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DI5CLOSL7FiE S'�'a�t�u' .FOR OWI�R C=TY OF ZEPHYRFiTT�T.. BZnLD2NG DEPAft_'�'�•N't' C ` ^� � egs �_ have read atid fu11y understaad axid _ � JTC'-J r aqree -to the provisions of 'this instnsmes�t. .The undersigned.states and affirms that he or she is desiro �a� he or she ag � resiovatiag, addin4 to or seroofing his or her oorn domicile, said da�s.cile, and same is not for actually occupi@s, or ro�i11 occupy by �1.� � followiiig conditions: •rent, lease or sa1e. That he or she shall comply 1 Tha t�,e owner and _ he or she alosie sha11 act as the builder fcr a11 P1�ses of ccnstruction. 2 Tf,a,,t - t�,e ewner wi11 comply with a11 provisions of �the City of Zephyrhills ordinan�es and dodes pertiaent to the b��'�g• 3, That in the event various phases of construction are sul�contracted, he will psl gage only�properlY liceszssd subcontsactors and will personally supervise such work. 4. Tkaat in the event the Huildiag Inspector sha11 re? corrections to be made, the owner vri11 assume full respousibility to iasure'they are made, and upon completion wi11 ca1'1 £or a re��a�on �fore proceed,iag with the building. 5. That the owner sha11 assume fu11 responsil��litl' for the constructioa and wi11 not expect_ supervision of his work �fro� the Cit1' of Zephyrhil7.s Building Depastmesit . 6. 2�hat prior to final inspection any additional fees, including reinspection feas, must be paid iu ful1. A written requast from this office sha11 constitute an of'ficial notice to pay adcli.tional fees . 7_ That the owner sha11 comply with a11 Ciiy, State and Fedesal laws in regard to social security, warkman's comperisati.on, lien 1aws, etc., where applicable. B. That the ownes sha1.1 comply wit� all the safety codes issued by the Florida 2ndustrial Co�zssion. 9_ State 1aw rez constructi.on to be done by licensed contractors. You ha.ve applied f or a permit urider an BxemPtioa to that law . The exemptioa allorrs you, as �t�ie owner of' your property, to act as your own contractor with certaia restrictions even though you do not have a licexise. You must provide direct onsite supervisioa of the coastruction yourself. You may build or i�prove a one-family or two-family resid�ce or a fazm outbuildi.ng. You may also bvild or improve a commercial bni]-dinJ. Provided your costs do aot e�ceed $25,D00. The building or resideace must be for yovr own use or ocaupancy. It may not be built or substantially s.�proved for sale or lease. If you sell or lease a builds.sig you have bvilt or substantially i�proned yourself within 1 ysas after the construction is complete, tlae 1a�v will pres�e •that you .built or substantially improvad�if for sale or laase, which is a violation of this EX emption. You may not hire an ualiaena�d Persoa to act as your coatsactor or to supervise people working on your buildin!• It is your respoasibility to make sure that people employed by you have licenses rec� by state law and by county or muni.cipal licensing ordinances. You may aot delegate the responsi}�ility for supervising work to a licensed coatractor who is not. liceased to psrform the wor7c being dcne. Auy parsoa working on yous buildiag who is aot licensad must work uacier yovs direct supervision and must be �ployed by you, �ahich meaas that you must deduct F.I.C.A. and withholcling ta�c and provide workess' compensation for that employae, a11 as prescribed by law. Your construction must comply with a11 applicable 1aws� O=��^�T�CES buildiag codes, and zoning regulation . OWI�TER' S S I CtiATURE � �-'� 7 �` f ADDRESS �74'� rto-lh+/':•3 v• �, PHOr7E 'tS�.-�a 9 -Ss�� WITNESS �'•R�"�TT #