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<br />n:ISCLOS'D1UI: STATlDDDIT POll 01IRBR <br />CJ:n OP ZZPH!lUI:rLLS Bu:rLDDIG n3PARTIID'l' <br /> <br />:I, G h rl (L ~'): '1Y\LLd& haTe r.ad ancl fully UZldarstaDd and <br />agr.. to the provisiODII of this instrument. <br /> <br />'l'he lmdersigDed stat.s ancl affi%1U that he or .he is desiroWl of ccmstructing, <br />renovating, adding to or reroofing his or her 0WZl doaicile" that he or sh. <br />actually occupi.s, or will occupy by 'said damicile, and .... i. DOt for <br />rent, l.a.. or sale. That he or she s~l comply with the follow!:a.g co:a.di ticms: <br /> <br />1. <br /> <br />That the OWZler and h., or .he alone .hall act a. the builder for all pha... of <br />cOl1lltruction. <br />That the OWZler will comply with all provisicms of the City of Zephyrhills <br />ordi:a.anc.. a:a.d codes p.rti:a.ent to the huildi:a.g. <br />That ill the event various pha... of co:a.struction are suhcozitracted, he will <br />engage onl.y properly licens.d 8uhco:a.tractor. and will per.o:a.ally supervise <br />such work., <br />'l'hat i:a. the eve:a.t the Builcling :Insp.ctor shall r.quir. corr.cticms to be made, <br />the ow:a.er will as.ume full rellpo:a.sibility to insure they are made, and upo:a. <br />completion will call for a r.i:a.8pection before proc..cling with the buildi:a.g. <br />That the owner shall _sume full r.spODllibili ty for the cODIItructio:a. a:a.d will <br />DOt exp.ct .upervisio:a. of hi. work from the Ci ty of Zsphyrhill. Buildi:a.g <br />nepartme:a.t. <br />That prior to final inspection any adclitio:a.al fees, iIlcludi:a.g r.insp.ction <br />f..., DrWIt be paid ill full. A writte:a. r.quest from this office shall <br />CoIl. titutean official notic..to pay additional f_s. <br />That the ow:a.er shall comply with all City, State and Pederal la.. ill regard. to <br />Social .ecuri ty, workman I s compe:a..atio:a., lien la"., .tc., where applicabl.. <br />That the ow:a.ar .hall comply with all the .afety codes issued hy the Plorida <br />%:a.dustrial Commis.ion. <br />State law requir.. co:a.structio:a. to he daae by licens.d co:a.tractors. You have <br />applied for a peX1llit und.r an exemptio:a. to that law. The exemptio:a. allOWll <br />you, as the OWZler of your property, to act a. your 0WZl co:a.tractor with certaill <br />re.trictio:a.s even th011g'h you do :a.ot have . licens.. You mWlt provide dir.ct <br />emsi t. supervisio:a. of the CODlltruction yourself. You may hui1d or impr~ea <br />one-family or two-family re.ide:a.ce or a far.m outbuilding. You may al.o bui1d <br />or improve a commercial hui1di:a.g, provided your co.ts do :a.ot exceed $25,000. <br />The hui1di:a.g ~r residenc. mu8t h. for your 0WZl use or occupa:a.cy. %t may :a.ot <br />he built or .ubstantially improved for sa1e or l._e. :If you s.11 or 1.... a <br />buildinsr you have built or.ubstantial1y improved your..lf within 1 year after <br />the CODlltruction is complet., the law will pr.sumathat you built or <br />substantially improved if for sal. or l..s., which is a violation of this <br />exemptio:a.. You may :a.ot hire an UDlicensed parson to act a. your Co:a.t:ractor or <br />to .up.rvi.. p.ople worJti:a.g OIl your bui1ding. :It i. your r..PODBibili ty to <br />make sure that p.ople IIIIIploy.d by you have licens.. requir.d by state law and <br />hy cou:a.ty or mu:a.icipal lic8l18ing ordi.:a.a:a.ce.. You may DOt delegate the <br />respODllihi1ity for SUPervising work to a licens.d contractor wbe is :a.ot <br />1.:i.c8l1lled to perf 0%111 the work be:i.ng done. Ally per.on working on your bui1di:a.g <br />who i. DOt l.:i.ce:a.s.d must work under your direct superv.:i..io:a. a:a.d II1'WIt be <br />emp1oy.d by you. which mew that you DrWIt deduct P.:I.C.A. a:a.d withholding tax <br />and provide work.rs' compensation for that employ.., a1l a. pr.scrib.d by law. <br />Your CD:a.lltructio:a. ZIlUIIt comply with all appl.:i.cable la"., ordi:a.a:a.ce., building <br />codes, and zoning regulat <br /> <br /> <br />:DA'l'B <br /> <br />12/2/& / <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />s. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br />OWRBJl.'S <br />ADDR:BSS <br />PItOBB <br /> <br />WJ:DBsS <br /> <br />PBRII:r'l' . <br />