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. DI5CLOSIIRE S'�'a'�'�'�'�?R' .FOR OW1�R CITY OF ZEPFIYEtFi�S Sm�D�TG DEPAF�t—'�'�'rT�' , have read arid fu11y uridess'tand aad I, - aqree ~to the provisions of �th�.s ins't��t • The undersigned.states and affirms that he or she is desirous of coastructing, reriovating, adding to or seroofing his or her ovrsi do�icile. that he or she actually occupias, or roPi11 occupy by said domicile, asid same is not for •rent, lease or sa1e. That he or she sha11 comply with the followiiag conditions: 1 Tha - t�se owner and.he or she alone shall act as the bui.lder £or al1 phases of construction. 2. That the omner ws:ll comply with aL1 provisions of �the City of Zephyrhills ordiriances and aodes �*'�'; n�t to the buildiug - 3, That in the event various phases of construction are subcontracted, he will engage orily�properlY liceased subcontractors and will pErsonally supervise such work. 4. That in the event the Building Inspactor shall req�73.re correcti.ons to be made, the owner will ass�e full respoasibili�ty to iasure �theY az'e made, and upon completion will ca11 f'or a reiaspeation before proceediag with the build3ng. 5. That the owner sha11 assume full respensibilitY for the construction aad v�i11 not expect_ supervision of his work from the Ca-tY of Zephyrhills Building Depastment. 6. That prior to final inspacta-on any additional fees, includiag reirlsPection fees, must be paid a.a fu11. A written requast from this office sha11 constitute an official notice rto pay additional fees. 7. That the owner sha11 comply with a11 Ciiy, State and Federal laws in reg3Ld to social security, workmaa's co�pe.risation, lien laws, etc., where applicable. B. That the owner sYia11 comply with a11 the safety codes issued by the Florida Industrial Co�ission. 9_ State law re� coastruction to be done by liceased contractors. You have applied for a perma.t under an exemPtion to that law. The exemption allovrs you, as the owner of your praperty, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervisioti of the coastruction yovrself• You may build or improve a one-family or two-family residence or a fazm outbv.ilcliag. You may also build or improve a commercial building, provided your costs do aot exceed $25,D00. The buildiag or residsace must be for yovr ewss use or occupaacy. =t may not be built or substantially improved for sale or lease. If you se1:l or lease a building you have bvilt or substazitiallY improved yourself arithin 1 yaaz after the constniction is complete, the law will pres�e �that you built or substantially improvad �if' f'or sale or laase, which is a violati.on of this exemption. You may not hire azi unla.c�ssd person to act as your contractor or to supervise people working on your buildixiq• It is your responsibility to make sure that people employed by you have liceases rec� by state law and by county or municipal liceasing ards.=iances. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licensed to perform the mork beiag dona. .Any parson working on yovr buildiag who is not liceased must svork undes yovs direct supervisioa and must be P�ployed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compeasation for that employae, all as prescribed by law. Your coastruction must comply �cith a11 applicable 1aws, ord�siances, building codes, and zoning regulati s. OWNER' S SI �j�/V�� DATE ��/� lG� �� ADDRESS � S � PHONE - - ^ W2TNESS �•R*�TT #