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D:ISCLOSURE STATEMENT FOR OWNER. CITY OF ZEP!IYRB:ILLS BU:ILD:ING DBPARTHENT :I, have read and ful~y understand and agree to the provisions of this instrument. The undersi~ed states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own damici~e~, that he or she actua~~y occupies, or wi~~ occupy by said damici~e, and same is not for rent, ~ease or sa~e. That he or she shaJ.~ comp~y with the fo~~owing conditions.: ~. That the owner and he or she a~one sha~~ act as the bui~derfor a~~ phases of.. construction. That the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s ordi:c.a:c.ces and codes pertinent to 'the bui~ding. That in the event various phases of construction are subcontracted, he wi~~ engage on~y proper~y ~icensed subcontractors and wi~~ perso:c.a~~y supervise such work.. That in the event the Bui~ding :Inspector sha~~ require corrections to be made, the owner wi~~ assume fuJ.~ responsibi~i ty to insure they are made, . and upon comp~etion wi~i ca~~ for a reinspection before proceeding with the .bui~ding. That the oWner sha~~ assume fuJ.~ responsibi~ity for the construction and wi~~ not expect supervision of his work from the City of Zephyrhi~~s Bui~ding Department. That prior to fi:c.a~ inspection any additio:c.a~ fees, i:c.c~uding reinspection fees, must be paid in fuJ.~. A written request from this office sha~~ .constitute an officia2 notice,to pay additiona~ fees. That the owner sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to socia~ security, workman's compensation, lien laws, etc., where app~icable. That the owner shal~ comp~y wi th a~~ the safety codes issued by the Florida :Industria~ Commission. State law requires construction to be done by ~icensed contractors. You have app~ied for a permit under an exemption to that ~aw. The exemption a~lows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse~f. You may bui~d or impr~ea one-fami~y or two-fami~y residence or a far.m outbui~ding. You may a~so bui~d or improve a commercia~ building, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be bui~t or sUbstantia~~y improved for sa~e or lease" :If you sea~ ;or lease a bui~ding yotihave bui~t orsubstantia~~y improved your-seif within ~ year after the construction is comp~ete, the ~aw wi~~ presume.th&t you bui~t or substantia~~y improved if for sa~e or ~ease, which is a. vio~ation of this exemption. You may not hire an un~icensed person to act as your contractor or to supervise people working on your bui~ding. :It is your responsibi~ity to make sure that peop~e emp~oyed by you have ~icenses required by state law and by county or municipa~ licensing ordinances. You may not de~egate the responsibility for supervising work to a licensed contractor who is not ~icensed to perform the work being done. Any person working on your building who is not ~icensed must work under your direct supervision and must be employed by you, which means that you must deduct F.:I.C.A. and withholding tax and provide workers' compensation for that emp~oyee, a~~ as prescribed by law. Your construction must comply with al~ appl:icable laws, ordinances, building codes, and zoning regula~.ions. S?t"'ic~ C (itf1 ~'ift~1;;~ t:'? ,::2, 7 7'7 / (l~1 '-4 . . 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S ADDRESS E'BONB '?~/ J/O ({/ r DATE WJ:'l'NES S PERM:IT #