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DISCLOSURE STATEMENT FOR OWNER CITY OF .ZEPHYRHILLS BUILDING DEPARTMENT have read and fully understand and agree to the provisions of this instrument. .The undersigned states and affirms that he h� s ow domicile that he she ous of constructing, ructing, renovating, adding to or reroofing said domicile, and, same is not for actually occupies, or will occupy by 1 with the following conditions: .rent, lease or sale. That he or she shall comply 1. That the owner and he or she alone shall act as the builder for all phases of construction. 1 with all provisions of the City of Zephyrhills ordinances and codes per 2. That the owner will comply to the.building. he will 3. That in the event various phases of construction are subcontracted, he it engage only properly licensed subcontractors and will per such work• Inspector shall require corrections to be made, 4. That in the event the Building Inspe to insure they are made, and upon the owner will assume full responsibility fore proceeding with the building. full completion will call for a a onsibility for the construction and will 5. That the owner shall assume full reap of the co hills Building not expect supervision of his work from the City Department any additional fees, including reinspection 6. That prior to final inspection request from this office shall fees, must be paid in full. A written requ 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. o Y rs act tr o . u have 9. State law requires construction to be done by licensed con o rs . oohs applied for a permit under an exemption to that law. The exempt you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct t onsite supervision of the construction yourself. You may build or improve residence or a farm outbuilding. You may also build one - family or two - family your costs do not exceed $25,000. or improve a commercial building, provided y It may not The building or residence must be for your own use or occupancy. be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you .built or substantially improved if for sale or lease, which is a violation of this 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 rem red by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed t air contractor who is not tilding licensed to perform the work being done. Any person k ton h y you be who is not licensed must work under your direct supervision employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Li-) (? CL, DATE E (� - C7 1 OWNER'S S / IGNATURE ADDRESS (O 0 _ 1 / 2 . K \ ( \ A. Low • \ PHONE T �{ PERMIT # WITNESS