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<br />:1:, ~-r~r y A,
<br />
<br />'agree to the .provisions
<br />
<br />DJ:SCLOStlRl!: S~~ FOR QW1iIER
<br />'an OF zEP![Y:R.BJ:LIiS B'[J'J:LDJ:NG DEPAR~
<br />
<br />iJ,yy
<br />
<br />ef ,this instrumeut.
<br />
<br />~ve read' and fully understand and
<br />
<br />"""' =derai_d states and. ""n""'" that -be or she_:I;a des:!:- of oonStrUot_.
<br />""""""tb>g, adding to or "eroofiDsrJUs or her """ damioi~e.. that be or abe
<br />, . -'"11 Oc.....'ft"I'V' _,. :said doDdciJ.e, ,and-;ame is net fer
<br />.ac"t~l"V' ~r"'!'W:l.~..& or ..... w__" -J;
<br />",...t, _~ease or saJ.e. _ .:hat be or _ s>>aJ.~ o_~Y ..;.th the fo~~- oonditionS-'
<br />
<br />~. ".,...t the """"" and. be or _aJ.=e s>>aJ.~ aot as ti>e bull""" for aU pbaSes of_
<br />constrUct'ion. ' '
<br />.2. .:hat the """er .don o"""'~Y .doth a:L~ p1"C'riaionS of the City of zep><yrJU~~a
<br />o:d.; .... ==.ces and codes' pertinent to. the :t::ra.i1d:i.ng.' ,
<br />3 . '<hat i.u ti>e _t .-sri- phases of oODS""""ti= .are ,"",oontraeted. he win
<br />engage =Y p=p",,:\,y ~ioomSed sU>>o=""""tars and. wiJ.~ pera"",,"-~Y_suPe=iae
<br />such work.- '
<br />.. .:hat "" the _t the "uudin!! """"""tor sha:L~ "equire "o"","oeonS to be made.
<br />the """er ";'11 ass.- f= resp"""ibi~ity to imO=e -tbe;y =e made. -and. ""on
<br />o""",~ee= wiJ.~ oal~ for a "eiaSPeoti= bSfare prooeedin!l w:l:th the bui~ding.
<br />5 . That the oWner aha:L~ as...... fun respaasibi~i ty for - the """"""""d= and wiJ.~
<br />not eoq>eot auperrlai= of ]Us ;.ork f"om the-City of zep><yrld11a Bui~din!! -
<br />Department.
<br />6. '<hat pri= to f;.naJ. :l;nsp8oti= =y addie""""- f....a, ino~udin!l """"",,eotion
<br />feea, muSt De paid in fuJ.~. A w.ritten "","",at from thia affioe sha:Ll
<br />,constitute' an ef~ici~l netice.to pay additicnal fees.
<br />7. That the _ sha:Ll o""",lY w:l:th aJ.~ City, state and :p...eraJ. ~aWS- in regard to
<br />aao~al. ae=ity, """","",,' a oompomSatl.=, Hen ~aWS, eto., """"e _Ho""le.
<br />S. That the - """"" sha:Ll o"""'~Y with a:Ll the safety oodeS iseued Dy the :Pl.arida
<br />Industrial commission-
<br />.. State ~aw requirea o"""trUOti= to De daDODy Hoensed oontraotors. YOU ba~
<br />app~ied for a permit -an""" "" _ti= to that ~..... ",... _don .:u_
<br />yOU, as the """"" of yaor prapertY. to aot as -:t= oW oon== with oertain.
<br />reatrioe""" even thOio!th yau de DOt ,....... a ~ioomSe. yon muSt pravide direot
<br />"""ite a""",,,riai= of the oonS""""ti= :r<"""'eJ.f. yce. ""'" Dui~d or _rove-a
<br />=.-fa.."y = twc~family reSidenCe = a fu", outDui~din!!. yce. may al.aa -Dui~d
<br />0" _rove a oommsreiaJ. Dnildin!!. pravidBd-:t= ooatsde not exceed $25.000.
<br />",... Dui~din!! :'" _ "eSidenC. .....t D. for -:t= """ us.e or oocupanCY, n may DOt
<br />De :bui~t or_ sa>>st""ti..:J,~Y _rooed -for ea:Le = ~eaSe. ~f you aeJ.~ or leaae- a
<br />:bui~ding yoU_ 1>&.... ';""tOr __a,;".tanti"",,~Y ~d y=:rseif_ Yithl.n ~ y...." aft=
<br />the ccnstx11ction is ccmpletel the law will presUme .th;it you built or
<br />substantially improved i~ fer sale or lease, which is a violation of this
<br />exemPtion. You may not hire an' u:c.licensed person to act as yeur centractor er
<br />to aup.".-iae p,\,op~e """kin!! = -:t= Dnildin!!. n is -:t= resp"""ibi~ity to
<br />make sure that peop~e emp~oyed Dy yau _ ~ioomSea reqa:l:ed ",. atate ~aw and
<br />by county or municipal 1icensingerd:i:r'""n.ces - yOU may not, delegate the
<br />respcnsibil:ity for supervis:ing work to a licensed contraotor who is not
<br />uo""",.d to ,,=fo= the Work >>a;."g Oona. =Y """.= ~rking on y= Dui~ding
<br />who :LS not J.:Lc~ed :mw;t work u:g,der your d.:i,rect, superv:is:ion iUl.d :mw;t :be'
<br />emp~oyed 1,y yoc.. which _m.e that you muSt ......=t F.:I:. C_A. and.d. -~"'-- t=-
<br />_ and pro=de ~:ker.' o,"""""".stice. f= that .....~_, .J.> as pres=ibed by i_. -
<br />your ccnstrtl:ct:Lon m\i.St comply with all appli.cable lawS. ord:i """T'l.ces, bUild:ing
<br />codes, and zoning at:Lcns.
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<br />DATE
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<br />1-/~ -0 7
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<br />f
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<br />p~',#
<br />
<br />wr;rNESS
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