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• DISCLOSUR,E S'�'n'f'�•*�NT .FOR OWNER C2TY OF ZEPHYRFiII+LS BUII+DING DEPARTMENT _�� .)�„� � � J� y have read and fu11y understand and agree •to the provi ions of �this i strum�t. � .The undersigned .states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, •that ha or she actually occupies, or �a11 occupy by said domicile, and same is not for •r�t, lease or sale. That he or she stiall comply with the fo].lowiag coadi..tions: 1. That the o�aner aad_he or she alone sha11 act as tlie bui].d�r for all phases of constrLictian. 2. That the owsier ws:ll comply with al'1 provisions of �the City of Zephyrhills ordinances and codes pertinent to the buildiag. 3. That in the event varicus phases of coastruction are subcontsacted, he will engage only �properly licensed subcontractors and will pPSSOnally supervise such work. 4. That in the event the Building Inspector shall raq�ll:re corrections to be made, the owner ovi11 assume fu11 responsibility to insure �tlzey ase made, and upon cc�mpletion will ca13 for a reinspection before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the constsuction and wi11 not expect_ supervision of his work from the City of Zephyrhills Building Dapar�exzt. 6. That prior to firial inspecti.on aay additional fees, including reinspection faas, must be paid ia fu11. A written raquest from this office sha11 constitute an official notice �to pay acld�.tional fees. . 7. That the owner sha11 co�ply wi.th a11 City, State and Federal laws in regasd to social security, warkmaa's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with a11 the safe.ty codes issued by the Florida Industrial Commission. 9. State 1aw reql2l=es constsuction to be done by licensed contractors. You have applied for a permit under aa exe�ption to that law. The exemption allows you, as the ownar of your property, to act as your cwu contsactor with cer+-=;*+ restsictions even though you do not ha.ve a license. You must provide direct onsite supervisiori of the constniction yourself. You may build or improve a one-family or t�vo-family reside�sce or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It ma.y not be bvilt cr substantially improved for sale or lease. If you se]:l or lease a builcling you have built or substzntially improved yovrself wit�in 1 year after the constructiou is complate, the laov w:ill presume �that you .built or substantially improved •if for sale or lease, which is a violation of this exemption. You may aot hire an unlicensed pErson to act as your contractor or t� supervise people working on your building. 2t is your responsibility to make sure that people employed by you have liceases re?,;red by state law and by county or municipal liceasing ordivances. You may not delegate the responsibility for supervising wark to a licensed contractor who is not. licenssd to perform the worl� beiag doaa. Any parson workiag on yovs building who is not liceased must work uniier your dirsct supervision and must be employed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workars' compensation for that employae, a11 as prescribed by law. Your const-ruction must comply with a11 pplicable laws, ordinances, building codes, and zoning regula ' as. owr�R� s szc�x� V a� /- <� � - / � T-- ADDRESS PHONE t > W2TNES5 A'C�v� �._.-%� l�J��..��__. PEE2MIT #