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' DISCLOBL7RE ST 23T .E'OR tJWNER <br /> CZTY OF ZEPF3YRHI?iLS 'BVTI.D�7� DEPAR�i�Nfi <br /> �, ` have reac3 and fully uziderstand a,zic3, <br /> � ag�ee •to rovisions o� �thi5 instrumen . <br /> .The undersigned .states and af�'irms tha� h ar she is desa.rous o£ constructing, <br /> sQSSOVatiz�.g, addizag to or seroo�ing his or er owsi damicile, �that he or she <br /> aetualZy occupies, or wi12 oacupy by said c3a�ics:le, and same is not foz <br /> •rent, lease or sale. That he or she comp].y with the followiirg condi-Y,�.ons: <br /> 1. That the owner and.he or she alone sh � 1 act as -�he builder far all vhases of <br /> ccnstr�aa�ion. _ <br /> 2. Tha� the ownes w3:3.Z coraply with al�: p ovisians of 'the City of Zephyrhi�..1s <br /> ordiriances arrd codes perti.rieat to �e vildixig. <br /> 3. That in the event various phases of e nstrciatior� are �ubcontra�t�d, he wi11 <br /> engage oxiZy •prop�sly licensed subcon actors and will personal�.y supervise <br /> such work. <br /> �. �ha-t in the event tbe Huilding Inspec nx sha11 re ,;.�e cosrecti,ons to be made, <br /> the owne�t will assume full responsikti i.�y to insure •they �xe a�,ade� and upon <br /> comglefiion will c�I'i for a r�;*+�ecti n before proceeding with the buil.ding. <br /> 5. That the owner sha11 asstm,e fu11 resp nsibility �or the aoastruction and will <br /> no� axp�at_ superv�.siari �f his work fr the Ca.ty .af Zephyxhills B:za.lding <br /> " Departm�sa.t. <br /> 6. That. priar ta firu-�1 izaspection aay a '�a.ena7. fees, iaclucling seinSpection <br /> fe�s, must be pai.d in ful2», A Ftritt s�equest f�om �his office sha11 <br /> constitute asi of�icial not.i.ce -to pay idi.tioxYal. �ees.. <br /> 7. 2`hat. th� ownc�r s�r,a11 comply wi�h a21 �ty, Sta-te and Fedes-a1 laws 3.n regard to <br /> social aecuri�ky, workaian's compensati n, lien 1aws, �!tc. , whexe applicable. <br /> B. That the own�r sh�1.1 co�ply, with al.l e saf�.ty cades issued by the Flarida <br /> Industsa,al Commission. <br /> 9. Sta�e law r�z+,;res canstrtxctiosa. to be doz�e by li.ces�sed contractors. You have <br /> app�.iect �ar a permit under an escempti. u to '�.hat law. '1'he exemgtiaz� allows � <br /> you, as the ownes of your proFl4+Sty, t act as your owsi cor�tractor wi,th cert�in <br /> resl:sia�.ons even thoug� you do na� v+e a Zicens�. �You must .provs.de di.rect <br /> onsi.te supervision of the constructi.o yourself, gou may build or improve a <br /> one-family or two-fam�.ly sesideace or a faxm outbuilding. You may alsa bui.ld <br /> or 3.mprave a commerci.al bs�.Iding. P=o ided your costs da not �ceed $25,OOQ. <br /> , �he building or z�esidence must be �or yavr ot�m use oz ocaupancy. ,It may nat <br /> be built or subs�tially a,�praved fc sale or lease. If you s�3:1 or Zease a <br /> buil.diag you have built os sutastaatz. ly i�proved youtself wit'.hin 1 year a�E'ter <br /> the censtruction is camplete, the laar wi.11 ptesume •that you built or <br /> substan�.iaZly impsoved if' for sale or l�ase, wha.ch is a v3.olation of thas <br /> P�Cempt�.aan. You may not h�,.re ar�. ualic sed persori to act as yavr aontsactor or <br /> to sup�rvisa peaple working ox� yous 'ldiz�g. It is your responsibilzty to <br /> make su�e that people P�ployed by you ve licenses acez,;red by s�ate law azid <br /> by county or municipal liceasing o= � ces. Yatt may not delegate the <br /> respons�.bil.ity fox supesvising work t a Zicensed contractor who is no�. <br /> 1ic�nsed to perfoz� the wcrk bc>_a.ng dn aa. Axay p�rson work.ing on yaur building <br /> who is aot 2iaeus�d mszst work uzides y us dix+�ct supe�rision and must be <br /> P�ployeci by you, whi.ch meaas t.hat yau ust deduat E.I.C.A. asxd wit�iholriing tax <br /> and provide workess' aa�peusation for that �mployee, aZl as p�escribed by law_ <br /> Your cons�-suctioz� must comply with a1 applicabl.e laws, axdinances, buiZdin;g <br /> codes, arid zoning regvlations. <br /> OWNER'S S I GNATUFi� DATE /tf!.� <br /> ADDRES& ,� <br /> PHt7NE � <br /> T�TITNESS PERMIT # I � 7 6? <br />