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<br />J: · <br />'a~~o tiJ,e .prO'V':i..s:i..cns. of .this :i..nS~. <br /> <br />. . <br /> <br />The u:n~erSi"""'d states and affixms """t.be or sbe.. i... desirous of oODB=ting. <br />r_ izll. ~ to or reroof;.,.g his or her """ dcmdoil"., """t be or She <br />actual y oo~ieS. or will oecoPY by ..aid,dcmdoile. .and..ame i..~t for <br />"""t, . "as" or .ale. . """t be or She ~' o~ly .....th the foll- o=ditiODB.' <br /> <br />,. t the """"" and be or She .oJ.""" ohaJ.l act as ."".. builder for aU pha.'" of. <br />trUct:i.cn. <br />t the _ rill oomply rith all proriSiODB of. the City of z_hiUS <br />cas and codes. pe:rt;i.:D.ent to the buiJ.d.:i%19. . . <br />t in .the __t v=ious ",....... of oODB=ti= .are .""ooritraoted. be will <br />age only p=perl,y lio.....ed ....."o=traotor. and rill per.ODBJ.lY. Sq"""';.. <br />work.. . <br />t ;.,. the """",t the Building """P.otor ohaJ.l reqai:re """"""tionS to b. made. <br />owne:r '9l':i..J.J. assume fu:J.J.' respcmsi:b:i..J.:i. ty to :i..nSure "t.h.eY are made, . and upon <br />J.et:i.on ~J.J. caJ.J. for a r~ect:i.cn before proce~d.:i%1g with the DuiJ.d:i.n9. <br />t the oWn"" .hall as....... fnll ""'BPODBibility for.the Cans =ti = and rill <br />"""eot """,arvisi= of his Work fram the. City of z_hills Building . <br />artment. <br />t pr:i.or to f:;b:a.a:J. :i.:cspect:i.cn any add:i t:i.o:c.aJ. fees, :incJ. ud:i.:c.g re:i.:DSpection <br />es, must be pa.:id in fuJ.J.. A w:r:i. tten request from this off:i.oe shaJ.J. <br />t:i.tute' an off:i.c:i.~ noti~e-to pay add:i.t:i.c:c.aJ. fees. <br />t the owner shaJ.J. comply with a.J.J. C:i.ty, state and Fede:ra.J. J.aWS' in regard to <br />s c:i.al secur:i. ty, workma.n' s ccmpensat:Lon, J.:i.en J.awS, etc., where appJ.icable. <br />t the' owne:r Sha.J.J. oompJ.y with aJ.J. the 'safetyCodes :i..ssued by the FJ.orida <br />dustr:i.a.J. commdssion. <br />ate J.aw requ:i.res construCtion to be dc:c.eby J.:i.ce:c.sed contractors. You have <br />J.:i.ed for' a p~tunde:r an exeJ!JPtion to that J.aw. The exem:pt:i.on a.J.J.cws <br />u, as the owne:r of yoTiZ propertY, to act as your own contractor with certain. <br />st:r:i.ot:i.ons even thoUgh you do not have a J.ioense. You must prO'V'ide direct <br />s:i.te supervi.sion of the constrUction yourseJ.f. You may buiJ.d or impr~e.a <br />e-famiJ.y or two-famiJ.y residence or a fa:rm out:bu.iJ.d.:i%1g. YOU may a.J.so buiJ.d <br />:i.mprove a ccmme:rc:i.a.J. buiJ.d:Ln9, provided' your oostsdo not e:ceed $25,000. <br />e :buiJ.d.:i%19 "or residence must: be for your own us.e or oocupancy. J:t may not <br />bu:i.J.t or. sUbsta:c.t:i.a.J.J.y improved ':for sa.l.e or J.ease ~ If' you seJ.J. or lease' a <br />. J.ding yoti.. havebu:i.J. tcir .~Ubsta:c.tiaJ.1Y' :Lmpr.O'V'ed yo:u:i:-,seif. Wi. tl:U.:c.. J. year afte:r <br />e const:l:11ction is ccmpJ.ete, the. J.a:w wiJ.J. presUme .th;it: you bu:i.J.t or <br />stantia.J.J.y improved if for sa.J.eor J.ease, which is a. vioJ.ation of this <br />emPtion. You may :ci.ct hire an. 'm11ice:c.sed pe:rsc:c. to act as your contractor or <br />o """,arvi.. PeOPle warkiDg = Y""" building. It is Y""" r""PODBibili ty to <br />e sure that pecpJ.e em:pJ.oyed by you have J.ice:c.ses. requ:i.red by state law and <br />y county or municipa.J. J.ice:c.singordi:c.a:c.ces. You may not deJ.egate the <br />espons:i.biJ.ity for supervis~g work to a J.:i.ce:c.sed cc:c.tractor who is not <br />:ic~ed to ~e:r:fO~ the Work be:i..ng done. Any perscm worJd.n.g 0%1 your bui.~d:i.ng <br />ho ;LS :oot ~;Lce:c.sed. must ~rk u:c.de:r ycru:r ~rect superv:i15:io:o and must be <br />J.oyed.:by you, which meimS' that you must deduct p'.::I:.C.A. and withho~di:c.g tax <br />d prOV;Lde wo:-ke:rS' ccmpe:c.l5,aticn for that empJ.oYee, a.J.J. as prescr.:U:>ed by iaw. <br />our constrU:~t;Lcn mustocmpJ.y with a.J.J. appJ.i,cabJ.e J.aws, ord; ,"jOl;nces, bUiJ.di:c.g <br />odes, and :z::cmi:c.s;r reguJ.at-:L <br />. ( <br />w.NE:R'.S S::I:GN1Tt]1U!: &2IK- <br />iDl1.ESS (!) <br />BONE <br /> <br />-. <br /> <br />D:ISCLOStJU S~~ :rOE. OWIJER.. <br />o:.'l'Y OF Z~S :atr:ILD:rNG DEPAR~ <br /> <br />.l:La.ve read" aDd fu1.J.y unde:rsta:c.a ana <br /> <br />.2.. <br /> <br /> <br />r <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />r, <br />, . <br /> <br />8. <br /> <br />9. <br /> <br /> <br />DATE 4- - / .-3~(C) 7 <br /> <br />p~.# <br /> <br />SS <br />