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DISCLOSDRB STAT�P'P Fpg pp�NBR
<br /> CITY QF ZSPBYBBILI,S BIIILDINC� DBPABTMENT
<br /> _' .—�=-—►�� ) � � r�`� � have read aad fnlly uaderstaad and
<br /> agree to the provisian.s of this iastrumeat. -
<br /> The undersigaed states as�d aff3.rms tha,t iie or she is deairons of canstructing,
<br /> x�eaavatiag, addiag to or reroofiag h3,s cr heY rnva @�3,cile, that he or she
<br /> actually occupies, or w3ll occupy by said doaiicile, aad same is not for
<br /> reat, lea.se os sale_ That he or she shall compZ�s vr3,th the follow�.ag coad.�.tioas:
<br /> I. That the orvaer aad he or she alone shall act as the bni.I.der for al]. pha.ses of
<br /> coastruction.
<br /> 2_ That �b.e o�ovaer yr3_12 comply �.th aI]. provisioas of the Ci,ty of Zephyrhi].ls
<br /> ordiaances and, codes pertineat to the building-
<br /> 3_ That ia the eveat variovts phases of caastructioa, are subcoatracted, he will
<br /> engage only properly Iiceased subcoatractors aad arill. pexsonally superviSe
<br /> such work_
<br /> 4. That in the eveat the SuiZdi,nq =asPector shall require corrections to be made,
<br /> the owaer will assume fv11 responsibility to insnse they. are made, an.d upon
<br /> completioa ar�.Zl call for a reiaspectioa before proceediag �v�,th the building.
<br /> 5. That the owner shali assnme f+,�l responsi.bility for the coastrnction aad will
<br /> aot expect supervisian of his work from the City of Zephyrhills Buildi.nq
<br /> Departmeat.
<br /> 6• Tha� prior to final iaspectioa any add,3,tioa,al fees, including reinspection
<br /> fees, must be paid ia fuZ].. A yrritten =eq�e�g from t�+;$ office sha.].1
<br /> constitute aa official aoti.ce to pay additional fees.
<br /> 7. That the owaer shall comply wit]1, a].l City, State aad Federa3, lavPS in regard to
<br /> social security, worl�aa�s compeasation, liea la�r8, eto., �vhere applicabl.e.
<br /> $- That �.he owaer shall comply with all the safety cades issued by the Florida
<br /> Industrial Commi.ssioa.
<br /> 9. State ].aw requa.res cortstraction ta be doae 2ry liceased contractors. You have
<br /> appliec3 for a par+�+;t �er aa, exe�pti� to that law. The exemptioa allov�s
<br /> yon, as the own,er of your property, to act as yonr owa coatsactor wi.th certaia
<br /> restriotions even though you do not ha,ve a licease. You mnst provide direct
<br /> onsite supervision of the constracti.on yonrself_ You may build or i.mprove a
<br /> one-faanily or two_fam:i.ly resideace ar a farm outbui,lcli,aq. you may a].SO bui.ld
<br /> or improve a coa�aercial l�v.ildiag, prrnrided your costs do not exceed $25,OQO.
<br /> The buildi.n.g or resideace mnst be for your owst use or oacupanay. Tt may not
<br /> be built or substaatially improved for sale or lease_ If yau sell or lease a
<br /> .builciia.g you have buiit or substaatially impraved yourseZf wit�+,++ 1 year after
<br /> the constrnctioa is compiete, the law will presume that you b�y�,�t oy.
<br /> substaatially improved if for saZa or lease, which is a violatioa of this
<br /> exempti.on. You may aot hi,=e aa „ri i��s� P�,S� te act as your contractor or
<br /> to supervise people v�orkiag on your buildiag_ It is your responsi.bility to
<br /> make snre that peopie employed by you have licenses ree+=;red by state lam and
<br /> by county or mnnicipal Iiceasiag ordinaaces_ You may not delega�e the
<br /> respoasibility for supervi.siag wark to a licensed coatractor who is not
<br /> licensed to perform the ovork beiag doae. Aay person v�ror��g oa you� building
<br /> who is aot licensed must svork uader yenr direc� supervision aad must be
<br /> employed hY You. �.ch means that yon must dednct F.2.C_A_ and ari.thholding tax
<br /> and provide voorkers' campensatioa far that �aployee, all. as presaribed by law.
<br /> Your constructioa, must camply ovith a11 li le lams, ordinances, bva.Zdiag
<br /> codes, aad zaaing r�,�lations.
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<br /> O�Pt�T&R'S SIGI3ATIIRg � ��
<br /> ADDRBSS
<br /> PHOi�
<br /> �TNSSS
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