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• DI5CL05VRE S'r'a'�'��•N'r .FOR OWNER C=TY OF ZEPFiYRTi�S B��D�G DEPARTMENT = have read asid fully usderstand and aqree to the provisions of this i.nstrument• The undersigned.sta.tes and affirms that he or she is desirous of constructing, renovating, adding to or seroofing his or hes own domicile that he or she actually occupies, or wi11 occupy by �_ S�d domic't1e, and same is not for •rent, lease or sale. That he or she sha11 comply with the following conditions: 1. Tlzat the o�aaer and_he or she alone sha11 act as the bvilder for a11 phases of construction. 2. That the owner w111 comply with al1 provisions of �the City of Zephyrhills ordinanees and codes x+*'�'; nesit to the buildinq- 3. That in the avent various phases of construction are sul�contsacted, he will EIl gage only •properly licesised subcontsactors and will �J�ssonally supervise such work. 4. T2�at in tiie event the Buildiag Inspector shall rec� * conections to be made, the owner wi11 assume full responsibility tc iasure•thel' are made, and upon completion wi11 ca11 for a reinspection before proceediag with the buildYng. 5. That the owner shall assume fu11 respensibi]-itY for the construction aad wi11 not expect_supesvision of his work fro� the CitY of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reiaspe�tion fees, must be paid in ful1. A written request from this office sha11 constitute an official notice to pay addttioxia]. fees . 7. That the ovmer sha11 comply with a11 City, State and Federal laws in regard to social security, workman's c�+��^�ation, lien 1aws, eta., where applicable. B. That the owner sha11 comply with all the sat'ety codes issued by the Florida Industsial C��ssion. 9. State law rez constructiosi to be done by licensed contractors. You have applied for a��*+; t urider an exemption to that law. The exemption allows you, as the owner of yovr property, to act as your own contractor hrith certain restrictions even though you do not have a license. •Yau must,provide direct onsite supervision of the construction yourself. You may build or improve a one-family or t�v�-family residence or a farm outbuilding. You may also build or improve a commercial build.iag, provided your costs do aot exceed $25,000. The building or resideace must be for your own use or occupancy. It ma.y not be built or substantially improved for sale or lease. If you sel:l or lease a building you have built or substaatially improved yourself wit�in 1 year after the constsuction is complete, the 1aw vTi11 pres�e•that you built or substantially improved•if for sale or lease, which is a violation of this EX emption. You may not hire an unlicax�s�d person to act as your contractor or to supervise people working on your builrling. It is your respoasibili:ty to make sure that people �ployed by you have lice�ses required by state law and by county or municipal liceasing ordinances. You may aot delegate the responsibility for supervisa.ng work to a licensed contractor who is not. licensed to pesform the �aork being done. Any person svorking on yovs building who is not licensed must work uatier your direct sttpervision aad must be P� ployed by you, which meaas that you must deduct F.I.C.A. and v�ithholding taa and provide workers' compeasation for tlzat employae, a11 as prescribed by law. Yovr construction must comply with a11 applicable 1aws, ord�siances, building codes, and zoning regvlations. OWNER' S S 2 t DATE " �// ADDRESS �SA� / PIiONE WIZ2iESS p'F'•R*�+TT #