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DJ:SCLOsmtB S'i'ATBMBR'.r J!'Olil 0I01BR crrY OP ZBPJlYDJrTT.T.A BUJ:LDDlQ DBPAll~ J:, JrL/)1I,J 71 (' ~j}()r bave read and fuJ.1y UDderstand and agree to the provisicms of this instrument. The undersigned states and affixms that he or she is desirous of ccmstructing, renovating, ............9 to or reroof:i.ng his or her own cioaici1e, that he or she actua11y occupies, or w:l.11 oceapy by said dcat:ici1e, and same is not for rent, l.ease or sa1e. That he or she shal.1 comp1y w:l.th the f011ow:i.ng cond:itious: 1.. That the owner and he or she al.one shaJ.1 act as the bui1.der for al.1 phases of coust:ruction. 2. That the owner w:f.11 comp1y w:f.th a11 provisions of the City of ZephyrlU.11s or-''' ft;mc"es and codes pert:i.xum.t to the bu:i.1d:i.ng. 3. That:in the event various phases of CODStruction are subcontracted, he wi11 engage onl.y proper1y licensed subcontractors and wi11 personal.1y supervise such work.- 4. That:in the event the Bui1cl:i.Dg J:Dspector sha11 require correctious to be made, the owner wi11 &8S1Jllle ful.1 responsibi1ity to iDsure they are made, and upon comp1.etion w:f.1.1 cal.1 for a reiD.spection before proceed:i.ng with the bui1diDg. 5. That the owner s:bal.1 asSUJDe ful.1 respcmsibi1ity for the ccmst:ruction and wi11 not expect supervision of his work from the City of Zephyrhi11s Bui1cl:i.Dg Depa.rt:meDt. 6. That prior to f:i.na1 inspection any additional. fees, :inc1ud:f.ng re:i.nspection fees, must be paid :in ful.1. A written request from th:is office sha11 constitute an official. notice to pay add:i.ticma1 fees. 7. That the owner sbal.1 comp1y with al.1 City, State and Federal. 1aws :in regard to social. security, workman's c:ompensation, 1ien 1aws, etc., where app1ioab1e. 8. That the owner s:bal.1 comp1y with al.1 the s~ety codes issued. by the P1.orida J:D.dustrial. COIIIIB:i.ssion. 9. State 1aw requires construction to be done by 1icensed contractors. You have app1ied for a permit UDder an exemption to that 1aw. The exemption al.1ows you, &8 the owner of your property, to act as your 0'W.I1 contractor with certain restrictions even though you do not have a 1iceuse. You must provide direct oDSite supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a farm outbu:l1diD.g. You may a1so bui1d or improve a commercial. bui1ding. provided your costs do not exceed. $25,000. The bui1d:i.ng or residence DIWIt be for your own use or occupancy. J:t ~ not be bui1 t or substaD.tia11y improved for sa1e or 1ease. J:f you se11 or 1ease a ,bui1diD.g you havebui1t or substaD.tial.1y improved yoursel.f rithin 1. year after the coustruction is comp1ete, the 1aw wi11 pre&1Dll.e that you bu:i.1t or substantial.1yimproved if for sal.e or 1ease, which is a vi01ation of th:is exemption. You may not hire an UDJ.icensed person to act as your contractor or to supervise peop1e working on your bui1ding. J:t is your responsibi1ity to make sure that peop1e emp10yeci by you have 1icenses requi.red by state 1aw and by county or muuicipa1 1icens:ing ordi"l.,l1ces. You may not de1egata the reaponsibillty for supervi.s:i.ng work to a 1icensed contractor who is not 1icensed to perfor.m the work being done. Any person working on your build:i.ng who is not licensed must work UDder your direct supervision and must be emp10yed by YOU. which meaDS that you must deduct P.J:.C.A. and wit:.hho1diD.g tax and provide workers' COIIIpeusation for that employee, al.1 as prescribec1 by 1aw. Your c:oDStruction must camp1y with al.l app1icab1.e 1aws, orru.....,,,,ces. bu:l1d:i.J1g codes, and zoning regul.ations. OWBBR'S S:IGJIAT.ORB 4.::2L ~. ADDUS( ) 3.YoJo LtftLJttAJiA.. [()Of' PlIOBB f/3 997 - j S-9) WJ:TRBSS' ~sJI. DATE /J- IJ - Of PBRKIT #