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� D2SCLOSL7RE S'►'A'�'t+�=N'j' .FOR OWl�R <br /> CITY OF ZEPHYRFiILT+S BVII+DING DEPARTb�NT <br /> S I J�V 1 C� �`'`�'` � 1'� have read. and fully understand and <br /> agrea •to the pravisions of �thts uistrument• <br /> The undersigned states and affirms that he or she is desirous of constructing, <br /> rgnovating, adding to or reroofing his or her own domiaile, �that he or she <br /> actually occupies, or will occupy by said domici:le, and same is not for <br /> �rent, lease or sale. That he or she sha11 comply with the followiing conditions: <br /> 1. Tha.t the owner asid_he or she alone sha11 act as the builder for a11 phases of <br /> construction. <br /> 2. That the owner will comply with a11 psovisions of �the City of Zephyshills <br /> ordinances and codes pertiaerit to ttie builds.nq• <br /> 3. That in the event vasious phases of construction are subcontsacted, he will <br /> engage orily •properly licensed subcontractors and will QPSSOrially supervise <br /> such work. <br /> 4. That in the avent the Huilding Inspector shall rei,;re correcti.ons to be made, <br /> -the ovmer vri11 assume full responsibility to insure •they are made, and upon <br /> completion will ca13 for a re�n-�ctioa be£ore proceeding with 'the building. <br /> 5. That the owner sha11 ass�e �fu11 respons3bility for the construction and wi11 <br /> not gxpect_ supervision of his work from the City of Zephyrhills Building <br /> Dapart��t. <br /> 6. fihat prior to final inspection any additional fees, iacluding reinspection <br /> feas, must be paid in ful1. A written requast from this office shall <br /> constitute an official notice -to pay addi.tional fees. <br /> 7. That the owner sha11 camply with a11 City, Sta.te and Eederal laws iri regard to <br /> social security, workmaa's compensation, liea laws, etc. , where applicable. <br /> B, That the owner sha11 comply with all the safaty codes issued by the Florida <br /> Industrial Commission. <br /> 9. State 1am requires constrLiction to be done by licensed contractors. You have <br /> applied for a �^^;t under an ex�pt�-cn to that law. The exemption allows <br /> you, as the owner of' your property, to act as your own coatsactor vrith certaia <br /> restrictions even though you do not ha.ve a license. You must provide direct <br /> onsite supervision of the constructioa yourself. You ma.y build or improve a <br /> one-family or two-family reside�ce or a farm outbuilding. You may also build <br /> or improve a commercial building, provided your costs do not exceed $25,000. <br /> The building or residence must be for yovr own use or oceupanc_v. It may not <br /> be built or substantially improved for sale or lease. If you se1:1 or lease a <br /> building you have built or substantially improved yourself' within 1 year aftES <br /> the constniction is complete, the law wi.11 presume •that you .built or <br /> substantially i.mproved •if for sale or laase, which is a violati.on of this <br /> exemptiori. You may not hire an unlicensed person to act as your contractor or <br /> to supervise people working on your building. It is your responsibility to <br /> make sure that people P�ployed by you have licenses rec�,;red by state law and <br /> by county or municipal licensing ordinances. You may not delegate the <br /> responsibility for supervising work to a licensed contractor v�rho is not. <br /> licensed to perform the work being dona. Any parson working on your building <br /> who is not licensed must work under your diract supervision and must be <br /> P�Ployed by you, which means that you must deduct F.2.C.A. and withholding tax <br /> and provide workers' compensation for that employee, a11 as prescribed by law. <br /> Your construction must comply with a11 applicat�le laws, ordssiarices, bui.lding <br /> codes, and zoning regulatioas. <br /> owr�R�s s=ccxxx�n� G�� �� D� % 25�� 'LD I Z <br /> ADDRE 5 S 5 � 2 3 S j/} �1' <br /> PxoxE �S'13=y w &' - S s � 1 <br /> WSTNESS PEFtM2T # <br /> � . <br />