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DJ:SCLOSURE STATEMENT FOR OWNER CJ:TY OF ZEPHYRRJ:LLS B'D'J:LDJ:NG DEPARTMENT J:, _~ ~ \I\. -e.1l1 J I :S--e u Ie; if '~ have read and ful.ly understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she'is desirous of constructing, renovating, adding to or reroofing his or her own domicile~, that he or she actua~~y occupies, or wi~~ occupy by said damici~e, and same is not for rent, ~ease or sa~e. That he or she sha~l comp~y with the following conditions,: ~. That the owner and he or she alone shal~ act as the builder for all phases of.. construction. 2. That the owner will comp~y with a~~ provisions of the City of Zephyrhi~~s ordinances and codes pertinent to -the building. 3. That in the event various phases of construction are subcontracted, he will engage on~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise such work., 4. That in the event the Building J:nspector shall require corrections to be made, the owner wil~ assume ful~ responsibi~i ty to insure they are made, 'and upon completion wi~i call for a reinspection before proceeding with the bui~ding. 5 . That the oWner sha~~ assume ful.~ responsibiJ.i ty for the construction and wil~ not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding Department. 6. That prior to fina~ inspection any additiona~ fees, inc~uding reinspection fees, must be paid in ful~. A written request from this office sha~l . constitute' an official notice. to pay additional fees. 7. That the owner sha~~ comp~y with a~l City, State and Federal laws' in regard to socia~ security, workman's compensation, ~ien ~aws, etc., where app~ical:::l~e. 8. That the owner sha~~ comp~y with all the safety codes issued by the Florida J:ndustrial Commission. ' 9. State law requires construction to be done by ~icensed contractors. You have applied for' a permit under an exemption to that ~aw. The exemption allows you, as the owner of your property, to act as your own contractor with certain, restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may bui~d or impr~e ,a one-famd~y or two-famd~y residence or a far.m outbui~ding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. J:t may not be built or, sUbstantially improved for sale or lease. J:f you s&ll;or' lease a building you have built or substantially improved yourself within 1 year after the construction is comp~ete, the law will presume 'that you built or Substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an ~icensed person to act as your contractor or to supervise people working on your building. J:t is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipa~ licensing ordinances. You may not de~egate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not ~icensed must work under your direct supervision and must be employed by you, which means that you must deduct F.J:.C.A. and withho~ding tax and provide workers' compensation for that employee, a~l as prescribed by 1aw. Your construction must comply with a~~ applical:::l~e ~aW'S, ordinances, building codes, and zoning regu ~at'ions .,. ~ . =~~ SIGNA"""" ~~. -~ ,_ DATB 3/31 /0 (,tJ , PHONE WJ:TNESS Pmuc::T #