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DISCLOstmB STATBIIBlft' POR 0WJ1BR Crl'Y 011' ZBPBYmD:LLS BUJ:LDDIG DBPAllTIIBNT I, Rob&r+ It) /funlJ h agree to the provisions of this instrument. have read and fuJ.l.y understand and The undersigned states and affir.ms that he or she is desirous of constructing, renovating, aciding to or reroof:lD.g his or her own domicil.e, that he or she actual.l.y occupies, or w:il.l. occupy by said domicil.e, and same is not for rent, l.ease or sal.e. That he or she shaJ.l. compl.y with the fol.l.owing conditions: J. . That the owner and he or she al.one sbal.l. act as the buil.der for al.l. phases of construction. 2. That the owner wiJ.l. eompl.y with a1l. provisions of the City of Zephyrhil.l.s ordinances and codes pertinent to the buil.diDg. 3. That in the event various phases of construction are subcontracted, he wil.l. engage onl.y properly licensed subcontractors and will personal.l.y supervise such work.- 4. That in the event the Building IDspector shal.l require corrections to be made, the owner will. assu:ae ful.l. responsibility to insure they are made, and upon compl.etion wil.l. cal.l. for a reinspection before proceeding with the buil.ding. 5. That the owner shal.l. assume ful.l. responsibil.i ty for the construction and wilJ. not expect supervision of his work from the City of Zephyrhil.l.s Building Department. 6. That prior to final. inspection any additional. fees, including reinspection fees, must be paid in ful.l. A written request from this office shall. constitute an official. notice to pay additional. fees. 7. That the owner shal.l. compl.y with a1l. City, State and Federal. laws in regard to social. security, workman's compensation, lien l.aws, etc., where appl.icabl.e. 8. That the owner sbal.J. compl.y with al.l the s~ety codes issued by the Florida Industrial. Commission. 9. State l.aw requires construction to be done by l.icensed contractors. You have appl.ied for a pexmi t under an exemption to that l.aw. The exemption al.lows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a l.icenae. You must provide direct onsi te supervision of the construction yoursel.f. You may buil.d or improve a one-famil.y or two-famil.y residence or a fa.:.cm outbuil.diDg. You may al.so buil.d or improve a cCllllllllerCial. buil.ding, provided your costs do not exceed $25,000. The buil.diDg or residence must be for your own use or occupancy. :It may not be buil.t or substantial.l.y improved for sal.e or l.eaae. If you sal.l. or lease a - buil.ding you have buil. t or substantial.l.y improved yoursel.f wi thin J. year after the construction is compl.ete, the law wil.l. presume that you buil.t or substantial.l.y improved if for sal.e or l.ease, which is a viol.ation of this exemption. You may not hire an UDJ.icensed person to act as your contractor or to supervise peapl.e working on your buil.ding. It is your responsibil.i ty to make sure that people empl.oyed by you have licenses required by state law and by county or municipal. licensing ordiuances. You may not del.egate the responsibility for supervis:lD.g work to a licensed contractor who is not l.icensed to perform the work being done. Any person working on your buil.ding who is not l.icensed must work under your direct supervision and must be empl.oyed by you, which means that you must deduct F.I.C.A. and withhoJ.ding tax and provide workers' compensation for that empl.oyee, al.l. as prescribed by law. Your construction must compl.y with al.J. appJ.icabJ.e l.aws. ordinances, buil.ding codes, and zoning r a i Ii f IL OWJIBR'S Jft1fi DATE 1- CJ- () 7 ADDRESS PBORB WIT.N'BSS PBRlaT #