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. DISCLOSIIRE S'�'a��i. .FOR OW1�R CITY OF ZEPF��T� ��G DEPAFt—�3' have read and fully understand and 2, - agree to the provisicus of - �iis inst'�e�t. The undersigned.states and affirms that he or she is clesisous of' constructing, renovating, addiag to or seroofi.si4 his or her o�n domici-le, that he or she said do�ica:le, asid same is not for actually ocaupies , or wi11 occupy 3�y �1.� � followiug conditions : •rent, lease or sa1e. That he or she sha11 comply 1. That the o�aaer and _ he or she alone shall act as the bui-1�1ex' for a11 phases of construction. 2. Tkiat the owner will comply with a11 provisions of �the City of Zephyrhills ord.inances and aodes pertiaen't to the buildisiq - 3, That in t�e event various phases of constsuction ase subcontracted, he will e�,qaqe only•properly licensed subcontsactors and will pPSSOnally supervise such work. 4. Tlzat in the event the Buildiag Inspector sha11 require corrections to be made, the owner will assume full responsibility to iasisre 'thel' are made � ar�d uPon completion wi11 aa13 for a reiaspectioa before proceedisig with the building. 5. That the owner stiall assume full respensibilitY for the coastruction and wi11 not expect_supervision of his work from the CitY of Zephyshills Buildiag Departm�t . 6. That prior to final inspection any add:itional fees, includin4 re�nspection fees, must be paid in�full. A writtea r�quest from this office sha11 constitute an official notice 'to pay addi..tional fees • 7. That the owner sha11 comply with a11 Ciiy, State and Federal laws in regard to social security, workmaa's compeasation, lien laws, etc., where applicable. B. That the owner sha11 comply with al1 the safety codes issued by the Florida =ndustrial Co�ission. 9_ State 1aw rec� construction to be doae by licensed contractors. You have applied for a��; t under an exemption to tt3at law. The ex�ption allows you, as the owner of your praperty, to act as your own contractor with cp*+=�*+ restsictions even though you do not have a licease. �You must direct onsite supervision of the construction yourself. You may bvild or improve a one-family or tvvo-family residence or a farm outbuildiag. You may also build or improve a cammercial buildiag, provided your costs do aot excaed $25,00�. The building or resideace must be for yovr own use or occupancy. =t may not be built or substasitially improved for sale or lease. If you sell or lease a bvild.irig you have built or substantially i�proved yourself withi.n 1 year after the coastxzictien is complete, the 1a�v wi11 pres�e •that you built or substantially improved�if for sale or laase, which is a violation of this e�[ emption. You may not hire aa ualiceasacl �.E= to act as yovr contsactor or to supervise people �varking on yous build3.ag. It is your respoasibility to make sure that people employed by you have liceases rez by state law and by county or municipal licenss.ag ordiaances. You may not delegate the responsibility for supexvising mork to a licesised contractor who is not. liceased to perform the �varlc bning dna@- Aay P�rsoa workiag on yous bsiildisig who is not licensed must work uader yovr direct supesvision and must be P�j�loyed by you, �vhich meaas that you must deduct F.I.C.A. and withholding ta�c and provide workess' c�m�nsatioa for that employae, all as prescribed by law. Your construction must comply v�ith a11 applicable 1aws, ordisiances, buildiag codes, and zoning regulations. r�' owxER� s sz��r� � n� O"� �_7 �-r �� r� ( � ADDRE55 PHONE Z y / W22NESS PERMIT #