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' DISCLOSURE S'r'n'T'F•*�'NT .FOR QWNER <br /> CZTY OF ZEPHYRFiZT�.S BIIII.DING DEPARTMENT <br /> 2, � "e _ C,�� have read and f'u11y understand and <br /> agree •to the rovisions of •t'his instrument. <br /> The undersigned states and affirms that he or she is desirous of constructing, <br /> r�onating, adding to or reroofing his or her own domicile, �that he or she <br /> actually occupies, or wi11 occupy by said domiczle, and same is not for <br /> •rent, lease or sale. That he or she shall comply wi�th the following condi�tions: <br /> 1. That the owner and_he or she alone sha11 act as the builder for a11 phases o£ <br /> construction. <br /> 2. That the owaer will comply with a11 provisions o£ •the City of Zephyrhil"ls <br /> ordinances and codes �*-t;nent to the .building. <br /> 3. That in the event various phases of' construction are subcontracted, he will <br /> engage only properly liceased subcontractors and will personally supervise <br /> such work. <br /> 4. That in the event the Huilding 2nspactor shall re�,;re corrections to be made, <br /> the owner wi11 assume full responsiY�ility tc insure •they are made, and upon <br /> completion wi11 call £or a reiaspection be£ore proceeding with the building. <br /> 5. That the owner sha11 assume full responsibility for the constsuction and wi11 <br /> not axpect_ supervision of his work from the City of Zephyrhill.s Building <br /> Depart�ent. <br /> 6. That prior to final iaspection any additional fees, iricluding reinspection <br /> feas, must be paid ia full. A written request from this office shall <br /> constitute an official notice -to pay addi.tional fees. <br /> 7. That the omner sha11 comply with a11 City, State and Federal laws ia regard to <br /> social security, workman's compensation, lien laws, etc. , where applicable. <br /> B. That the owner sha11 comply with al1 the safety codes issued by the Florida <br /> Industrial C��ssion. <br /> 9. State 1aw rec�,;res constxuction to be done by licensed contractors. You have <br /> applied for a permit under an exemptioxi to that law. �he exemption allows <br /> you, as the owner of yovr property, to act as your own coatractor with certain <br /> restrictions even though you do not have a license. You must provide direct <br /> onsite supexvision of the constr�zction yovrself. You may 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 aot exceed $25,000. <br /> The building or residence must be for yovr own use or occupancy. It may not <br /> be built or substantially i.mproved for sale or lease. If you se1:1 or lease a <br /> bvilding you have built or substantially improved yovsself within 1 year aftES <br /> the constniction is complete, the laov w:ill presume �that you .built or <br /> substantially improved •if for sale or lease, which is a violation of this <br /> exemption. You may not hire an unlicensad pErson to act as your contsactor or <br /> to supervise people working on yovr bvildiag. 2t is your responsibili:ty to <br /> make sure that people e�ployed by you have licenses rez,;red by state law and <br /> by county or municipal liceasirig ordiaances. You may not delegate the <br /> responsibility for supervising work to a licensed contractor who is not. <br /> licensed to perform the work beiag dnne. Any person working on your building <br /> who is not liceased must work under yovr direct st�e=vision and must be <br /> P�Ployed by you, which means that you must deduct F.I.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 applicable laws, ordinances, building <br /> codes, and zoning re atioas. <br /> � <br /> OWNER'S SIQ�'�URE � ������:.C1`u DATE �" ' �� I3 <br /> ADDRE 5 S 7/ " ( �- �}� <br /> PHONE <br /> W2TNESS ' `, PEFtMIT # <br />