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. D2SCLOSURE S'�'a��rTr .FOR OW1�R CSTY OF ZEPNYR�iTT- BVILDaiG DEPaum�r72+ _ �1Uti �ii n) / i ' J/ x'A have read asid fully understand and aqree to - the prov3.sions of - ttus ��'��t. The undersigsied .sta.tes and affirms that he or she is desirous of constructing, res�ovating, adding to or sercofin�! h�-5 or her ovm domicile. 'that he or she said domicile, and same is not for actually occupies , or xi11 occupy 3�y � .� foll.owing conditions : •rent, lease or sa1e. That he or she sha11 comply 1. 7.'hat the owaer and_he os she alone sha11 act as t�ae builder fcr a11 P1�ses of construction. of Ze h hills 2, That the owner will comply with a1.1 provisions of 'the City P'Y= ordinanaes and aodes pertinesi't to the l�uildissg- 3. That in the evesi't vasious phases of construction are subcontsacted, he will engage only•properly licensed subcontractors and will persorially supervise sueh work. q, Tha,t in the event the Buildiag Inspactor shall rez corrections to be made, the owner hrill assume full respoasi7�ili.tY to isisure �they are made, and upon completion will ca11 for a rei��etion before proceeding with the buildYng. 5. That the owner shall assume fu11 responsil�ila.tY for the construct�.on aad wi11 not expect_ supervision of his work fro� the Ci'tY of Zephyrhills Bu3-ldiag DeP��t . ction 6. That prior to final inspection any additional fees, inclndia4 =e�='� fees, must be paid in fu11. A written request from �t.his office sha11 constitute an official notice rto pay additional fees•. 7. That the owner sha11 comply with a11 City, 5tate and Federal laws in regard to social sec,-uri�y, workman's compesssation, lien 1aws, eta., where applicable. B. That the owner sha11 comply with al1 the safety codes issued by the Florida =ndustsial Commission. 9. State 1aw re m�ir es constructioa to be done by licensed contractors. You have applied for a perm=t under an eaemPtion to that law. The ex�ption allows you, as the owner of your property, to act as your own contractor with certai.a restrictions even though you do not bave a license. •You must,provide direct onsite supervisioa of the cosastniction yourself• You may bvild or improve a one-family or tv�o-family resideuce or a farm outbuilding. You may also build or improve a commercial building, provided yovr costs do aot excaed $25,000. The building or residence must be for your ewn use or occupasicy. It may not be }�uilt or substantially improved for sale or lease. If you sell or lease a building you have built or substantially 1�j7=D4@d �►011SSEI.f within 1 yeas aft the construction is complete, the la�a will pres�e•t�at you built or substantially improved•if for sale or laase, which is a violation of this e][ emption. You may not hire ari unlicesisAd Q@= soa to act as your contractor or to supervise people �vorking on your buildi.zig. It is your responsibility to ma]ce sure that people employed by you have liceases rec� by state law aad by county or municipal licensiag ordi.aances. You may aot delegate the responsi.bility for supervising work to a licensed contractor who is not. liceased to perform the �vork beiag cloae- A=sy p�rson workiag on yovs builditig who is aot licensed must work uaiier yous direct supervision aad must be �ployed by you, vahich meaas t�at you must deduct F.I.C.A. and withholding tax and provide workers' compeasation for ttlat e�loyae, a11 as prescrib@d by law. Your construction must comply �it� a11 applicable 1aws� ordiaances, building codes , and zoning regtitlations . owr�R� s sz��ux� �-r. � � ��'l� v� 3� �o J 1 ADDRESS r J'�O (,' ,j � PHONE _ _ WITiQESS PERMIT #