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D25CLOSURE S'r'n�►*r.��aT .FOR aWI�R CITY OF ZEYHYRH2LZ BVII��G DEPI�L_'�'�-N'�' _, �Gc I'C"��1 ��'Z� have read and fully unders tand and aqree to the prova.sions of 'tYsis s.rsstru��t' The uxidersigned.states and affirms that he or she is d�sisous of constrn�ting, res�ovata.ng, adding to or seroofiag his or her o�rn domicile, that he or she ies or vri11 occupy by said dom�_cile, and same is not for actzially occup , 1 �i� �e folloFrixig conditions : •rent, lease or sa1e. That he or she sha11 comp y 1. That the o�aner and,he or she alone sha11 act as the bvildes fc=' a7-1 Phases of construction. =ovisions of �the City of Zephyrhills 2. T2�at the owner vri11 comply with a11 P ordinances and codes ��''n�t to the buildiaQ• 3, That in t�e evesi't various phases of const'suatiesi az'e subcontracted, he will �qaqe on7.y•properly licensed subcontractors and will personally supervise such work. q, Tha i,n the event the Huilding Inspector sha11 require corrections to be ma , tlze owner wi11 assume fu11 responsib3.litY t° ias�e "��1' �e ��' �d �Pon completion wi11 ca1'1 for a reiaspeatioa before p=oceeding with the build3ng. 5. That tha ownex' sha11 assume fu11 responsibility fcr the construction aud vQi11 not expect_ suppsvision of his work from 'the Ci-t1' of Zephyrhills Building DeP�'��t • ction 6_ That prios to final inspection any adtiitiona.l fees , includirig reiaspe fees, must be paid i.0 fu11. A writtea request from this office sha11 constitute an official notice to pay additional fees• 7_ That the owner sha11 comply �aith a11 City, State asid Eederal laws ia regaSd to social securi�y, workmaxi's compeasata-on, lien 1aws, etc., where applicable. 8. That the ownps sha11 comply with al1 the safety codes issued by the Florida Industrial Commission. 9_ State 1aw requires constsuctioa to be doae by liceused contractors. You have applied for a permit uader asi eaemPtion to tbat law. The exe�ption allows you, as the owrier of your property, to act as your own contract�r with certa,isi restsictions even though you do not bave a liceiase. You must direct onsite supervision of the construction yovrself. You may build or i.mprove a one-family or two-family resid�ce or a fazm outbuildin4- You may also build or improne a c��*�cia1 build:i.ag, provided your costs do aot excaed $25,D00. The building or resideace must be for yovr ewsi use or occupancy• It may not be bu.ilt or substantially improved for sale or lease. If you se]:l or lease a building you have built or substautially i�proved yous'self witha.n 1 year after the construction is complete, the la� �'i.11 pres�e •that yon built or substantially improved•if for sale ar laase, which is a violation of thi.s e][emption. You may not hire ari 'uu7-i.o�na�d pe=soa to act as your contsactor or to supervise people workiag on your buildinq• It is your responsibility to make sure that people e�ployed by yeu have liceases rez by state law and by county or municipal licensing ordiaaaces. You may not d�elegate the responsibility for supervising work to a licensed contractor who is not. 1ic�sed to perform the �vorlr. being done. Aay pes'sori working on yous buildiag who is not liceased must work uacier yovs direct supervisioa and must be e�ployed by you, which means 'that you must deduct F.2.C.A. and withholding taa and provide workers' compeasation for ttiat employee, a11 as prescribed by law. Yovs construction must comply with a11 applicable laws, ord�sia,nces, building codes, aszd zoning regulations. o�wr�x� s sz�xu� � �-1 --1 8� z.a c I ADDRESS 3 � L e ZE� �- 35��( 2. PHONE - 3 'Z W2TNES�S �*.szt�'rT #