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<br />'OISCLOSURESTATEMENT:FOROWNER <br />CITY OF,ZEPHYRHILLS.~,BUILDING DEPARTMENT <br /> <br />I, <br />provisions of this instrument. <br /> <br />ihe undersigned states and affirms. that he or she is desirous of constructing, renovating, adding to or <br />reroofing his or her own domicile,'that he or she actually occupies, or will occupy by said <br />domicile, and same is not for rent, lease or sale. That he or she shall comply with the following <br />conditions: <br /> <br />have read and 'fully understand and agree to the <br /> <br />. . <br />Thatthe owner and he or she alone shallact as the builder for all phases of construction. <br />That the-owner will comply with all provisions of the City of ZephyrhiJIs ordinances and codes <br />pertinent to the building. <br />That in the event various phases of construction a~e subcontracted, he will engage only <br />properly licensed subcontractors and will personally supervise such work. <br />That in the event .the Building Inspector shall require corrections to be made, the owner will <br />assume full responsibility .to insure they are made,. and upon completion will call for a <br />reinspection before proceeding with the building. <br />That the owner shall assume full responsibility for the construction and will not expect <br />supervision of his work from the City of Zephyrhills Building Department. <br />That prior to final inspection any additional fees, including reinspection fees, must be paid in <br />full. A written request from this office shall constitute an official notice to pay additional fees. <br />That the owner shall comply with all City, State and Federal laws in regard to social security, <br />workman's compensation, .lien laws, etc., where applicable. <br />That the owner. shall comply with all the safety codes issued by the Florida Industrial <br />Commission. . <br />State law requires construction to be done by licensed contractors. You have applied for a <br />permit under an exemption to that law. The exemption allows you, as the owner of your <br />property, to act as your own contractor with certain restrictions even though you do not have <br />a license. You must provide direct onsite supervision of the construction yourself. You may <br />build or improve a one-family or two-fam.i1y residence or a farm outbuilding. You may also <br />build or improve a commercial building, provided your costs do not exceed $75,000. The <br />building or residence .must .be for your own use or occupancy. It may not be built or <br />substantially improved if for sale or lease, which is a violation of this exemption. You may not <br />hire an unlicensed person to act as your.. contractor or to supervise. people working on your <br />building. It is your responsibility to make sure that people employed by you have licenses <br />required by state law and by county or municipal licensing ordinances. You may notdelegate <br />the responsibility for supervising work to a licensed contractor who is not licensed to perform <br />the work being done. Any person working on your building who is ndt licensed must work <br />under your direct supervision and must be employed by you, which means that you must <br />deduct F.I.C.A. and withholding tax and providework~r's compensation for that employee, all <br />as prescribed by law. . Your construction must comply with all applicable laws,ordinances, <br />building codes, and zoning regulations. <br /> <br /> <br />OWNER'SSIGNATUREg~ <br />ADDRESS 6~3'?; ~ I'l-\-I~:.r <br />PHONE (ill ( -(0){? .. . <br />WITNESS <br /> <br />.8. <br /> <br />1. <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6. <br /> <br />7. <br /> <br />9. <br /> <br />. DATE <br /> <br />1/'-1 lo~ <br /> <br />PERMIT <br /> <br />I1Mastcrfonns/OwncrsA:flidavitINov07 <br />