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DISCLOSURE S'�'A'r'F•*'t�:NT .FOR OW2�R CZTY OF ZEPHYRF3IL`I+S SUII+�ING DEPARTr�NT l � �,�,�- have read and fully understand and _� ^��J/"'�' ", agree �to the provisions f �thts lnstrument• The undersigned states and a£firms that he or she is desirous of constructing, r�o�a+-;Tg, adding to or seroofing his or her ovvn domicile, •that he or she actually occupies, or wi11 occupy by said domicile, and same is not for •rent, lease or sa1e. That he or she shall comply with the following conditions: 1.. That the owner and_he or she alone sha11 act as t1�e bv.ilder for a11 phases of constsuction. 2, That the owner wi11 comply with a11 provisions of the City of Zephyrhills ordiriances and codes �*"�'nent to the .building. 3. That in the event vasious phases of construction are subcontracted, he will en�age only •properly licensed subcontsactors and will personally supervise such work. 4. That in the event the Building Inspector shall rec�,;re corrections to be made, the owner wi11 assume full responsibility �to insure 'they are made, and upon campletion wi11 ca11 for a reinspectioa before proceecling with the building. 5. T2zat the owner sha11 assume fu11 responsibility fos the consi-suction aad vPi11 not a�cpect_ supervision of his work from the City of Zephyrhills Buildin4 Depart�e�t. 6. That prior to final inspection any add:itional fees, including r.einspection feas, must be paid ia full. A written raquest from this office shall constitute an of£icial notice to pay additioaal fees• 7. That the owner sha11 comply with all City, 5tate and Federal laws in regard to social sscurity, workman's compensation, liea laws, etc. , where applicable. B. That the ownes sha11 comply wi�t�i a11 the safety codes issued b_y the Florida Iadustsial Commi.ssion. 9. State 1aw re�,;*-es construction to be done by licensed contractors. You have applied £or a �^^;t under an exemption to that law. The exemption all�ws you, as the owner of your proppsty, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision o�' the construction yourself. You may bvilr3 or improve a one-family or two-family residence or a faim outbuilding. You may also build or improve a commercial building, provided your costs do not eacceed $25,000. The building or residence must be for yovr ovan use or oceupancy. It may not be built or substantially i.�proved for sale or lease. If you sell or lease a bvilding you have built or su2�staritially improved yousself within 1 year after the constsuction is complete, the law will presume •that you built or substantially improv�d �if for sale or lease, which is a violation of this exemption. You may not hire an uuliaeasod person to act as your contractor or to supervise people working on yovr building. 2t is your responsi.bility to make sure that people employed by you have licenses rez,;red by state law and by county or muziicipal liceasing ordiaasces. You may not delegate the responsibility for supervising work to a licensed contractor vrho is not. licensed to perform the �vorlc beisag dos�g- Ariy Parson working an your bziilding who is not lic�ased must work undes ycur dir@ct supexvision and must be employed by you, which means that you must deduct F.I.C.A. ancl withholding tax and provide workers' compensation for that employee, all as prescr3.bed by law. Your construction must comply with a11 applicable laws, ordinances, building codes, and zoning regulations. OWNER' S SIQ•TAfiURE '� '� � � DATE _ ADDRESS c- PHONE I W2TNE55 PEFtt�T #