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DISCLOSlJRE STATEMENT FOR OWNER C:tTY OF ZEP:EYRB:ILLS BUILDING DEPARTMEN'l' I, J<~(\(\-P.. yh, Pt:{L.(J W(L'IL,I'"I S have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile" that he or she actual1y occupies, or wil1 occ~py by-said domicile, and same is not for rent, lease or sale. That he or she shal1 comply with the following conditions.: J.. That the owner and he or she alone sha1l act as the bui1der for all phases of construction. .2 . That the owner will comply with al1 provisions of the City of Zephyrhills ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.. 4. That in the event the Building Inspector sha1l require corrections to be made, the owner will assume ful1 responsibi1ity to insure they are made, and upon comp1etion wili call for a reinspection before proceeding with the building. S. That the oWner sha1l assume full responsibiJ.i ty for the construction and will not expect supervision of his Work from the City of Zephyrhills Building Department. 6. That prior to fina1 inspection any additional fees, !nc1uding reinspection fees, must be paid in full. A written request from this office shall . constitute. an official notice,to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws' in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. . 9. State law requires construction to be done by licensed contractors. You have applied for a peDl1it under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You my build or imprC!Vea one-fami1y or two-family residence or a farm outbui1ding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or. sUbstantially improved for sale or lease. If you seal ;or. lease a building yoti. have built or substantially improved your:selfwi thin 1 year after the construction is complete, the law will presume .that you built or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. 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 working on your building who is not 1icensed must work under your direct supervision and must be emp10yed by you, which means that you must deduct F.J:.C.A. and withholding tax and provide workers' compensation for that employee, a1J. as prescribed by iaw. Your construction must comply with all applicab1e laws, ordinances, building codes, and zoning re~1ations. ~~ S5~~ f~/~~;:DJ< N DAn OS J 1/ /p (" PHONE f/3 - 3/.:J _ 4r..fi . . WITNESS PERKIT #