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2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STA'
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have
exemption to that law. The exemption allows you, as the owner of your property, to ac
though you do not have a license. You must provide direct, on-site supervision of th
may build or improve farm outbuildings, a one -family or two-family residence for y
may also build or improve a commercial building at a cost not exceeding $75,000.0.0
use or occupancy. You may not build or improve said structures for the purposes of se
If you sell or lease a building you have built or improved within one year after cor
presumption is created that it was built or improved for sale or lease, which is a viol,
may not hire an unlicensed person to act as your contractor or to supervise people w
your responsibility to make sure that people employed by you have licenses required 1
municipal licensing ordinances. You may not delegate the responsibility for sup
contractor who is not licensed to perform the work being done. Your construction mt
laws, ordinances, building codes, and zoning regulations.
I understand that the building official and inspectors are not there to design
the minimum code.
I understand that as an owner -builder that any contract disputes with sub -c(
in a civil court with the advice of an attorney. This department will not mitigate any
I understand that if I compensate any person or company for work perfor
licensed in this jurisdiction. If for some reason they do not possess a license, I may be
cost of the license.
)plied for a permit under an
is your own contractor even
construction yourself. You
it use and occupancy. You
s long as it is for your own
ing or leasing that building.
ruction is complete, then a
on of this exemption. You
king on your building; it is
state law and by county or
vising work to a licensed
comply with all applicable
Initial 54
give advice on how to meet
Initial
; and I must be handled
disputes.
Initial
they are required to be
)nsible and liable or the
Initial S
I understand that if any person that is unlicensed and uninsured gets injuredonmy construction project -
they may be entitled to workmen's compensation. I could be held liable for all doctor lawyer and related medical
cost, which could include loss of wages during recovery from their injury. f Initial W_
To qualify for this exemption under this subsection, an owner must
permit application and initial the above.
and sign the building
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
�Zoning Depart ent to the Florida St to Department of Professional Regulation. Signed and acknowledged on this
— day ofg,2 of 2017.
y
STATE OF FLORIDA
COUNTY OF
The oregoing instrument was acknowl dged before me this az day of , 20
by f7who is personally kno to me, or who has
produce as tification. �n
Signature of N ype or Print Name of Not ry (Seal)
Title: Nota P b is Commission Number
SLCPDSD Revised 05/15/2014
F -. v yAUDP.EYB.HUMPHREY Y0�4h41SSI0N # FF 74772EXIRES:Mrch 6,2019F�;,•BondedTNotaryPubl cUndn' _.