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HomeMy WebLinkAboutWS 52 - Owner_Builder & Filled Land Affidavit- Lu r r - Planning & Development Services Department L4101,41 Building & Code Regulations 2300 Vhginia Avenue Port Pierce, Cloridu34982 (772) 462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS 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 fain 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 o' occupancy. You may not build or improve said siructmes for the purposes of selling or leasing that building. If you sell or lease a building you have built o- improved within one year after construction is complete, then a presumption is seated 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 your responsibility to make sue that people employed by you have licenses required by slate 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 K?ffi I understand that the building official and inspectors are not thereto design or give advice on hov{ to meet the minimum code. Initial t"ZO I understand that as an owner -builder (hat any contract disputes with sub-cmdractms and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial 10; I understand that if I compensate any person or company for work performed they me required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost of the license. Initial 1 0 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 related medical cost, which could include loss of wages during recovery from their injury. Initial 1:'2i; 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 owner/builder exemption shall be reported by the Building and Zoning Department to the Florida Slate Deportment of Professional Regulation. Signed a acknowledged on this IF day of _A_ of 20 Qh. Owner wilder Sign rC STATE OF FLORIDA COUN'T'Y OF PALM REACH The foregoing instrument was acknowledged before me this __S__ day of 200 , by KEVIN BOMENNAOEN who is personally known x to me, or who has produced as identification. KEVIN WIRTH KEVIN WIRTH SVbature of Notary Type or Print Name of Notary 1yotary Public - State of Florida ccsvB7l er Commission p GG 917671 Title: Nota y Public Commission Number �pr,M1°" My Comm, Expires Sep 19, 1073 Bonded through National Notary Ass, SLi:PDSD Revised 05/15/2014 PLANNING & DEVELOPMENT SERVICES DEPARTMENT - Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage se that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. KEVIN BORKE 4AGEN Property Owner ame (Please Print) Proper O ignature Date STATE OF FLORIDA, COUNTY OF PALM BEACH ACKNOWLEDGEDBEFOREMETNIS U DAY OF ��20�. BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO ME( v DORWIIO HAS PRODUCED SIGN6XURE OF NOTARY PUBLIC GG917671 COMMISSION NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. KEVIN WIRTH TYPEOR PRINTNOTARY -'0-, ..., (SWN WIRTH ?° •`+ Notary Public - State of Florida '151 MY Commission # GG 917671 '">.':,ns My Comm. Expires Sep 29, 2023 Banded through National Notary Assr.