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� n2sc�os� S NT .E"OR OW2�R ; c=.�' a� z�p�z�z�s �� P�z�rrr i _ -- � =t �,,,�� {1 � have r�ad an.d fu1.1y uziderstand and � agree •ta the provisions o£ •thi.s instrumen . i .The undessigned .states and aff�.rms that h car she is desi.zous of constxuctingr renovatizig, addirig ta or s�eroating his or her own domicile, •that he or she ' , aetuall.y occupi�s, or wi12 oacupY by said domica:le, and same is not �as ' •rent, lease or sale. That he or she shal aompl.y wi-th the fo�.l.owiiig condi-�.i.ons: � 1. R'hat the awner and.he or she a:Lane s � 1 act as -the builder for aI1 phases of ' const'suction. - 2. R`ha� t�e awner w3:�.1 aozaply with al�: p avisians o�' �the City of Zephyshil'ls ordinances and cades pestine�t to the bu:i.Idirig. 3. That in the eveszt vasious phases o�' c ns'truction are subaaatracted, he wi11 Ellgage oz�.y �properly I.icensed subcon actors and will parsanal�.y supervise such wark. , �. �ha-t� in the event the BuiZding =nspea or shall rezT;�se carrec�.ions to be made, the ownes will assume full responsibi a.ty ta iasure •they ase saade, and upon aompZ�ti.on wa.li call fcr a re;n�eati u befare proceeding with the buildYng. � 5. That the owner sYla3.1 assume ful.l resp asibi3.i� for the aozistructioa axid wz.�.l xiot expeat_ superv�.siori of his work fr the City .of Sephyxhills Building Depast�ent. 6. That pri,or to firYal. irispection any a "�ional fees, .i.rlcltx3i.ng reinspection feas, must be paid ia �u11. A writt s+equest fsam �a.is affice s�a11 constitute an offa.cial not,ice -�o pay i3itio�al �aes.. 7. That the ownes sha11 comply with al]. 't.y, Sfiate and Fede�al laws ia regard to socza3 secur�.ty, work�nrs compensati n., lie'a laws, etc. , where applicable. B. That the owner sh�1.1 comply with aZ1 e safe.ty �ode� issued by the Flarida � Indtsstra.al Goas�issian. 9. Sta�.e 1aw requires corsstrt,�etioa to 3a done by licensed contraators. You have agplieii �or a permit under an ��p 'ea to �hat law. The exemptiozx allows you, as the r�wnes of your progerty, c act as your owz�. carttractor vrith cert�.in restricti,ons even though yau do no'G ve a 1.icense. You must .provide direc�. onas.te supe�-srision a�' the coastruc�. n yourself. You may bvild ar �rave a one--fami�.y ar twa-family resideace a a farm ou�builcling. You may also build � ar �saprave a cama�ercial buildi�tag, p� vided yaur costs do not eacaeed $25,000. , The building or residence•must be �o yc�ur own use or occugartey. ,It may nat be bui.l.�t or substantially �.�psaved � r sale or lease. If you se1:l or lease a bu3.lding you have bui�.t or substazx�. 3y improved yaurseZf wi�h�.a 3. yeas af�er the constructi.on is complete, �he ],.a w:i.l1 presvme •t3xat you .built or subs�taritial2Y impsovad �if for sale a leas�, w3hich is 'a vi.olat.ian of �sa.s exemptioxz. You may aot h3.re arl va3.i esxsed pErsor�. to act as your anntracto= or ', to supe�vise peopl.e working on your 'lding. It is your responsibili:ty to ' . mak.e sure th�t people P�played by yo have I.icer.►ses xez,;red by state law and by coun�y o= muns.cipal liceasizzg or ces. Yau may not. delegate the r�spcns3,bilit.y fos superv�.sing work1 a 13.aensc3d cantractor who is no�. licensed to perform �h,e work bez.ng n�, Arxy pc.rson worki.ng on yaur bxtildixig who is aot la.can�ed must vror}c uacl�x ous di�ec�t supervisiatz ar�d must be employect by you, which meaas that yo must deduct �'.I.C.A.. and withYiolding talc and provide workers' co�asa'�.on �o ttxat emplayee, a11 as p�esc�ibed by law. Your cozistsz=ction must compZy with 1 agpl3.cablc 1a^r�ts, ax�cUssances, building codes, axid zoning re ati.ons. � OWNER'S SIGIIA'PUFE � DAfiE / •�'� 1 ADDRESS ��O � 5 ' S7''� ' BFiC1NE �i W2TNE5S ' PERM2T # I