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DISCLOSIIRB STAT8�8NT FOR OWNSR , . CIT3C OF Z$Ptrvosrsr.r.S HIII7rDIN(� DBPARTl��lBNT _, 7G�/J'lAf iC.ILI��I{,� have read aad fn1ly vnderstaad and aqree to the provi.si of this instrnateat. - The undersigaed states aad affirme that he ar she is desirons of constrncting, renavat3.ag, adding to or reroofiag i�is or her o7aa do�nicile, that he or she actually occnpies, or will occupy by said domicile, aad same is aot for reat, lease or saZe. Tlzat he or she shall c�ply �v3.th the fol7.o�.ng coadi.tioas: 1.. That the oovner and he or she alane shall act as the bai.Ider far alZ phases of constxv.ctioa. 2. That fiise ov�m.er v�3.11 comply �vifli a].1 provisions of the City of Zephyrhills ordiaances and codes pertiaeat to the bnildiag. 3_ That ia the event varions phases of caastructioa are subcontsacted, he v�3.I1 eagage only prcper].y liceased subcoatractors and �.11 personally supenrise suc,h woric. 4. That ia the eveat the Buildiag Iaspector shall r�+�;re correctioas to be made, the owaes will assume full respoas3bility fia iasure they. are made, and upoa completioa wil3. call for a reiaspect3on before proceediag with the buildiag. 5. Tha.t the owner shalZ assume full respoasibility fos the aonstrnction aad will not expect supervisiaa of his work from the City of Zephyrhills Hnildi.ng Depaxtmeat. 6. That prior to fiaal inspeatioa aay additioaal fees, i.acludiag rainspection fees, must be paid ia full. A vrrittea, reqnest from this af£ice shall. constitute an official aotice to pay adda.tianal fees. 7. That the aaraer shall comply svith all City, State aad Federal lav�ss 3.n regard to social security, worl�aa's compeasation, liea lav�s, etc., where applicabie. 8- That the o�vaer shall comply avith all the safety cades issued by the Flori.da Iadustrial Coam�i.ssioa. 9. State law requires coastruction to be doae by licensed coatractors. You have applied for a permit under an exemptian to that law. The eaemptica allows you, as the amner of your property, to act as yonr own coa�kractor with certaia restrictioas even though you do not have a licease. You must provide direct oasite supervision of the coastsaction yourself. You may buiid or improve a one-fami.ly or t�ro-family reside�ce ar a farm outbui.ldiag. You may also bua,Id or improve a cwmaercial bvildiug, prrnsided your costs do not exceed $25,OQ0. The buildiag or resideace must be Eor your owa use or occupaacy. It may aot be built or substantially improved for sale or lease_ If yov, sel.l or lease a .buil.ding you have built or substaatially impsoved yourself withia 1 ye2Y after the coa.struction is complete, the laa will presume that you built or substaatially improved if for sale or lease, which is a violation of this exemPti.on- You may aot hire aa unliceased person ta act as your contractor or to supervise people v�orking on your building_ It is your responsibility to make sure that people emiployed by you have licenses required by state law aad by cpuaty or mnaicipal licen.siag ordira++�es. You may nat delegate the respansibility for s�exvisiag qvork to a licensed. contractor who is not licens�d to perform the work being done. Aay persoa ovorkiag oa yot� building who is aot licensed mnst �vork uader your direct supervisioa aad must be empZayed by you, which meaas tha.t yon must dednct F.I.C.A. and. avit..hholdiag tax and provi.de �vorkers' coanpensatioa for that employee, ali as prescribed. by la�v_ Your constructioa. must ca�ply vPi.th a11 applicable Iaavs, ordinances, buildiag codes, aad zoaing r tioas. O�Pi�fffii'S SI �� ��ss �� ov - ze ,- - �so� - 3 — ��S P$R�T #