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<br />'DISCLOSURE'STATEMENTrFOR.OWNER <br />CITY OF .ZEPHYRHILLS.:.... .BUILDING DEPARTMENT <br /> <br />11 v6 8-P-.-' .. f/! ~ l IV . <br />provisions of this instrument. , . <br /> <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: . <br /> <br />'1. <br />2. <br /> <br />6. <br /> <br />.8. <br /> <br />have read and 'fully understandand.agree to the <br /> <br />3. <br /> <br />ThaUhe owner and he or she alone shall/act as the builder'for all phases of construction. <br />Thatthe'oWner will comply with all provisions of the City of Zephyrhills 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 />reinspectionbefore 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 C!Pplicable. <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 Jicense. Vou must provide direct onsitesupervision 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 buildif'!g, 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 arid 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 andtnust be employed by you, which means that you must <br />deduct F.I.CA 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 /> <br /> <br />1f7'tlW;'LFfl.FL;~~::~TE t -I 3 -()8 <br /> <br />4. <br /> <br />5. <br /> <br />7. <br /> <br />9. <br /> <br />OWNER'S SIGNATURE <br />ADDRESS >'10 >> <br />PHONE. <br /> <br />WITNESS. <br /> <br />PERMIT <br /> <br />I1Mastcrfo=s/0wne:rs.AfEidavitlNov07 <br />