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D:ISCLOStlRE STATmmNT FOR OWNER C:I.TY OF ZEPHYIm:ILLS BU:ILD:ING DEPARTHENT :I, have read and fully 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 er rereefing his er her ewn domicile" that he or she actually eccup~es, er ~ll eccupy by sa~d domic~le, and same ~s net fer rent, lease er sale. That he er she shall cemplywith the fellowing conditions.: 1. That the owner and he er she alene shall act as the builder for all phases ef. censtructien. 2. That the ewner will comply w~th all provisions of the C~ ty ef Zephyrhills erdinances and cedes pertinent to "the building. 3. That in the event varieus phases ef construction are subcontracted, he will engage only properly licensed subcontracters and ~ll personally supervise such werk.. 4. That in the event the Building :Inspecter shall require cerrectiens to be made, the owner will assume full respo.nsibili ty to. insure the.y are made, 'and upo.n completio.n wili call fer a reinspectio.n befo.re proceeding with the .building. 5. That the owner shall assume full respo.nsibi~ity fer the co.nstructio.n and will net expect supervisio.n o.f his Work from the C~ ty o.f Zephyrhills Building Department. 6. That prior to final inspectio.n any additio.nal fees, ~ncluding reinspect~on fees, must be pa~d in full. A wr~ tten request from this o.ffice shall ,censtitute. an o.fficial no.t~ce"to pay addit~o.nal fees. 7. That the owner shall comply with all C~ty, State and Federal laws' in regard to so.cial security, wo.rkman' s compensat~o.n, lien laws, etc., where applicable. B. That the owner shall comply with all the safety cedes issued by the Flerida :Industrial Commissien. 9. State law requires cOIl.struct~o.n to be do.ne by licensed co.ntracters. Yo.u have applied for a permit under an exemptio.n to. that law. The exemptio.n allows yo.u, as the owner ef yo.ur property, to. act as yo.ur own contractor ~th certa~n. restrictio.ns even tho.ugh yo.u do. net have a license. Yo.u must provide direct o.nsite superv~s~o.n o.f the co.nstructio.n yo.urself. Yo.u may build or impr~ea ene-family o.r two-family res~dence o.r a farm o.utbuilding" Yo.u may also. bu~ld er improve a co.mmerc~al building, providedyo.ur Co.sts do. net exceed $25,000. The building o.r residence must be fer yo.ur o.wn use o.r occupancy. :It may net be bu~lt o.r sUbstantially improved fer sale o.r lease. :If you seJ.l;or" lease a building yo.u, have built ersubstantially improved yo.urself wi thin 1 year after the co.nstr'\1ctio.n is complete, the law w~ll presume.thcLt yo.u built o.r substant~ally improved if fer sale er lease, which is a, v~o.latien o.f this exemptio.n. Yo.u may net hire an unlicensed perso.n to. act as yo.ur co.ntracto.r er to superv~se peo.ple werking en yo.ur building. :It is yo.ur respo.nsibil~ ty to make sure that people employed by yo.u have licenses required by state law and by co.unty o.r municipal licensing o.rdinances. Yo.u may net delegate the respo.nsib~lity for supervising work to. a l~censed co.ntracto.r who. is net licensed to. perfo.rm the wo.rk be~ng do.ne. Any perso.n werking en yo.ur building who. is net l~censed must work under your direct supervis~en and must be empleyed by yo.u, wh~ch means that yo.u must deduct F.:I.C.A. and withho.lding tax and prev~de wo.rkers' compensat~o.n fer that employee, all as prescribed by 1aw. Yo.ur censtruct~o.n must comply ~ th all applicable laws, erdinances, building cedes, and zoning regul~o.h~ A OWNER'S ~1t'1'~ DATE ;;;-- ~ -OU r ADDRESS ILL (" PHONE WJ:TNESS PERM:IT #