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_, . . i. : = . � � �ISCLOS STATEMENT .FOR dWI�R ' C2TY OF ZEP 22:L5 HUII.D2NG DEPAR'�NT _ 'C�' � � have read and fu11y understand and II agree •to the provisions of •this in trumeiit. .The undersigned .states and affirms that he or she is desirous o£ constructing, renovating, adding to or reroofing his os her own domicile, that he or she actually occupies, or wi11 occupy � said domicile, �and same is not for ' •rent, lease or sa1e. That he or s e sh i 1 co�ply with the followiing conditions: 1. That the awner and_he or she one sha:11 act as rthe builder for a11 phases of construction. - 2. That the owner will comply wi a11 provisions of �the City of Zephyrhills � ordinances and codes pertinea to th�e buildixig. 3. That in t�e event vatious pha es of construction are subcontracted, he will PSlgage only •proppsly licensed subeon�tractors and will persona�.�y supervise such work. 4, �hat in the event t�e Bvildin Inspector sha11 rec�,;re corrections to be made, the owner will assume full re onsibility to insure •they are made, and upon completion will ca13 for a re' ection before proceedi.ng with the building. 5. That the owner sha11 assume f 1 responsibility for the constz�i�t3.on and wi11 not expect_ supesvision of his work trom the City .of Zephyrhills Building Depart�ent. - 6. That priar to final inspect�.o aay Idditi.onal fees, including reinspectioa fees, must be paid a.n full. written request from t�iis office sha11 constitute an official notice o pay additioxsal fees.. 7. That the ownes sha11 comply w'th a1I City, State and Federal laws in regard to social seauri�y, workma:a's c ensati.on, lien laws, etc. , where applicable. B. That the owner shall comply w th al1 the safe.ty codes issued by the Florida Iadustsial Commission. 9. State 1aw re�,;res constructi a to be done by licensed contractors. You have appliecl for a permit under an exe�ption to that law. The exemption allows . you, as the ownes of your pro ty, to act as your own contractor with cert=;T restrictions even though you o not have a lic�se. •You must .provide direct , onsite supervision of the coa tructson yovrs�lf. You may build or- improve a �i one-family or two-family resi eace or a fasm out.building. You may also build � - or improve a aommercial buil g, provided your costs do not �cceed $25,OOD. , The building or residence mus be for your own use or occupancy. St may not be built or substantially i� oved for sale or lease. If you sell or lease a buildiag you have bvilt or s sta=itially i.mproved yovrself wit�a.a 1 year aftEr the constsuction is complete, the law will pres�e •that you .built or substasitially i.mproved if for sale cr lease, which is a violation of this EXemption. You may not hire unlicensed person to act as yovr contsactor or to supervise people working o your building. 2t is yout responsibility to . make sure that people P�ploye by you have licenses rec�,;red by state law and by county or municipal liceris g or�d.-i.nances. You may not delegate the responsibility for supervisin work to a licensed coatractor who is not. licensed to perfo� the worh ea.ng dnne. Any person working oa your building who is not liceased must work unclPS your direct supervision and must be P�ployed by you, which meaas t you must deduct F.I.C.A. and �rithholding tax and provide workers' compEnsa 'on for t�iat ee�tployee, a11 as prescribed by law. Your constrtiction must comply with a11 applicable 1aws, ord.iriances, building codes, arid zoniag r a ' a . OWNER'S S2QZF�TURE r � ' DATE �, ADDRESS 3 �` ' pxorrE f 3 .- — I w2�ss � �x�T # 15�0� I � .