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' D2SCLOSURE S'f'n'►'F•*�'NT .FOR OWNER CITY OF ZEPHYREi22�LS BiT2I,DSNG DEPARTt�NT _, ��v /�' � �� have read and fu11y understand and agree •to e provisions of �this instrument. The undersigned .states and affirms that he or she is desirous of' c�nstructing, renovating, adding to or reroofing his or her oam domicile, •that he or she actually occupies, or wi11 occupy by said domicile, and same is not for •rent, laase or sal.e. That he or she shall comply vrith the following conditions: 1. That the owner and_he or she alone shaZ1 act as the builder for al1 phases of construction. 2. That the owner will comply with a11 provisions o£ �the City of Zephyrhil'1s ordinances and dodes �*-*;neat to ttie building. 3. fihat in the event various phases of' coastructian are subcontracted, he wi11 engage only properly licensed subcontractors and will pPSSOna11y supervise such work, 4. That in the event the Building Inspector sha11 rez+*ire corrections to be made, the owner will assume fv11 respoasibility ~to insure •they are made, and upon cumpletion wi11 ca11 for a reinspectioa before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the construction and wi11 not expect_ supervision af' his work f'rom the City .of Zephyrhills Building Depar�ent. 6. That prior to final inspection any additiona.l fees, including reinspection fees, must be paid ia fu11. A writtan raquest from this office sha11 constitute an official notice to pay additioaal fees. 7. That the owner sha11 comply with al1 City, State and Federal laws in reCJc-srd to social security, workman's c�+��*+�atioa, lien 1aws, etc. , where applicable. 8. That the owner shall comply with a11 the safety codes issued by the Florida Iadustrial Comms.ssion. 9. State 1aw rern�ires constsuction to be done by licensed contractors. You have applied for a permit under an exemptioa to that law. The exemption allows you, as the owner of yovr propE+rty, to act as your own contractor with certain restrictions evea though you do not hane a license. You must provide direct onsite supervision o�' the constn3ction yourself. You may bvild or i�pr�ve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial �+,;i�;rq, p=ovided your costs do not exceed $25,000. R�he building or resideace must be for your own use or occupancy. It may not be built or substaatially improved for sale or lease. If you sell or lease a building you have built or substantially im�r�ved yourself with.in 1 year after the construction is complete, the law w3.3.1 presume that you built or substantially i.mproved •if for sale or lease, which is a violati.on of this exemptioa. You may not hire an ualicensad pErson to act as your contractor or to supErvise people working on your builcling. It is yovr responsibility to make sure that people P�ployed by you 2zave licenses required by state law and by county or municipal licensing ordiaances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to pesform the work being done. Arsy p@rson working on yovr building who is aot licansed must work under your diract supexvision and must be P�ployed by you, which means that you must deduct F.2.C.A. and withholding taa and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ord9siances, building codes, and zoning re 'oas. OWNER'S SIG[ZATLTFiE - DAI'E �� ADDRESS � PHONE W=TNESS � PEFtMLT #