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D:ISCLOSURE STATEMENT POR OWNER. CITY OF -ZEPRYRB:ILLS B1J'J:LDmG DEPARTHENT :I, .M., l_l4Ja. I M ~ 6 u. ., fJ t 1 ,.. 'have read' and fuJ.~y. understand and agr~ the -provisions of tids J.nstrument. The und_rsigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici~e~, that he or she actua~~;t occupies, .. u'"'' ...lII!!5 1I] .. said domici~e, and same is not for rent, ~.ase or sa~e. That he or she sha~~ comp~ywith the Io~~owing conditions,: L Tha1j: the owner and he or she a~one shaJ.~ act as the bui~der 'for a~~ phases of.. con,*truction. Tha~ the owner wi~~ comp~y ~th a~~ provisions of the City of Zephyrhi~~s ord:ifnances and codes pertinent to 'the bui~ding. Tha'll: in the event various phases of construction are subcontracted, he wi~~ eng~ge o~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise sucJi work., Tha~ in the event the Bui~ding :Inspector sha~~ require correctionS to be made, the owner wi~~ assume ful~ responsibi~ity to insure they are made, and upon coma~etion wi~i cal~ for a reinspection before proceeding with the bui~ding. That the oWner sha~~ assume f~ responsibi2ity for the construction and wi~~ not lexpect supervision of his Work from the City of Zephyrhi~~s Bui~ding Dep~rtment . Tha~ prior to final inspection any additional fees, fnc~uding reinspection fees!, must be paid in ful~. A written request from this office shall ,co~titute' an officia~ notice_to pay additio~ fees. Tha~ the owner shall comply with a~~ City, State and Federa~ ~aws' in regard to soc~al security, workman's compensation, lien ~aws, etc., where app~ica:ble. Tha~ the owner shall comp~y with a~~ the safety codes issued by the Florida :Ind~stria~ Commission. Sta~e ~aw requires construction to be done by ~icensed contractors. You have applied for a pe1:mit under an exemption to that ~aw. The exemption allows you, as the OWIl.er of your property, to act as your 0WIl contractor with certain rest~ictions even though you do not have a ~icense. You must provide direct onsirte supervision of the construction yourse~f. You may bui~d or improve ,a one-~amily or two-family residence or a far.m outbui~ding. You may a~so "build or iF,prove a commercial bui~ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be bUilt or. s~stantial~y improved 'for sale or ~ease. :If you s&ll ;or' lease a bui~ 'ng yotihave bui~torsubstantially improved yourself within 1 year after the onstXlJ,ction is complete, the law will presUme 'that: you built or subs antial~y improved if for sale or lease, which is a violation of this ex tion. You may not hire an ~icensed person to act as your contractor or to s pervise people working on your building. :It is your responsibi~ity to make sure that peop~e emp~oyed by you have licenses required by state law and by chunty or municipal licensing ordinances. You may not, de~egate the . reStnSibi~ity for superviSing work to .a licensed contractor who is not lic ed to perform the work being done. Any person working on your building who . s not licensed must work under your direct supervision and must be emplQyed by you, which means that you must deduct F.:I.C.A. and withholding tax and provide workers' compensation for that emp~oyee, al~ as prescribed by 1aw. Your I construction must comply with all pp~ica:ble laws, ordinances, building COde" and zoning regulat 0 ' I) 2. 3. - 4. 5. 6. 7. 8. 9. DATE ."1~z... r PElUaT #