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. D2SCLDSURE S'T'A'r'�•*'r�•NT .EOR OWNER <br /> CITY OF ZEPHYRHII�S BUIL�ING DEPARTr�NT <br /> _� v� • have read and fully understand and <br /> agree •to the provisions of 't-�iz.s instrument• <br /> .The undersigned states and affirms that he or she is desirous of ccnstructing, <br /> r�ovating, adding to or reroofing his or her own domicile, •that he or she <br /> actually occupies, or wi.11 occupy by said domicile, and same is not for <br /> •rent, lease or sale. That he or she sha11 comply with the following conditions: <br /> 1, TY,at the owxier and.he or she alone sha11 act as tlze builder for a11 phases of <br /> constrLicti on. <br /> 2. That the ovrner wi:11 comply with a1'1 provisions o£ �the City of Zephyshil"1s <br /> ordinances and codes pertinent to the building. <br /> 3. That in the enent various phases of construction are subcontracted, he will <br /> engage only properly licansed subcontractors and will personally supervise <br /> such work. <br /> 4, That in the event the Huilding Inspector sha11 ra�+,;re correcti.ons to be made, <br /> the ownes will assume full responsibility to insure •they are made, and upon <br /> campletion will ca11 for a rO�T�ection be£ore proceeding with the bw-lding. <br /> 5. That the owner sha11 assume fu11 responsibility for the construction and wi11 <br /> not axpect_ supervision of his work from the City .o£ Zephyrhills Building <br /> Departm�t. <br /> 6. �hat prior to £inal inspection aay acidi'tiana.]- f�s, ��udi.ng reinspection <br /> feas, must be paid in ful1. A writtan requast from this office sha11 <br /> consti.tute an of'ficial notice to pay additional f'aes. <br /> 7. That the owner sha11 co�ply with a11 City, State and Eederal laws in regard to <br /> social security, warkman's compensation, lien lasas, etc. , where applicable. <br /> 8. That the owner sha11 comply with al1 the safety codes issued by tlie Florida <br /> Ixidustrial Comm=ssion. <br /> 9. State law rec�,;ras constxziction to be done by licensed contractors. You have <br /> applied £or a permit vnder an exempti-on to that law. The exemption allows <br /> you, as the owner of yovr property, to act as your own contractor with certain <br /> restrictions even though you do not hane a license. You must provide direct <br /> onsite supervision of the construction yoursel£. You may build or improne a <br /> one-family or two-fami.ly residence or a farm outbuilding. You may also build <br /> or improve a commercial buildi.ng, provided your costs do not eaceed $25,000. <br /> The building or residence must be for yovr own use or occupancy. It may not <br /> be built or substanti.ally i.mproved for sale or lease. If you sell or lease a <br /> building you have built or substantially improved yourself v�rithin 1 year after <br /> the cons�tsuction is complete, the lax w:ill presume •that you built or <br /> substasitially improved �if for sale or l�ase, which is a violation of this <br /> exemption. You may not hi.re an vnlioansed person tc act as your contractor or <br /> to supervise people working on yovs building. It is your responsibility to <br /> make sure that people P.�ployed by you have licenses rec�,;red by state lav�r and <br /> by eounty or municipal licensixsg ordi.nances. You may not delegate the <br /> responsibility for supervising work to a licensed contractor vrho is not <br /> licensad to perform the mork beiag doaa. Ariy person working oa your building <br /> who is not licensed must work uniie= yovr diract supercrision and must be <br /> employed by you, which means that you must deduct E.=.C_A. and withholding tax <br /> and provide workers' compeIlsation for that Employee, a11 as prescribed by law. <br /> Your construction must comply with a11 applical�le laws, ordi.nances, building <br /> codes, and zoning regula 'ons. > <br /> OWNER'S S= t %� � �" ` DATE�'<-'7� 4 � <br /> p,nD�ss L ' � <br /> PxorrE / .�- <br /> W2TNESS PEI2MIT # <br />