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<br />DISCLOSURE STATEMENT FOR OWNER
<br />CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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<br />to the provisions of this instrument.
<br />
<br />I,
<br />agree
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<br />have read and fully understand and
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<br />The undersigned states and affirms that he or she is desirous of constructing,
<br />renovating, adding to or reroofing his or her own domicile, that he or she
<br />actually occupies, or will occupy by said domicile, and same is not for
<br />rent, lease or sale, That he or she shall comply with the following conditions:
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<br />1. That the owner and he or she alone shall act as the builder for all phases of
<br />construction,
<br />2, That the owner will comply with all provisions of the City of Zephyrhills
<br />ordinances and codes pertinent to the building.
<br />3, That in the event various phases of construction are subcontracted, he will
<br />engage only properly licensed subcontractors and will personally supervise
<br />such work.
<br />4, That in the event the Building Inspector shall require corrections to be made,
<br />the owner will assume full responsibility to insure they are made, and upon
<br />completion will call for a reinspection before proceeding with the building,
<br />5, That the owner shall assume full responsibility for the construction and will
<br />not expect supervision of his work from the City of Zephyrhills Building
<br />Department,
<br />6. That prior to final inspection any additional fees, including reinspection
<br />fees, must be paid in full, A written request from this office shall
<br />constitute an official notice to pay additional fees,
<br />7, That the owner shall comply with all City, State and Federal laws in regard to
<br />social security, workman's compensation, lien laws, etc" where applicable,
<br />8. That the owner shall comply with all the safety codes issued by the Florida
<br />Industrial Commission,
<br />9, State law requires construction to be done by licensed contractors, You have
<br />applied for a permit under an exemption to that law, The exemption allows
<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 build or improve a
<br />one-family or two-family residence or a farm outbuilding. 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, It may not
<br />be built or substantially improved for sale or lease. If you sell or lease a
<br />building you have built or substantially improved yourself within 1 year after
<br />the construction is complete, the law will presume that you built or
<br />substantially improved if for sale or lease, which is a violation of this
<br />exemption, You may not hire an unlicensed person to act as your contractor or
<br />to supervise people working on your building, It is your responsibility to
<br />make sure that people employed by you have licenses 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 F,I,C,A, and withholding tax
<br />and provide workers' compensation for that employee, all as prescribed by law,
<br />Your construction must comply with all applicable laws, ordinances, building
<br />codes, and zoning regulations, Q'
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<br />OWNER'S DATE .3- /'Y- 0 7
<br />ADDRESS ~ c~--z-tO
<br />PHONE
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<br />WITNESS C~ic/~// /)/ j i /' <fA I_
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<br />PERMIT #
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