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<br />
<br />agree t ~e
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<br />DISCLOStIRE STATEMENT FOR OWNER
<br />(J--~ OF -ZEPHYRHILLS BUILDING DEPUTMENT
<br />
<br />~', '
<br />\ A ^ ..-/ have read and fuJ.~y
<br />provi"'sio:c.s of thi-sinstrument.
<br />
<br />understand and
<br />
<br />The und rsi~ed states and affir.ms that he or she is desirous of constructing,
<br />reno:v.at'ng, adding to or reroofing his or her own domici~e;, that he or she
<br />actua~~ occupies, or win. occupy byO/r j}1 t?{)aaid domici~e, and same is not for
<br />rent, ~ ase or sa~e. That he or she sha~~ comp~y with the ;Eo~~owing conditions,:
<br />
<br />~. the owner and,he or she a~one shal~ act as the bui~der 'for al~ phas~s of
<br />truction.
<br />2. ,the owner ,wil~ comply with a.J.~ provif!io:c.s of the City of Zephyrhil~s
<br />nances and codes pertinent to -the building.
<br />3,. in the event various phases of constructi~n are subcontracted, he will
<br />ge only properly ~icensed subcontractors and wi~lpersona~ly supervise
<br />work. '
<br />4 . in the event the Building Inspector shall require corrections to be made,
<br />owner wi~l assume full .responsibili ty to insure they are made , 'and upon
<br />~etion wi;li call for a reinspection before proceeding with the building.
<br />5. the oWner shall assume fuJ.1 respo:nsibi~i ty for the construction and will
<br />expect supervision of his Work from the City of Zephyrhil~s Bui~ding
<br />rtment.
<br />6. prior to final inspection any additiona~ fees, inc~uding reinspection
<br />, must be paid in ful~. A written request from this office shall
<br />titute' an officia~ notice.to pay additional fees.
<br />7. t the owner shal~ comp~y with all City, State and Federal laws' in regard to
<br />ial security, workman's compensation, lien laws, etc., wher~ applicable.
<br />8. t the owner shall comply with all the safety codes issued by' the Florida
<br />ustria~ Commission.
<br />9. te ~aw requires construction to be don~ by ~icensed contractors. You have
<br />~ied for a permit under an exemption to that law. The exemption a~lows
<br />, as the owner of your property, to act as your own contractor with certain
<br />trictions even though you do not have a license. You: must provide direct
<br />ite supervision of the construction yourself. You mci.y build or improve ,a
<br />on -fami~y ortwo-fami~y residence or a faxm outbui~ding. You may a~so 'build
<br />or improve a commercial bui~ding, provided'your costs do not exceed $25,000.
<br />Th bui~ding ,or residence, must be for your own use or occupancy. It may not
<br />be bui~t or, substantially imprClved' 'f,or sale or ~ease. If you serJ.l;or' lease' a
<br />bu 1.ding yoti, have built or ,~ubstantial~y improved your:8elfwithin' 1. year after
<br />th construction is cc:imp~ete, the ~aw wi~l presume 'that you built or ,
<br />stantia1.1.yimproved if for sa.J.e or lease, which is a, violation of this
<br />tion. You may not hire an ~icensed person to act as your contractor or
<br />supervise people working on your building. It is your respo:c.sibi~i ty to
<br />e sure that people emp~oyed by you have 1.icenses required by sta.te law and
<br />county or municipal licensing ordinances. You may not, de~egate the
<br />ponsibi1.ity for supervising work to a licensed contractor who is not
<br />ensed to perfo:r11l the Work' being done. Any person working on your building
<br />is not licensed must work under your d:i.rect supervision and must be
<br />loyed by you, which means, that you must 'deduct F.I.C_A. and wi.tbhold:i.ng tax'
<br />provide workers' compensation for that emp~oyee, a1.1. as prescri.bedby law. .
<br />construction must comp~y wi th al~ app~i.cable laws, ordinances, building
<br />es, and zoning e ".d "" f):.- _ ~, .
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<br />, S SIGNA: ~.. " DATE )/ht. -- /!J -- /} '7 r
<br />RESS dPO$'i' Sf-;Z~' r ( ~ (ji
<br />1137\5:>;- '
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