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DJ:SCLOSURE STATmmNT FOR OWNER CJ:TY OF ZEPHYRBJ:LLS BlJ'J:LDmG DEPARTHENT J::-TJr1At5T1t'i:.. JILt, !Joz,-cr have read and ful~y understand and agree to. the provisiens ef this 1nstrument. The undersi~ed states and affirms that he er she is desireus ef censtructing, renovating, adding to. er rereefing his er her own domici~e" that he er she actua11y eccupies, er wi11 eccupy by said domici1e, and same is net fer rent, ~ease er sa1e. That he er she shaJ.~ cemp~y with the fe~~ewing cenditiens.: 1. That the owner and he er she a~ene sha~~ act as the bui~der fer a~~ phases ef ce:r:r.structien. 2. That the owner wi~~ comp1y with a~~ provisiens ef the City ef Zephyrhi~1s erdinances and cedes pertinent to. -the bui~ding. 3. That in the event varieus phases ef ce:r:r.structien are subcentracted, he wi~~ engage en1y proper~y ~icensed subcentracters and wi~~ persena1~y supervise such work.. 4. That in the event the Bui~ding J:nspecter sha~~ require cerrectiens to. be ma,de, the ewner wi11 assume ful1 respensibi~ity to. insure they are made, . and upen comp~etien wi~i ca~~ fer a reinspectien befere preceeding with the bui1ding. 5. That the oWner sha~~ assume ful~ respe:r:r.sibi~i ty fer the censtructien and wi~~ net expect supervisien ef his Work from the City ef Zephyrhi11s Bui1ding Department. 6. That prier to. fina~ inspectien any additiena~ fees, inc1uding reinspectien fees, must be paid in ful~. A written request from this effice sha~1 . constitute' an efficia~ netice.te pay additiena1 fees. 7. That the ewner sha11 comp~y with a1~ City, State and Federa~ 1aws'in: regard to. secia1 security, werkman's compensatien, ~ien 1aws, etc., where app~icab~e. 8. That the owner sha~1 cemp~y with a~~ the safety cedes issued by the F1erida J:ndustria~ Commissien. 9. State ~aw requires censtructien to. be dene by ~icensed centracters. Yeu have app~ied fer a pe:cnit under an exemptien to. that 1aw. The exemptien a1~ows yeu, as the owner ef yeur property, to. act as yeur ewn centracter with certain. restrictiens even theugh yeu de net have a ~icense. Yeu must provide direct ensite supervisien ef the censtructien yeurse~f. Yeu may bui~d or imprC!Ve .a ene-fami1y er two-fami1y residence er a farm eutbui1ding. Yeu may a~se bui~d er impreve a ccmmercia~ bui~ding, previded yeur cests de net exceed $25,000. The bui1ding er residence must be fer yeur own use er eccupancy. J:t may net be bui~t er. sUbstantia~1y impreved 'fer sa~e er ~ease. J:f yeu s&l~;er' ~ease a bui1ding yeuhave bui~t ersubstantia~~y improved yo.ur.se1f within 1 year after the censtX!1ctien is comp1ete, the ~aw wi~~ presume .that yeu bui1t: er substantia11y improved if fer sa1e er ~ease, which is a vie~atien ef this exemptien. Yeu may net hire an un.J.icensed persen to. act as yeur centracter er to. supervise peop~e werking en your bui1ding. J:t is yeur respe:r:r.sibi~ity to. make sure that peop1e emp10yed by yeu have ~ieenses required by state 1aw and by ceunty er municipa1 ~icensing erdinances. Yeu may net de1egate the respensibi~ity fer supervising work to. a ~icensed centracter who. is net ~icensed to. perferm. the work being dene. Any persen werking en yeur bui~ding who. is net 1icensed must werk under your direct supervisien and must be emp1eyed by yeu, which means that yeu must deduct F.J:.C.A. and rithho1ding tax and provide werkers' compensatien fer that emp1oyee, a11 as prescribed by 1aw. Yeur censtructien must comp~y wi th a~~ app~icab~e 1aws, erdinances, bui1ding cedes, and zoning re~1at'iens. ~ " OWNER'S SI~ ~)( .~ DATE <;/>, loe" , :~:SS t?lL~ ~ ze',. dk -& 33~J, WJ:'l'NESS PElUC:T #