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. DISCLOSIIRR STATS�19'1' FOR OWi18R <br /> CITY OF Z$P8Y8SILL3 BIIILDING DBPART�NT <br /> 2, �` ��' have read and fnily naderstaad aaal <br /> aqree to the provisions of this iastrumeat_ - <br /> The uadersigaed states aad affirme that he or she is desirous of constrn,cting, <br /> renovatiag, adding to or reroogiaq ILi,s cr her awa gc�3,cile, that he or she <br /> actually occupies, or �311 occupy by said da�.i.ci2e, aad same ia not for <br /> reat� lease or sa].e. That he cr she shall comply with the followiag ccn,d,a.tions: <br /> 1. That the oovaer and he o5r she alo�ne sball act as the bni.Ider for a11 phases of <br /> ooastruction. <br /> 2. Tha.t the o�ovaer vri1Z comply w%th ai2 pravisi.ons of the City of Zephyrhills <br /> ordiaanaes aad codes pertineat to the bnildiag. <br /> 3. That ia the event vario�ts phases of comstructioa ase subcoatracted, he vrill <br /> eagage oaly properly Iicensed subcoatractors aad �vi.11 personall.y supervise <br /> such morlt _- <br /> 4. That ia the event the Buildiag Inspector shall reqaire �orrections to be made, <br /> the owner v�riZl assume full respoasibility to iasure they, are made, aad upon <br /> com�pletioa will call far a reiaspeat3oa before praceediag wifih the bu3,ldinq, <br /> 5. That the owne� shall, assume full respoasibil3ty for the constrnction aad will <br /> aot expect supervision of his work froat the City of �ephyrhills Bnildiag <br /> Depaxtmeat. <br /> 6• That prior to fiaal iaspection any additioaal fees, includiag reinspectinn <br /> fees, must be pa3d ia full. A�vritten request frosa this o£fice shall <br /> constitnte aa official notice to pay additional €ees. <br /> 7. �.`hat the oraaer sha},1 comp].y �,th a�,1 C3,ty State aad Federal. lao�s ia reqard to <br /> secial security, workmaa�s compeasation., lien laws, etc., �vhere applicable_ <br /> $- That the ova�aer sha11 aomp�.y with aI.1 the safety aades issued by the Florida <br /> Iadustrial Commzseioa_ <br /> 9. State ].aw requires aoastxuction to be done by liceased coa�tz�actors. You have <br /> applied for a permit mo,der aa exempta,on to that la�. The eaemptioa allows <br /> you, as the owner o� yonr property, to act as yonr oma coatsactor mith. certain <br /> restrictioas even though you do not have a licease. You must provide direct <br /> onsite supervisiaa of the coastrtr,ction yourself. You may build or improve a <br /> one-fam:ily or tmo-family residence or a farm outbuildi,aq. Yan may also bui,ld <br /> or improve a cammercial bnildiag, provided yo�xr costs de not exceed $25,0�0. <br /> The buildia.g or resideace mast be for your owa use or occupancy. It may aot <br /> be built or substantially improved for sale or lease_ Zf you sell or lease a <br /> _ buildiag you have built or substaatially improved, yourself vai,t�;,, 1 year after <br /> the coastx�ctioa is complete, the law will pres�e that you bui3t ox� <br /> snbstaatially improved if £or saZe or lease, whic,h is a violation of this <br /> eaemption,. You may not hire aa ualicensed person to aat as yonr contractor or <br /> to supezvi.se people vvorking oa your building_ It is your reaponsi,bility to <br /> mak.e s'ore that peaple employed by yon have licenses sequired by state lam and <br /> by cauaty or muaicipal 13.aeasiag ordina,aaes. You may not deZegate tlie <br /> responsibility £or superva.siag work to a liaeased, contractor who is aot <br /> licensed to pexform the �v�orlc being done. Any pessoa �vork�,a,q oa youx buildiag <br /> who is not licen�ed must Nork vader y�our direct superyisiom aad mnst be <br /> employed I�y you, xhich meaa,s that yom m�st deduct F.I.C.A. aad wi�hholding tax <br /> aad provide ovorkers• campeasatioa fcr that emplayee, all as prescribed.by ia�v. <br /> Yaus' aonstructioa must comply �ri.tb, a],1 appl.icable lams, ord3.n.a,aces, bnild%ng <br /> codes, aad zoaing regulatiaas. <br /> O��N&R' 3 SIGN2�TIJRS DBTS T pZQ "'�/ <br /> �nx�ss s�lQ s <br /> �� 3 - / ? �- 7 <br /> �SS• PBRMIT # <br />