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DISCLOSURE S'T'A'►'F'*�+�NT .FOR OWNER CZTY OF ZE HYRH2I:LS SUII+DING DEPARTMENT 2, �� /�G�w'� ` � have read and fu11 y understand and agree to the rovisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, res�ovating, adding to or xeroofing his or her own domicile, that he or she actually occupies, or wi11 occupy by said domicile, and same is not for •rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and,he or she alone sha11 act as the builder for a11 phases of constsucti.on. 2. That the owner wi11 comply with a11 provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of' construction are subcontracted, he wi11 engage only propPSly licensed subcontractors axid will personally supervise such work. 4. Z'hat in the event the Huilding Inspector sha11 re�,;re corrections to be made, the owner will assume full respoasibility to insure •they are made, and upon completion wi11 ca11 for a reln_�ction before proceeding with the building. 5. That the owner sha11 ass�e full responsibility for the constxziction aad �ill not expect_ supervision af his work from the City .of Zephyrhills Building Departmesit. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in ful,l. A written request from this off'ice sha11 constitute an official notice rto pay additioaal fees. 7. T3iat the owner sha11 comply with a11 City, State and Federal laws in regard to social security, workman's compeasatioa, lien laws, etc. , where applicable. B. That the owner sha11 comply with al1 the safety codes issued by the Florida Industsial Commission. 9. State 1aw requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law_ The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions enen though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuildiag. You may also build or improve a commercial �++,;1d;r+q� provided your costs do not exceed $25,000. The building or resideace•must be for your owsi use or occupancy. =t may not be built or substantially improved for sale or lease. If you sell or lease a builcling you have built or substaat3.a11y improved yovrself within 1 year after the construction is complete, tt3e la�r �ill presume •that you built or substantially improved if for sale or lease, which is a violatioa of this e�cemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have I.icenses rez,;red by state law and by county or municipal licensing ordinances. You may not delegate the responsa.bility for supervisiag work to a licensed contsactor who is not. licensed to perform the aork being done. Any person working on your bl,;ldi,ng who is not licensed must wor3c uncie= your direct supervisioa and must be employed by you, which meaas that you must deduct F.I.C.A. and withholding r=Y and provide workers' compeasatioa for that employee, a11 as prescribed by law. Yout construction must comply with a11 applicable laws, ordiriances, building codes, and zoning regulati as. � � OWNER�S SIG�TURE DATE —�3- � �D�SS sa�l - PHONE ( w=x�Ss �xr�T # I S Z I S