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<br />DJ:SCLOSlJRE STATEMENT POR OWNER <br />CITY OF -ZEPRYRBJ:LLS BUJ:LDJ:NG DEPARTMENT <br /> <br />I, <br />agree <br /> <br /> <br />have read and fuJ.~y understand and <br />. . <br /> <br />trument. <br /> <br />The undersi~ed states and affirms that he or she is desirous of constructing, <br />reno:v.i)1.t~g.,..i)1.~ding to or reroofing his or her own domici~e~, that he or she <br />(a:ct~~~~_.occupie~ or wi~~ occupy by said . dom:i..ci~e, and. same is. nc:'t for <br />rent~reiLSa.-.Qr sa~e. That he or she s~~~ comp~YW:Lth the :fo~~ow:Lng condit:Lons.: . <br /> <br />L <br /> <br />That the owner and he or she a~one shaJ.~ act as the bui~der .for a~~ phases of.. <br />construction. <br />That the owner wi~~ comp~y with aJ.~ provisions of the City of Zephyrhi~~s <br />ordinances and codes pertinent to -the bui~ding. <br />That in the event various phases of construction <br />engage o~y proper~y ~icensed subcontractors and <br />such work.. <br />That in the event the Bui~ding J:nspector shaJ.~ require corrections to be made, <br />the owner wi~~ assume fuJ.~ responsibi~ity to insure the.y are made, . and upon <br />comp~etion wi~i ca~~ for a reinspection before proceeding with the bui~ding. <br />That the oWner shaJ.~ assume f~ responsibi~ity for the construction and wi~~ <br />not expect supervision of his Work from the City of Zephyrhills Building <br />Department. <br />That prior to final inspection any additiona~ fees, inc~udi.ng reinspection <br />fees, must be paid in fuJ.~. A written request from this office shall <br />. constitute. an officia~ notice. to pay additiona~ fees. <br />That the owner shall comply with al~ City, State and Federa~ laws. in regard to <br />social security, workman's compensation, lien laws, etc., where applicable. <br />That the owner shall comp~y wi th a~l the safety codes issued by the Florida <br />J:ndustria~ Commission. <br />State ~aw requires construction to be done by ~icensed contractors. You have <br />app~ied for a pex:mit under an exemption to that law. The exemption a~lows <br />you, as the owner of your property, to act as your own contractor with certain <br />restrictions even though you do not have a license. You must provide direct <br />onsite supervision of the construction yourself. You may bui~d or improve a <br />one-fami~y or two-family residence or a far.m outbui~ding. You may also "build <br />or improve a commercial building, provided your costs do not exceed $25,000. <br />The building or residence must be for your own use or occupancy. J:t may not <br />be built or. s~stantia~~y improved.for sa~e or lease. J:f you seJ.J. :or' lease a <br />building yotihave built or substantially improved YQur.se~f within 1 year after <br />the construction is comp~ete, the law will presUme.that you built or <br />substantial~y improved if for sa~e or lease, which is a violation of this <br />exemption. You may not hire an UI1.J.icens.ed person to act as your contractor or <br />to supervise people world.ng on your bui~di.ng. J:t is your responsibi~ity to <br />make sure thatpeop~e employed by you have ~icenses required by state law and <br />by county or municipal licensing ordinances. You may not. delegate the <br />responsibility for superviSing work to a licensed contractor who is not <br />licensed to perform the work being done. Any person working on your building <br />who is not licensed must work under your direct supervision and must be <br />employed by you, which means that you must deduct P'.:I:.C.A. and withholding tax <br />and provide workers' compensation for that employee, a1.l as prescribed by iaw. <br />Your construction must comply with a~~ applicab~e laws, ordinances, building <br /> <br />::::s.:=~ing ~~.. 'at"-""" .. i . DATE 1/.;23/07 <br />ADDRESS ~~-=-- _ r~ I' <br />PHONE 5513 - . . . <br /> <br />2. <br /> <br />3. <br /> <br />are subcontracted, he wil~ <br />wi.~l personally supervise <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />B. <br /> <br />9. <br /> <br />r <br /> <br />WITNESS <br /> <br />PERM:I:T.. # <br />