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HomeMy WebLinkAboutWS 53 - Owner_Builder & Filled Land AffidavitPlanning & Development Services Department Building & Code Regulations 2300 Virghdn Avenue Fart Pierce, Florida 34982 (772)462-1553 OWNER/13UILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requites 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 your responsibility to make sure that people employed by you have licenses requited 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 hov{ to meet the minimum code. Initial X;0 I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial l 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 liable for 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 related medical cost, which could include loss of wages during recovery from their injury. Initial Ala 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 State Department of Professional Regulation. Signed and acknowledged on this _'�__dayof "} ft of20J. Owner/BlaUdeP&Oiature STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this S_ day ofTLb1A , 20w, by KEVIN aeaKENHAeEN who is personally known x to me, or who has produced as identification. tax off••,., KEVIN WIRTH i° • ;&try Public State of Florida CCommission # GG 917671 gar, h°a' My Comm. Expires Sep 29, 2023 Bonded through National Notary Assn. &ww.tM%it!/j6A - SiEnature of Notary Title: Notary Public SLCPDSD Revised 05/1512014 KEVIN WIRTH Type or Print Name of Notary Commission Number ee917RI PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FOR'r' PIERCE, FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, IRn-+onniq:Ponnw I to+ 6S ) 5205 AYrm+n& ?I 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 so 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 BORKENHA N Property Owner Name ease Print) Property Own(31p4ire Date STATE OF FLORIDA, COUNTY OF PALM BEACH ACKNOWLEDGED BEFORE ME THIS DAYOF O X20 7A BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWNTO MEnv nORW11O HAS PRODUCED SIGH NOTARY PUBLIC GG917671 COMMISSION NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. KEVIN WIRTH TYPE OR PRINT NOTARY ."A P • KEVIN WIRTH Public - State of Florida ®`; Commission # GG 917671 My Comm. Expires Sep 29, 2023 Bonded through National Notary Assn.