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. DISCLOSURE S'�'a'�'�•*�'�•rr' .FOR OW1�R CITY OF ZEPHYRHII�?+S Bff2I�D�TG DEPAQ'�'�.t�•N'i' . have read and fu11y understand and _� . aqree to the provisions of �this instr�esrt• .The undersigned.states and affirms that he or she is desirous of constructing, resiovating, adding to or serocfinJ his or her o� domicile. that he or she actually occupias, or wi11 occupy b'y said da�ic.a.le, and same is not for •rent, lease or sale. That he or she shall comply with the following condi-tions: 1 That, the owner and.he or she aloae sha7.1 act as -t�e bvilder for a11 phases of constructi.on . 2. That -t�ie owaer will comply with a11 psovisions of �the City of Zephyrhills ordinances and codes pertisient to the building- 3. That in the event various phases of constttiction ase subcontsacted, he will engage only�properlY licensed subcontsactors and will pErsorially supervise such work. 4, �Yiat in the event the Buildiag Inspector sha11 require corrections to be made, the owner vri11 assume full responsi2�ility to iasu=e 'they are made, and upon completion wi11 ca1'1 f'or a reiaspactioa before proceediag with the building. 5. Tha.t the owner sh�11 assume fu11 respensibilitY for the construction and wi11 not expect_supervision of his work from the City of Zephyrhills Building Dapartmesit . 6. That prior to final inspection any aciditional faes , izicluci�-ng reinspection fees, must be paid ia ful1. A written requast from this office sha11 constztute an of'ficial notice �to pay additional faes • 7. That the owner sha11 comply vri.th a1-1 Cit1'. State and Eederal laws in regard to social security, workmaa's compensa't�-oa, lien 1aws, etc., where applicable. B. That the owner shall comply vrith a11 the safety codes issued by the Florida Industrial C��ssion. 9. State law re�+ construction to be doae by liceased contractors. You have applied f or a�*-+�+; t under asi exempt�-oa to t�aat law . The exP�ption allows you, as the owner of your property, to act as your own contractor with cert=;*+ restrictions even though you do not have a licease. You must direct onsite supervision of the cons!-suctioa yourself. You may build or improve a one-family or two-family resid�ce or a fazm outl�vilding. You may also build or improne a commercial building, provided your costs do aot exceed $25,D00. The building or residsace must be for yovr own use or occupaacy. =t may not be bvilt or substantially improved for sale or lease. If you sell or lease a building you have built or substantially i.mproved yovsself wit�i.n 1 year after the construction is complate, the la�v ari.11 pres�e �that yeu built or subst-.antially improvad •if for sale or laase, which is a violation of thi.s eXemption. You may not hire an unlicax�s�d pErson to act as your coatractor or to supervise people �vorking on your building. It is your responsibility to make sure that people employed by you have liceases rec� by state law aad by county or musiici.pal licensing ordix�aaces . You may aot delegate the responsiUility for supervising v�ork t� a licensed cantractor who is not. licensed to pexform the work b¢iag done. A:sy parsoa working oa your buildiag who is not licensed must �vork �der your direct supervisioa and must be employed by you, which meaas that you must deduct E.I.C.A. and wit-.hholding tax and�provide workers' compeusation for that e�ployae, al1 as prescribed by law. Your coastruction must comply with al1 applicable 1aws, ord�siances, building codes, and zoning regulatiozis. OWNER' S S IGNATC7RE � -��-�2 � � � � ' l/ ADDRESS 3� od L a ve, � r , L[ L� S/ PHONE 1/ 3- 7,$ 3� 7� W2TNESS �•Tl*'rTT #