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DJ:SCLOSlJRE STATEMENT FOR OWNER CITY OF -ZEPRYRBJ:LLS BUJ:LDJ:NG DEPARTKENT J:,_~\rVY G'(~ ~rJ agree to th'e provisions of thi:s instrument. have read and fu1~y understand and , , The undersi~ed states and affirms that he or she .is desirous of construct~g, renovating, add.ing to or reroofing h.is or her own dom.ici~e~, that he or she actua~~y occupies, or w.i~~ occupy by said dom.ici~e, and same is not for rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing cond.itions,: ~. That the owner and he or she a~one shaJ.~ act as the bu:i.~derfor a~~ phases of.. construction. That the owner wi~~ comp~y with a.J.~ provisions of the City of Zephyrh.i~~s ord.inances and codes pert.inent to 'the bu:i.~d.ing. That ~ the event various phases of construction engage o~y properly ~icensed subcontractors and such work.- That~ the event the Bu.i~d.ing J:nspector sha~~ requ.ire corrections to be made, the owner wi~~ assume fuJ.~ respons.ibi~i ty to insure they are made, 'and upon comp~etion w.i~i ca.J.~ for a re.inspection before proceed.ing with the bu:i.~ding. That the oWner shall assume fu.1.J. respons.ibi~ity for the construction and wi~l no~ expect supervision of h.is work~zrom-the City of Zephyrh.i~~s Bu:i.~d.ing Department. That prior to f.inal inspection any add.itiona~ fees, inc~uding re~spection fees, must be paid in fuJ.~. A written request from th.is office sha~l ,constitute' an officia2 notice,to pay add.itiona1 fees. That the owner shal~ comply with a~~ City, State and Federa~ laws' in: regard to social security, workman's compensation, lien ~aws, etc., where app~icable. That the owner shall comp~y w.ith a~l the safety codes issued by the Florida J:ndustria~ Ccmm.ission. State ~aw requ.ires 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 ons:Lte supervision of the construction yourse~f. You may bu:i.~d or .improve ,a one-fam.i~y or two-fam.i~y residence or a farm outbu:i.~ding. You may a~so 'build or .improve a commercia~ bui~d.ing, provided your costs do not exceed $25,000. The bu:i.~d.ing or residence must be for your own use or occupancy. J:t may not be built or_ s~stantia~~y .improved -for sa.J.e or ~ease~ J:f you seJ.l;or' lease' a bu:i.-*c;.~~}':..Q'I.i.__h.iLYEl_bt:t.i~;; or _substant.i~ly .improv~d yourself w.ithin ~ year after the constXl1ction iliLc...."1I'lete,tl1e law will preirome -that: you bui~t: or substantia~~yimproved if for sa.J.e or lease, wh.ich is a violation of th.is exemption. You may not h.ire an un~icensed person to act as your contractor or to supervise people work:ing on your build:i.ng. J:t is your respons.ibili ty to make sure that people employed by you have licenses requ.ired by state law and by county or mun.icipa~ licensing ordinances. You may not delegate the responsibi~ity 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 d.irect supervision and must be emp~oyed by you. wh.ich means that you must deduct F.I:.C.A. and w:Lthb.o~ding tax and provide workers' compensation for that emp~oyee. al~ as prescr.ibed by law. Your construction must comp~y wi th al~ appl:Lcable laws, ordinances. building ;;~: ;~;(:A:~l).;. f( .?IS'yv DATS f~?b^ ~ E'RONE fIr - 7\1 f - 20 LLJ WJ:TNESS 2. 3. are subcontracted, he w.ill w.ill personally supervise 4. 5. 6. 7. 8. 9. r PE:RKI:T -. #: