HomeMy WebLinkAboutAffidavitplanning & Development Services Department
l Q►tpding S Code Regulations
2300 Virginia Avenue
' Fort Pierce, Florida 34982
(772)462-1553
011VNER/BUILDf I AFFIDAVIT
VI DIS OS SE STATEMENT
licensed contractors. You have applied for
State la+v requires construction to be done by y property, to act as your oa under
exemption to that la+v, The exemption allows you. as the owner of ourWn contractor even
though you do not have a license. You must provide direct, on -site supervision of the construe ' n
ntav build or improve farm outbuildings, a one -family or two-family residence for your use and n Yourself. You
ntav also build or improve a commercial building at a cost not exceeding S75,000.00 ton occupancy. you
p rposes of selling g as rt is for your own
use or occupancy. You may not build or improve said structures for the u g or leasing
),oil may not hire an unlicensed person to act as your contractor or to supervise people working
o that building,
is your responsibility to make sure that people employed by you have licenses required b g n Your building, it
or municipal licensing ordinances. Y State law and
by county
Initial Here.N
if you sell or lease a building you have buill or improved within one year after construction is presumption is created that it was built or improved for sale or lease, which is a violation of this execomplete, then a
mption
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.(11
licensed .
You may not delegate the responsibility for supervising work to a licensed contractor who is not
the work being done. our construction mapplicable lawsbuilding
"lust comply with all , ordinan
Your
perform
zoning regulations.
codes, and
or
1 understand that the building official and inspectors are not there to design Initial Here.
minimum code.
S give advice on how to meet the
I understand that as an owner -builder that any contract disputes with sub -contractors and 1 Initial Here. S
court with the advice of an attomey. This department will not mitigate any contract disputes.
must be handled in a civil
I understand that if 1 compensate an Initial Here. SV)
ny for
jurisdiction. If for some reason they donotpossescom,arelicense I may brk e responstheyible and
to be licensed in this
license, nd liable for the cost of the
I understand that if an Initial Here. Sm
y 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 Here. 3M
To qualify for this exemption under this subsection, an owner must personally appear, sign the building permit
application, and initial the above
1 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 i
day o"r of 20
0+ er Bui er nature
STATE OF FLORIDA
COUNTY OF CL k r\k U\ltllt
The foregoing instrument was ackno led
by
produced
Sig aYure ofN` ry
Ye: Notary Public
day of i(i�l Zdme
a�
narcnnallV knOIAn
' to me, or who has
V
Type or Print Name of Notary tSeau ,l � � "7
Commission Number �2s� s EMEDM
MY CGMNESSbN t GG 028517
+ ExpIRES: N0"MW 23, 2W
OA ��C �Tmi&d9ANodr3w�
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