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� DISCLOSURE S'►'�'►'F•�•NT .EOR OWNER C=TY OF ZEPHYRH2.L7.S StT2LD2NG DEPARTMENT -��.- 1 = have read arsd fully understand atid , agree •to the provisions of �this trument. The undersigned states and affirms that he or she is desirous of constructing, r�ovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domiczle, and same is not for •rent, lease or sal.e. That he or she sha11 comply with the following conditions: 1. That the owner and.he or she alone sha11 act as the builder for all phases of construction. - 2. That the owner will comply with a11 provisions of 'the City of Zephyrhills ordiaances and c`odes pErtineat to the buildiag. 3. That in the event various phases of' const=uction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. �hat in the enent the Building Inspector shall rec�,;re corrections to be made, the oFmer will assume full responsibility to insure �they are made, and upon completion will ca13 for a =e;*+_�ctioa before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the construction aad wi11 not expect_ supervision of his work f'rom the City of Zephyrhills Building Departmesit. 6. That prior to fiaal inspection aay additional fees, including reinspection fees, must be paid a.a full. A written requsst from this office sha11 constitute an official notice -to pay add.itional fees.. 7. That the owner sha11 comply vrith a11 City, State and Federal laws in regard to social security, workman's compensatioa, lien 1aws, etc. , where applicable. 8. That the owner sha11 comply wit� a11 the safety codes issued by the Florida Industsial Com�i.ssion. 9. State law re�T�Tas constrLiction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owsaer o£ yovr property, to act as your own contractor vrith certain restsictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-fam�.ly residence or a fazm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or resideace must be for yovr own use or occupancy. St may not be built or substantially improved for sale or lease. If you sell or lease a bvilding you have built or substaiitially improved yourself within 1 year after the construction is complete, the law �,ri11 pres�e that you built or substanti.ally improvad �if for sale or lease, which is a violation of this BXemption. You may aot hire an unliceas�d person to act as your contsactor or to supervise people working ori your building. It is your responsibility to make sure that people employed by you hane licenses rern��red by state law and by courity or murli.cipal licensing ordinaaces. You may not delegate the responsibility for supervisiag work to a licensed contractor who is not. licensad to perform the work beiag doae. AnX person wor3cing oa your building who is not liceased must work under your di.rect supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compeasation for that employee, all as prescribed by law. Your const�ruction must comply with a11 applica}�le laws, ordissances, building codes, and zoning re tioas. �� OWNER'S S DATE � l�� '�) ADDRESS � Z�� PHONE - U U �l W=TNESS PERMIT #