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DISCLOSURE STATEMENT P'OR owmm crTY OF -ZEPRYREILLS B'[J'J:LDJ:NG DEPARTKI!:NT I, agree to the ~rovisions of this instrument. have read and ful~y understand and The undersi~ed states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici~e~, that he or she actua~~y occupies, or wi~~ occupy by '"' -/ - (),s'said domici~e, and same is not for rent, ~ease or sa~e. That he or she sha~~ comp~ywith the fo~~owing conditions.: ~. That the owner and he or she a~one shaJ.~ act .as thebui~der"for a~~ phases of.. construction. 2. That the owner wi~~ comp~y with aJ.~ provisions of the City of Zephyrhi~~s or~ces and codes pertinent to 'the bui~ding. 3.. That in the event various phases of construction are subco:titracted, he wi~~ engage o~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise such work." 4. That in the event the Bui~ding Inspector sha~l require corrections to be made, the owner wi~~ assume ful~responsibi~ity to insure they are made, and upon comp~etion wi~i ca~~ for a reinspection before proceeding with the bui~ding. 5. That the oWner shaJ.~ assume full responsibi~ity for the construction and wi~~ not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding Department. 6. That prior to f~na~ inspection any additiona~ fees, fnc~uding reinspection fees, must be paid in ful~. A written request from this office sha~~ constitute" an officia~ notice, to pay additional fees. 7. That the owner sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to socia~ security, workman's compensation, ~ien ~aws, etc., where app~ical:l~e. 8. That the owner sha~l comp~y wi th a~l the safety codes issued by the Florida J:ndustriaJ. Commission. . 9. State ~aw requires construction to be done by ~icensed contractors. You have app~ied for a permit under an exemption to that law. The exemption a~~ows you, as the owner of your property, to act as your own contractor wi th certain restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse~f. You may build or impr~e ,a one-fami~y or two-fami~y residence or a far.m outbuilding. You may a~so build or improve a commercia~ bui~ding, 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 built or. sUbstantia~~y improved for sale or lease. If you seJ..l;or' ~ease a bui~ding yoti have bui~torsubstantiaJ.~y improved your.se~f within 1 year after the construction is complete, the ~aw wi~l presUme "that you built or substantia~~yimproved if for sa~e or ~ease, which is a. vio~ation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people worlcing on your bui~ding. It is your responsibility to make sure that people emp~oyed by you have licenses required by state law and by county or municipal licensing ordinances. You may not. delegate the responsibility for sup~sing work to a ~icensed contractor who is not ~icensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be emp~oyed by you, which mems that you must. deduct PO. J:. C.A. and withholding tax' and provide workers' compensation for that emp~oyee, al~ as prescribed by iaw. Your construction must comp~y with al~ applical:l~e ~aws, ordinances, bui~ding codes, and zo:c.:Ln g~regtU~ '.ons. ~'>-. ' OWNER'S ~~TtlRE _' "~ ~. DATE ~/ ~ ;2/ ---Or.:; r ADDRESS .5:tt2 YLJ . --"---- 'P. '//5 E'BONE WITNESS PERMIT". #: