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DISCLOSIIRB STATE�QENT FOR OWNSR <br /> CITY OF Z$P�rvsr-rr,r.S BIIII,DIN(� D$PAET��NT <br /> 2, T/��l !"�/�C�� have read aad fully understaad aad <br /> aqree to the prrnrisions of this instrument. � <br /> The uadersigned states aad affirms that he or she is deairons of constructiag, <br /> renovatiag, adding to or reroofiag his or her ovra domoicile, �hat he or ahe <br /> actnally occupies, or �3.I1 occupy by said da�icile, and same ia not for <br /> rent, lease or sale. That he or ahe shall camply mith the follo�iag conda.tions: <br /> I. That the oovaer and he or ahe alone shall act as the bailder for all phases of <br /> C0118tI71C�].OII. <br /> 2_ That the caaer avill camaply �r3.th all provisions of the City of Zephyrhills <br /> OT'��*+s*+C@8 aad codea pertineat to the bnildiag. <br /> 3. That ia tt►e event variouts phases of conatruction are subcontracted, he �vi.il <br /> �ga9'e �Y PmP�2y liceased snbcoatractors aad �rill personally supervise <br /> such work_- <br /> 4. That ia the eveat the BuiZdi.ag Inspector shall require corrections to be made, <br /> the owaer will asavme fnll responsibiZity �o i.asnre they. are made, and upon <br /> ca�pletioa will call for a reiaspection before proceediag with the bniidiag. <br /> 5. That the oa►a,er shall ass�e full responsibility for the construct�.on and ovi31 <br /> aot expect auperviaian of his �rork from the City of Zephyrhills Bnildi.ng <br /> Depattmeat_ <br /> 6. That priar to final iaspectioa any a,dditioaal faes, iacludiag reinspection <br /> feea, must be paid 3.a full. A arittea request from this office sha11 <br /> constitnte an official aotice to pay add3.tional fees. <br /> 7_ That the oNa.er shall ca�ply ovith all C3.ty, 3tate aad Federa3. la�vs in regard to <br /> social security, workmaa's compeasatiaaa, liea la�s, etc., ovhere applicable. <br /> 8- That the rnvner shall comply vPi.th all the safety aodes issued by the Florida <br /> Iadustrial Commi,seion. <br /> 9. 3tate lavr requires constxzsctiaa to be dom.e by licensed coatractors. You have <br /> applied for a permit under aa exemption to that law. The exempt3qa allovrs <br /> you, as the owner of yonr property, to act as yonr oarn coatractor ari.th certai.a <br /> restrictions even though you da nat have a licease. You must prov3.de direct <br /> oasite supervisioa of the coastrnction yaurself. Yon may build or improve a <br /> oae-family or two-family resideace or a farm outbuildiag. You may also bui,ld <br /> or improve a co�mnercial bn3ldiag, prrnrided your costs do aot exceed $25,OQ0. <br /> The building or reaideace mnst be for your owa use ar occupaacy_ Tt may aot <br /> be built or substant3�ally improved for sale or lease_ If you sell or lease a <br /> .buildiag you have built or svbstaatially iarproved yovrself v�i.thia 1 year after <br /> the constructioa. is cwaplete, the la�v �vill pres�e that you bui.3t or <br /> snbstaatially impraved if f4r ea3.e or lease, which is a violation of this <br /> ��P�i�• Yrn�. maY aot his'e aa zmliceased person to act as yons cantractar or <br /> to superviee peaple �vork3.ng oa your buildi.ng_ It is your responsi.bility to <br /> make svre that peaple employed by you ]tave liceases required by state laa aad <br /> by county or muaicipal liaensiag Or�`linnnne8. y�, �1, �t SelHgate tlie <br /> resgonsibility for supexvising work to a licensed caatractor vrho is aot <br /> Iicensed to perform the ovorlc being done. Any person vrorlti.ng on yon`r building <br /> �vh�o is not 2iceased muat 'vorlc uader your direct supervision an.d mu.st be <br /> �Pi�YBd bY You. vrhich meaas that yon must dednct F.I.C_A. and vaithholdi.ag tax <br /> and provide workers• coanpensation far that employee, all ae preacribed. by lam_ <br /> Your constructioa must comply �rith a11 applicable la�va, ordin.ances, bnilding <br /> codes, aad zoni.ag r a 'ons. <br /> OWNSFi'S SIGI�TIIRB /�'I �l, DATS �-oZSC-�y <br /> ��SS 33o2d' Q ¢�,� .- . ,-� �_ <br /> � <br /> WITNSSS �� PBRi�T # <br />