HomeMy WebLinkAboutOwner Builder Affidavit�t. Lucie County Building & ZoiaYiig
2300 Virginia Avenue Ft. Pierce, FL 34982-55652
rel.561-462-1553 '
OWNERIBUILDER AFFIDAVIT -ELECTRICAL CONTRACTING
DISCLOSURE STATEMENT
F.S. 489.503 (6) EXEMPTIONS
. I
State law requires electrical contracting to be done by licensed electrical 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
electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding
or a single-family or duplex residence. You may install electrical wiring in a commercial,building the aggregate
construction costs of which are under $25,000. The home or building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within I year
after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed personas your electrical contractor. Your construction shall be done
according to building codes and zoning regulations. 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. Failure to do so may result
in a liability for you!
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application.
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
Community Development Director to the Florid State Department of Professional Regulation. Signed and
acknowledged on this day of / , 20•
_ e
OWNERBUILDER SIGNATURE
STATE OF FLORIDA _
COUNTY OF cif - Z-Ll(',/C-
The foregoing instrument was acknowledged before me this Al day of , 20 A6, by
jf?NE)k,)Q_ who is personally known to me or who -11 has produced
as identification. YS-0 -
�p-P� (Seal)
ey
• SIGNATUItt OF NOTARY Type or Prinf Name of Notary
Title: Notary Public
Commission Number
4 P Po. •.
AUDREY B. HUMPHREY
MY COMMISSION # DD 1903B7
EXPIRES: March 6, 2007
aonded 7hru Notary Public Underwrtters
St. Lucie County Owner Builder Affidavit -Electrical Contracting
• B St. LWCounty ' ens
uilding & ng Departm
f.:. enue
23011 Virginia Av
+ Fort Pierce, Florida 3-4982
..........
(772Ya62-1 553
OWNERBUILDER 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 youras the -owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct. on-si�esupervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under S25MO.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. if you sell or lease a building you have built or substantially improved your self within
one vear after the construction is complete, the law will presume that you built or substantially improved it 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 required 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.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide 'workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applic ble ws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on ho to eet
the minimum code. Initial.
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.
I nitialn=
1 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 liab a 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 relateo medical
cost, which could include loss of w•n oPs during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the builds ig
permit application and initial the above.
I herebv acknowledge that I have read and understand the above disclosure statement and that I further
understand that'any violation of the terms of the owneribuilder exemption shall be reported by the Building and
Zoni Departm nt to the Florida.State Department of Professional Regulation. Signed and acknowledged on this
day of of 20.O_L- 1_/
Owner/Builder Signature
STATE OF FLORIDA :+ )
COUNTY OF C![/
The foregoing in,trument was acknowledged before me this �y day .of 200%, by
D�lh �� %M who is personally known to me oho has produced
—F _ ✓jne• k, lb as identification. S-0. 1717i—AG.�. SD, C)
Se or Print lame of :otary (Seal). 10immission Number
1EJ"
�O;�Y P�p r,,• AUDREY B. HUMPHREY
MY COMMISSION # DID 190387
=a ; EXPIRES: March 6, 2007
Bonded Thru Notary Public Underwriters