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• • DISCLOSURE STATEMENT .FOR OWNER • C OF ..ZEP MUILDMKG DEPARTMENT . y#1 4- )) ! L � .Q elite and fully_ understand and agrthe pr vp.sions ' instrument. ns The undersigned .state d 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 gl1 comply with the following conditions: .1. That the owner and.he or she alone 51-+=11 act as the builder for all phases of • construction. ' ' 2. That the owner will comply with all provisions of the City of Zephyrhilis ordinances and nodes pertinent to the wilding- 3. That in the event various phases of construction are subcontracted, he will - engage only properly licensed subcontractors and will personally. supervise such work. '4. That in the event the Building l pector s1-1 1 1 require corrections to be made, the owner will assume full responsibility to insure they are made, and upon Completion will call .for a reinspeetion before proceeding with the building. 5. That the owner s1 =11 assume full responsibility for the construction and will not expect_ supervision of his work from the City ZephyrHi: s Building Department. 6. That prior to f- inspection any additional fees, including rein pection fees, must be paid in full. A written request from this office s1-1a11 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. B. That the owns shall comply with all the : safety codes issued by the Florida Industrial Commission. on. 9. State law requires construction to be done by licensed contractors. You have applied for a per+*it under an exemption to that law. The exemption allows • . 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 onsite supervision of the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial_ building, provided your costs do not exceed $25,000. The building or be for your own use or occupancy. It may not be built or substantially improved for sale or. lease.. If you sell or lease a building you have built or substantially improved yourself will 1 year after the construction is complete, the law will press e•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 required by state law and . • by county or municipal licensing ordinances. You 'may not delegate the 'responsibility for supervising' work to a. licensed contractor who is not. licensed to perform the work being dome_ Any person working on your bui1 i'ng who is not licensed must work rrrii r your direct supervision and must be . employed by you, which means that you. must. deduct F:I.C.A. and withholding tax and provide workers' compensation for employee, all as prescribed by law. Your construction must comply 'with. ail applicable laws, ordinances, building codes, and zoning regulations. ,,/ OWNER'S SIGNATURE --!I f �`�► ' _ - DATE 1/ - /0 - � (� • ADDRESS °r f/T _ :�/ • X »� PHONE i n _ • WITNESS \ f _e_ti s i i ')/ PERMIT T # •