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<br />DJ:SCLOSlJRE STATEMENT FOR OWNER <br />CJ:TY OF ZEPHYRB:ILLS BtT.I:LD:ING DEPARTMENT <br /> <br />The undersigned states and affirms that he or she is desirous of constructing, <br />renovating, adding to or reroofing his or her own domicile" that he or she <br />actually occupies, or will occupy by said domicile, and same is not for <br />rent, lease or sale. That he or she shall comply with the following conditions,: <br /> <br />1. <br /> <br />That the owner and he or she alone shall act as the builder for all phases of <br />construction. <br />That the owner will comply with all provisions of the City of Zephyrhills <br />ordinances and codes pertinent to the building. <br />That in the event various phases of construction are subcontracted, he will <br />engage only properly licensed subcontractors and will personally supervise <br />such work.. <br />That in the event the Building :Inspector shall require corrections to be made, <br />the owner will assume full respo:c.sibili ty to insure they are made, and upon <br />completion will call for a reinspection before proceeding with the 'building. <br />That the oWner shall assume full responsibility for the construction and will <br />not expect supervision of his work from the City of zephyrhills Building <br />Department. <br />That prior to final inspection any additiona~ fees, including reinspection <br />fees, must be paid in full. A written request from this office shall <br />,constitute an official notice. to pay additional fees. <br />That the owner shall comply with all City, State and Federal laws in regard to <br />social security, workman'S compensation, lien laws, etc., where applicable. <br />That the owner shall comply with all the safety codes issued by the Florida <br />Industrial commission. <br />State law requires construction to be done by licensed contractors. You have <br />applied for a permit under an e:x:emption to that law. The e:x:emption allows <br />you, as the owner of your property, to act as your own contractor with certain, <br />restrictions even though you do not have a license. You must provide direct <br />onsite supervision of the construction yourself. You may build or impr~ea <br />one-family or two-family residence or a far.m outbuilding. You may also build <br />or improve a commercial building, provided your costs do not e:x:ceed $25,000. <br />The building or residence must be for your own use or occupancy. It may not <br />be built or sUbstantially ~roved for sale or lease. If you sell or lease a <br />building you have built or substantially improved yourself within 1 year after <br />the construction is complete, the law will presume that you built or <br />substantially ~roved if for sale or lease, which is a violation of this <br />e:x:emption. You may not hire an unlicensed person to act as your contractor or <br />to supervise people working on your building. It is your responsibility to <br />make sure that people employed by you have licenses required by state law and <br />by county or municipal licensing ordinances. You may not delegate the <br />responsibility for supervising work to a licensed contractor who is not <br />licensed to perform the work being done. Any person working on your building <br />who i.s not ~i.censed must work u:c.der your direct supervision and must be <br />emp~oyed by you, which means that you must deduct F.I.C.A. and wi.thho~ding tax <br />and provide workers' compensation for that employee, all as prescribed by iaw. <br />Your construction must comply with all applicable laws, ordinances, building <br />codes, and zoning regulations. <br /> <br />SIGNA~ ~~ l..2-(J Q,.1A..-.~ <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 />OWNER'S <br />ADDRESS <br />PBONE <br /> <br />DATE <br /> <br />'1/1 "-If) 7 <br /> <br />WITNESS <br /> <br />PERKIT # <br />