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D2SCILOSURE STATEMENT .FOR OWNER CITY OF . MS BUILDING DEPARTMENT - ' have read and fully, understand and agree to the 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 ah =1l comply with the following conditions: .. That the owner and_he or she alone s h=11 at as the builder for all phases of construction. 2. That the owner will comply with all provisions of th rhi.11s e City of Zephy ordinances and codes pertinent to . . uildling. 3. That in the event various phases of construction are subcontracted, he will - engage only .properly licensed subcontractors and will personally supervise such work. .q T in t} event the Building Inspector sha11 require corrections to be made, the owner will assume. full responsibility to insure they are made, and upon completion will c =11 for a rein-spection before proceeding with the building. • 5. That the owner sh =11'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 ra *+ peotioa • fees, must be paid in full. A written request from this office sh =11 • constitute an official notice to'pay additional fees.. . 7. That the owner sh=11 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 for a permit under an exemption to that law. The exemption allows - you, as the owner of your property, to at as your own 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 fay outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or must be for your own use or occupancy. It may not . be built or substantially improved for sale or lease. If you sail or lease a building you have built or substantially improved yourself with i Ti 1 year after the construction is complete, the law will presume .that you .built or substantially improved if'for sale or lease, which is a violation of this exemption. You may not hire•an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to . • make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the 'responsibility for supervising work to a. licensed contractor who is not. • licensed to perfons the work being done. Any person working on your building who is not licensed must. work under•your direct supervision and must be . • . employed by you, which means that you 'must. deduct F.1.. C.A. and withholdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with. all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE C .. na / J • / 1 j j / 0 ADDRESS 9/7 q V K i9 C$ r /1 f 0 rE PHONE 7 2 q • 6 O • WITNESS =MEET # •