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' DISCLOSURE S'►'a'►'�•�•N'r' .FOR aFT1�R <br /> C2TY OF ZEPHYRH2I�ZS SL7IZDING DEPARTMENT <br /> = JJ�� � C2"LJ have read azid fu11y understand and <br /> agree �to the provisions of �this instrumerit. <br /> .The undersigned .sta.tes and affirms that he or she is desirous of constructing, <br /> renovating, addiag to or reroofing his or hes own domicile, that he or she <br /> actually occupi@s, or wi11 occupy by said do�icile, and same is not for <br /> •rent, lease or sale. That he or she sha11 co�ply with the following conditions: <br /> 1_ That the owner and_he or she alone sha11 act as the bvilder for a11 phases o£ <br /> construction. <br /> 2. That the omner vri11 comply with al'1 provisions of �the City of Zephyrhills <br /> ordinances and codes �� neat to the building. <br /> 3. fihat in the event various phases of construction are subcontzacted, he vrill <br /> engage only�properly licensed subcontractors and will personally supesvise <br /> such work. <br /> 4. That in the event the Huilding 2nspector sha11 rez corrections to be made, <br /> the owner wi11 assume full responsibility to insure•they are made, and upon <br /> completton wi11 ca13 for a reinspectioa before proceediag with the building. <br /> 5. That tize owner shall assume fu11 responsibi.lity for the construction and wi11 <br /> not expect supervision of his work fro� the City of Zephyrhills Building <br /> Dapastm�t . <br /> 6. That prios to final inspection axiy additional fees, iacluding reinspection <br /> fees, must be paid ia ful1. A written request from thi.s office sha11 <br /> constitute an of'ficial notice to pay additional fees . <br /> 7_ That the owner sha11 camply vrith aZl City, State and Federal laws in regard to <br /> social security, workmaa's compensation, lien laws, eta., where aaplicable. <br /> 8. That the owner sha11 comply with a11 t�e safety codes issued by the Florida <br /> Iadustrial Commission. <br /> 9. State 1aw rez construction to be done by licensed contractors. You have <br /> applied for a�*-+�; t urider ari exa�ptioa to that law. The exemption allows <br /> you, as the owner of' your property, to act as your own contractor with certaia <br /> restrictions even though you do not have a license. You must provide direct <br /> onsite supervisioa of the construction yovrself. You may build or improve a <br /> one-family or twc-f'amily resideace or a fa� outbuilding. You may also build <br /> or improve a commercial building, provided your costs do not exceed $25,000. <br /> The building or resideace must be for yovr own use or occupancy. St ma.y not <br /> be built or substantially improved for sale or lease. If you sell or lease a <br /> building you have built or substantially improved yourself wit�.a 1 year after <br /> the construction is complete, the 1aw wi11 pres�e•that you built or <br /> substantially improvad�if for sale or laase, which is a violation of this <br /> EX emption. You may not hire an ualic�nsad persoa to act as yovr contractor or <br /> to supervise people working on your building. It is yovr respoasibility to <br /> make sure tha.t people employed by you ha.ve liceases rez+ by state law and <br /> by county or municipal liceasing ordiaances. You may not delegate the <br /> responsibility for supervising work to a licensed contractor who is not. <br /> licensed to perform the worlc beiag daae. Any parsoa working on yovs building <br /> who is aot liceused must work under your direct supexvision and must be <br /> employed by you, which meaas that you must deduct F.2.C.A. and withholding tax <br /> and provide workers' compensation for that employse, a11 as prescribed by law. <br /> Yovr cons'truction must comply with a11 applicable laws, ordiriances, building <br /> codes, and zonirig regulati n. <br /> OWNER' S SIG[�TL7RE � r�n� �/ F� <br /> ADDRESS �j7�. �c..c •+va�nl Lu� c�.�u���'L �i3f'`(Z <br /> PHONE �O- ya - 37� <br /> w=xx�ss ��� # <br />