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DISCLOSlJRE STATEMENT paR. OWNER. CITY OF ZEPl!YR.BJ:LLS B'O'J:LDING DEPUTMENT thllrke f ~tll/haVereaCl and fulJ.y understand and to the P~i;i~ of this instrumsnt. I, agree The undersi~ed states and affir.ms 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 domiciJ.e, and same is not for rent, lease or saJ.e. That he or she shall comply with the following conditions,: 1. That the owner and he or she alone shaJ.l act as the builder -for aJ.l phases of.. construction. 2. That the owner wilJ. comply with a.J.J. provisions of the City of Zephyrhills ordinances and codes pertinent to.the building. 3.. That in the event various phases of constructiC?n are subcontracted, he will engage o:nJ.y properly J.ioe:a.sed subcontractors and will personally supervise such work., 4. That in the event the Building J:nspector shall require corrections to be made, the owner will assume fuJ.lrespo:a.sibili ty to insure they are made, 'and upon completion wili caJ.l for a rei:a.spection before proceeding with the building. 5. That the oWner shall assume full responsibi~i ty for the construction and will not expect supervision of his Work from the City of Zephyrhills Building Department. 6. That prior to ~inal inspection any additional fees, fnc~uding reinspection fees, must be paid in full. A written request from this office shall ,constitute' an of~icia~ notice. to pay additionaJ. fees. 7. That the owner shall comply with all City, State and Federal laws' in: regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall 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 pe:cni t under an exemption to that law. The exemption allows you, as the own.er 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 far.m outbuilding. You may also.build or improve a commercial building, 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_ sUbstantial~y improved -for sale or lease. If youseJ..J.:or' lease a buiJ.ding you. have buiJ. t orsubstantia.J.ly improved your~elf wi thin. ~ year after the const~ction is complete, the law will presUme-that you built or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an u:nJ.icens'ed 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 municipal licensing ordinances. You may not. delegate the responsibili ty for supervising work to a licensed contractor who is not. licensed to perfo:rm the work being done. Any person working on your building who is not J.icensed must work under your direct supervision and must be empJ.oyed by you, which means that you must deduct P'. J: .C.A. and w~ thhoJ.di.ng tax and provide workers' compens for tha 'eyee, alJ. as prescribed by iaw. Your construction must c y J.. th le J.aws, ordinances. building codes, and zoning re ' OWNER'S ADDRESS J?BON1!: DATE ~-I(P-07 r WITNESS PEmC:T.. #