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• nzscz.osvtz� S N`S .FOR aWI�iER ' c�.�' a� z�Px��.s ��rtc ��A�rrr =t c.1�\ �f 1/1 . � have read ar�.d fully undess tand and agree ta the provisions of �thi.s in ent. .The tsndezsigned .states and affzrms tha� he c�r she is des�.xous af constsucting, resiavatirig, addix'Yg ta or �eroafing Yiis ar er owm dom`icile, •that he os she actually occupi�s, or wi11 oacupg by said domicale, and same is not f'oz •rent, lease or sale. That he or she sha11 comp3.y wi-th the followiing aondi-�.ons: 1. Tha� the ownes asid,he or she alone sh � �. act as -f�he builder for aI1 ahases of ' constructz.on. . 2. �`ha� t�e awsies w.�:x.Z comp3.y with a11 pr visions of �the City of Zephyrhil:3.s ordinanaes and cades pertineat to the ua.ldixig. 3. That in the even�. var�.ous phases fl� co truction ase subcantracted, ha wi11 engage or�.y �proper7.y I.ieensed subcantr ctors and will p�ssoz�al.�.y supervise such work. 4. �ha-� in �ie event -the 8uilding =nspect x sha13 requi�re cosrec�i.ons to be macle, �he ownex wa.11 assume fu11 responsibil'ty to insure •t�a,ey are made, and upon coatpl�tion wa.11 ca13 for a reinspectio befoze p�oceeding �rith the building. 5. fihat the ownes shall assume fuZ1 respo sibili�ty for the const�u,ct�.an and wi�.2 not expeat_ superv�.sian of his work fr the City of Zephy�hills Building Departsieza.t. 6. 2'hat pra.or to firial iszspection any a 't.ional fees, including reinspect-a.on fees, must be paid in fu11. A �sitten sequest �rom ttiis office sha11 constitu�e an offi.cia]. no�.ce to pay a 'tioxial. fees.. 7. Tha� the ownes sha11 aomply with a1�. 'ty, State and Fedesal laws i.a reG,�eS'd to sac.�.a1 sectzrity, workman's camp�satio , liea la�rs, etc. , whese applicable. 8. Tha� the ownes sZza.Il co�ply with aZl e sai-"e.ty codea issued by the Flo�ida Iadustri.al Comm.ission. 9. Sta�e 1aw re�,+,;*-es corrstruatiorl to be ozie by lic�sed contractors, You have agplied �or a pesmit under an exP��t�.� to that law. The pxemptior� allows you, as the owne= of your property, ta act as your Qwn cos�.tractor vtit.h aer�ain restrict.i.ons ev� though you do no� e a ].icestse. You must .prova.de clirect ons�.'te sup�svision o�' t�e canst-..ruc�.c yaurself. You may build or �.mprove a one--fama.].y ar twa-fam�.ly resid�nce ar a faxm outbuilding. You may also b�i.ld � ar a mprove a cammrarcial b�uilding, psa z.ded your costs do ziot �cceed $25,000. , The building or residence must be �or our own use ar aecupancy. 2t may na� be buil-� or subs�antially 3�p�oved �o sale ot lease. If' you sell or lease a btzi.lding you havc b�i.1.t or substan�.i ly im�z'oved yourself within 1 year a�ter the construatioa a.s aomplete, fihe 1.aw will presume•that you built or substan�.i.a12y imprav�d if far sale or l�ase, whs.�h is a v.�.oZatian r�f this P_Xemptioz�.. You may aat hire ara, un3.a.c aed persoxY �to act a's your caatsactor or to supexviae people workiag on yowc �lding. It is your responsibili:ty to make sure th�t people employed by you have licexxs+es �ez,�red by s�ate 1.aw a,nd by coun�y or mur�.nipal liaensi.�ng or ' ces. You ma�,► not delegate the respan��.bility for supervising work t a licensc=_d contsactar �caho i.s not. 1ia�nsecl to per�orm the wosk bcing do B. Ar�.�,r p�+sson work.i.ng oxi yaur b�.].lding who is aot 1ic�nsed mus�t wor3c undes y us di,sect supervision asid must be P�ployecl by you, whi�h meaas that you must dec3uct �'.=.G.,A.. and withholding tax and provide workers' co�asation �ar that e:mplayee, all as presc�ibed by 1aw. Yous canstrraation must comply wi�i al appl3cable laws, o�cLixiance�, building codes, axid zoning� reg7alatz.oas. � � a�Rr� S=�� s �.� 7-1� �d 1 � ADDRESS „Sc� ' . PHOZ�1'E t'} W2:L'�1ES5 ' PERMIT #