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DISCLOSORB ~.I5IUUI"r ll'OIl 0WJl1BR CrrY OP ZDBYJUIJ:Lt.s BUJ:LDD1G DBPA1rDIID1"l' &- (p t{ )00(./ tS-'Lm In eM agree to the provisions of t:his instrument. I, have read. and. fully understand and The undersigned states and affizms that he or she is desirous of constructing, renovating, a......hig to or reroofing his or her own ClaD:i.cil.e, that he or she actually occupies, or wil.l. occapy by said c:lomicil.e, and. same is not for rent, lease or sal.e. That he or she shal.J. campl.y w:l.th the foJ.J.owing CODdi.tions: 1. That the owner and he or she al.one shal.l. act as the buil.der for al.1 phases of construction. 2. That the owner wil.l. compJ.y with al.l. provisions of the City of Zephyrhil.J.s ord" n,,:aces and. codes pertiDent to the buil.d.iD.g. 3 . That in the event various phases of CODStruction are S1Jhcontracted., he wil.l. engage only properl.y licensed subcontractors. and wil.l. persona1.l.y supervise such work.- 4. That iD the event the Buil.ding XDspector shall require corrections to be made, the owner wil.l. assume full. responsibil.ity to insure they are made, and upon compl.etion wil.l. cal.l. for a reiDspecti011 before proceeding with the building. 5. That the owner shal.l. asS1Jllle full. responsibil.i ty for the construction and. wil.l. not expect supervision of his work from the City of Zephyrhil.l.s Buil.d.iD.g Department. 6. That prior to final. inspection any a.dd.i.tiODaJ. fees, in.cl.uding re:i.Dspection fees, must be paid in ful.l.. A written request from this office shal.l. constit:ute an official. notice to pay add:i.ticmal. fees. 7. That the owner shall. campl.y with all. City, State aDd Federal. l.awe in regard to social. security, workman's compensation, l.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 J:nd.ustrial. Commission. 9. State l.aw requires construction to be done by l.icensed contractors. You have appl.ied for a parmi. t UDder an exeDQiltion 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 DOt have a l.icense. You JIl'QSt provide direct onsite supervision of the construction yoursel.f. You may buil.d or improve a one-famil.y or two-famil.y residence or a faxm outbu:l.l.di.ng. You may al.sa buil.d or improve a cOllllllercial. buil.ding, provided your costs do not exceed $25,000. The buil.d.iD.g or residence mnst be for your own use or occupancy. It:aiay not be buil. t or substantial.l.y improved for sal.e or J.ease. If you sel.J. or l.ease a - buil.d.iD.g you havebuil.t or substaDtial.l.y improved yoursel.f wit:hiD 1 year after the construction is campl.ete, the law wilJ. pre&1D88 that you buiJ.t or substantial.l.yimproved if for sal.e or lease, which is a viol.ation of this exemption. You may not hire an tml.icensed persOn to act as your contractor or to supervise peepl.e working on your build.iD.g. 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 ordi "l.'1ees . You may DOt c:lel.egat:e the responsibility for supervising work to a l.icensed contractor who is Dot l.icensed to perfor.m the work being done. Any person working on your building who is Dot licensed must work UDder your direct supervision and. must be empJ.oyed by you, which means that you must deduct F.I.C.A. and. wit:hhol.ding tax and. provide workers' compensation for that empl.oyee, al.l. as prescribed by l.aw. Your CODStrue. ~:onmn.lIillt c'~Ilt>l.y with al.l licabl.e l.aws, or"';n.'1ces, buil.d:i.D.g codes, and. zoIu.D.g' r ons. .... OlIlIIIIl'S SIGIllI: , ~ DArB I af y to:r ADDBBSS J),.) 7 /O(t'l/>> {L).,p lflll'l PlIORB ~r/&L~~ ~l PBRJIJ:'J.' # WITBBSS.