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<br /> DISCI,�SURE S •N'I' .F�R C7Wt�R.
<br /> CZfiX OF ZEPF3�,',RFi2I�+S "StTII�DZ23G DEPARTi�2�I'
<br /> =r ' have reaci arsd fully undPrstand and
<br /> agree to the provisions o� �this instrument.
<br /> .The undexsigned .states and aff.irms that he or she is desirous of corsst�ucting,
<br /> renovatisxg, addirsg to ,or s�eroo�iag his or her owzi dom:icile, •that he or she
<br /> � actually occizpi�s, or wi11 oacupy by said damic3:le, and same is not �or
<br /> •resit, lease or sale. That he or she sha11 comply wi-�h the fo13.Qwi,iig coadi-�.i.ons:
<br /> 1. �'ha� �he awnes azid.he or she alone sha7.l aat as -�h� buil.des fas aIl phases of
<br /> construct.ion. .
<br /> 2. Tha� th� owu$r wix.Z. comply with a11 provisians a� th� City af Zeph�zhills
<br /> orcLixaances and codes perttsiesit to t�'ie bus.ldi.xy.g.
<br /> 3. Tha� in the event various phases of constsuct.ion are subcontra�ted, he wi11
<br /> engage oxzly •propesly licensed subcnntsactQrs and wi1Z personal�.y supervise
<br /> such wor]c.
<br /> 4. �hat in the event the Building 'Insgeator sha1Z require eosrea�.ions ta be made,
<br /> -the ov�mes will assume full responsibilit.y ta insure •they ase made, and upon�
<br /> compl�tion will cal'3 for a rei.z��-pect.ion before psoceeding arith the building.
<br /> 5. fiha� the ovmer sha3.1 ass�e full responsibi3.ity for the aons�ruction and wi12
<br /> not expeat_ supervision of his work from the City .of Zephyxhills Building
<br /> Dep�si�erzt.
<br /> 6. Tha� priar to firxa.l ixzspection aay sddi'�iana.l fees, including =einspection
<br /> fees, must be paid in fu1�.. A written xequest fsam �sis affice shall
<br /> constitute ari off3,cial, not�.ee '�o pay addi.tzoz�a.I �ees.. ,
<br /> 7_ Tha� the own�r sha11 comply with a1l Ci'Cy, State and Fedezal laws ia reC�3Ld to
<br /> social aeeu.t�.ty, workman's eampensation, 1a.en 2aws, ete. , where applicable.
<br /> 8. �• That the ownez sh�11 �omply wi�h all t�e sa�e.ty �odes issued b'� the Florida
<br /> Industr�.a1 Cossimission.
<br /> 9. 5tate 1aw re�,;Tes corsstructiosa. to be dane by licensed contractors. You have
<br /> applieci for a pesmit vudes an �.xemptz.on to that law. The exe.mptian allows
<br /> you, as the awner of yaur PropC=Sty, to, act as your owx�. coritractar �rith e¢*-+�_;*+
<br /> restric'k.�.ons even though you da no� hav�c a license. You �,ust .prov�.de 3irect
<br /> onsi�te supe=v3s�.ozz o� the aoastrsxction yourself. You may bvild a� imprave �.
<br /> one-family or two-famsly sesidence or a farm outbuilding. You may alsa build
<br /> - �r improve a commercial bxzi.ldisig, provided yaur costs do rxat eacceed $25,000.
<br /> , The buiZ.ding ar resi.dence•must be �or yovr oFrn use ox occ�upancy. .It may not
<br /> be built or subs�antially 3.mpraved for sale ar lease. I� you sel:l or lease a
<br /> bu3.lcling you ha.ve built or substaa�.'i.a1�.y i�soved yotzzself withi.n 1 yeax� af�er
<br /> the constsucta.on is camplete, �he law w3.11 p�esume •that you .built ar
<br /> substarl�ial2y impsovad �if f'or �a1e or lease, which is a viclat.�.on af thi.s
<br /> exemptic�ri. You may aot hise ari unlicensed gl@rson to act a"s yaur coatsactot or
<br /> to supesvise people �,aasking on your building'. It is your respoasibility to
<br /> make sure that people e�ployed by you have Z�.eenses rez,�sed by state law azid •
<br /> by coun�Gy or mun3.aipal liceasi.rig ord�.a�ces. You may not delegate the .
<br /> responsibila.�y foz superv�.sing work to a ls.c�s�d contractor wha is AO'�.
<br /> 1ice�nsed to perform tki,e woxk b�g deae. Ar�y p�sson worki.zig on your ba�ilditig
<br /> who is uat 1a.cQn9�d must vrork vn� yoiz�c c7iract super�crision arid must bc.
<br /> employed by you, which meaxis that you �ust deduct �'.I.C.A. arxd wi�sholc'#,�.ng tC�IX
<br /> and prova.de workers' comp�nsa 'oa £cir " t �mplayee, a11 as p�escribed by 1aw.
<br /> Your aanst-suation must compl with . agpl�.cable lavzs, a��ces, building
<br /> codes, ar�.d zoning regul 'o s.
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<br /> ADDRESS r,.� .., ' '
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<br /> W2TNESS ' PEI�T #
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