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<br />DISCLOSURE STATEMENT FOR OWNER <br />CITY OF ZEPHYRHILLS BUILDING ~DEPARTMENT <br /> <br />:r: , have read and -fuJ.1y understand and <br />agree to the provisions of this instrument, <br /> <br />The undersigned states and affirms that he or she is desirous of constructing, <br />.renovating, adcling to or reroofing his or her own dom..ici1e ,that he or she <br />actual.1y occupies, or wi11 occupy l:>y said dom..ici1e, and same is not for <br />rent, .1.ease or sal.e. That he or she shal.l. comp1y with the .f0110wing conclitions: <br /> <br />".1. That the ol!7Iler and he or she a1.one shal.'l. act as the bui1derfor al.1 phases of <br />construction. <br />2 . That 'the owner wiJ.J. compJ,y with aJ.J. provisions of the, City of ZephyrhiJ.J.s <br />orclinances and codes pertinent to the bui1cling. <br />3. That in the event various phases of construction are subcontracted, he wi11 <br />engage onJ.y proper1y 1icensed subcontractors and willpersonal.1y supervise <br />such work. <br />4. That in the event the Bui:1cling Inspector shaJ.1 require corrections 'to be made, <br />the ownerwi11 assume fuJ.1 responsibi1i ty to insure they are made, and upon <br />comp1etion wi11 cal.1 for a reinspection before proceeding with the bui1cling. <br />5. That the owner shaJ.1 assume fuJ.1 responsibi1ity for the construction and wi11 <br />not expect supervision of his work from the City of Zephyrhi11s Bui1cling <br />Department. <br />6. That prior to final. inspection any additional. fees, inc1ucling reinspection <br />fees, must be paid in fuJ.1. A written request from this office shal.1 <br />consti tute an official. notice to pay additional. fees. <br />7. That the owner shaJ.1 comp1y withal.1 City, State and Federa1 1aws in regard to <br />social. security, workman's compensation, l.ien 1aws, etc., where app1icable. <br />8. That the owner shaJ.1, comp1y with al.1 the safety codes issued by the Fl.orida <br />Industrial. Commission. <br />9. State 1aw requires construction to be done by 1icensed contractors. You have <br />appl.ied for a permit under an exemption to that 1aw. The exemption al.10ws <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 1icense. You must provide clirect <br />onsite supervision of the construction yourse1f. You may bui1d or improve a <br />one-fami1y or two-fami1y residence or a Za.:J:m outbui1ding. You may al.so bui1d <br />or improve a commercial. bui1ding, provided your costs do not exceed $25,000. <br />The bui1ding or residence must be for your own use or occupancy. It may not <br />be bui1t or substantial.1y improved for sal.e or 1ease. If you se11 or 1ease a <br />bui1cling you have bui1 t or substantial.1y improved yourse1f wi thin 1 year after <br />the construction is comp1ete, the 1aw wi11 presume that you bui1t or <br />substantial.1y improved if for sal.e or 1ease, which is a vi01ation of this <br />exemption. You may not hire an unJ.icensed person to act as your contractor or <br />to supervise peop1e working on your bui1ding, It is your responsibi1i ty to <br />make sure that peop1e emp10yed by you have 1icenses required by state 1aw and <br />by county or municipal. 1icensing orclinances. You may not de1egate the <br />responsibi1ity for supervising work to a 1icensed contractor who is not <br />1icensed to perform the work being done. Any person working on your bui1ding <br />who is not 1icensed must work under your direct su.pervisionand must be <br />emp10yed by you, which means that you must deduct F.I.C.A. and withho1cling tax <br />and provide workers' compensation for that emp10yee, al.1 as prescribed by 1aw. <br />Your construction must comp1y with aJ.1 app1icab1e J.aws, ordi.nances, bui.1di.ng <br />codes, and zoning re~ons. <br /> <br />OWNER'S SIGNATURE ~~d;!If/~-/~ DATE /tJ/If/o7 <br />ADDRESS <br />PHONE <br /> <br />WITNESS <br /> <br />PEBMIT# <br />