HomeMy WebLinkAboutOwner Builder Affidavit 08/06/2020 THU 8: 33 FAX 7724896541 Jackson Druga Pharmacy U004/009
11�'5`�F f t,i Qr�ll d
Planning& Development Services Department
Building&Code Regulations
2300 Virginia Avenue
For(Plerte,Floddo 34982
(772),162-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F,S,4$9.103(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 yollr 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 f'lor 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 contraetar or to supervise people working on your building; it
is your responsibility to make sure that people employed by you have licenses required by state law and by county
or municipal licensing ordinances.
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Iryou 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. A ,
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You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perfbrm
(lie work being done. Your construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations. Initial Here. P M
I understand that the building official and inspectors are not there to design or give advice on how tomee the,
minimum code. Initial Here, '�`/�
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled in a civil
C01.111 with the advice of an attorney. This department will not mitigate any contract disputes. InitialHere.
I understand that if 1 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 If
license. Initial Here. p t�V/�
I understand that it'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, high
could include loss of wages during recovery from their injury, Initial Here. 0''nn``ii``
To qualify for this exemption under this subsection, a(t owner must personally appear, sign the building permit
application,and initial the above
I hereby acknowledge that i have read and understand the above disclosure statement and that 1 further understand
that any violation of the terms of the owner/builder exemption shall be reported by the Building and Got iti
Department jo-the Florida Stateepartment of Professional Regulation. Signed and ac n aged o1, this
day of-- / of 20,10
Owner/Builder
STATE OF FL A
COUNTY OF ��
The fp5oi g instrument was acknowledged before me this A_day of 144- ,20
by who is personally known to me,or who has
pr uoed ,as identification.
. gnature o ota Type or Print Name of Notary (Seal)
Commission Number �',I•
' _ TAT'IANA bAZA SANCHE=Z
MY COMMISSION#GG046227
EXPIRES November 09,2020