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� . DISQ,OSU.RE S'f'n'►'F'•�•NT .FOR OWNER CITY OF ZEPIiYRFi2I�LS BL7II+DING DEPARTMENT 1, JcSS�CI� - 1 h�Q �A have read and fully understand and agree •to the provisions of �this instrument. The undersigned states and affirms that he or she is desirous of constructing, r�onating, adding to or raroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domici:le, and same is not for •rent, lease or sale. That he or she shall comply Frith the following conditions: 1. That the owner and_he os she alone sha11 act as the builder for al1 phases o£ construction. 2. That the owner wi11 comply with a11 provisions of t�e City of Zephyrhills ordinances and dodes pertinent to the buildiag. 3. That in the event vasious phases of construction are subcontracted, he will engage only properly licesised subcontsactors and will personally supervise such work. 4. That in the enent the Huilding Inspector sha11 rac�,;re corractions to be made, -the owner will assume full responsibility to insure •they are made, and upon compZetion will ca11 f'or a rP�*+-�+�ction be£ore proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the construction and wi11 not axpect_ supervision af his work from the City of Zephyrhills Building Depastment. 6. That prior to final inspection aay additios�l. fees, including reinspection fees, must be paid ia fu11. A writtan raquest from this office sha11 constitute an official notice to pa.y additional fees. 7. That the owner shall comply with a11 City, State and Federal laws i.n regard to social security, workmau's compensatian, lien laws, etc. , where applicable. 8. That the ownes sha11 comply with all the safety codes issued by the Florida Industrial C�+�ssion. 9. State 1aw rae+,;*-es constxuction to be done by 1ice�sed contractors. You have applied for a permit under an exemption to that la�v. The exemption allows you, as the owner of your propPSty, to act as your own contsactor Frith ce=taia restsictions even though you do not ba.ve a license. You must provide direct onsite supervision o�' the construction yovrself. You may bvild or i�prove a one-family or two-family residence or a fa� 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 your own use or occupancy. It may not be ]�uilt or substantially improved for sale or lease. If you sell or lease a bvilding you have built or su]�stantially improved yourseZf within 1 year after the constrLiction is complete, the la�v will presume •that you built or substanti.ally improvad �if for sale or lease, which is a violation of this exemption. You may not hire an unlicens�d pErson to act as your contractor or to supervise people working on your building. 2t is yovr responsibility to make sure that people employed by you have licenses rez,;red by state law and by county or muriicipal liceasiag ordinances. You may not delegate the responsibility for supervisi.ng work to a licensed coatractor who is not licensed to perform the work being dna�. Any psrson working on yovr building who is not liceased must work under your direct supervision axid must be Employed by you, which means that you must deduct F.I.C.A. and vrithholding tax and provide workers' compensation Por that amployee, all as prescribed by law. Your construction must comply with a11 applicable 1aws, orciinances, building codes, and zoning ragulati.ons. OWI�R'S S=GDIATL7FiE " DATE �._ �(,'t� ADDRESS /� �� PHONE W2TNESS PEE2I�T #