<br />DJ:SCLOStmE S~~ l"OR owmm,
<br />, aTY OF ZEPBY.REJ:LIiS B'[]'J:LDJ:NG DEPA:R.TKBN'l'
<br />
<br />X. - .:;LJ,,/'lp (;.'A' -!e,r::l-e _ - - :ba.... read- BDd fuUy uuder.tand and
<br />ag:r~ the, rovisions of this instrummrt.
<br />
<br />The UJ1~erSigI;Led states and affi:ms ~t 'he or she,;:i:s ~e~irous of constructing,
<br />renov.a ing, add.ing to or reroof:u:1g h:ie or her ~ dcm:Lc:Lle,. that he or she
<br />actual. occupies, or will occupy by said domiciJ.e,a:c.d same is not for
<br />rent, ease or sale. That he or she shall compJ.y with the following conditions.:
<br />
<br />1. t the owner and he or she alone shal~ act as the builder for all phaS~s of,
<br />truction.
<br />.2 . t the owner wiJ.l complY with all prO'V'isicms of the City of ZephyrhiJ.J.s
<br />. anoes and oodes pertinent to the building.
<br />3 " t in 'the event various phases of construction are subcontracted, he wilJ.
<br />age c:c.ly proper~y licensed sUbcontractors and will personallY supervise
<br />work. .
<br />4. t .in the event the Bu:i.J.ding J:nspector shall require correctionS to be made,
<br />owner will assume fuJ.l respcmsibiJ.ity to insure 'they are made, 'and upon
<br />J.etion ~J.J. oalJ. for a rei:c.spection before proceeding with the buiJ.ding.
<br />5 . t the oWner shall assume ful~ respODSibi~i ty for, the construction and wiJ.l
<br />expect supervision of his Work from the, C:i. ty of ZephyrhiJ.ls Bu:i.J.ding ,
<br />artment.
<br />6. t prior to finaJ. inspection any add.itio:c.aJ. fees, f:c.cJ.ud:i.ng re:i.nspection
<br />s, must be pa:i.d in fulJ.. A w:ri tten request from this office shall
<br />stitute' an offioial notioe-to pay add.itio:c.al fees.
<br />7. t the owner shall oomply with all City, State and Federal laws'in regard to
<br />:Lal security, workman's compensation, lien laws, etc., where applicable.
<br />8. t the' owner shall comply with all the 'safety codes issued by the Florida
<br />ustriaJ. ccmm:i.ssion.
<br />9. te law requires oonstruction to be done by licensed contractors. You have
<br />lied for a pe:t:m:i. t under an exemption to that law. The exemption allows
<br />yo , as the owner of your property, to act as your oW contractor with certain,
<br />strictions even though you do not have a license. You must prO'V'ide direct
<br />ite supervision of the construction yourself. You may build or impr~e ,a
<br />e-family or two-family residence or a far.m outbuiJ.ding. You may also build
<br />improve a commercial building, prO'V'idedyour costs do not exceed $25,000.
<br />e building or residence must be for your own use or occupancy. :It may not
<br />built or, sUbstantially improved 'for sale or lease ~ If you sell or lease a
<br />'lding yoti, have bUilt or .,~Ubstantia::LJ.Y impr.O'Ved yo.ur,seif Within 1. year after
<br />e cons~ction is compJ.ete, the J.aw wilJ. presUme 'thAt you bu:i.J.t or
<br />stantial1.y improved if for sale or lease, which is a. vioJ.ation of this
<br />emption. You may not hire an, unlicensed person to act as your contractor or
<br />supervise pE;lopJ.e working on your bu:i.J.ding. :It is your responsibiJ.i t:y to
<br />e sure that peopJ.e empJ.oyed by you have licenses required by state law and
<br />county or municipal licensing ordinances. You may not deJ.egate the
<br />spons~ility for supervising work to a J.icensed contractor who is not
<br />c~ed. to ~erfo:rm the Work being cione. Any person working on your bu:L1.d.:i.ng
<br />o :l.S not l.:Loensed. mu.st work u:c.d.er your direot supervi.Edon and. must be
<br />l.oyed.,by you, which means that you must'd.eiduct F.:I.C.A. and rlthhol.di.ng tax
<br />d. prov:Ld.e wo:kers' compe:c.s,ation for that emp1.oyee, al~ as prescr~ed. by law.
<br />u:r: constructJ.on mu.st comply with all appJ.:i.cabJ.e J.aws, ordinances, bui1.ding
<br />c des, and zoning regulat~cns.
<br />
<br />
<br />'s SIGNATURE 2ad~ 6. .~ ~',
<br />DRESS "5'1.:([.;'9 L,' ..,I.. 6;;:;' L';;. iZ'. }'"75~
<br />ONE: ~/5'- <;-0'9 - j 1':;)7 ,
<br />.c:::;- --' <:j> ~ ~ 1 Z ,
<br />
<br />DATE 4-0'- o?
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<br />pmna".I',#
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