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' DISCLOSURE S'�'n'►'�'*�=NT .FOR OWNER CITY OF ZEPHYRH27�LS Bi722,DSNG DEPARTD�NT _, � _ have read and fully understand aad agree •to the provisions of �this instrument. The undersigned .states and affirms that he or she is desirous of constsucting, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or �vi11 occupy by sai.d domicile, and same is not for •rent, lease or sale. That he or she shall comply Frith the followiiag conditioas: 1. That the owner aad_he or she alone sha11 act as the bvil.der for a11 phases of construction. 2. That the owaar wi11 comply with a11 provisions of �the City of Zephyrhills ordinarices and codes pertineat to the builcling. 3. That in the avent various phases of construction are subcontracted, he will engage ori7.y properly licensed subcontractors and will personally supervise such vrork. 4. That in the event the Huilding Inspector shall rsc�';re corrections to be made, the o�vner will assume full responsibility to insure •they are made, and upon cnmpletion wi11 ca11 for a re�*+-�ction before proceeding arith the building. 5. That the owner sha11 assume full responsibility for the constr�.iction aad wi11 not aapect_ supervisiori of his �ork from the City of Zephyrhills Building Depar��t. 6. That prior to final iaspection an.y additional fees, including reiaspection fees, must be paid ia �fu11. A writtan request from this affice sha11 constitute an official notice -to pay additiona3. fees.. 7. That the owner shall comply with a11 City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the own�s sha11 comply wit� al1 the safe.ty codes issuad by the Florida Industrial Commission. 9. State 1aw requires constniction to be doae by licensed contractors. You have applied for a ��;t under an e�cempti.cn to that lam. The exemption allows you, as the ownar of yovr propPSty, to act as your own contractor with cp*-�*=�*+ restrictions ev� though you do not ha.ve a license. You must provide direct onsite supervision of the constructioa yovrself. You may build or �.�prove a one-family or t�vo-family residen,ce or a farm outbuilding, You may also build or improve a commercial buildisig, provided your costs do not exceed $25,000. The l�uildiag or residaace must be for your own use os occupancy. It may not be built or substantially improved for sale or lease. If you se]:1 or lease a bvilding you have built or substantially i�proved yourse7.,f' within 1 year after the constxziction is complete, the 1ap ws.11 pres�e .that you built or substaritially improved �if for sale or lease, which is a violation of this exemption. You may not hire aa unlicansad person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have liceases re�,;red by state law and by county or mun�.cipal liceusing ordinasices. You may not delegate the responsibility f'or supervising work to a liceased contractor who is n�t. licensad to perform the �vork beiag dona. Asiy pe='soa working on your building who is aot liceased must work under your diract supervision and must be P�Ployed by you, which meaas that you must deduct F.I.C.A. and withholding ta,x and provide workers' c�mpensati.on for that e�ployee, a11 as prescri.bed by law. Your constsuction must comply with a11 applicable laws, ordi.nances, building codes, and zoning regulati s � OW1�R'S SIGt1PsTLTF;E ! � DATE � ADDRESS �xorrE wz�ss �x�T #