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. D25CI,OSIIRE S't'n�►rtFtar .FOR aWI�R C=TY OF ZEPHYRHTT�T�S HQ=T+D�G DEPAFt_.'^"�•N'�' , have read arid fully usiderstaad and I, - agree ~to the provisions of �this insts�►erit. The uridersigned .states and affirms that he or she is dQSirous of constructing, resiovating, adding to or seroofiag his or her o�rsi domicile that he or she said domicile, as�.d same is not for actually occupias, or vPi11 occupy 3�Y �1.� � followiiag conditions• •rent, lease or sale. That he or she shall comply ' 1_ That the owner aad_he or she alone sha11 act as the bvilder for a11 Phases of constzuction. of Ze h hills 2. T23at the owner wa:11 comply with a11 provisions of 'the City P 1'=' ordinances and codes pertinerit to the buildiuJ• 3, That in t2�e enent vazious phases of construction are subcontracted, he vrill p�l gaqe on7.y•properly licensed subcantsactors and will PEr soually supervise such work. 4. That in the event the Building Iaspactor shall rec� corrections to be made, the owner wi11 assume full responsibility to insure•they are made, and upon completion will ca1:1 for a reiaspea'tioa before proceeding with the build7.ng. 5. That the owsier sha11 assume full respensibi]-itI' f°i' �e constructioa axid wi11 not expect_ supervision o£ his work from 'the Cit1' of Zephyrhil7.s Buildi.ng Departm�t . 6. That prior to final inspection any additional fees, 3.ncluding reinspeotion fees, must be paid ia fu11. A writtari rsquast from this office sha11 constitute an official notice to pay adcli.tional fees • - 7. That the owner sha11 comply with a11 City State and Federal laws in regaLd to social security, workmaa's compensati-on, lien 1aws, etc., where applicable. B. That the owner sha11 comply with al1 the safety codes issued by the Florida Industrial Com�ission. 9. State 1aw re? const to be done by liceased contractors. You have applied for a per�.t under ari eaemPti-on to t�at law. The exemption allows you, as t�e owner of yovr property, to act as your own contractor with certaia restrictions even though you do not have a license. You must provide direct onsite supervisioa of the constructton yourself• You may build or improve a one-family or two-f'amily residence or a fa� outbuildiag. You may also build or improne a commercial bvildixig, prcvided your costs do xiot exceed $25,D00. The building or residaace must be for yovr ewri use or occupancy- 2t may not be bvilt or substantially impr�ved for sale or lease. If you sell or lease a building you ha.ve built or substantiallY i�proved yourself withia 1 year aftes the construction is complete, the law will pres�e •that you .built or substantially improved�if for sale or laase, which is a violation of this e][emptioa. You may not hire an unlia�ssd Pe=son to act as your contractor or t� supervise people workiag on yovs buildiag. 2t is your responsibility to make sure that people employed by you have licenses rec� by state law and by county or municipal licensing ordiaances. You may not delegate the responsibility for supexvising work to a licexised contractor vrho is not licensed to perform the �vor3c bea.ag doaa- Assy Person working on your buildiag who is aot licensed must work uader yous direct supexvision and must be employed by you, which mesas that you must deduct F.I.C.A. and withriolcling ta�c and provide workess' compeasatioa for that e�ployee, all as prescribad by law. Your construction must comply vPith al1 applicable laws , ord.iriasices , building codes, asid zoning regula ' ns. � OWNER' S SIGNATLTRE ° �DATE � � f / � ADDRE55 3�p�.� C � � PHO�iE - S " WITNESS �'•R�'T #