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� DISCLOSURE S'�'A'f'F'*�'NT .FOR OW1�R CZTY OF ZEPHYRHII+I+S BIIII+DING DEPARTt�NT _� ' have read and fu1Zy understand and agree •to the provisions of �t�is instrume�t. The undersigned .sta.tes and affirms that he or she is desirous of constructing, renovating, adding to or seroofing his or her own domicile, •that he or she actually occupies, or will occupy by said domici:le, asd same is not for •rent, lease or sa1e. That he or she shall comply with the following conditions: 1. That the ovmer and�he or she alone sha11 act as the bvilder for a11 phases of construction. 2. That the owner w3:11 comply with all provisions of �the City of Zephyrhills ordinances and codes pertinent to the build.ixig. 3. That in the event various phases o£ construction are subcontzacted, he will engage only properly licensed subcontsactors and will personally supervise such work. 4. That in the event the Huilding "Inspector sha11 rec�"re correctioas to be made, the owner wi11 assume full responsibility to insure •they are made, and upon completion wi11 call for a rein_�ction before proceeding with the building. 5. Tlzat the owner sha11 assume �fu11 responsibility for the consts�action and wi11 not axpect_ supervision of his work from the City .of Zephyrhills Building Dapari�ent. 6. That prior to final inspection any acidttional fees, including reiaspection fees, must be paid i.a full. A written request from this office sha11 constitute an official notice -to pay add:itional fees. _ 7. That the ownes sha11 co�ply with all City, State and Federal laws in regard to social security, warkman's compensation, liea 1aws, etc. , whese applicable. B. That the ownes shal.l comply with all the safety codes issued by the Florida Industrial Commi.ssion. 9. 5tate 1aw re�,;res constructz.on to be done by licensed contractors. You have applied for a permit under aa �cemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions ev� though you do not have a license. You must provide direct onsite supervision of the construction yovrself. You may build or improve a one-family or twc-family resideace or a fatm outbuilding. You may also build or improve a co��+�-cial building, providsd your costs do not e�ceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substanti.ally improved for sale or lease. If you se1:l or lease a bvildirsg you have built or substantially improved yourself vrithin 1 year aftES the construction is complete, the law wi11 pres�e .that you built or substantially improved •if for sale or lease, which is a violation of this exemption. You may not hire an unlicexised person to act as yovr contractor or to supesvise people �vorking on your building. It is your responsibility to make sure that people e�ployed by you ha.ve licenses rez+,;red by sta.te law and by county or mu=iicipal licesising ordinances. You may not delegate the responsibility for supervising wosk to a licensed contractor who is not licensed to perform the work being daaa. Any person workiag on your building who is not licensed must wark under yovr diract supervision and must be E$Ployed by you, which means that you must deduct F.=.C_A. and withholcling tax and provide workers' compensatioa for that employee, all as prescribed by law. Your construction must comply with a11 applicable laws, ordisiances, building codes, and zoning r a 'ons. �R'S S2GNATL7RE �AR.'E � �,,,�_ O�ADDRESS ��PHONE W2TNESS PERL�T #