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I. ha.... read and fuJ.1y und"".tand and agree to the provisions of this instrument. DJ:SCLOStJ1U!: STATEMENT FOR oWNER. CJ:'!'Y OF ZBPHYdJ:LLS BtrJ:LD:ING DEPAR'.rMENT TJ>,e """"".ig>1Sd .tate. and affirms that he or .he i. desirous of constrUct_. renovating. adding to or reroofing hi. or her own doDici1e" that he or .be actusHY occupies. or wiH oCm>PY by ..aid doDici1e. and ...... i. not for r...t. lea.e or .a1e. That be or abe shaH c_1y with the foH""ing conditio"'" 9. That the owner and be or .he aJ.one .haH aet as the hui1der for a11 pha.e. of. construction. That the owner wi11 c_1y with &11 provisiOUS of the City of zepbYthi11. ordinances and codes pertinent to the building. That in the _t vari""" pha.es of constrUCti"" are .ubcontracted. he wiH eogage only proper1y 1ic....ed suhc""tractor. and wi11 per.ana11Y .upervi.e such work.. That in the ""...t the Building :[DSpSctor .haH require o"""ectionS to he made. the owner wiH a._ fuJ.1 reSPonSibility to inSure""'" are made. and up"" c_,eti"" wi11 caJ.1 for a reinspecti"" before proceeding with the bui1ding. That the aWDer sh&l1 ...ume fuJ.1 responSibi1ity for the conStrUCti"" and wi11 net """ect suporvi.i"" of hi. work from the City of Zep1>yrhiH. Bui1ding Department. That prior to final in.pecti"" any additioua1 fee.. inc1udin9 reinSPecti"" fee.. muSt he paid in fuH. A writt... reque.t from this office .ha11 .constitute an of~icial notice. to pay additional ~ees. That the owner .ha11 c_1y with aJ.1 City. State and Federa1 1aWS in regard to .ocial .ecurity. workman'. c_ensation. 1i... 1aWS. etc.. where applicah1e. That the owner .bal1 c_1y with 011 the .afety codes i..ued by the F10rida Industrial Commission. state law require. constrUCtion to he donS by 1icensed c""tractor.. You ha.... applied for a permit _der an """""tion to that 1aw. The """"",ti"" aJ.l""S you. as the owner of your propertY. to act a. your own contractor witb certain re.triction. ""... thcUSh you do not ha.... a license. You muSt provide direct """ite .upervision of the conStruction your.eU. You....y hui1d or imProve a one-fsmi1y or twO-fsmi1Y residence or a f""'" outhui1ding. YOU may aJ..o bui1d or imProve a commercia1 building. provided your co.t. do not ""ceed $25. 000. TJ>,e hui1ding or re.idence mu.t he for your own use or occupancy, It may not he bui1t or .Ub.tantially imProved for .ale or lea.e. If you .011 or lea.e a building you ha.... bui1 t or .uh.tantiaHY imProved yourseJ.f wi tldn 1 year after the construction is complete, the law will presume that you built or .ub.tantia11Y improved if for .ale or 1...e. which i. a violation of this ",,_tion. You....y not hire an .."J.icensed peraon to act a. your contractor or to .upervi.e peop1e working on your hui1ding. It ia your responSibility to make sure that peop1e "",,1oyed by you have licen.e. required by .tate law and hy county or mwrlcipa1 licensing ordinance.. You....y not de1egate the respon.ibility for .upervi.in9 work to a 1iceu.ed contractor who i. not licensed to perfo,,", the work hei.ug """". AnY per.on working on your hui1din9 who is not ~icensed must work under your direct supervision and must be emp10yed by you. which me.ne that you muSt deduct F.I.C.A. and witbhOldiu9 tax and provide worker.' compensation for that employee. ..H as pre..cribed by 1..w. your ConStruction muSt c_'Y with aJ.1 app1icahle 1aWS. ordinaUce.. building codes, and zoning ~. . lations. =~~ SI~;~ _~~... f . v,rr- = ;J /) Cj / [) 7 c nONE 7~q~- '; ~ (,~ . ~ / ~TNESS "". \~ ;:;\..'i>~ pERMIT # 1. 2. 3. 4. 5. 6. 7. 8.