HomeMy WebLinkAboutOwner builder affidavit - Piannw &Devetopmeni Services Departmepi
""'�:,� , Building&Code Regplatsatis
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`. 462-35§3
UWl►IEIi/$UILDERAFFIDAVIT"Dl5CL'OSURE;STATEMENT I 489.103(7) XEN[k' 'IONS
State lawjrequiies constructionto be done liy hceiised wntractors `You have applied for apermrt under'aii exemptiot +
to that law TTbtee exemphop allowsyou,asftheiowner of your property,to act as your own co�aetai even though you
do:not Have a license,
Yoti:must;povule direct,on site supervision ofthe constnicfCon;yoursel£'`You'maybuildoz
miprove farm outbuitdmgs,:a one-famiIyor two-family residence for youruse and occupancy You.may also build or,
nmprove a commercial buitdmg at a costnot earceesling$75,000 00 as long as it far your owm use or occupancy 1'otr
lin rove_:said structures for Elie purposes`of seliuig dr lefismg that btuldm fou may not hire an 1
quay not biuld of . p g
unGcensea'person,fo act as.your ciiafractor:o..,t0 super ise;paople twoiioifg on your building,rt is y";our responsitiit t
iwmake sure that-people-:employed"byyou_'.have=liaenses>regiiired"by state:-law.arid`by county ormunicipal liven `g
ordinances*"
_ _ '<Initial'`Here.
. i.
Zf<you self or Lease a buiIdmg you have`buirt:or-improved wsfhiu one year after construction >s comptete,tfi a
prgsumptxon>$created that;itwas;tutit_or"iinprovedfo> saleor;lease �uliich is.a violation;Qfthis exemption,
ousmaynotdelegate: responsibiltty:foi supervising vfiorl4 tozahcensed contractor who-isnot licensed tci perfarnq�
ilia work being done Yoursustcomply witl;all.applic tilesta�srs,ordinances;liuilding;codes,-Andzoiung
regulations;; Initial Here. _ �
Iuiiderstandthatt}
Id em.A—44d tnspectors�enattheretadesign_ar,give,adv><ceauhowto;meetl3iemnumum, j
code., ;IntEial-$ere. -
I
I,,tmderstand that as an owner builder
.any
contractrdisputes wrth soli=coritracfors and Tmust ize handleitzin,a c
r
court witl2';the ad�nce of alis attorney This department wii7lziat mitigateany''eontractdispntes.
I understand that tf T compensate any .person or company for work.peiformed they-am.required ta'be 1i'o s d in this 1
lunsdiction Ifforsom „ anon"they do natpossess'alicense,:Imay-bsresponsibleandliailefor.the_costoftlxe,Iicense 1 i
InitialHee.,
I
L-undetsEand drat;if anyRerson that is unIicensed,and munsnred gets mlured on my construction project they maybe: .
,en#itled to worlanen's compensation I`eauld be field lisle for ail doctor,lawy_ d,related medrical cgst;whYch
could include loss;of'wages.during°�recovery,from:they injury Tnitisl Here.
To.qualify far.this exemption:under flits subsection,,an;:owner_must pecsonaliy" appear, sign_the bry ;:.. g permit,:
a,pficat ons and`ibihal'tiie<above
Ib or
acknowledge thax have read andyunderstand`the above disclosure:statement and't$at I furQiezundershand that;
any violation of the terms o£tlie owner/huilder exemption shall be reparCeei by Buii7duig and�onnig DeparEmeni
tovthe.Florida.State Departm-c-fit
of Professional Regulation. Signed ` da
d aedm_ Iedged on tvs y of
'Of-20, _
'Owner r`Sgnature
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STATE(lF
COUN'FY:4F � I
oregoin ant„wAs aelmowiedgedbefore me fhis day csf 20 by`
OKI' J. who is personal y known tome;or who has
roduced as a ... catiot3
.. - - patu�Fet2uzola
'' t Nt�taryPit;
gnature of N Type or Print Name of Dlotary (Sear l�oiida.
Title:No blies, Commission Number, d C81�un1sstOtl EXpi+aes 04116P�Q21:>
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