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DISCLOSDRB STATSi�1QT FOR py�ldgH <br /> CITY OF ZBPHYR82LLS HIII7aDING DSPARTM$NT <br /> _, Q�C P � C� G�/� have read and fully tsnderstand aad <br /> agree to the provisions of this inst*�+++��++t _ - <br /> The undessigaed states and affi.rms that he or she is desirons of canstrncting, <br /> reaavat3.ag, adding to or reroofiag his or her aova do�icile, that he or she <br /> actually occnpies, or av31I ocaupy by said domicile, and same is aot for <br /> reat, lease or sale. That he or she shal.l comply with the follawiag con.ditioas: <br /> I. That the ovvner and he or she alone shall act as the bnilder for all phases of <br /> coastruction.. <br /> 2. That the oamer vrill comply ovith all provisions of the City cf Zephyrhills <br /> o+-�� *+�*+ces and codes pertiaeat to the buildiag. <br /> 3. That ia the eveat various phases cf coastructioa are subcontracted, he wi11 <br /> ea.ga<3e only properly liaeased subcoatractors aad mill personally supervise <br /> such wor7c _- <br /> 4. That in the even,t the Buildiag Inspector shall require corrections to be made, <br /> the owaer will assume full respoasibility to iasnre they. are made, aad upon <br /> completioa will call for a reia.spect3oa before proceediag with the bniiding. <br /> 5. That the oovn.er shall assume full responsibility for the constructioa and will <br /> aot expect supervisioa of his work from the City of Zephyrhill.s Bnildi.nq <br /> Deparf�eat _ • <br /> 6_ That prior to final iaaspection aay add,i.tiona3. fees, includiag seiaspeation <br /> feea, must be pa3d ia fu].].. A aritten, reqaest from this office shall <br /> constitute aa official aotice to pay addi.tioaal fees. <br /> 7. That the owaer shall comply wi.th a11 City, 3tate aad Federal. lav�s in regard to <br /> social securiLy, workman's compea.sation, liea laovs, etc., where applicable. <br /> 8. That the owaer shall comply w�it]i all the sa€ety aodes issued by the Florida <br /> r Commi,ssioa. <br /> 9. State laW rem construction to be done by liceased contractors. You bave <br /> applied for a pernd.t under aa exemptioa to that law. The eaemptioa allows <br /> you, as the awner of your property, te act as yonr owa caatsactar wi.th certain <br /> restrictions evea though you do not have a licease. You must pravide direct <br /> oasite supervisioa of the coastruction yourself. You may build or improve a <br /> one-family or t�vo-family res3dextae or a farm outbtu.ldiag. You may also build <br /> or improve a comsaercial bnildiag, pravid�d your costs do not exceed $25,000. <br /> 7.`he buildiag or resi.deace must be for yovr owa use or occupaacy. It may aot <br /> be built or substantially improved for sale or lease. If you se12 or lease a <br /> .buildiag you have built or substaatially impzoved yourself wit,hi,n 1 year after <br /> the constrnctioa is camplete, the la� will pres�e that you bnilt or <br /> substaatially improved if for eale or leasa, whic7i is a violation of this <br /> exemption_ Yon may not ��r aa un].iceased person to act as yonr coatractar or <br /> to supe.rvise people �orking on your bvilding_ It is your responsi.biiity to <br /> make snre that people employed by yon have licenses r� by atate laaP an.d <br /> by couaty er muai.cipal licensiag orairan��s. You may aot delegate the <br /> responsibility for snpervisiag work to a liaen.sed contractor who is aot <br /> licensed to pesfax�a the worlc beiag done. Aay person wor]�iaq og youz� buildiag <br /> who is not liceased must nork uader yonr direat supezvisioa aad must be <br /> emgioyed by you, ovhich meaas that yon must dednct F.I.C_A. and o�.thhol.di.ng tax <br /> and provide voorl�ers• coanpeasatioa for that employee, alI as prescribed by law. <br /> Your constructioa. must comply vri.th licable Iams, ordi.a.ances, buil.di.ag <br /> aades, and zoni.ng x�eguZa ' i <br /> O�iSR' S SIG'N�►TQB� Dggg �/ �� <br /> �,nna$ss 3 3 , <br /> pao� 7P - 7� <br /> B�iITNSSS PER1�T � <br /> i <br />