HomeMy WebLinkAboutOwner/Builder Affidavit UJ CLI Lrr
1111an nIng & Deveh)pnienl Scr% ire; I )cpa riment
P 1wilding & Code Regulation %
23011 � irglnis A% rnue
I or1 Nirrcr, i lorlda 34982
(772) 46I- 1 SS3
[ A1'NN:KIl3Ull. [ 11: 1t ,111T i13AN' 1 l DISCLOSURE STA I ! N1 F ti t
E�.w . 489. 103 ( 7 ) EXEMPTIONS
State la%v rrytmcs t or i permit unccr anc rcyccnsccconractors. oua�ea�� lc
crrif}pRit�n to that luw. The exemption allows you, as the owner of your property, to act as your own contractor even
010LIgh you du not litive a 1icen �e_ Yc�u �ltust ��ovic�c cl � rect, on-Ste supervision c��' the construction yourc-elf You
n >ay build or improve farm outbuddin6s, a one- family or two- family residence for your usr and occupancy . You
may alsu build or improve a corrtmcrci.d buiIding at a cast not exceeding S75 ,000,00 as long as it is for your own
use or uccupancy. You may not build or improve s�ikc� structures for the Purposcs of selling or leasing that building.
You may not hire an unlicc;nscci Person to act a,% your contractor or to Superviec pcople working an your building-, it
VS your responsibi lity to make sure that peopIc employed by you have licenses required by state law Inc! by county
or mullicipal licensing ordinances.
Initial Here,.
if YOU sell or lease a building you have built or improved within one year after construction is complete, then a
prcsumption is created that it was built or improved for sale or lease, which is a violation of this cxcmplion .
Initial Here.
��•tr
You may nay delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform
ffic work being done. Your construction rnrist Cornply with all applicable Iaws. ordinanccs, building cedes, and
zoning regulations. Initial Here.
I understand thai the building official and inspectors are not there to des:ign or dive advice on how to meet the
minimum codc . Initial Here. Jiloo__
understand that 1s an owner-builder that any contract disputes with sub-contractors <<rld ! nwsi be h4andlcd in a civil
coup witl} the advice of an attomcy. This deparinicnt will not mitigate any contract disputcs.
Initial Here.
I understand that if i compensate any person or company for work performed they arc rcgiiired to be licensed an this
jurisdictiom If for some reason they do not possess a license, [ may be responsible and liable for the cost of the
license_ Initial Here. A4101--
I undcrstand that if any person that is unlicensed and uninsured gets injured on my construction project-they may be
entitled to workmen 's compensation. l could be held liable for all doctor, Iawycr and related medical cost, which
could include loss of wages during recovery From their injury. Initial Here.
To quahfy for this exemption under this subscctlon, an a«rner must personally appear, sign the building pernia
application, anci initial tllc above
1 hereby acknowlcdgc that I have read and understand the above disclosurc statement �Iilc! that 1 further understand
that any violation of the tcrnis of the owncrlbuilricr excr»ption shall bc rcparicci by the Building and Zoning
Departnicnt to the Floridia State Dep,-Lirlmenl of Profe-ssional Regulation . Signcd and acknowledged oil this
day of _ of 20
Owner/Builder Signature
STATE OH I LO !t I DA
COUNTY OF �V- Lea_VA
_
The r�: ink instrument w.as ackno►��lcci�cci before me this � day ��f _ QjZ� . , �(} 10-1
by _ �C�C�1r�__ � . �--D_L.��� �U r'`-- « 1to is personally known to me, car ►ti ��c� teas
produ d L L?SZ]_75����. l � _ tu identification ,
� VI M • CaSSaNARa �+ vOLoGE
� ` ��` Notary P�CIi� State of Florida
Signature of Notary Type or Print Name of Notary ` � t,; Commission N GG 4I3210
a r� .-� Viry Comm, Expires ott 16. 2a� 3
Title.- Nota[y Public Commission Number C. � �'�(� gandtd through Naziar�af Notary Assn