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D::ISCLOSURB S~___r Ji'Oll OIIJIBR crJ.'Y OP ZBPBYllB:ILLS B1JJ:LDDIQ DBPav.......-.r I, 17~A.1 )/It./'; /"fj have reacl and fu11y 1U1.derstaDd and agree to the provisionS" of this instrument. The undersigned states and affizms that he or she is desirous of COJ1Structing, renovatiAg, a(lI"i Tig to or reroofing his or her own domici1e, that he or she actua11y occupies, or w:i.ll occapy by said domici1e, and same is not for rent, ~ease or sal.e. That he or she sbal.1 comp1y with the fol.~ow:i.ng CODd:itiOJ1S: 1. That the owner and. he or she al.one sbal.1 act as the bui1der for al.1 phases of COJ1Struction. 2. That the owner wil.1 comply with aJ.J. provisiOJ1S of the City of Zeph.yrhilJ.s omi ftilTl<<es and. codes pertiD.ent to the bui1ding. 3. That in the event various phases of ccmatruction are subcontracted, he wiJ.J. engage onl.y proper1y licensed. subcontractors and w:i.11 personally supervise such work.. 4. That in the event the Buil.ding :rnapector shall require corrections to be made, the owner wi11 assume ful.J. respcmsibility to iDaure they are made, and upon campJ.etion wiJ.J. caJ.l. for a reiD.spection before proceeding with the building. 5. That the owner shal1 asswae ful.1 respcmsibiJ.i ty for the ccmatruction and. will not expect supervision of his work from the City of Zephyrhills Building Depart:ment. 6. That prior to final. inspection any additional. fees, iDc1uding reiD.spection fees, must be paid in ful.J.. A written request from this office sl1a.1.J. cOJ1Stit'ute an official notice to pay additional fees. 7. That the owner shal1 comp1y with all. City,' State and Pecleral laws in regard to social. security, workman's compensation, 1ien J.awa, etc., where app1icab1e. 8. That the owner shaJ.l. comply with aJ.1 the s~ety codes issued. by the Pl.orida J:nc:lustrial. Commission. 9. State J.aw requires ccmstruction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption al.lows you.. as the owner of your property, to act as your own contractor with certain restricticms even though you do DOt have a license. You JaUSt provide direct onsite supervision of the construction yourself. You may bui1d or improve a one-famiJ.y or two-family residence or a fa:r:m outbuilding. You may al.so buiJ.d or improve a cOllllllercial. buiJ.ding, provided your costs do not exceed. $25.000. The building or residence DlWIt be for your 0W31 use or occupancy. ::It.y not be buiJ.t or substantial.1y improved for sal.e or l.ease. ::If you selJ. or 1ease a . building you havebui1t or substantial.ly improved yourself within 1 year after the construction is complete.. the 1aw wi1J. preauae that you buiJ.t or subatantia1J.yimproved. if for sal.e or 1eaae, which is a vioJ.ation of this exemption. You may not hire an UD.1.icenaed persOn to act as your contractor or to supervise peepJ.e working on your building. ::It is your responsibiJ.ity to make sure that peepl.e empJ.oyed. by you have J.icenaes required by state J.aw and by county or !IlUD.i.cipaJ. licensing ordiuaDCes. You may not delegate the respcmsibilit:y for supervising work to a J.icenaed contractor who is not licensed to perfozm. the work being done. Any person working on your building who is not licensed must work UDder your direct supervision and must be emp10yed by you, which l118aDS that you 1Il11St deduct P.::I.C.A. and. withho1ding tax and. provide workers' COIIIpeIlSation for that empJ.oyee, al.J. as prescribed by J.aw. Your construction must comply with all applicable laws, or";-.uaftces, buiJ.ding codes. aDd .- reyr.a"j':?!_ '~J owmm.'S S::IGJ1ATDRB 1&4/ 6. ~ DATE LJ-/J>-a;. ADDItBSS p.o. 80j oJS-.x.. / PHOIIB ( J>J.3 J _IY - 'IJ'JS" WIT.NBSS' ~'" s. . {jo ec. {/u- ~ ~ PBJitKIT #