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<br />'DISCLOSURE'STATEMENTrFOROWNER
<br />CITY OF.ZEPHYRHILLS,:-.BUILOfNG DEPARTMENT
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<br />have read and fully understand and ,agree to the
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<br />I,
<br />provisions of this instrument.
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<br />'The 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:
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<br />'1. Thatthe owner and he or she alone shallact as the builder-for all phases of construction. '
<br />2. Thatthe'owner will comply with all provisions of the City of Zephyrhills ordinances and codes
<br />pertinent to the building.
<br />3. That in the event various phases of construction are subcontracted, he will engage only
<br />properly licensed subcontractors and will personally supervise such work.
<br />4, 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 />reinspectionbefore proceeding with the, building. "
<br />5. 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 />6. 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 />7. 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 />,8. That the owner, shall comply with all the safety codes issued by the Florida Industrial
<br />Commission. '
<br />9. 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 YOl:lr 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 on&-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 ofthis 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 not.delegate
<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 not 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 taxandprovidework~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. '
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<br />OWNER'S SIGNAT~RE' , ~ ,"^' ~
<br />ADDRESS S'~:? h \,~S +- ' "
<br />PHONE, 7'1- (4' , ' ",
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<br />WITNESS
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<br />,DATE
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<br />PERMIT
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<br />,. IIMastcrfoIIllS/Owncrs.AflidavitINov07
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