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<br />DISCLOSURE STATBMBNT FOR OWNER <br />CITY OF ZEPHY.RBILLS BUILDING DEPARTMENT <br /> <br />I, '-.S.j.~ t:.rtJ..A1'f have read and ful.l.y understand and <br />agree to the provisions of this instrument. <br /> <br />The undersigned states and affirms that he or she is desirous of constructing, <br />renovating, adding to or reroofing his or her own domicil.e, that he or she <br />actual.ly occupies, or will. occupy by said domicile, and same is not for <br />rent, lease or sale. That he or she shal.l. comply with the fol.l.owing conditions: <br /> <br />1. <br /> <br />That the owner and he or she al.one shal.l act as the builder for all. phases of <br />construction. <br />That the owner will compl.y with all provisions of the City of Zephyrhil.ls <br />ordinances and codes pertinent to the buil.ding. <br />That in the event various phases of construction are subcontracted, he wil.l <br />engage onl.y properly l.icensed subcontractors and wil.l personal.l.y supervise <br />such work. <br />That in the event the Building Inspector shall require corrections to be made, <br />the owner wil.l. assume ful.l responsibility to insure they are made, and upon <br />completion wil.l call for a reinspect ion before proceeding with the buil.ding. <br />That the owner shall. assume full. responsibility for the construction and will <br />not expect supervision of his work from the City of Zephyrhills Building <br />Department. <br />That prior to final inspection any additional fees, including reinspection <br />fees, must be paid in ful.l.. A written request from this office shall. <br />constitute an official notice to pay additional. fees. <br />That the owner shal.l compl.y with al.l City, State and Federal laws in regard to <br />social. security, workman's compensation, lien laws, etc., where applicable. <br />That the owner shal.l compl.y with all. the safety codes issued by the Florida <br />Industrial. Commission. <br />State law requires construction to be done by licensed contractors. You have <br />applied for a permit under an exemption to that law. The exemption al.l.ows <br />you, as the owner of your property, to act as your own contractor with certain <br />restrictions even though you do not have a license. You must provide direct <br />onsite supervision of the construction yourself. You may buil.d or improve a <br />one-famil.y or two-famil.y residence or a far.m outbuil.ding. You may also build <br />or improve a commercial. buil.ding, provided your costs do not exceed $25,000. <br />The building or residence must be for your own use or occupancy. It may not <br />be built or substantially improved for sal.e or lease. If you sell or lease a <br />building you have built or substantial.ly improved yourself within 1. year after <br />the construction is complete, the law will. presume that you built or <br />substantially improved if for sale or lease, which is a violation of this <br />exemption. You may not hire an unl.icensed person to act as your contractor or <br />to supervise people working on your building. It is your responsibility to <br />make sure that people employed by you have licenses required by state law and <br />by county or municipal licensing ordinances. You may not delegate the <br />responsibility for supervising work to a licensed contractor who is not <br />licensed to perfor.m the work being done. Any person working on your building <br />who is not licensed. must work under your direct supervision and .must be <br />employed by you, which means that you must deduct F.I.C.A.and'withholding tax <br />and provide workers' compensation for that employee, all as prescribed by law. <br />Your construction mu~t. compl ith atl aP.PliCable laws, ordinances, building <br />codes, and zoning re ....---//' <br /> <br />owmm.' S SIGNATURE ~ DATE (, -tJ -O~ <br />ADDRESS SS-~oL 7 <br />PHONE 7142.. ~ 7 {gOd <br /> <br />tJJfLi.. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />WITNESS <br /> <br />~ <br /> <br />PBRKIT # <br />