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<br />DJ:SCLOStmE S~~ FO:R. OW!1E:R.'
<br />'CJ:.'1'Y OF Z~ BUJ:LD:rNG DEPAR~
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<br />:r. .it , {/k- .. r"/ ~,~~ L - ;read" ~" fuJ.1y _stand and
<br />'agree to the.provisicnsef ,this instrumeat.
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<br />'Xhe unde:J:'sigIJ,ed states and affi:rms that' 'he or she.' i:s desirous of constructing,
<br />renov.ating, a~g to. er reroefing his er her awn'domioi1e,. that he or she
<br />actuAlly eccupiesl or ~~1 occupy by :said domicile, .and same is not for
<br />..rent, ,l~ase or saJ.e. . ~t he or she shaJ.1 camp:1.y with the fo~lowi.ng conditions.:
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<br />8.
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<br />'That the owner and he or she ,alone shalJ. act as 'the :bui~der for al~ phases ef.,
<br />construct:i.on.
<br />'l'hat the owner wiJ.1 compJ,y with all provisions of the C:i:ty of zephyrhil:LS
<br />ordinances and codes' pertinent to the building. .
<br />'l'hat in 'the event various phases ofconstructi~are subcontracted, he wil.l
<br />engage cmJ.y proper:l"y licensed sUbcontraotors and will perscna:J.1y supervise
<br />such work.. " " ,
<br />'l'hat in the event the Building :InSPector shall require cerrecticnS to be made,
<br />the awner wil.l. assume full' responsibil.ity to. insure "they are madel' and upon
<br />completion will. call fer a r~ection before preoe~ding with the Duilding.
<br />'l'hat the oWner shall assume fuJ.J. responsibiJ.ity for ,the constructil?n 'and will.
<br />not expeot supervision of his Work from the ,City ef Zephyrhills Building .
<br />Department.
<br />'l'hat prier to final inspeotion anyadditi~ 'feesl ~cluding reinspection
<br />fees I m:a.st be paid in full. A written request :from this offioe shall
<br />,constitute' an officialnotioe-to pay additional. fees-
<br />That the owner shall comply with all City I State and Federal l.aws' in regard to
<br />sec~al secur.i ty ~ worJana:c.1 s camp ens at:L on I lien laws I etc. I where applicable.
<br />'l'hat the' owner shall comply with al.l the 'safety codes issued by the Florida
<br />Industrial commission.
<br />State l.aw requires construction to be done,by licensed contractors. You have
<br />applied :for' a pe:rm:i.tunder an ex~tion to that l.aw. The exemptien allows
<br />,yeu, as the owner of your property, to aot as your awn contracter with certa.in
<br />restriotions even thc1i.gh you de net have a lioense. You must provide direct
<br />onsite supervision of the construCti.on yourself. You may build or improve.a
<br />one-family er two~fami1y residence or a f~ outbuilding. You may also "build
<br />or improve a cOmmercial. :buil~gl provided your cests'dc not exceed $25,000.
<br />The building _er residence must be for your own US,e or occupancy. It may net
<br />be bui1::: or, substantially improved ':fer ss.+e er lease. If' you sell or lease a
<br />bui1~g, yoti. have ,buil tor ,sUbstantia.l.ly impr.oved yc.u:i::-~eif, within' J." year a.fter
<br />the conStruction is cOmplet~, the ,law will presume .th&t you built er
<br />s'Ubstantial1y iliI;proved if fer saJ.eor lease, which is a, vie1ation of this
<br />exemPtion. You may net hire an unlicensed person to act as yeur centractor or
<br />to supervise p~ople work:ing on your building. It is your, responsibility to'
<br />make sure that people employed by you han licenses required by state law and
<br />by county or munioipal l.i.censing-ordinances. You may net, delegate the
<br />responsibility for supervising work to a licensed contractor who is not
<br />l:ic~ed to ~erform the Work :be:ing clone. Any person work:i.ng on your bu:i.ld.:i.ng
<br />who :LS not l:Lce:nsed mwst work under your d.;:j,.rect, l!Iuperv:is:ion and must :be'
<br />em;ployed.byyou, which means' that you m:a.st deduct p'.J:.C.A. and rlthhold.:Lng tax'
<br />, and prov:Lde wo:kersl compe:ns,ation :for that employee, all as pres=:i.:bed by iaw. .
<br />Your constrtl:ct:-on, must comply with al.l applicable lawsl err'l-i""",""ces, bUilding
<br />codes, and ZO:D.:L:I1g reguJ.at'ions. ' ,
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<br />sz===~~,g~ .
<br /><?~~~:-i--~" ~ ~ -; :/. tP If ~.<-; L L. /~L
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<br />O'W,NER'S
<br />ADDEESS,
<br />PEON.!!:
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<br />DATE
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<br />wr:t'NESS
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