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<br />OWNER-BUII.DF.R AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br /> <br />, <br />) <br /> <br />. ~lAJ S,DlL(J'i( <br />personally appeared .' <br /> <br />DEFORe me. the undcrsi~ned auth6rity, <br /> <br />. who being by me first riuly sworn, under oath, deposns and state~ <br /> <br />-".~!';" fo llows: <br /> <br />I do hereby swearjaffirm: <br /> <br /> <br />liS Lo-r I~ I Oau:- Cres-l 6S"~-ks ,1,"S2 OI\Q :AwvJ'1 <br />fG <; 47!' '18 IiO{:I.. 02- 'ZIo L 2/-b23o -00090 <br />o IIoD <br /> <br />Stlltn lm.1 rl'(ltJirp.~ conr.truction tn ht' clone by licelll'1ed contnictorR. You hllvc I1PJ>lJ~d <br /> <br />for It permit under an e.xemption to the law. <br /> <br />Thp. exemption allows Y011, as the owner of <br /> <br />your pt:op~rty. Lo Act as your own contr.actor even though you do not havp. 8 license. You <br />mm;t supp.T\.'ise the construction yoursel (. You may build or. i.mprove a one-family or two- <br /> <br />fami 1)' residence orn (arm outbuilding. <br /> <br />You may also build or improvp. "a commercial. <br /> <br />buildi.ng i't fl cost of $25,000.00 or Ip.ss. Th(' building must be [or your own use And <br />o<:cupauc:y. It may not b'2 built for sale or letise. If you sell or lease II building you <br />have bui.lt yourself {dthin onp. year after the construction is complete, the lat" will pre- <br />sume that you built it for saln or l~ase, which is a violation of this exemption. Vou mllY <br />not hire an unlicensed p~rson as your contractor. It is your responsibility to make sure <br />that people ~mployerl by you have lic.ns~s required by State law and by County or municipal <br />licensing o~dinances. Any person working on your.building who is not licensed must work <br />under your supervision and must be employed by you, which means that you must deduct <br />F. I. C. A. /lnd withholding tax and provide Workers' Cc"tlf'ensation for that employee. all as <br />prp.scribed by law. Your construction must comply with all applicable lRws, ordinRncas. <br />bll i 1 r! i nr. codes. ,1nd ;>;:::n ing ::eg:.J 1.3 t i un:; . <br /> <br />That 1 have rr:nci the rore~oin~, and 11m llwnrc .of my responsibilities and liabiliti.c~ <br />!or ~onstruction work on thR nhove-descrihed property and do hereby agre~ to ench of thr <br />aforesaid Stipll)oLi~iIls. <br /> <br />FURTHER AFFIANTSAYEl1l NOT. <br /> <br />,.~ <br />~). ,'b~ <br />Owner's Signature <br /> <br />0q3t (A~~~sd W{ <br />2~~rhl ~c~tcto ":J~ ~<{J- <br /> <br />SWORN to~and subscribed before me <br />this J~ - day of :fUNl... <br />atJo/il- . <br /> <br />~~ <br />State 1~~ri4~5E=1 <br />: \~~lJ Expires 1112612006 : <br />: l.+'OFf\.~~ Bonded thro h : <br />Print i!!f.11i'~s;t],Qf~~~'R~ !csmoned <br />Name of Notary Public <br /> <br />My Commission Expires: <br /> <br />~\ 2V \ tJ..o <br /> <br />Personally Known _____ or Produced Identification <br /> <br /> <br />Type of Identification <br />