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' ' D2SCLOSVRE S'�'n'�'�'*�'u'►' .FOR OW1�12 CITY OF ZEPHYftIiST?�S BL72I�DaTG DEPARTMENT _, �/�/Ti� _,.��1�2! / have read and fulZy undesstand and agree to the provisions of - this instr�ent. The undersigned.states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or hes o�m domicile, that he or she actually occupies, or �i11 occupy by said domicile, and same is not for •rent, lease or sa1e. That he or she sha11 comply wi�t,h the followiag condi 1_ That the owner and.he or she alone sha11 act as the builder for al1 phases of construction. 2. That the owner wa:11 comply with a11 provisions of �tbe C.ity of Zephyrhills ordinanees and codes pertinent to the buildiag. 3. That in the event various phases of construction are subcontracted, he will engage only•properly licensed subcontractors and will pErsoaally supervise such work. 9. That in the event the Buildiag Inspector sha11 re�+ corrections to be made, the owner wi11 assume full responsil�ility to iasure •they are made, and upon completion wi11 ca13 for a reinspection before proceedirig with the building. 5. That the owner sha11 assume fu11 responsibility for the coxistruction and wi11 not expect_supervision of his work fro� the City oP Zephyrhills Huilding Depart�ent . 6. That prior to final inspection any additional fees, includiag reinspeation fees, must be paid ia �fu11. A writtea request from this office sha11 constitute an official notice pay additional fees. 7. That the owner sha11 comply with a11 Ciiy, State and Federal laws in regard to social security, workman's compensation, lien 1aws, etc., where applicable. B. That the owner sha11 comply with a11 tlae safety codes issued by the Florida Industrial Coffiai.ssion. 9_ State 1aw re� coastructioa to be doae by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your praperty, te act as your own coatractor with eP�-=�� restrictions even though you do not have a licease. You must provide direct onsite supervisioa of the constniction yourself. You may build or improve a one-family or t�vo-family resideace or a fa� outbvilding, You may also build or improve a commercial buildiag, provided yovs costs do not exceed $25,000. The building or residence must be for yovs own use or occupaacy. It may not be built or substaatially improved for sale or lease. If you sel:l or lease a building you have built or substantially i�proved yourself' within 1 year after the construction is complete, the 1ax wa.11 pres�e.that you built or substantially imp=oved�if for sale or lease, which is a violation of t�+;s exemption. You may not hire an uzti].icerssad pex'son to act as your contractor or to supervise people vvorking on yovr build�.riq, It is your responsibility to make sure that people employed by you have liceases rern by state law and by county or municipal licensing o*��*±=�ces. You may aot delegate the responsi.bility for supervising work to a liceused contractor who is not. licensed to perform the work be.iag dnae. AnX parson working on your building who is aot licensed must work uader yo1�T r7ir@ct supervision and must be P...mP by you, svhich means that you must deduct F.I.C.A. and vrithholding t�x and provide workers' com�satioa for t3�at employee, a11 as prescr�bed by ,Iaw. Your construction must comply �cith a11 applicable 1aws, ordiaances, building codes, and zoniag regulations. OWNER' S S na�►*� � �c� %� ADDRESS PHONE WITNESS PERt+aT #