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' DISCL03IIRS STAT�T gpR �6�pgg
<br /> CITY OF Z$P8YR8II,L3 HIIILDING DBPARTMSNT
<br /> I, I.JAL Pc�� �S�o��g c���A>� have read aad fn1ly tiaderstand aad
<br /> agtee ta the provisiam,s of this iastromeat. -
<br /> The uadersigaed states aad affi.rma tha.t he or she is desirous of coastrneting,
<br /> reaovatiag, addiag to or resoofiag his ar her owa de�.i,cile, that he or she
<br /> actnally occnpies, or vrill occupy by said domicile, aad same ia not for
<br /> reat� lease or saie. That he or she shall comply with tiie followa.ag coaditioas:
<br /> I. That the ovoaer and he or she aleme sIiall act as the bailder £or a1Z phases of
<br /> aoastruction.
<br /> 2. Tiiat the o�araer ov3.11 comply v:i.th aIl provisions of the City of Zephgrhills
<br /> ox�d.i.a,ances and codes pertiaeat to the bnildia,g.
<br /> 3. That in the event variovts phases of construction ase subcontracted, he �vill
<br /> eagage oaly properly liceased subcontractars aad mill personal3.y supervise
<br /> such worlc_
<br /> 4. That ia the eveat the gu,i.idi,ng Inspector shall requa.re �orxectians to be made,
<br /> the owaer wa.Il asaume fnll respoasibility ta insnre they, are made, an,d upoa
<br /> ca�pletioa ovili call fer a re3.aspectioa before proceediag w�,th the bn33ding.
<br /> 5- Tha.t the owne� shall assvme fu11 respoasibility for the construction and will
<br /> aot expect superv3,sion of hi$ �ork fram the City of �ephyrhills Bniid;i,aq
<br /> Dep��e.,�-
<br /> 6. 1`hat pxiar to fiaal i.nspeatioa any additioaal fees, iacludiag reinspeation
<br /> fees, must 3�e paid ia full. A �rritten request from t,his office sha1l,
<br /> constitute aa official notice to pay adda,tion.al fees.
<br /> 7. That the owaer sha�,l comply r�vith, a�,Z Cg�,. State aad Fedexal las�s in regard to
<br /> social security, �,rorkmaa's compeasation, Iien lams, eta., arhere applicable.
<br /> $- That the owaer shall conap].y w9.th a11 the sa€ety codes issued by the Florida
<br /> Industrial Commission_
<br /> 9. State law requires coastruct3an to be done by licea,sed coatractors. You have
<br /> applied for a permi.t under aa. exen�ption to t,]tat la�. The ex�mpt3oa al,Zows
<br /> I►ou, as the owner o£ your Px'oP�tY, to act as yonr owa coatsactor wi.th certain
<br /> restsiatians even though you do not have a ].icease. You must provi,de direct
<br /> oasite supervisioa of the construction yottrself. You may build or improv� a
<br /> oae-family or two_fam:i,ly resideace or a farm outbuild�,aq. You may also build
<br /> or imprave a commerciaZ bni.ld�ng, pravided yvur costs do aot exceed $25,OQ0.
<br /> The building or resideace mnst be for your owa use or occupaaey. Tt may aot
<br /> be built or substantiaily improved for sale or lease. Zf you sell or lease a
<br /> _buildiaJ You have built or substaatially impsoved yourself ooithin I. year after
<br /> �he aoastx�nction. is complete, the law will presume that you. bui,it ar
<br /> S'�bStaatial1Y impzo�ed if for eale or lease, ovhich is a violatioa of this
<br /> exemption,. Yrns may aot h�re � ,,,,�i��8� p�s� to aat as yonr coatractor or
<br /> to supervi.�e people aQOrkiag oa yonr building- It is your resprnnsibil.ity to
<br /> sQake svre that people employed by yeu haye licenses reqnired, by atate lax aad
<br /> bY aauaty or mnai,cipal liaeas,iaq ordiaa��@8. yau anay not delegate tlie
<br /> reapansibility far supervisi.aq work to a liaea.sed coatractor who is not
<br /> liceased to perfoxat the ovork beiag dan�, ,Aay pe=soa workiag Qa you� buildiag
<br /> who is aot licensed must �vark nnder your direct supervision aad mnst be
<br /> �PIOY� bY Y�, mhich meaas that yon must deduct F.I.C.A. aad ov�.�hholdiag tax
<br /> aad provide morkers' coanpensatioa, for that emplayee, a1.1 as presaribed by iaw_
<br /> Y°� Constructi.oa must ca�ply with ail applicable lams, ordinances, buiZdiag
<br /> codes, aad zoaiag regulationa.
<br /> O�PNS&'S SIGI3ATIIgg � /'�C/'Y�1' � , ovl n-.. .�� D�►TR �O =��/o�
<br /> �na�ss 3�v; .�q v�.�P�,��� �.�� .<
<br /> PHOl� o7n ? � �� x/'�Q '�
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<br /> l� P�IT # �0- ��°L
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