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. ; :� lH � • DISCLOS STATEMENT .FOR OWIQER CITY OF ZEP 2I�L5 SU=I.DIl�7G DEPARTMENT _� -Q, have read and fu11y understasid and agree •to the provisions of 'this in trument. .The undersigned .states and affirms that he or she is desirous of constructing, renovating, adding to os seroofing his or her own domicile, that he or she actually occupies, or will occupy said domicile, and same is not for rent, lease or sale. That he or s e sha11 comply with the followiing conditions: I 1. That the ovmer and_he or she one sha11 act as the bvilder for a11 phases of constsuction. • 2. 2`hat the ownes will comply wi a11 provisions of �t�e City of Zephyrhills ordinances and codes pertines�t to the building. 3. That in the event vasious phas s of construction are subcontracted; he will en�age only •proppsly licensed ubcontractors and will personal�y supervise such work. 4. That in the event the Building Inspactor shall re�,;re corrections to be made, the ownps will assume full re onsibility to insvre •they are made; and upon co�pletion will ca11 for a re' ection before proceediiig with the building. � 5. That the owner sha11 asst�e f 1 responsibility for the constzzict3.on and wi11 ' aot expect_ supesvision of his ork from the City .of Zephyrhills Buildirig , Depart�eat. � ° , _.. 6. That prior to final inspectio any additional fees, including reinspection , fees, must be paid in full. vtritten request from ttiis office sha11• , constitute an official notice o pay additional fees.. ° 7. That the ownpr sha11 comply w'th a11 City, State and Federal laws in regard to social seaurity, workman's c ensation, lien laws, etc. , where applicable. I 8. That the owner sha11 comply w'th a11 the safe.ty codes issued by the Florida Iadustrial Commi.ssion. • 9. State 1aw re�,;res constsucti n to be done by licensed contractors. You have applieii for a perm3.t undps an exP�ptioa to that law. The exemption allows you, as the owner of your pro ty, to act as your own contractor with certain restrictions even though you o not have a license. •You must .provide direct onsite supervision of the con t-suction yovrsel.f. You may build or improve a one-family or two-family resi ence or a farm outbuilding. You may also build I or improve a commescial buil g, provided your costs do not exceed $25,000. , The building or resid�ce•mus be for your own use or occupancy. St may nct be built or substantially i� oved fcr sale or lease. If you sell or lease a building you have bvilt or s stasitially i�proved yovrself within 1 yeas after the construction is complete, the law will prest�e•that you _built or substantially improved if for sale or lease, which is a violation of this P.]Cemption. You may not hire unlicerised person �to act as your �ontsactor or to supervise people working o yovr 2�uilding. 2t is your responsibility to make sure that people P�ploye by you have licenses rez,;red by state law and by county or municipal liceas' g ardiaances. You may not delegate the responsibility for supervisin work to a licensed contractor who is not. licensed to perform the worh eing dnne. Arsy pesson working on your building who. is not licensed must work uncies your diract supesvision and must be '�'�sIIployed by you, which means t you must deduct F.I.C.A. aad withholcling t=Y and provide workess' compensa �on for that e�ployee, a11 as presoribed by law. Your constsuction must comply with a11 applicable 1aws, ordisiances, building codes, and zoning regulations. r o�R-S Sz�� __ ' DATE I- Z,U-a��_ �D�SS E. � PHONE l --- '�Q_ w2TNESS PEFIL�T #