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DISCLOSIIRS STAT�L4�1' F08 OWI�It <br /> CITY OF ZSP8YR82LL3 HIIILDING DBPARTMSDTP <br /> _, T/f e�/Xc� �e�� <br /> agsee to the have read aad fnlly naderstaad aad <br /> provisians of this ia,strnmeat_ - <br /> T`he undersigaed states aad affi.rms that he or she is desirous of constr�neting, <br /> ren.ovatiag, adding to or resoof3.ag� his cr her ��,cile, �at he or ahe <br /> actually oacupies, or a�3.i1 occupy 7,ns said domicile. aad same ig not for <br /> reat, lease or saI.e. That he or she Hhail co�mpYy �v3.� � followi.ag coacU,tions: <br /> I. That the oavaer aad he or she a7,e�one shall act as the bai.Ider for aI]. phases of <br /> coastruction.. <br /> 2- Tbar.t the a�ain.er vr}.11 comply �v3.th all provisions of the City of Z�phyrhills <br /> ord3.aances and codes pertiaeat to the bnildi_ng- <br /> 3. That ia the eveat variaus ph�� o� ���etioa are subcoatracted, he vrl..11 <br /> engage aaly properly licensed snbcontractors aad �vill. pessonally s <br /> such worlc_- <br /> 4• That in tha eveat the Build�.ng Iaspecto�C shalZ require �orrections to be made, <br /> the owaer v�r3.I.1 assvme full responsibiZity to insure they, aze made, aad upon <br /> completioa will call fer a reiaspectioa before proceediag v�,th the bniidiag. <br /> 5. That the owne� sha3.1 assnme fu7,7, responsi.bility for the coastrnct3.on and, will <br /> aot expect supervision of hi,s s�ork from th,e City of Zephyrhills Bniidiag <br /> Depaztmeat. <br /> 6- That prior to final inspectioa aay addi,tieaa], fees, including rp <br /> fees, must be pa3d s.a full _ A�vz�ittea request fram this office sha,ll <br /> constitute an, official aotiae to pay additional fees. <br /> 7. fihat the oainer sha11 �o�p2�, �� �,Z City, 3tate aad Federa], lav�s in regard to <br /> socia]. security, worl�an•s compeasation„ liea laars, eta., where applicable_ <br /> $- �'�at the o�v�ner sha11 comply witIz aZi the $afety cades iasued by the Florida <br /> TnA UStrial Commission_ <br /> 9. 3tate law ret,�111res aoustructivn to be done by liceased coatractors. You ha,ve <br /> appZied for a p�*�••+; ��d� �, ��tioa to that lav�. The exemptiq a7,IovPs <br /> You, as the owaer of your ProP�tY, to act as yonr owa coa�sactor with certaia <br /> reatz�iotioas evea, thouqh you do aot ha.ve a license. y,ou must prov�,de d3.rect <br /> oasite supervision of the coastruction yourself. You may build or improve a <br /> one-family or tmo-family residence or a farm outbui7. <br /> or imnrove a eommercial buildia �ag. You may also build <br /> The buildiag or resideace mnst be fos�yo��r owa, u�a oc �t �ceed $25,0�0. <br /> be built or substaatiall ���- �t �Y aot <br /> Y�Proved for sale or ].ease_ I£ you sell or lease a <br /> . bu3.ldia9' You have built or substaatially impsoned yourse].f vvv:i.thin I. year after <br /> �.he constrnction. is complete, the la� �vi.11 pres� tI1at you built o� <br /> substaatially improved if fnr sa3,e or lease, wiu,ch is a violatioa of this <br /> exemption. You mal, not �i�r � persoa to act as yonr caatracter or <br /> to supervi�e people o�rk3.ng on your buildiag- It is your responsibility to <br /> mak8 $'us'e that people emiplayed by yeu have licenses �equired by $tate laav and <br /> bY caunty or muaicipal liaensiag ordiaaaces. You may aot delegate the <br /> respoasibility £or supexvisiuq w�rk to a liaeasecl coatractor aiho is not <br /> licens�d to perfarm the vvork beiag done. Aay pesson �orkiaq oa lrou� buildiag <br /> who is not licea�ed must vvork nader yeu�c di,=ect supe�v;sioa aad must be <br /> �PjoY� bY' Y�u. �hi.ch meaas tha.t yon must dedtsct F.=.C.A. aad ori�hholdiag tax <br /> aad provide �vorkers' co�apensat3oa far that employee, a].Z aa prescribed Isy 1a�. <br /> Yous construct-a.oa mnst camaply �ri.th aI3. applicable Iaove, ordinances, bna.ldi.ag <br /> codes, aad zoaing r�gulati.oas. <br /> �� �-.- -> <br /> a�• s s=c�saxA �-�' '� � I nags �.2.-- 7—// <br /> �wa$ss 3 G�/! ti Z f <br /> �so� _ <br /> wr�ss- � � ��5`iil%1 <br /> P�T � <br />