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• DISCLOSVRE S�'�'F*�*�'r' .FOR OWI�R CITY OF ZEPHYRHSZ?�S BL12�DING DEPARTD�NT = have read aad fully uriderstand and agree �to the provisions of •this inst'��ent • The undersigned .states and affirms 'tha't he or she is desirous of constructing, res�ovating, addiag to or seroofiag his or her osrn domioile tliat he or she said do�ira:le, and same is not for actually ocaupies, or wi11 occupy by �_ � �e fol].owiag conditions: •rent, lease or sa1e. That he or she sha11 comply 1_ �hat the owues and_he or she alone sha11 act as t�e builder for a11 Phases of construction . 2. Tizat the owner wi11 comply with a11 provisions of �the City of Zephyrhills ordinances and codes �*'{'' neut to the buildi.ag • 3. That in t�e avent various phases of construction are subcontsacted, he will engage only•properly licensed subcontsactors and will personally supervise such work. q, Tlzat in the event the Buildiag Inspector sha11 re?�ire corrections to be made, the owner will ass�e full responsil�ility te iasuse "t�eY are made � a�d �pon completion wi11 ca13 for a reinspectioa before proceeding with the building. 5. That the owner sha11 assume full respcnsibil1tY for the construction and wi11 not axpect_ supervision of his vvork from the CitY of Zephyrhills Building Departm�t . 6. That prior to final inspection any add.itional fees, includ�-aJ =e�nSPection fees, must be paid ixi fu11. A written requ�st from this office sha11 consti.tute an official notice - to pay additional fees . 7. That the owner sha11 comply vrith all City, State and Federal laws in regard to social secr-urity, wcrkmau's co�peasation, lien 1aws, ete., where applicable. B. That the owner sha11 comply with a11 the safety codes issued by the Florida Industrial Cr++mm� ssion. 9. 5tate 1aw rec� coastsuction to be done by licensed contractors. You have applied for a permit uxider an exe�p'tioa to that law. The ex�ption a1los�rs you, as the owner of your property, to act as your owu caatractor with certaia restrictions even though you do not have a license. You must provide direct onsite supervisiori of the coastruction yourself. You may build or improve a one-family or twe-family resideace or a fa� outbuilding. You may also build or improve a commercial build�.ag, provided your costs do not exceed $25,DOD. The building or residaace must be for yovr o�vti use or occupancy. It may not be built or substantially improved for sale or lease. If you sel:l or lease a building you have built or substautially improved yourself �ithin 1 year after the construction is complete, the 1a�v vri11 pres�e that you built or substantially improved•if for sale or laase, which is a violation of this EX emption. You may not hire au un].icarasad persoa to act as yovs contsactor or to supervise people working on your build�.ug. It is your =�sponsibility to make sure that people �ployed by you have licesises rez+ by state law and by county or municipal licensing ordinances. You may aot delegate the responsibility for supervising work to a licensed contractor who is not. 1ic�sed to perform the xork beiag dnae. Any person workiag on yovs buildiag who is not liceased must work under your direct supervision and must be P�p loyed by you, which meaas that you mus�t deduct F.I.C.A. and withholding ta�c and�provide workers' c�� *+�atioa for that smployee, all as prescribed by law. Your const-suction must comply vvith a11 applicable 1aws, ordiaances, building codes, and zoning rec3ulati r � ��i��i� OWNER' S SIGfTAT[7RE na�rF: ADDRESS PHONE WITNESS �•RMTT #