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I, agree DISCLOSURE STATEHBHT FOR OWNER CITY OF -ZEPRYREILLS B1JJ:LDJ:NG DEPARTMENT ~//~r~..;... , have read and fuJ.~y understand and to the provisions of ~s instrument. The undersi~ed states and affirms that he or she is desirous of constructing, renov.at:ing, add:i.ng to or reroofing h:i.s or her own dom:i.c;i.~e;,that he or she actua~~y occupies, or ~~~ occupy by said damici~e, and same is not for rent, ~ease or saJ.e. That he or she sha~~ comp~yrith the ;fo~~cncing cond:i.tions.: ~. That the owner and he or she a~one shal~ act as thebui,~der'for a~~ phases of.. construction. That the owner wi~~ comp~y with aJ.~ provisions of the City of Zephyrh:i.~~s ordi.nances and codes pertinent to "the bui,~d:i.ng. That :in the event various phases of constructi~n are subcoritracted, he wi~~ engage on~y proper~y ~icensed subcontractors and ~~~ persona~~y supervise such work.. That in the event the Bui,~d:i.ng Inspector sha~~ requ:i.re corrections to be made, the owner wi~~ assume fuJ.~responsi.bi~i ty to :insure they are made, 'and upon comp~etio:li wi~i ca.J.~ for a re:inspection before proceed:i.ng ~ th the bui,~d:i.ng. That the oWner sha~~ assume f~ responsi.bi~ity for the construction and wi~~ not expect supervision of h:i.s work from the City of Zephyrh:i.~~s Bui,~ding Department. That prior to fina~ :inspection any add:i.tiona~ fees, inc~ud;i.ng reinspection fees, must be paid in fuJ.~. A written request from thi.s office sha~~ ,constitute' an officia2 notice. to pay add;i.tiona~ fees. That the owner sha~~ comp~y ~th a~~ City, State and P'edera~ ~aws' in' regard to socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e. That the owner sha1.1 comp~y rith all the safety codes issued by the Florida J:ndustria~ Comm:i.ssion. . State ~aw requ:i.res construction to be done by ~icensed contractors. You have applied for a permi. t under an exemption to that law. The exemption a1~ows you, as the owner of your property, to act as your own contractor ~ th certain restrictions even though you do not have a license. You must provide d:i.rect onsi.te supervision of the construction yourself. You may bui,ld or improve ,a one-fam:i.~y or two-fam:i.1y residence or a farm outbui,ld:i.ng. You may also "bui,ld or improve a commercial bui,ld:i.ng, provided your costs do not exceed $25,000. The bui,~d:i.ng or residence must be for your own use or occupancy. :It may not be bui,lt or. sUbstantia1~y improved for sale or lease" :If you sell :o~ lease a build:i.ng you,have builtorsubstantia~ly imp~oved yourseif within. 1 year after the construction is complete, the law ~ll presUme .that you built: or substantially improved if for saJ.e or lease, wh:i.ch is a. violation of thi.s exemption. You may not h:i.re an ~icensed person to act as your contractor or to supervise people working on your building. :It is your respons:i.bi~ity to make sure that people employed by you have licenses requ:i.red by state law and by county or mun:i.cipa1 licensing ordi.nances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the Work being done. Any person worlcing on your bui,lding who is not ~icensed must work under your d:i.rect superv:i.sion and must be employed by you, wh:i.ch means that you must 'deduct F.:I.C.A. and wi.thho~di.ng tax and provide workers' compensation for that employee, a.J.~ as prescribed by iaw. Your construction must comply with all appli.cable laws, ordinances. build:i.ng codes, and zoning regulat'ioIlS. OWNER'S .S:I. GNllTtJRB. ~~~. =S~ i -- f!l:== w:rTNE~_.__~ .... ~ ~!<. . 2. 3.. 4. 5. 6. 7. 8. 9. DATE ,?-~"3.00r PERKIT.. #: 4- /J~:L