HomeMy WebLinkAboutOwner Builder Affidavit i Planning&.Deve opment Services Department
'COUNTYBuildina &Code Regulations
1 23110 Virginia Avenue
Fortierce,Florida 34982
(772)462-1553
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OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.489.103(7)EXEMPT ONS
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State law requires construction to be done by licensed contr ctors. You have applied for a permit under an
exemption to that law. The exemption allows you,as the owner of y ur property,to act as your own contractor even
though you do not have a license. You must.provide direct,on-site supervision of the construction yourself. You
may build or improve farm outbuildings, a one-family or two-fami�Y residence for your use and occupancy. You
may also build or improve a commercial building at a cost not"exce0ding $75,000,00 as long as it is for your own
use or occupancy.You may not build or improve said structures for a purposes of selling or leasing that building.
If you sell or lease a building you have built or improved within o e year after construction is complete, then a
presumption is created that it was built or improved for sale or leas ,which is a violation of this exemption. You
may not hire an unlicensed person to act as your contractor or to su ervise people working on your building; it is
your responsibility to make sure that people employed by you have licenses required by state law and by county or
municipal licensing ordinances. You may not delegate the'respc nsibility for supervising work to a licensed
contractor who is not licensed to perform the work being done. You construction must comply with all applicAble
laws,ordinances,building codes,and zoning regulations. Initial c
I understand that the building official and inspectors are'notere to design or give advice on how to meet
the minimum code. Initial y .
I understand that as an owner-builder that any contract dispu es with sub-contractors and I must be handled
in a civil court with the advice of an attorney. This department will n t mitigate any contract disputes..
Initial
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 icense,I may be responsible and liable for he
cost of the license. Initial
I understand that if any person that is unlicensed and unins ed gets injured on my construction project-
they may be entitled to workmen's compensation. I could be held"li ble for all doctor,lawyer and relateA medical
cost,which could include loss of wages during recovery from their inj Initial s�'
To qualify for this exemption under this subsection,an owne must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the bove disclosure statement and that I further
understand that any violation of the terms of the owner/builder exe ption shall be reported by the Building and
Zo g Depent to the Florida S Department of Professional egulation. Signed and acknowledged on this
day'of of 20 .
74ruilder Signatur
STATE OF FLORIDA
COUNTY OF
The foregoin"instrument w acknowledged before me this da of 20_a,by ho is personally ow4 to me,or who has
produced s identification.
ign ture of Notary Type or Print Name of 9c tary (Seal)
Title:Notary Public Commission Number
SLCPDSD Revised 05/15/2014
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