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DISCLOSURE STATEMENT FOR OWNER CITY OFZEPHYRHILLS--.BUILDING DEPARTMENT �. � , i, —,� have read and fully understand and agree to the provisions of this ins ment. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actuaily axupies, or will occupy by said domicile, and same is nof for rent, lease or sale. That he or she shall comply with the foliowing conditions: 1. That the owner and he or she alone shalt act as the buiider for all phases of construction. 2. Tha#the awner wiil comply with atl provisions of the City of Zephyrhiils ordinances and codes pertiner�t to the building. 3. That in the event various phases of construction are subcontracted, he wiil engage only properly lic�nsed subcontractors and will personalty supervise such work. 4. That in the eveM the Building Inspector shall require corrections to be made, the owner wili assume fuil responsibility to insure they are made, and upon completion will call for a reinspection before proc�eding witfi the.building. 5. Tha# the owner shall assume full responsibiliiy for the construction and will not expect supervision of his work from the City of ZephyrhiUs Build'mg Department. 6. That prior to finai inspection any addi�onal fees, induding reinspection fees, must be paid in fuil. A written request from this office shalt constitute an official notice to pay additionai fees. 7. That the ovvner shall compiy wfth all City, State and Federal laws in regard to social security, workman's compensation, fien laws,etc.,where appiicable. 8. That the owner shail compiy with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied fior a permit under an exemption to that law. The sxemp�on allows you, as the owner of your property, to act as yo�r orom contracfior w�th certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construc�on yourseff. You may build or improve a one�amify or t�nro family residenc:e or a fam� outbuilding. You may also buUd � improve a commercial buiiding, provided your c�sts do not exceed $75,000. The building or residence must be for your own use or ocxupancy. It may not be built or substantiaf{y improved if for sale or lease,which is a violation of this exempfion. You may not hire an uniicerased person to act as your contractor or to supervise people working on your buiid'.mg. it is your responsibility to make sure that people emplojred by you have licenses required by state law and by county or muniapai licensing oMinances. You may not delegate the responsibility for supervising wotic to a ticensed contractor who is not ticensed to perfortn the work being done. My person working on your building who is not licensed must v�nork under your direct supervision and must be empioyed by you, which me�ans that you must deduct F.I.C.A. and withhdding tax and provide worker's oompensation for that empioyee, ail as p�escxibed by law. Your construction must comply with all appiicable laws, ordinances, building codes,and zoning cegulaUons. OWNER'S SIGNATURE DATE� ��J ADDRESS PHONE WITNESS PERMfT t/Masterto�a/o�wnersAffiaaviUNov07