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DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, RjdLard ~decker have read and fully understand and agree to the prov S10ns of th1S 1nstrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici1e, that he or she actua11y occupies, or wi11 occupy by said domici1e, and same is not for rent, 1ease or sa1e. That he or she sha11 comply with the f0110wing conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with a11 provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he wi11 engage only properly 1icensed subcontractors and will persona11y supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will ca11 for a reinspection before proceeding with the building. 5. That the owner sha11 assume full responsibility for the construction and wi11 not expect supervision of his work from the City of Zephyrhi11s Building Department. 6. That prior to final inspection any additional fees, inc1uding reinspection fees, must be paid in full. A written request from this office sha11 constitute an official notice to pay additional fees. 7. That the owner shall comply with a11 City, State and Federal 1aws in regard to social security, workman's compensation, lien 1aws, etc., where applicable. 8. That the owner shall comply with a11 the safety codes issued by the F10rida Industria1 Commission. 9. State 1aw requires construction to be done by 1icensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1icense. You must provide direct onsite supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a farm outbui1ding. You may a1so bui1d or improve a commercial building, provided. your costs do not exceed $25,000. The bui1ding or residence must be for your own use or occupancy. It may not be built or substantia11y improved for sa1e or 1ease. If you se11 or 1ease a .bui1ding you have bui1t or substantia11y improved yourse1f within 1 year after the construction is comp1ete, the 1aw wi11 presume that you bui1t or substantia11y improved if for sale or lease, which is a vi01ation 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 responsibi1ity to make sure that peop1e employed by you have 1icenses required by state 1aw and by county or municipa1 licensing ordinances. You may not de1egate the responsibility for supervising work to a licensed contractor who is not 1icensed to perform the work being done. Any person working on your building who is not 1icensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withh01ding tax and provide workers' compensation for that employee, a11 as prescribed by 1aw. Your construction must 1y with 11 app1icab1e 1aws, ordinances, building codes, and zoning 1ati s WITNESS DATE L a35'/-O /o-tf- 01 OWNER'S ADDRESS PHONE PERMIT #