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� . DISCLOSL7RE S'ra'f'F'�.t�•NT .FOR OW2�R <br /> CZTY OF ZEPHYREi=I:I+S BLTII.D2NG DEPARZ'MENT <br /> ' = have read and fully understand and <br /> r <br /> agree �to �the rovisions of �this instrum.ent• <br /> The undersigned states and affirms that he or she is desirous of constructing, <br /> sp�oQa{-i Tg, adding to or reroofing his or her own domicile, •that he or she <br /> actually occupies, or wi11 occupy by _ said domicile, and same is not for <br /> •resit, lease or sale. That he or she sha11 comply with the following conditions: <br /> 1. That the ownes and.he or she alone sha11 act as the buildes for a11 phases of <br /> canstructian. <br /> 2. That the cwner wi11 comply with a11 provisions of �the City of Zephyrhills <br /> ordinances and codes pErtinent to the buildiag. <br /> 3, That in the evesst various phases of construction are subcontracted, he wi11 <br /> eagage only properly licensed subcontractors and will personally supervise <br /> such work. <br /> 4. Z`hat in the event the Building Inspector sha11 re?"re corrections to be made, <br /> �e owner will assume full responsi.bility to insure •they are made, and upon <br /> completion will ca11. for a rei n_�ctioa before proceeding v�ith the building. <br /> 5. That the owner sha11 assume fu11 responsibility for the construction and wi11 <br /> not gxpect_ supervision af his work from the City of Zephyrhills Building <br /> Depart�ent. <br /> 6. Z'tiat prior to £inal inspect�.on aay add:itional fees, including reinspection <br /> fees, must be paid ixi �ful1. A written request from this office sha11 <br /> constitute an official notice rto pay additiorial fe�s• . <br /> 7. That the owner sha11 comply with a11 City, State and Eederal laws in regard to <br /> social securi�ky, workmaa's co�p�asation, lieri 1aws, etc. , where applicable. <br /> B. That the ownps sYia11 co�ply with a11 the safety codes issued by the Florida <br /> Industsial C�+�ssion. <br /> 9. State law rern�ires construction to be done by licensed contractors. You have <br /> applied for a permit undes an exempticn to t�at law. The exemption allows <br /> you, as the owner of your propPSty, to act as yovr own contsactor with certain <br /> restsictions even though you do not bave a licesise. �You must provide direct <br /> onsite supervision of the construction yovsself. You may bvild or improve a <br /> one-fam�.ly or two-family residence or a fasm outbuilding. You may also bvild <br /> or improve a commercial building, provided your costs do not exceed $25,000. <br /> The building or residence must be for yovr own use or occupancy. It may not <br /> be built or substanti.ally improved for sale or lease. If you sell or lease a <br /> bvilding you have built ot substasitially improved yours�lf within 1 year after <br /> the constsucti.on is camplete, the laW wi.11 presume •that you bvilt or <br /> substantial2y improved �i-f for sale or lease, which is a violation of this <br /> eaemption. You may not hire an unliceas�d person to act as your contsactor or <br /> to supexvise people working an your building. 2t is your responsibili:ty to <br /> make sure that people employed by you have licesises re?,;red by sta.te law and <br /> by county or muni.cipal licensing ordinances. You may not delegate the <br /> responsi.bility for supexvising work to a licensed contractor who is not <br /> licensed to perform t-he work bei.ng doae. Ariy p@rson working on your building <br /> who is not licansed must wosk under your diract supervision and must be <br /> P�Ployed by you, which means that you must deduct F.I.C.A. arid wit�iholding tax <br /> and provide workers' compensation for that employee, all as prescribed by law. <br /> Your construction must comply with a11 applicable laws, ordinances, building <br /> codes, and zoning re ' ons. <br /> OWNER'S SIGfIATLTRE DATE � <br /> ADDRESS - <br /> PHONE ( <br /> W2TNESS PERMIT # <br />