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DISCLOSURE STA:rEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING 'DEPARTMENT 'I, CLYDE t!. 'Ste/k::.KAlEtL have read and 'ful.ly understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, .renovating, adding to or reroofing his or her own domicile ,that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or saJ.e. That he or she shaJ.l comply with the .following conditions: ~. That the o'll!1Iler and he or she aJ..one shal:1 act as i:he builder for aJ.l phases of construction. 2. ,That .the owner wiJ.J. comp1,y wii:h aJ.J. provisions of the City of ZephyrhiJ.J.s ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he wiJ.J. engage only properly licensed subcontractors and willpersonal.ly supervise such work. 4. That in the event the Building Inspector sha1.J. require corrections 'to be made, the ownerwiJ.J. assume ful.J. responsibiJ.i ty to insure they are made, and upon compJ.etion wiJ.J. caJ.l for a reinspection before proceeding with the building. 5. That the owner shaJ.J. assume fu.J.l responsibiJ.i..ty for the construction and wilJ. not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to finaJ. inspection any addi tionaJ. fees, including reinspection fees, must be paid in fu.J.J.. A written request from this office shaJ.l consti tute an officiaJ. notice to pay additional. fees. 7. That the owner shaJ.l comply with aJ.l City, State and FederaJ. laws in regard to sociaJ. security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shaJ.J., comply with aJ.l the safety codes issued by the Florida IndustriaJ. Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permi. t under an exemption to that law. The exemption aJ.lows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may aJ.so build or improve a commerciaJ. bui..J.ding, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantiaJ.ly improved for saJ.e or lease. If you sell or lease a building you have built or substantiaJ.ly improved yourself wi thin 1 year after the construction is complete, the law will presume that you built or substantiaJ.ly improved if for saJ.e or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipaJ. licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not J.icensed to perform the work being done. Any person working on your building who is not J.icensed must work under your direct supervision and must be employed by you, which means that you must deduct F. I . C . A. and withholding tax and provide workers' compensation for that employee, aJ.J. as prescribed by law. Your construction must comply with aJ.J. appJ.icabJ.e J.aws, ordinances, bu:i.J.ding =:: S ::~:; r~e~iiO~S'*~ 6& DATE /d ~ '1- t? 7 ADDRESS i60b:l~ T; 7~__._ NJi L<;lJ1- PHONE rJ_=-~ -__ WITNESS l?E:RMIT#