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DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, - J~l11es H. Cttldw€-({ have z'ead and fully understand and agr~ the provisions of this instrument. The und~rsigned states and affirms that he or she is desirous of constructing, renovat~ng, adding to or reroofing his or her own e.omicile, that he or she actual 1 occupies, or will occupy by saie. domicile, and same is not for rent, 1 ase or sale. That he or she shall comply ~'ith the following conditions: 1. Tha the owner and he or she alone shall act as the builder for all phases of truction. 2. the owner will comply with all provisions of the City of Zephyrhills nances and codes pertinent to the building. 3 . in the event various phases of constructie.n are subcontracted, he will ge only properly licensed subcontractors ~.d will personally supervise work. 4. in the event the Building Inspector shall require corrections to be made, owner will assume full responsibility to iz:.sure they are made, and upon letion will call for a reinspection before proceeding with the building. 5. the owner shall assume full responsibility- for the construction and will expect supervision of his work from the Ci t,y of Zephyrhills Building rtment. 6.Tha prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall cons itute an official notice to pay additional fees. 7. That the owner shall comply with all City, Stat:e and Federal laws in regard to 1 security, workman's compensation, lien ].aws, etc., where appliCable. 8. the owner shall comply with all the safetz' codes issued by the Florida trial Commission. 9. Stat law requires construction to be done by licensed contractors'. You have appl"ed for a permit under an exemption to that: law. The exemption allows you, as the owner of your property, to act as }'our own contractor with certain rest ictions even though you do not have a lice.nse. You must provide direct e; supervision of the construction yourse~1:. You may bui~d or improve a one- amily or two-family residence or a farm O~ltbuilding. You may also build or i prove a commercial building, provided YOUZ" costs do not exceed $25,000. The uilding or residence must be for your own use or occupancy. It may not be b ilt or substantially improved for sale or lease. If you sell or lease a buil ing you have built or substantially improved yourself within 1 year after the onstruction is complete, the law will presl1Jme that you built or subs antially improved if for sale or lease, which is a violation of this tion. You may not hire an unlicensed perslon to act as your contractor or pervise people working on your bUilding. It is your responsibility to sure that people employed by you have licElnses required by state law and unty or municipal licenSing ordinances. You may not delegate the nsibili ty for supervising work to a licenfled contractor who is not lice sed 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 empl yed by you, which means that you must deduct F.I.C.A. and withholding tax and rovide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applic~,le laws, ordinances, building code, and zoning Fe ations. ~ ~J/. /~// DATE /.t'.?,. C> G Lo+ 40 PERMIT #