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' D2SCLOSLTRE S'r'a'►�'*�'-NT .FOR OWNER CZTY OF .ZEPHYRF32I�LS SIIII,DSNG DEPARTMENT _, ��.°1JsJ P�"G� I__ CNl e(` � 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, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domicile, and same is not for •rent, lease or sale. That he or she sha11 comply with the followiiig condi-tions: 1. That the owner and_he or she alone sha11 act as the builder for a11 phases of construction. . 2. That the ownes wi11 comply with a11 provisions of �t�e City of Zephyzhi]:1s ordinances and codes pertinent 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 everit the Buildiag Inspector sha11 rez"re corrections to be made, -the owner will assume full responsibility to insure •they are made, and upon completion wi11 ca11 for a reinspectioa before proceeding with the building. 5. That the owner sha11 ass�e full responsi.bility for the construction and wi11 not axpect_ supervision of his work from the City. .of Zephyrhills Suilding Depart�ent. 6. That prior to final inspection aay adciitional fees, irrcluding reinspection fees, must be paid ia ful1. A writtan request from this office sha11 constitute an official notice -to pay additional fees.. 7. That the owner sha11 comply with al1 City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , Frhere at�plicable. B. That the owner sha11 com�,ly with al1 the safety codes issued by the Florida Industsial Co�mission. 9. State 1aw requires construction to be done by licensed contractors. You have applied for a permit under an exemptioa to that law. The exP�ption allows 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 of tlze construction yourself. You may build or improve a one-family or two-family resideace or a farm outbvilding. You ma.y also build or improve a commercial building, pronided your costs do not exceed $25,000. The building or.residence must be for yovs own use or occupancy. 2t may not be built or substantially improved for sale or lease. If you se1:l or lease a bvilding you have built or substantially i�proved yovrself within 1 year after the constsuction is complete, the law wi11 presume .that you built or substantialZy improved if for sale or lease, which is a violation of this EXemption. You may not hire an unlicesis�d person t� act as your contractor or to supervise people working on yovr building. It is your responsil�ility to make sure that people employed by you have licenses rern,;red by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licensed to perform the work being done. Any person working on yovs building who is not licensed must work vnder your direct supervision and must be employed by you, which means that you must deduct F.2.C.A. and withholding taa and provide workers' comperisation for that e�ployee, al1 as prescribed by law. Your construction must comply vrith al1 applicable laws, ordinances, building codes, and zona.ng re ations. OWDIER'S S2GfIATLTRE DATE �- .�,.�i-�pi�.�/ ADDRESS - PHONE � t _ ��SS - � C_ -- ��T #