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� DISCLOSL7RE S'�'n'�'*�!*� .FOR OW,NiER
<br /> CITY OF .ZEPHYRH2L7,S BL722,D2D7G DEPARTb�NT
<br /> _� have read and fu11y uxiderstand aad
<br /> agree •to the provisions of �this instrument.
<br /> The undersigned .states and a.ffirms that he or she is desirous of constructing,
<br /> renonating, adding to or rer�ofing his or her own domicile, •that he or she
<br /> actually occupies, or �i11 occupy by said domicile, and same is not for
<br /> •sent, lease or sale. That he or she sha11 comply �.rirth the following conditions:
<br /> 1• That 'the cwsier and_he or she alone sha11 act as the builder for a11 phases of
<br /> construction.
<br /> 2. That the owner wi11 comply with a11 provisions of the City of Zephyrhil'ls
<br /> ordinances and codes pertinent to the buildirig,
<br /> 3. That in the event various phases of constsziction are subcontracted, he will
<br /> engage only �properly licensed subcontractors and will personally supervise
<br /> such .work.
<br /> 4• That in the avent the Hvildiag 2nspector sha11 re�,�re corrections to be made�
<br /> �the owner vJi11 assume full responsibility to insure •they are made� and upon
<br /> completion will ca13 for a rpi*+�ctioa before proceeding with the building.
<br /> 5. That the owneZ' sha l 1 ass�e fu11 responsibility for the constrtactioa aad wi11
<br /> not axpect_ supervision of his work fram the City .of Zephyrhills Building
<br /> DePart�ent.
<br /> 6- That prior to final inspection aay additional fees, inclu��Tg rPIT��.�on
<br /> faas, must be paid in fu11. A written raquast from ttiis office s�ia1.1
<br /> constitute an official notice ,to pay additional fess..
<br /> �• That the owner sha11 comply with a11 City, gtate and Federal laws in regard to
<br /> social security, workman's compensation, lien laws, etc. , where applicable,
<br /> B. That the owner shall comply with a11 the safety codes issued by the Florida
<br /> Industrial Commissioa.
<br /> 9. State 1aw re�,;res coastruction to be done by licensed contractors. You have
<br /> applied for a pex�.it ur�der a� e�c�p�yon to that law. The exemption allows
<br /> you, as the owner of Z,o� Pro��,� to act as your own contractor with certaia
<br /> restrictions even though you do not have a license. You must provide direct
<br /> onsite supervision of the construction yourself. You may build or improve a
<br /> one-fa,ai.ily or two-fa�n;1�, residsace or a f'arm outbuilding, you may a�,so build
<br /> os improve a commerci,al 7�++,;1d;�,q� p=ovided your costs do not exceed $25,000.
<br /> The building or .residance must be for your own use or occupancy, It may not
<br /> be built or substaatially improved for sale or lease. If you sel"1 or lease a
<br /> building you have �++,;1t or sui�stantiall,y improved yourself �,rithin 1 year after
<br /> the const-suction is complete, t2se la� wi11 presume •that you built or
<br /> substantially astproved if for sale or lease, which is a violation of this
<br /> exemption. You may not hire an „*+i;ceasQd person to act as your contractor or
<br /> to supervise people �vorkinq on your buil.di,aq, It is your responsibility to
<br /> make sure that people emplo�,ed b�, you have licenses re�,;red by state law and
<br /> bY eeunty or municipal liceasing ordiaarices. You may not delegate the
<br /> responsibility for supervising work to a licensed contractor who is not.
<br /> licensed to pe�o� �e work beiag doae. Aa�, parson working on your buildinq
<br /> who is aot licensed must work uricler 1ro„*- �=ect super�ri,sien and must be
<br /> �Ployed by you, �„��,� means that you must deduct F.I.C.A. and withholdi.nq tax
<br /> and provide wcrkers' compensation for that employee� a�Z as prescribed bg law.
<br /> Your construction must comply with a11 applicable laws, ordinarices, buildiaq
<br /> codes, and zoning regulations.
<br /> OWNER'S SIQ�TURE a�.-c� � ��,s� DATE
<br /> �DxEss �5-�7 �2_ %t-h G'f'r��-f + ?.o_ l�
<br /> PHONE �_� �_ ����_��
<br /> W2TPTESS
<br /> PERL�T #
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