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P � DISCLOSIIRE S't'a'�'�'*�'NT .FOR OW1�R CITY OF ZEPfTYRSTT'T.' BVILD�TG DEPARTD�N'�' , have read and fully understand aad 1, - agree to the psovisions of •this instr��'t' The undersigned.states and affirms that he or she is desirous of constructing, r �, o � a 4-in g, adding to or seroofing his or her ovrn domici.le, that he or she 1as or xi11 occupy �'Y said domici:le, asid same is not for actually occup� , 1 with the followiiig coaditions: •rent, lease or sa1e. That he or she s2�a7.1 comp y 1_ That the owaer assd _ he or she alone sha11 act as the builder fo=' �7-1 P�ses of construction. of Ze h hi1:1s 2 Tr,a,t t2,e owz,er wi11 comply with al'1 provisions of �the City P Y=' ordinances and aodes pertiaen't to 'the buildiuJ- g_ That in the event vasious phases of constsucti.on ase subc sonall te s l ne 13 p� qaqe oril,y •prOPET1y lice�sed subcontractors and will pEr Y uP��' such work. 4. That in the event the Building Iaspector shall rec� corrections to be ma e, the owner vrill assume full responsi}�ility to iasure •they ase made, and upon ,n�etiori before proceedirig with the building. completion will ca11 for a re r for the construction and wi11 5. That the owner sha11 assume fv11 res'Po��ity not Expect_ supex'vision of his wor3� from 'tlie Ca-t1' of Zephyrhills Building Departm�t . ction 6. That prior to final inspection aziy additios�a]- fe�s ��u�'ng =�nspe fees , must be paid in fu11. A written requ�s't f='om this office shall constitute an official notice - to pay additional fees • 7. T2�at the o�aner sha11 comply with a11 City, 5tate asid Federal laws in regasd to social sec.-urity, warkman's compeasa'tioa. liesi 1aws, etc., where applicable. B. That the owner sha11 comply with a11 the safety codes issued by the Florida Industrial Com�ission. 9. State 1aw re� coastruction to be done by licensed contractors. You have applied for a permit under asi eaemPtioa to that law. The exP�ption allows you, as the owner of your property, to act as your own contractor with certaia restrict�.ons even though you do not bave a licesase. You must direct onsite supervision of the construction yourself. You may build or improve a one-family or tvvo-family resid�ce or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,D00. T'he buildi.ng or resideaee must be for your own use or occupancy• St may not be built or substantially improv�d for sale or lease. If you sel:l or lease a bui.ldiag you have built or substantiallY improved yourself arithin 1 year after tbe constriiction is complete, the 1a�v will pres�e •that you built or substantially improved•if for sale ar laase, which is a violation of this exemption. You may not hire ari unlic�ssd Person to act as your coatsactor or to supervise people wosking on your building. It is your responsibility to make sure that people e�ployed by you have liceases rec� by state law and by county or muziicipal licensing ordissaaces. You may not delegate the responsibility for supervising work to a liceased contractor who is not. licensed to perform the �oork bes.ag dnae- Aay Person working on yovs buildiag w3zo is aot licensed must work unc1er your direct supervisiori and must be P�Ployed by you, which means that you must deduct E.I.C.A. and withholding ta�c and provide werkers' coa��ation for that employee, all as prescribed by law. Your constrtiction must camply with a11 applicable 1aws, orditiances, building codes, and zoning regulations. �R, S S= � I► � C�l 13l � � .�Dx�ss o PHONE WITNESS �•Q�'T #