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DISCI,OSURE S'f'A'r*Fwt�!�+ .FOR OWt�R <br /> ITY OF ZEPHYRE322;LS BLTII,DSIdG DEPnu'�r7g+ <br /> _� � �� i have read arsd fu11y understand and <br /> agree •to th rovisions of � instrument. <br /> The undersigned states and aff'irms that he or she is desirous of c�nstructing, <br /> renovating, adding to or reroofing his or her own domicile, •that he or she <br /> actually occupies, or wi11 occupy by said domicile, and same is not for <br /> •rent, lease or sale. That he or she sha11 comply with the followiiig condi�tions: <br /> 1. That the owner and,he or she alone sha11 act as the builder for a11 phases of <br /> constrLiction. <br /> 2. That the owner wi11 comply with a11 provisions of •the City of Zephyrhil'ls <br /> ordinances and codes �*+;neat to the buildiag, <br /> 3. That in the event varicus phases of construction are subcontracted, he will <br /> engage only •properly liceased subcontractors and will personally supexvise <br /> such work. <br /> 4• Tha-t in the event the Huilding Snspector shall ree+,;re corrections to be made, <br /> the owner wi11 assume full responsibility to insure •they are made, and npon <br /> completion will ca13 for a reinspectioa before proceeding with the building. <br /> 5. That the owner sha11 assume fu11 responsibility for the construction aad wi11 <br /> not eapect_ supervision of his work from the City of Zephyrhills Building <br /> Departmeat. <br /> 6. That prior to final .J.sispection any additi,onal fees, inclndinq reinspection <br /> feas, must be paici ia fu1,1. A writtan request from this office shall <br /> constitute an official notice -to pay additional fees, <br /> 7. That the owner sha11 comply with all City, 5tate and Federal laws ixi regard to <br /> social securit5,r, �o=�n•S �ompCTCa�an, lien laws, etc. , where applicable. <br /> 8. That the owner sha11 comply with all the safety codes issued by the Florida <br /> Iadustsial Commission. <br /> 9. State law re�,;res construction to be done by licensed contractors. You have <br /> applied for a pp*�+�;t ,,,,der an ex�p�on to that law. The exempt,�.on allows <br /> you, as the owner of your propp.zty� to act as your own contractor with certaia <br /> restsictions even though you do not have a license. You must provide direct <br /> onsite supervision of the construction yourself, You may build or improve a <br /> one-famiZy or two-fa+�;11r reside�ce or a farm outbuildiag, Yeu may also build <br /> or is¢prove a commercial �++,;1�}�Tg� provided your costs do not e�cceed $25,000. <br /> The building or residence must be for yovr own use or occupaaay, It may not <br /> be built or substant-iall�, y�p=oved for sale or lease. If you sell or lease a <br /> builcling you have bui,lt or substasitially j��roved yourself withia 1 year a£ter <br /> the constructioa is complete, the law wiL7. pres�e •that you .built or <br /> substant,ially imProved •if for sale or lease, which is a violati.on of t2u.s <br /> exemption. You may not hire ati „*+ia.ceasad person to act as your contractor or <br /> to supervise people working oa your b�lc3inq It is your responsibility to <br /> make sure th,at, people empl�,ed b�, you have licenses re�,;red by state law ancl <br /> by county or municipal licerising ordiaa,nces. You may not delegate the <br /> responsibility for supervising work to a licensed contractor who is not. <br /> licensed to perFo� the work bei,ag doaa. p�y p�.son working oa your buildixig <br /> who is not liceased must work unaoT yo� ��ct s�Nision and must be <br /> employed by you, y,l}LZ,� mB�s �at you must deduct F.I.C.A. and withholding tax <br /> and provide workers' compensation for that e�ployee, a].1 as prescribed by law. <br /> Your construction must comply with a�.1 applicahle laws, orclinances, building <br /> codes, arid zoning regulatioas. <br /> OWNER'S S 2 GNATUE�E ���Tf� <br /> ADDFtESS � �'I�-l� <br /> PHONE _ t-I U A• �'''q� - I Gr'1"'� <br /> WZTNESS <br /> PEF2MIT # <br />