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' DISCLOSURE STATEMENT .FOR OW1�R C2TY OF ZEPHYRH?S�,S SLTILD2NG DEPARTD�NT _� t.._o�'L� �!..�Q ¢,(Y�(1.�� have read and fully understand and agreQ •to the provisions of �this instrument. .The undersigned .sta.tes and affirms that he or she is desirous of constructing, rsnovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domici:le, and same is not for •rent, lease or sale. That he or she sha11 comply Frith the following conditions: 1. That the ov�rsser and.he or she aloae sha11 act as the builder for. a11 phases o£ constrtiction. 2. That the owner will comply with a11 provisions of the City of tiephyrhil'ls ordinances and codes pertinent to the bui.lding. 3. That in the event various phases of construction are subcontracted, he will engage only •prOpPSly licensed subcontsactors and will personally supervise such .work. 4. That in the event the Building Inspector shall re��ire correcti.ons to be made, the owner v�i11 assume full responsibility �to insure •they are made, and upon completion will ca1�1 for a x�e�*+Q�ction before proceeding with the building. b. Ttiat the owner sha11 assume f'u11 responsi.bility for the constructioa aad ari11 not expect_ supervisioa of his mork from the City of Zephyrhills Building Depar�eat. 5. That prior to final inspection aay adcLitional fees, including reinspection feas, must be paid in fu11. A written raquast from this office shall constitute an oPficial notice -to pa.y additional fees. 7. That the ownar sha11 comply arith a11 City, State and Eederal laws ia rega='d to social security, workman's compensation, lien laws, etc. , where applicable. B. That the owner sha11 comply with all the safety codes issued by the Florida Industrial Comm,ission. 9. State 1aw rerntires construction to be done by licerised contractors. You have applied for a �r+++;t under an axemption to that law. The exemption allows you, as the owner of your property, to act as yovr owa contractor with cert=;n restrictions even though you do not have a I.icense. You must _provide direct onsite supervision of the construction yourself. You may build or improve a oae-family or two-family residence or a farm outbuilding, You may also build ar improve a commercial building, provided your costs do aot exceed $25,000. The building or residance must be for your own use or occupaacy. It may not be built or substaritially �,mproved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the constructioa is camplete, tYie la►v �i11 presume that you .built or substant3.alZy improved if for sale or l�ase, which .is a violation of this ex�ption. You may not hire aa unlic�sed person to act as yavr contractor or to supervise people working on yovr building. 2t is yovr respoasibility to make sure that people employed by you ha.ve licenses re�,;red by state law and by county or municipal liceasing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licerised to perform the �aor7c beisag doaa. Axiy parson warking on yous building wYio is aot licensed must work under your direct supexvision and must be P�ployed by you, which means that you must deduct F.I.C.A. and wit�iholcling tax and provide workers' compensation for that employee, a11 as prescribed by law. Your coastr�iction must comply with a11 applicable laws, ordinaaces, building codes, and zoning regulations. �R�S Sz�� , � � � � �3- � �. ADDRE55 `� PHONE . �� _ � � W2TNESS p � __;� PEFtMIT #