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! _ DISCLO STAT��'�' FOR 06JNSR , ; . - CITY OF ZTP LLS HIIILDING DBPAET�SNT _. �l 'L�/� V �� - have read and fully nnderstaad and agree to the provision.s of this ias t_ � The uadersigaed states aa.d affixme t he or she is deairous of constrncting, renovatiag, adding to os reroofiag 's os her cwa domicile, �hat he or she actnally occupies, or 9r111 occupy b said domicile, and same is not fo�c - reat, lease or sale. That he or s ahall comply with the following coada.tions: 1. That the owaer aad he or she al e shall act as the bnilder for a17. phases of � construction.. 2. That the awaes v�ill c 1 wi a1Z rovisions of the Cit of Ze hi11s � Y P Y PhYr o��ra*+�es aad codes pertiaeat o the bnildiag. 3_. That ia the eveat various phas of constructioa are subcontracted, he will, engage onZy properly liceased s coatractors and mill. personally supervise such mork.- 4. That in the eveat the Buildia.s Inspector ehall reqaire �orrections to be ma@e; j the owner wiil asaume full res oasibility to insure they, are made, and upon � ' completion ovill call for _a r spectioa before proceeding with the building: 5. That the ownea shalZ assnme ]. responsi.bility for the construction and m:i7.1 aot expect e�ervision of his ork from the City of xephyrhills Bnild�.ag Departmeat. 6. That prior to final i.nspectioa aay add:itioaaZ fees, including reiaspection fees, must be pa3d ia full_ A Mritten reqnest from this office sha1l. constitute aa official notice o pay addit3.onal fees. 7_ That the ooPaer shall comp].y wi all City,' State and Federa3. lav�a ia regard to social security, worinnaa's c easation, liea laws, etc., where applicable. 8. That the owaer shall comply avi all the safety aodes iasued by the Flori.da , Industxial Commiseion_ " 9. 3tate law reguires constrncti to be da�e by liceased coatractors. You have � applied for a pesmit under an. emption to that law. The exemptioa allows you, as the owner o£ your prop , to act as yonr owa contsactor arith certain restrictions even. thougli you d aot have a license. You must provide direct onsite supervision of the cons tion yourself. Yon may build or i.mprove a one-farni.ly or tmo-family resid ae or a farm outbuildiag_ You may also bua,ld or i.mprove a cozmnercial bni.ld' g, provided your costs do aot exceed $25,000. , , The buildiug or resideace mnst be fos your owa use or occupaaey. It may aot be built or substantially imp ved for eale or lease_ If you sell or leaee a � .buildiag you have built or sub tantially impraved yourseZf vvi.thti.a 1 year after , the construction is complete, ' e Iaw will pres�e that you bui3t or snbstaati.ally improved if £or aZe or lease, which is a violatioa of this exempfia.oa. You may n,ot hire unlicensed person to act as yovr contractor or to supervise people �orking your bui:lding_ It is your reaponsibility to make snre that people employe by you have licenses sez+,;red I�y atate law aad by county or muaicipal licens' g ora3„a_„�HS. You may not delegate the � responsibility £or supervisin work to a licensed coatractor who is not licensed to perfoxm the �vork iag done. Any pessoa. wozking on youx building � who is nat licensed muat �vork er your direct supervisioa and must be employed by you, which means t yon must dednct F.I.C_A_ aad wi�hholdi.ag tax and psovi.de warkers' campensa "on for that emplayee, all as preacr3.bed. by law_ Your cons�ruction. must comply _ 'th a11 appl'icable laovs, ordi.aaaces, bni.Zdi.ng codes, aad zon3.ag regulat3.ona. awrisa.•s s=�su8s z i nezs /eL-��1� , p,nnRESS c�S�� ./ cc� �- �$oRS r a.� - v WITNESS• � PII2MIT #