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<br />DJ:SCLOStJRE S~A'l'!KBNT FOR Ow.mm,
<br />CJ:.TY OF zEPEY.REJ:LIiS BUJ:LDING DEPAR'J:'KBN'l'
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<br />:1:, J.aJ-f' j.;{A ,~A r~ <;'" ' l1ave read' and fuJ.1y understand and
<br />'agree to the ,provisi of+-"; instrament.
<br />
<br />'!'he undersigIJ,ed states and affi:rms that' 'he or she,' i:s desirous of constructing,
<br />renov.ating, a~g to or reroofing his or her own domioi1e,. that he or she
<br />actua.J.1y occupiesl or will oocupy by :said domicile, ,and same is not for
<br />..rent, ,lease or saJ.e. , '1'ha.t he or she shaJ.1 comply with the fo11owi.ng conditions,:
<br />
<br />1. '~hat the owner and he or sheaJ.one shaJ.J. act as 'the builder for all phasf!!s of,
<br />construct:i.on.
<br />.2. '1'ha.t the owner will compJ,y with all provisions of the City of zephyrhills
<br />or~ances and codes pertinent to the building.
<br />3 . 'l'hat in 'the event various phases of construction are subcontracted, he will
<br />engage cmJ.y proper:l"y licensed sUbcontraotors and will personally supervise
<br />such work.-
<br />4 . 'l'hat in the event the Building J:nspector shall require COrrectionS to be made,
<br />the owner will assume full' responsibility to insure "they are made, 'and upon
<br />completion will call for a reinspection before proceeding with the Duilding.
<br />5. 'l'hat the oWner shall assume fuJ.J. responsibiJ.ity for the construction and will
<br />not expect supervision of his Work from the, Ci ty of Zephyrhi1ls Building -
<br />Department.
<br />6. 'l'hat prior to final inspection any additio~ fees, ~cluding reinspection
<br />fees, must be paid in full. A written request :from this o:ffice shall
<br />,constitute' an official notice. to pay additiona.1 fees.
<br />7. 'l'hat the owner shall comply with all City, State and Federal laws' in regard to
<br />soc~al security, workman'S compensation, lien laws, etc., where applicable.
<br />8. That the' owner shall comply with all the 'safety codes issued by the Florida
<br />Industrial Commission.
<br />.9 . State law requires construction to be done, by licensed contractors. You have
<br />applied for' a pe:rm:i.t ,under an exemption to that law. '!'he exemption allows
<br />you, as the owner of your property, to aot 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 construotion yourself. You may build or improve-a
<br />one-family er two-family residence or a f~ eutbui1ding. You may also -build
<br />er improve a commercial building, provided your costsdc net exceed $25,000.
<br />The building .er residence must be fer your own US,e er occupancy. It may net
<br />be built er, substantially improved fer sale er lease. I:fyou sell or lease a
<br />building yeti,have built or ,sUbstantiallY ~r.oved your~eif within 1 year after
<br />the constructien is cOmplete, the law will presUme 'th&t you built er
<br />substantially improved if for saJ.e er lease, which is a violation ef this
<br />exemption. Yeu may not hire an unlicensed person to act as yeur contracter er
<br />to supervj"se p~op1e work:ing on yeur building. J:t 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. Ycumay not delegate the
<br />responsibility for supervising work to. a licensed contracter who is net
<br />l:ic~ed to ~erform the Work be:ing clone. Any person work:ing on your bu:i.ld.:i.ng
<br />who :LS not l:Lce:nsed =st work under your d.:i.rect superv:is:ion and mu.st be
<br />employed.by you, which means, that you =std.E!duct P'.I.C.A. and rlthhold.:Lng tax
<br />and prOV:Lde wo:kersl compe:ns,ation for that employee, all as prescribed by iaw.
<br />Your constrtl:ct:Lcn must comply with all appli.cal:lle laws, ordinances, bUild.:i.ng
<br />codes I and zeDing reguJ.at~ons.
<br />
<br />OWNER IS ~G1'm.T'CRE
<br />ADDRESS, c9 OLj '/ ~S ~
<br />FBONE Is" - ") ) - 7
<br />
<br />DA"l"E
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<br />L/-/o-{)7
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<br />
<br />w:I:TNESS
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<br />PB:eHJ:T " #
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