HomeMy WebLinkAboutOwner, Builder Affidavit �y our"
Planning&
Development Services Building&Code Regulations
artment
RFCFFD
2300 Virginia Avenue 0,11
Florida 34982 ° 1St 1Q9
(772)462-1553 eS �ftih9 1
QVC/QOepB�.
OWNERIBUILDER AFFIDAVIT DISCLOSURE STATEMENT c0
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F.S.489.103(7)EXEMPTIONS
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State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you,as the owner of your 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-family residence for your use and occupancy. You
may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own
use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building.
If you sell or lease a building you have built or improved within one year after construction is complete, then a
presumption is created that it was built or improved for sale or lease,which is a violation of this exemption. You
may not hire an unlicensed person to act as your contractor or to supervise people working on your building;.it is j
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 responsibility for supervising work to a licensed
contractor who is not licensed to perform the work being done. Your construction must comply with all applicable
laws,ordinances,building codes,and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how ,r,]'�eet
the minimum code. Initial
I understand that as an owner-builder that any contract disputes with sub-contractors and I mus4beifindled
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in a civil court with the advice of an attorney. This department will not mitigate any contact 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 license,I may be responsible and lia�� e the
cost of the license. Initial (/
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I understand that if any person that is unlicensed and uninsured gets injured on my construction project-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relatedA c ipal
cost,which could include loss of wages during recovery from their injury. Initial
To-qualify for this exemption under this subsection,an owner must personally appear and sign the building
permit application and initial the above.
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 ownerlbuilder exemption shall be reported by the Building andi
Zoning Departmet to the Florida State Department of Professional Regulation. Signed and acknowledged on this;
day of Gd of 20 P?
9YIBVder Signature
STATE OF FLORIDA
COUNTY OF si—�
The foregoing instrument was ac owledged before me this day of N3 CAI ,20 ,
by InCA who is personally known tome or who has
produced t_ as identification.
Signature of N ary Type or Print Name of Not ``PY P''. -N VAU G H N
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Title:Notary Public Commission Number ,.o�P "B%'-
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�_ �-State of Florida-Notary Public
* ►= Commission # GG 270079
-�9rFOF��oe°� My Commission Expires
SLCPDSD Revised 05/15/2014 ''nnn"`\ October 22, 2022
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