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I, agree to the provisions of t:his instrument. Da tiC I DISCLOSlmB SDTBIIBIlr POll 0WJl1BR CrrY OF ZlIPBYJUIJ:Lt.s BUJ:LDD1G DUAB.TIIID1T (U.J L~ /(. have read and. full.y understand and. The undersigned states and affizms that he or she is desirous of constructing, renovating, ........." 7'-g to or reroofing his or her own dom:i.cil.e, that he or she actual.l.y occupies, or wil.l. occapy by said dom:i.cil.e, and. same is not for rent, l.ease or sal.e. That he or she sbal.l. compl.y with the fol.l.ow:i.D.g CODdi.t::i.ons: 1. . That the owner and. he or she al.one sbal.l. act as the bui1.der for al.1 phases of construct:i.on. 2. That the owner wil.l. compJ.y with al.l. provisions of the City of Zephyrhil.J.s or"''' naces and codes pertiDent to the buil.d.iD.g. 3. That in the event various phases of CODStruction are S1Jhcontracted, he wiJ.l. engage only properl.y licensed subcontractors. and will. personal.ly supervise such work.. 4. That iD the event the Building XDspector shall require corrections to be made, the owner wil.l. assume full reaponsibil.i ty to insure they are made, and upOD compl.etion wil.l. cal.l for a re:i.nspection before proceeding with the buil.ding. 5. That the owner sbal.l. assume full. responsibil.i ty for the construction and. will. Dot expect supervision of his work from the City of Zephyrhill.s Buil.d.iD.g Department. 6. That prior to final. inspection any addi tiODaJ. fees, in.cl.ud.iJ1g re:i.Dspection fees, must be paid in ful.l.. A written request from this office shal.l. constitute an official. notice to pay add:i.t:i.cmal. fees. 7. That the owner shall. campl.y with al1 City, State and. Federal. l.awe in regard to social. security, workman's compensation, J.ien l.aws, etc., where appl.icabl.e. 8. That the owner shal.l. compl.y with al.l. the s~ety codes issued. by the Fl.orida Industrial. Commission. 9. State l.aw requires construction to be doDe by l.icensed contractors. You have app1ied for a parmi. t UDder an exemption to that l.aw. The exemption al.l.ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1icense. You DlDSt provide direct onsite supervision of the ccmstruction yoursel.f. You may bui1d or improve a one-famil.y or two-famil.y residence or a fa:rm. outbuil.ding. You may al.so buiJ.d or improve a COllllllerCial. bu:il.d:i.ng, provided your costs do not exceed $25.000. '!"he bu:Ll.ding or residence must be for your own use or occupancy. It Diay not be bu:L1t or suhstantial.J.y improved for sal.e or J.ease. If you sel.l. or 1.ease a . buil.ding you havebui1t or suhstantial.J.y improved yoursel.f wit:h:i.D. 1 year after the construction is compJ.ete, the 1aw wiJ.J. presume that you buil.t or suhstantiaJ.l.yimproved if for aal.e or l.ease, which is a viol.ation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise peopl.e work:i.J1g on your building. It is your responsibil.ity to make sure that peopl.e empl.oyed by you have l.icenses required by state l.aw and by county or municipal. l.icensing ordinances. You may not del.egate the responsibility for supervising work to a 1icensed contractor who is Dot licensed to perfoz:m the work being doDe. Any person worJdng on your building who is Dot licensed must work under your direct supervision and. must be emp10yed by you, which means that you must deduct F.I.C.A. and wit.hhold.iD.g tax and provide workers' compensation for that empl.oyee, al.l. as prescribed by 1aw. Your construction must campl.y with al.l. app1icabl.e 1aws, or"';n~..,ces, buil.ding =:sand.S~~: r~1.~S.~. /l "' 4 ...-- ... ~ ~ DATE /.J-).)-OJ ADDUSS J )"3/ 10 -1 'i1 .{j:( . PBORB ~SiaL ~I( PBRIIJ:T # WJ:TNBSS.