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<br />DISCLOSURE STATEMENT FOR OWNER <br />CITY OF ZEP:EYREILLS B'C'J:LDING DEPARTMENT <br /> <br />I, have read and ful.~y understand and <br />agree to the prov~s~ons of thi.s ~nstrument. <br /> <br />The unders~~ed states and aff~r.ms that he or she is des~rous of construct~ng, <br />renovat~ng, adding to or reroof~ng his or her own domicile;, that he or she <br />actually occup~es, or wil~ occupy by ,'sa~d domic~~e, and same ~s not for <br />rent, ~ease or sale. That he or she shall comply with the :Eollow~ng condit~ons.: <br /> <br />L <br /> <br />That the owner and he or she alone sha.1.1 act as the builder .for all phases of. <br />construct~on. <br />That the owner w~ll comply with all prov~s~ons of the C~ty of Zephyrhills <br />ordinances and codes pert~nent to "the building. <br />That ~n the event var~ous phases of construct~on are subcontracted, he w~ll <br />engage only properly l~censed subcontractors and w~ll personally superv~se <br />such work.. <br />That in the event the Building Inspector sha.1.1 require correct~ons to be made, <br />the owner w~ll assume full responsib~l~ ty to ~nsure they are made, . and upon <br />complet~on wili call for a reinspect~on before proceeding with the building. <br />That the oWner shall assume fuJ..l responsib~~~ty for the construct~on and w~ll <br />not expect superv~s~on of his Work from the C~ ty of Zephyrhills Building <br />Department. <br />That pr~or to f~nal inspect~on any addit~onal fees, ~ncluding re~nspect~on <br />fees, must be pa~d ~n full. A wr~tten request from this off~ce shall <br />.const~tute. an off~c~a~ not~ce"to pay addit~onal fees. <br />That the owner shall comply with all C~ty, State and Federal laws. ~n regard to <br />soc~al secur~ ty, workman' s compensat~on, l~en laws, etc., where appl~cable. <br />That the owner shall comply with all the safety codes issued by the Flor~da <br />J:ndustr~al Commission. <br />State law requires construct~on to be done by l~censed contractors. You have <br />appl~ed for a permit under an exempt~on to that law. The exemption allows <br />you, as the own,er of your property, to act as your own contractor w~th certain. <br />restr~ct~ons even though you do not have a l~cense. You must prov~de direct <br />onsite supervision of the construction yourself. You may build or improve a <br />one-fam.:ily or two-fam.:ily residence or a fa:rm outbuilding. You may also 'build <br />or improve a commercial building, provided your costs do not exceed $25,000. <br />The building or residence must be for your own use or occupancy. It may not <br />be built or, s~stant~ally improved for sale or lease. If you s~l :o~ lease a <br />building you. have built or . substantially improved yourse1f with.J.n 1 year after <br />the construct~on is complete, the law w~ll presUmeth&t you bu~lt or <br />substant~ally improved ~f for sale or lease, which ~s a violation of this <br />exemption. You may not hire an unlicens'ed person to act as your contractor or <br />to supervise people worlcing on your building. It is your responsib~li ty to <br />make sure that people employed by you have l~censes required by state law and <br />by county or municipal l~cens~ng ordinances. You may not delegate the <br />responsibility for supervis~ng work to a l~censed contractor who is not <br />l~censed to perform the work being done. Any person working on your building <br />who is not licensed must work under your direct superv~sion and must be <br />employed by you, wh.ich means that you must deduct F.I.C.A. and wi.tb.holding tax <br />and provide workers' compensat~on for that employee, all as prescribed by iaw. <br />Your construct~on must comply with all applicable laws, ordinances, building <br />codes, and zoning re~lat~on~T /.,_ <br /> <br />OWNER'S SIGNATURE ,./~{ (k~ DATE .II. d I 06 <br />ADDRESS 5;.-'::,~ lj '( /?I'H . <br />PRONE: "! 1 r7... - &.i:; : .:t., &. J <br /> <br />fja-ch't- _ tJo~.. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />r <br /> <br />WITNESS <br /> <br />PBRMJ:T #: <br /> <br />~'~~Co <br />