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n=sc�osu�s sTAT�r Fox ow�x CITY OF ZSPSYBHILL3 HIIILDIN(� DBPARTffiBNT r, �"J1C?�p� QU/! � have read aad fully vaderstand aad aqree to the provisioas of this iaetrnmeat. The uadersigaed states aad affirme that he or she is desirons of coastrncting, renovatiag, adding to or resoofiag his or her o�n do�icile, that he or she actnally occnpies, or vri.11 occupy by said domicile, and same is not for reat, lease or saI.e. That he or ahe shall co�ply avith the folloari.ag condi.tions: 1. That the oovaes and he or she alone shall act as the bni.lder for all phases of conatruction.. 2. That the owaer vrill comply v�ith a17. pravisions of the City of Zephyrhills ord;*+A••ses and codes pertineat to the bnildiag. 3. That in the eveat various phasee of canstsuction are aubcoatracted, he �vi.11 engage oaly pzoperly liceased subcoatractors aad ovill persanall.y supervise such worlt.� 4_ That in the eveat the Bui.Idiag Inspector shall require correcti�a to be made, the oa+aer �vill assume fnll responsibility to iasnre they. are made, and upon co�pletioa vr3.11 call for a reiaspection befor� proceediag with the building. 5. That the o�ne� shal]. assnme full responsibility for the constructioa and w3.11 aot expect supervisiaa of his a�ork from the City o£ 7Gephyrh:i.11s SniZdi.ng DepartmeIIt_ 6. That psior to final i.nspectioa aa.y additi�aal fees, i.nclnding reinspection feea, must be pa3d ia fiall. A orritten request f�ra�m this office shall constitnte aa official notica to pay additional fees. 7. That the ooraer shall c�aply ovith al]. City, 3tate aad Federal laws ia regard to social security, v�orkmaa's compeasation, liea laaa, eto., �here applicable. 8. That the awaer shall comply vrlth all the sa£ety codes issued by the Florida Industrial Ca�missioa. 9. State law requires constructian to be dane by licensed. coatractors. You have applied for a permit uader aa exemption to that law. The exemption allaars you, as the owner o� your property, to act as yonr oarn contsactor vrith certaia restsictions evea though you do not have a license. You mnst provide direct oasite supervision of the constrnction youraelf. Yon may build or improve a one-faaoily or tmo-family reside�ace or a farm outbnildiag. You may also build or improve a cv�maercisl buildiag, provided yonr costs do not exceed $25,OQ0. The buildin.g or resideace must be for your o�n use or occupaacy. It may aot be built or substantially improved for sale or lease_ If you sell or lease a bui.lding you have built or substaatial.ly impsoved youraelf vvi.thin 1 year after the constxzactioa is complete, the lavr ovill prea�e that you built or snbstaatially improved if Eer eale or lease, which is a violation of this exemQtion. You may not hire aa unliceased person to act as yons contractor or to supervise peaple morlc.ing on yonr bni.idiag_ It is your reaponsibility to mak,e svre that people employed by yau have licenses r�+,;reci by state la�v aad by couaty or �*+�cipal liceasiag Or��*��*�^-HS. You may not delegate tlie responsibility far supervisiag �or7c to a licensed contractor �ho is aot liaensed to perfarm the vaark being done. Any pexson vrorking oa yonr buildiag �vho is not licensed must �vork under your direct supervisie� an.d must be employed by you, �vhich meaas that yom m�st deduct F.I.C.A. and aaithhaldiag tax and provi.de voorkers' co�pensation for that employee, all ae prescribed. by lavr. Your constx�uctioa must comply �v3.th aIl applicable lasvs, ora�r=*+�es, bn.i.ldiag codes, and zoaiag regnlati . / �/ I/ 04�iS&.'S SIG1�fFiTQRS DATg T—I d`�Y r,vna�ss 3 S/3 r � BsoNS 3 — 7o�-S�f g � , WITNSS3 �� PffitffiT #