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� DISCI.OSi7RE S'�'n^'�'*�•NT .F�R OW1�R CITY OF .ZEPFiYRFi=T�I+S BUII.DING DEPARTI��NT _ �/��"„ yj�j �� (1//C[�C� have read and fully understand and � �,Lr �- agree •to the�;provisions of �thzs instrument• The undessigned .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 domici:le, and same is not for sent, lease or sale. That he or she shall comply with the f'ollowiing condi-tions: 1. That the owner and he or she alone sha11 act as the bvilder £cr a11 phases of construction. 2. That the owner wa:ll comply with a11 provisions of the City of Zephyrhills ordinassces and codes pertinesit to the bvildisig. 3, That in the everit various phases of consfisuction are subcontracted, he vri11 engage only �properly licensed subcontractors and will personally supervise such vwork. q, fihat in '-,.he event the Building Inspector shall rec�,'re corrections to be made, the owner will assume full rasponsibility to insure •they are made, and upon campletion will cal3 for a reinspectioa be£ore proceecling vrith tkse building. 5. That the owner' shall assume full responsibility for the construction aad wi11 not expect_ supervisioa of his work from the CitY of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection feas, must be paid in ful1. A written requast from this office shall constz.tute an official aotice -to pa.y additioaal fees• 7. That the owner slzall comply with all City, State and Federal laws in regard to social securi�y, workman's compensation, liea laws, etc. , where applicable. B. That the owner sha11 comply witb a11 the safe.ty codes issued b� the Florida Industsial Commissioa. 9. State 1aw rez,;rss construction to be done by licensed contractors. You have applied for a permit under an exemptioa to that law. The exemption allows you, as the owner of your proppsty, to act as your own contsactor with certaia restrictions even though you do not have a licease. You must provide direct onsite supesvision of the constsuction yovrself. You may build or improve a one-family or two-family resideace or a Parm outl�uilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. _ The building or residance must be for yovs own use or occupancy. It may not be built or substantially a.mproned for sale or lease. If you sel:l or lease a building you have built or substaritially i�proved yourself within 1 year after the construction is complete, the law will pres�e •that you bui.lt or substantially improved �if for sale or laase, which is a violation of this ex�aption. You may not hire an unlicans�d person to act as your contractor or to supervise people working on your buildiag. It is your responsability to make sure t-bat people employed by you l�ave licenses rec�,;red by state law and by county or municipal liceasing ordiaaaces. You may not delegate the responsi.bility fo= supervising work to a licensed contractor who is not. licensed to perform the work being dona. Arsy p�rsoa working on your building who is aot licensad must work under youz' disact supervisioxa and must be P�Ployed by you, which means that you must deduct F.I.C.A. and withholding ta�c and provide workers' compensatioa for that employee, all as prescribed by law. Your construction must comply with a11 applicable laws, ord�s3ance , building codes, and zoning regulati s. � /JA ��/� '� /� OWNER'S SIQ�Ti7R�E •1:!/ � � �"`"l�" c' � G� DATE ' ,�I ��ss � - • �G- ?� 3 5zf- �� W2TNESS • PEFtMIT #