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DISCLOSIIR$ STATSl�N'P FOR OWNSR CITY QF ZSPBYRHII+L3 BIII7�DINf� DBPART�IT I, �G,,�,¢ ,� ��,�/�! have read and fully uaderstaad and agree to the provision.s of this iast*�+,n+e�t. The uadersigaed states and affirme that he or she is desirons of constructiag, reaovating, adding to or reroofing his or her o�an domicile, that he or she actually occupi.es, or �ri12 occupy by said dam4icile, aad same is not for rent, lease or sale_ That he or ahe shal.l camply aoith the follcnviag conditions: 1. That the owaes and he cr she alo�ne shall act as the bni.lder for all phases of coastruction. 2_ Tliat the oovner v�ill caaaply vrith al.l provisioas of the City of Zephyrhills o+-��*+s*+ces and aodes pertiaeat to the bnildiag. 3_ That in the eveat various phases of ca�atructia� are subcontracted, he will engage only properly liceased snbcoatractors aad orill persa�ally supervise such ovorlc.- 4. That ia the event the Building Inspector ahall require correctiona to be made, the owner v�i.11 asaume full reaponsibility to iasnre they, are made, and upon camapletioa will call for a reiaspection befor� proceediag with the bnildiug. 5. R'hat the o�rner shall assume full respons3.bility for the construction aad vri.11 aot expect superviaioa of his vvork fro� the City of Zephyrhills 8nilding Departmeat. 6_ That prior to final inspectioa aay additioa.al fees, iaclnding re:inspection fees, must be paid ia fnll. A aritten, request from this affice shall constitute an. official notice to pay additional fees. 7. That the rnraer shall con�ly ovith all City," State sad Federal la�s in regard to social security, v�orkmaa's campeasation, liea lavrs, etc., �vhere applicable_ 8. That the ovPner shall cam0ply arl.th all the safety codes issued by the Flarida Indnstrial Comm:i,seion. 9. 3tate law requires constructiaa to be done by licensed coatractors. You have applied for a permit uader an exemptioa to that la�_ The exempticn alloovs you, as the owner of your property, to act as yonr o�avn coatractor vPith certai.0 reatrictions evea though you do not have a license. You must provide direct oneite supervision of the coastxv,ction yourself. You may build or imprave a one-family or two-family resideace or a farm outbuilding_ You may also build or improve a commercisl bnildiag, provided yonr costs do not exceed $25,000. The bvildiag or resideace mnst be for your aaa use or occupaacy. It anay aot be built or substantially improved for sale or Iease. If you sel]. or lease a bva.ldiag you have built or substaatially impsoved yourself �i.thin 1 year after the con.structioa is complete, the law will preaume that you built or substaatially impraved if for sale or lease, ovhich i.s a violatioa of this exemption_ Yon may aot hire an aalicensed gersoa to act as yonr cantractor or to superviee people vrorking on yanr bnilding_ It is your reaponaibility to mak.e svre that people employed by you have licenses required by state la�v aad by cauaty or muaicipal liceasing Ordinntrtng8. You may aot delagate tlie responsibility for supesvisiag wor]c to a 13aensed caQstractor who is aot licensed to perforsa the ovorl� being done. Any pesson, �a�orking on youir buildiag who is aot licensed muat �orl� under yonr direct supervisioa and mast be emgloyed by yots. �vhi.ch meaas that yon must dednct F.I.C.A. aad avithhaldiag tax aad provide marl�ers• coanpensatioa far that employee, all ae preacribed by la�►. Yous constructioa must ca�ply vr3.th all applicable laoos, ordinances, bnildi.ng codes, aad zoai.ag regu2ationa. O�iSR.'S SIG'1�S2�TQ8B DATS /V(mc�! Z 0 2�/y ADDRBSS �$ y0 PHONS � e WITNSSS PSRMIT �