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'OISCLOSURE'STATEMENTFOR.QWNER CITY OF.ZEPHYRHILLS ,:.... .BUILDING DEPARTMENT , , 11fr~ rld;7~ provisions of this instrument. 'The undersigned states and affirms' 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 domicile, and same is not for rent, lease.or sale, That he or she shall comply with -.the following conditions: . . have read and fully understandand.agree to the 1. ThaUhe owner and he or she alone shall.act as the builder-for all phases of construction. 2. Thatthe'oWner will comply with all provisions of th~ City of Zephyrhills ordinances and codes pertinent to the building. 3. That. in the. event various phases of construction a~e subcontracted, he will engage only . properly licensed subcontractors and will personallY supervise such work. 4. That in'the event 'the Building Inspector shall require corrections to be made, the owner will assume iullreisponsibility 'to insure they are made,. and upon completion will call for a reinspectionbefore proceeding with the. building. ' 5. That the owner shall assume full responsibility for the construction and will. not expect supervision. of his work from the City of Zephyrhills Building Department. . 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional 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 all the safety codes issued by the Florida Industrial Commission. . 9. State law requires construction to be donE! by licensed contractors. You have applied ior a permit under an exemption to that'law. The exemption allows you, as the owner of your property, to act as YOl:lr 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 on~family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do 'not exceed $75,000. The building or -residence 'must ,be for your own 'use or occupancy.' It may not be built or substantially improved if for sale or lease, which is a violation ofthis exemption. You may not hire an unlicensed 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 arid by county or municipal licensing ordinances. You may notdelegate the responsibility for supervising work to a licensed contractor who is not iicensed to perform the work being done. Any person working on your building who is not licensed must work . under your direct supervision and must be employed by you, which means that .you must deduct F.I.C.A. and withholding taxandprovidework~r's compensation for that employee,all as prescribed. by law.' . Your construction must comply with all applicable laws, 'ordinances, building codes, and zoning' regulations. . . . -. . . OWNER'SSIt3NATURE.P;.&~?~ . . DATE "/rZ?~K ADDRESS 7f4{-- - t .T ~ -.,::;:::- 'iRi~I' I ~ B Ve. . PHONE 11/7 ?V1 ~"t.ULJ . - WITNESS PERMIT I1MastCIfonnslOwncrs.AffidavitINov07