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� , DISC�OSVRE S'►'a'►'�'�=NT .FOR OWI�R L.TY OF ZEPHYRH2LT�S BLTII.D2NG DEPARTt�NT / � _, v have read and fully understand and agree •to the provi on of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 ocaupy by said domicile, and same is not for •rent, lsase or sal.e. That he or she sha11 comply with the following conditions: 1. That the owrier aad.he or she alone sha11 act as the builder for a11 phases of' construction. 2. That the owner will comply with a11 provisions of �the City of Zephyrhills ordinances and codes �*-+�;nent to the building. 3. That in the event various phases of construction are subcontracted, he wi11 engage only �properly licensed subcontractors and will personally supervise such work. 4. That in the event the Huilding Inspector shall re�,;re corrections to be made, the owner arill assume full responsibility to insure •they are made, and upon completion will ca11 for a re�T�ctioa before proceeding Frith the building. 5. That the owner sha11 assume fu11 responsibility for the const-suction and vri11 not �cpect_ supervision of his work f'rom the City of Zephyrhills Building Department. 6. 2'hat prior to £inal inspection any adcLZtional fees, inclucling reinspection fees, must be paid ia fu11. A written request from this office sha11 constitute an official notice rto pay additional faes.. 7. That the owner sha11 comply with a11 City, State and Federal laws ia regci='d to social security, workman's co�p*+�ation, lien 1aws, etc. , where ar�plicable. B. That the owner sha11 comply with all the safety codes issued by the Floricia Industrial Comm.ission. 9. State ].aw reQ+,;*-es constr�iction to be done by licensed contractors. You have applied for a permit under an exe�ptioa to that law. The exemption allows you, as the owner of yovr propPSty, to act as your own contractor with certain restrictions even though you do not hane a license. You must provide direct onsite supervision o� the coristxzaction yovrself, You may bvild or improve a one-family or two-family residence or a farm outbuilding, You may also build or improve a commercial �++,;i�;Tq� p=ovided your costs do not exceed $25,000. The building or residence 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 bvilding you have built or substasitially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially i.mproved if for sale or lease, which is a violation of this exemption. You may aot hire aa unlicensed person to act as your contractor or to supervise people working on your building. 2t is your responsit�ility to make sure that people employed by you have licenses rez*,;red by state law and by county or municipal licensing ordiaances. You may not delegate the responsibility for supervisi.ng work to a licensed contractor who is not licensed to perform the worh beixig doaa. Ari�r parsoa working on your building who is aot licensed must work vnder Zrour direct supervision and must be Employed by you, mhich meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compensatioa for that employee, a11 as prescribed by law. Yout construction must comply with all agplicable 1aws, ordinances, building codes, and zoning regulatio s. ,- �_ OWNERSS S=GDiAfiL7E2E i� � DATE ��rl :Jl� �� PHONE WZTNESS Q. . PERMIT #