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Building & Code Regulation
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 a
exemption to that law. The exemption allows you, as the owner of your property, to act
though you do not have a license. You must provide direct, on-siie supervision of the
may build or improve farm outbuildings, a one -family or two-family residence for yc
may also build or improve a commercial building at a cost_not exceeding $75,000.00
use or occupancy. You may not build or improve i—aid structures forth pe urpos s of sel.
If you sell or lease a building you have built or improved within one year after, cons
presumption is created that it was built or improved for sale or lease, which is a violat
may not hire an unlicensed person to act as your contractor or to supervise people wo
your responsibility to make sura that people employed by you have licenses required b,
municipal licensing ordinances. You may not delegate the responsibility for supe
contractor who is not licensed to perform the work being done. Your construction mus
laws, ordinances, building codes, and zoning regulations.
ied for a permit under an
your own contractor even
nstruction yourself. You
use and occupancy. You
ong as it is for your own
or leasing that building.
ction is complete, then a
. of this exemption. You
ig on your building; it is
ate law and by county or
sing work to a licensed
)mply with all applica e
Initial C�
I understand that the building official and inspectors are not there to design or 'give advice on how t�rret
the minimum code. ij it Initial II��
I
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
�i
Initial _ 9:Ab
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for tbp
cost of the license. ���'� Initial
,r
I understand that if any person that is unlicensed and uninsured gets injured ion my construction project -
they may be entitled to workmen's compensation. I could be held liable for all doctor11lawyer and relate e
cost, which could include loss of wages during recovery from their injury. q I Initial
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
i1
g Departme t o orida S a epartment of Professional Regulation. Signed and acknowledged on this
day of of 20 n
STATE OF FLORIDA
COUNTY OF
The foregoin nrstrument wa cknowI dged before me this day of
by � i who is personally known _
produce Z_ as identii
Signature of Notary
Title: Notary Public
SLCPDSD Revised 05/15/2014
Type or Print NamJ of Notary
Commission Number
IIS
20_�,
ao me, or who has
j�
• ANGELA M HUFF
Notary Public - State of Florida
Commission # FF 234730
My Comm. Expires May 27, 2019
Bonded through National Notary Assn.