HomeMy WebLinkAboutOwner Builder Affidavit = Planning&Development Services Department
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2300 Virginia Avenue RECEIVE®
Dort Pierce,Florida 34982
(77z)4c2-H553 JU1V 2-. 2020
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATENIE TST• Lucie Coun
F.S.489.103(7)EXEMPTIONS County, Permitting
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.
You may not hire an unlicensed person to act as your contractor or to supervise people working'on your buildin ; it .
is your responsibility to make sure that people employed by you have licenses required by state law and b ,unty
or municipal licensing ordinances. Initial > 1
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 via f
this exemption. Initial
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, buildin co es,
and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on ho et
the minimum code. Initial
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be h ndled
in a civil court with the advice of an attorney. This department will not mitigate any contract dispute's,
Initial
Lunderstand 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 liabl the
cost of the license. Initial
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 re medical
cost,which could include loss of wages during recovery from their injury. Initi. II
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'l further
understand that any violation of the terms of the owner/builder exemption shall be,reported by the Building and
Zoning;Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of 1 of 20 Z-0.
Owner/Bu der Signature -
STATE OF FLORIDA. ,
COUNTY OF
The foregoing instrument was acknowledged before me this;�,J_day of -S A-._ 20a� ,
by who is personally known tome, or who h s
produced fit-0 t_ as i _'
\1., ♦ �� DEANNIMG
My COMMISSION GG0
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e,a,r 1101, \f�0y\s l": 'y'`.° EXPIRES:December 16,2020
Signature of NotWry Type or Print Name of Notar ''" „t' eanaedmmNo Urtderwr+tan
Title:Notary Public Commission Number
SLCPDSD Revised 02n120