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� DISCLOSVRE ST�'►'F•�•NT .FOR OWNER CI.TY OF ZEPHYRIiSI�I+S Bt7=LD2NG DEPARTMENT =�1 • have read and fully understand and agrae �to the provisions of �this instxvm�t. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroo£ing his or her own domicile, •that he or she actually occupies, or wi11 occupy �y said domicile, and same is not for •rent, lease or sale. That he or she shall comply v�rith the following conditions: 1. That the ovmer aad_he or she alone sha11 act as the builder for a11 phases of construction. - 2. That the owner will co�ply with a11 provisions of tlze City of Zephyrhills ordinances and codes pertineut to the buildiag. 3. That in the event various pha.ses of constructioa are subcontracted, he will engage only �properly licensed subcontsactors and will personally supervise such work. 4. That in the event the Buildiag Inspector shall rei"re corrections to be made, the owner will assume full responsibility to insure •they are made, and upon cc�mpletion wi11 ca11 for a r��n-�ctioa before proceeding with the building. 5. That the owner sha11 assume �fu11 responsibility for the coastsuction aad wi11 not axpect_ supervision of his work from the City of Zephyzhills Building Depastment. 6. 2'hat prior to final inspection aay adciitional fees, including reinspection fees, must be paid ia fu11. A written requast from this office sha11 constitute an official notice -to pay additional fees.. 7. That the owner sha11 comply with a11 City, State and Eederal laws in regBrd to social security, workman's compeasation, lien 1aws, etc. , where applicable. 8. That the owner sha11 comply wit�i al1 the safaty codes issued by the Florida Industsial C��ssion. 9. 5tate 1aw rem,;*-es constxl,iction to be done by licensed contractors. You have applied for a permit undes an exemption to that law. 2'he exemption a1loFrs you, as the owner of your property, to act as your own contractor Frith certaia restrictions even though you do not hane a licesise. You must provide direct onsite supervision of the construction yourself. You may bvild or improve a one-f'amily or two-family residence or a farm outbuildi.ng. You may also build or improve a commercial bvilding, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially �.mproved for sale or lease. If you sel.l or lease a building you have built or substasitially improved yourself within 1 year after the constr�iction is complete, the law wi11 pres�e �that you built or substantially improved •if for sale or laase, which is a violation of this exemption. You may not hire ari unlicansed p@rson to act as your contractor or to supervise people working on yovr building. It is your responsibility to make sure that people employed by you have licenses rec�,;red by state law and by county or muriicipal liceasa.ng ordinances. You may not delega.te the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being doa�. Aay person working on your building wlzo is not licexased must work untier your dirsct supervision and must be employed by you, which meaas t�at you must deduct F.I.C.A. and Frithholcling tax and provide workers' compensation for that employee, a11 as prescribed by 2aw. Your constxuction must comply with a11 applicable laws, ordinances, building codes, and zoning recJulations. owr�R�s s= �tn� 'rGi��} vl-y�� 1�---�- r,n� ALL.�^.SS �./+-� l I� f�FC ff/F� � �•/`+'.. �Vl\L' / �. �� .+..{�� If �f h _-_-- ` .� W=TNESS PERMLT #