HomeMy WebLinkAboutOwner builder aff 0 1f Flaiatuing:&DeVeTapmetttSeivieesDepitrtinent
�_ iU Building,&!Cpdc Wgulatiot s
2306 Virginia Avenue.
Fort Pierce F'lorida34982
(772)462-1553'
OWNER/RUJILDER AEFID VIT DISCLOSURE STATEMENT
489.103(7).EXEMPTIONN&
State law requires.construction to be done by licensed .contractors. You have:'.applied::'for a peiti it' under,an
y I:exemption-to that law. The:exemption all •s you,.as tiid.owner of:your property,.to act as,your.ow n contractor even.
though you,-do not have.a.license.. You rhust,l rovide direct.on.-site supervision.i ff tile construction.yourself.. Ybu:,
mar' bititd..or:improve farm outbuildings a one-:ftmily or two-family residence for your use and.occu4 an+ . You.
may a1 o:Utiild of improve a commercial!building at a cost not exceeding$75;004.00 as long:as,it.is,for:your own.
use or occt patio y. You may;notbuild or irn*,6ov said strugtures.for the purposes of selling or leasing that bdil'diri-.
You may;riot hire an unlicensed person to act.as.your con actor or to supervise people working on your building-it
is your,res'pbns[bi[ity to make are that lizop[e employed_byyoti have licenses required by state Iaw and.hy Bounty
ormutucipal licensing ordinances_
Initial Here.. LI)A
If yoti sell or lease a building you have built or improved within one y+eai• after construction is complete then.a
presumption is created that it was built or improved for sale or lease,which is a violation:at"this exemption.
Tnital Here..t r
You may not delegate the responsibility for stiperuising,tivork to a licensed contractor'who:is not licensed to perform "
the Work being done. Your, constructioii must comply vrith all applicable laws; ordinances; building cones, and:
zoning regulations. .Initial Here.
I understand that.the building official and, inspectors are,not there to design: or give advice on how'to meet the
tniriirnttni code. Initial Here,.
I understand that as an.oN ner=builder that any contract disputes with sub-contractors and.1 must•be handled i i a cavil
court u7tli the advice of ate attorney. Tliis.delyartment tvill-.not-mitigate,uiy contract disputes: 4
Initial Here.
T:understand that if I compensate any person or company for work performed they-are required to bee-licensed in this..
jurisdiction: I:f for some reason the)wdo not possess a license, I may be responsible and liable for-the cost of. the.
license. Initial Here.
I understand that if any;person that.is unlicensed and uninsured gets injured on my construction project4hey.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. ._
To qualify for this ex.emptioa under this subsection; an owner must personally appear;,sign the building.pei-nm
application,and initial theabove
l hereby acknowledee that.I have read and-understand'the above disclosure statement.and that I further.understand.
.that any violation of the "terms of the o*iieribuilder exemption shall be reported.by'di Building' and .ironing
Department to Florida State Departmentof.Professional Regulation— Signed and acknowledged an.this
day of
0) :i0 Sui[tree"Signature
STATE OF FLO
CoLINTTl'
The foregoing instrument-,1as.acknativledged hefcire me this c dtiy of 0 2 � ,�"' Z() c ,.
by � �- j who is personally known " ro nee or who has
produced . , . .-
as-zderittflcanon
e t���i � � 6.{•cm0smrs¢C94584t r
Si ature of Notary Type.or?rintName of Notary
Title:Notary Public Commission,Numbei £a p � h+rac�rakvtuktisse