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<br />DI:SCLOst1.RB S~r FOJl 0WlI1BR <br />crJ."Y OF ZBPBDB:ILLs BUI:LDDlQ DBPAB.TJIBIf'l' <br /> <br />,. ml chad 0 'lWt/' have read ....... fully UDderataDd .... <br />agree to the provisions f this iDstrument_ <br /> <br />The undersigned states and affizms that he or she is desirous of constructing, <br />renovating, .....i Tig to or reroof2.ng his or her own domici~e, that he or she <br />actua~~y occupies, or w:i~~ oCC'tlpy by said doaici~e, and same is DOt for <br />rent, l.ease or sa1e. '!'hat he or she sha1~ comp1y with the fol.l.owi.ng COD.d:iti.OD.S: <br /> <br />~. <br /> <br />That the owner and he or she a10ne shaJ.l. act as the buil.der for a1J. phases of <br />construction. <br />'!'hat the owner wi~l. comp~y with a1l. provisiOD.S of the City of Zephy:rh:i.~l.s <br />or"i ft;ll'Qces and codas pertixLeu.t to the bui~ding. <br />"!'hat in the event various phases of construction are subcontracted, he wi~l <br />engage OIll.y properly licensed subcontractors. and w:i~~ perscma.l.~y supervise <br />such work.. <br />That in the event the Bui~ding J:nspector shal.~ require correcticms to be made, <br />the owner wi~~ assume fuJ.~ respcmsibi~ity to insure they are made, and upon <br />camp~etion wil.~ cal.l. for a reinspection before proceeding with the bui~ding. <br />That the owner shal.l assume fuJ.~ responsibi~i ty for the construction and wi~~ <br />DOt expect supervision of his work frOlll the City of Zephyrhil~s Bui~diD.g <br />Department. <br />That prior to final. inspection any additicma.l. fees, including reinspection <br />fees, must be pai.d in ful.l.. A written request from. this office s.haJ.~ <br />constitute an official. notice to pay additional. fees. <br />That the owner shal.l comply with all. City, State and Pederal. ~a.ws in regard to <br />social security, workman's COIIIpaDSation, ~ien l.aws, etc., where app~ioable. <br />That the owner shal.l. comply with all the s~ety codes issued by the Pl.orida <br />I:ndustria1 COIIIIIl:i.ssion. <br />State ~aw requi.res construction to be done by ~icensed contractors. You l:aave <br />app~ied for a permit under an exeIIlPtion to that ~aw. The exemption al~ows <br />you, as the owner of your property, to act as your own contractor with certain <br />restrictions even though you do DOt have a license. You DlUSt provide direct <br />OD.S:lte supervision of the construction yourself. You may build or improve a <br />one-fami~y or two-fami~y residence or a farm outbuilding". You may a1so bui~d <br />or improve a cOllllllercia1 bui~diDg, provided your costs do DOt exceed $25,000. <br />The bu:L~ding or residence aust be for your own use or occupancy. I:t My DOt <br />be built or stlhstantia1l.y improved for sa1e or lease. I:f you se1l. or lease a <br />. bui~ding you havebuil.t or stlhstantia1ly improved yoursel.f within 1 year after <br />the ccmstruction is comp~ete, the law will. presume that you buil.t or <br />substantial.~yimproved if for sal.e or l.ease, which is a viol.ation of this <br />exemption. You may DOt hire an UDJ.icensed persOn to act as your contractor or <br />to supervise peop~e working on your building. I:t is your respOD.Sibi~ity to <br />make sure that people emp~oyed by you have 1icenses required by state law and <br />by county or JIl1D1:i.cipal ~icensing ordi"l-nces. You may DOt de~egata the <br />responsibility for supervising work to a licensed contractor who is not <br />licensed to perfOJ:Dl the work being done. Any person working on your building <br />who is Dot licensed must work under your direct supervision and must be <br />emp~oyed by you, which l118ans that you must deduct !'.I:.C.A. and withho~diD.g tax <br />and provide workers' compensation for that empl.oyee, al1 as prescribed by l.aw. <br />Your construction must comply with a1l applicable laws, OrfU'ft~"lces, bui~ding <br />codes, and zoning regulations. <br />.......... <br /> <br />s_.~ 0- I~ DM'B 12--2--tJS <br /> <br /> <br />nmBSS ~~~~~. ~~~/h~s:a <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />s. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />01IBBR. ' S <br />ADDliBSS <br />PlIOJIB <br />