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� nzs�as S2'��'�3'1:NT .E'QR CfWRIER CISl' OF ZEP II:Z+S �HLTTLDING DEPARTMENT _ ' have read arxd ful.ly understand and agree •to the provisiozis of �this i trument. .The undc�ssigried .states and af�irms that he ax she is desi.�ous of constructing, resaovat�.xig, adding�to ar xeroaiin his or her own dcmi.cile, that he or she actually occupies, or will occupy said domic:i;le, and same is not fox •ren�, lease or sa1e. That he ar s e sha11 camply wi-th the followi'ng cQndi-r..a.ons: 1. That the ownes and.he ar she one sha1.1 act as -�.he builder far a1.1. phases� of ccnstru�tian. • . 2. That the ownez wi:ll coscply wi a11 provisians o£ the City of Zephyrhil�.s ordixsanaes and codes pertin� to the buildir�g. 3. Tha� in the ev�t variaus pha es af canstruction are subcontracted, he will ELSgage or�.y •propps�,y licerxsed subcontsactors and will personal�.y supervise such wa�k. - 4. �lza-�, in the event the Btzildin 2nspector sh�11 re�,;.re cozrect�a.ons �to be made, �the owner will assume full ra aasibility to insure •they aze made, and upon comp3.eti.on will caZ3 �or a re' eata.on befose proeeeding with the builc33ng. 5. Tha� the owner sha11 asstm�e f 1 responsibility far �he cazistructir�zi asxd vri].1 no� +axpect_ supesv3,sian of his work f'rom the Ciiy .af Zephyshills Bu3.lding Depart�es7.t. - 6, �'�iat. prior ta fizs.a.l izispe��Yso any additi.onal fees, including seinspection fees, must be paid ia ful1.. wri�ten request from this affice sha11 constitute an official not�.ce -�o pay additiorlal. fees.. 7. fihat the awzzles shaZ1 comp�.y w th a11 City, S�ate and Fedezal laws s.n r�:t3cZrd to social aeeuri.�y, warkman's c ensation, liea laws, etc. , where applicable. B. That the owuer sha�1.1 comp3y w �h a11 the sa:Eety codes issued by the E'1o=ida Industrial Comm.ission. 9. 5ta�e law re�7;res canstruc'ti t�. to be done by licensed contractors. You have applieci �or a permit ursder an eace�gtion to t.hat 3.aw. fihe e�cemption allows you, as the owner of your pro ty, to aot as your owm contrac�or vri.th certaia restrictions even though you a not have a I.icens�. You �must .Prov�.da direet onsite sup�rvisioxx of the con truct�a.on yourself. You may build or improve a one-family or two-family resi +�uce ar a farm outbuildiag. You may also build or improve a commercial, bu:i1, g, p=ovided yaur costs do not e�cceed $25,Od0, , The building or residence mus be �ar your awn use or occupancy. .It may no'� be buil�t or subs�tial2�r img ovad for sale or leasa. If ycu s�ll or lease a building you ]save built or s staa�a.ally i�proved yov.rsel� within 1 yeas af�e= the cons!-ruct,ion is co�plete, #he law w3.11 pses�ae•that you bu�.lt ar substant-i.aZ2y i�psoved •if i"or sale or lesse r which is a violat-a.on af tt2=.s P�Cemptioxx. You may aot hire unl.i.c��ed pG�L�sori to act a's your cantractor or to supesvise peaple wazkizxg o your bui3.ding. S� is yaur responsib=.lity to - make sure that people �ploye by you ha.ve licenses rec�,;�ed by state 1.aw and by caunty or munzcipal, liaeas' g o�diaances. You may nat de3egate the responsibility fax supervisin worlG to a liaensed coxy.tractar who is not. liaensed to perfosm th�e wor]c e.s.xig dnne. Arsy pErson worka,.ag on yovs bztildixig who is not lic�nsed must warl� uzides yavs direct suppsvisi�n arid must be EIIlployed by you, which meaus t you must deduct F.S.C.A. and withholding tax asid pravide workers' aomp�a,s 'on for that e�play2e, a13 as prescr�bed by 1aw. Your constsuction must compl with a1I appl.a.cable laws, ordu�arices, buiZding codes, arid zaning regulati.ons. OWNER'S SIGf7A"1'LTF2E DATE �D�ss :� b � F1. 3�5� , . PHONE - � W�TNESS PEFtM2T # .,.