of constructing, oofing his or her own domicile" that he or she ~cupy by said domicile, and same is not for she shall comply with the following conditions: 1. That the owner and he she alone shall act as the builder for all phases of construction. 2. That the owner ly with all provisions of the City of Zephyrhills ordinances and codes pe ~inent to the building. 3. That in the event vario . phases of construction are subcontracted, he will engage only properly Ii ensed subcontractors and will personally supervise such work. 4. That in the event the B tIding Inspector shall require corrections to be made, the owner will assume f 11 responsibility to insure they are made, and upon completion will call fo a reinspection before proceeding with the building. 5. That the owner shall as ~e full responsibility for the construction and will not expect supervision f his work from the City of Zephyrhills Building Department. 6. That prior to additional fees, including reinspection fees, must be ]1. A written request from this office shall constitute an official ~tice to pay additional fees. 7. That the owner shall co ly with all City, State and Federal laws in regard to social security, worm's compensation, lien laws, etc., where applicable. 8. That the owner shall co ly with all the safety codes issued by the Florida Industrial Commission. 9. State law requires cons ttUction to be done by licensed contractors. You have applied for a per.mit un .r 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 improve a one-family or two-famil .residence or a farm outbuilding. You may also build or improve a commercial ~ilding, 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 substantial y improved for sale or lease. If you sell or lease a building you have built ~r substantially improved yourself within 1 year after the construction is co liete, the law will presume that you built or substantially improved . fl for sale or lease, which is a violation of this exemption. You may not ~re an unlicensed person to act as your contractor or to supervise people wor i~g on your building. It is your responsibility to make sure that people ~oyed by you have licenses required by state law and by county or municipal ipensing ordinances. You may not delegate the responsibility for supe ~sing work to a licensed contractor who is not licensed to perform the wprk being done. Any person working on your building who is not licensed mus ~ork under your direct supervision and must be employed by you, which e~s that you must deduct F.I.C.A. and withholding tax and provide workers' co ~nsation for that employee, all as prescribed by law. Your construction must o~ly with all applicable laws, ordinances, building codes, and zoning regul tlons. OWNER'S SIGNATURE ADDRESS I . PHONE S' DATE /-t? -,~f '?J6 WITNESS PERMIT #