HomeMy WebLinkAboutOwner Builder Affidavit Planning&Development Services Department
COUNTY Building&Code Regulations
t R I • A 2300 Virginia Avenue
Fort Pierce, 9�772)62-553
OWNER/BUILDER 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 you,as the owner of your property,to act as your 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 for 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.
If you 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. 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. Your construction must comply with all p e
laws,ordinances,building codes,and zoning regulations. Initial ge
I understand that the building official and inspectors are not there to design or give advice on ho t eet
the minimum code. Initial
I
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.
Initial
I 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 li 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 relat d
cost,which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection,an owner must personally appear and sign the building
permit application and initial the above.
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 owneAuilder exemption shall be reported by the Building and
Zoning Dep ent o the Florida S p Department of Professional Regulation. Signed and acknowledged on this
day of of 20Zw&/
rBuilder S a
STATE OF FLORIDA
COUNTY OF :2_*.ke,tc
The foregoing instrument was acknowledged before me this S day of 0( ,20��,
b who is personally known to me,or who has
pr uced ` as identification.
`) ,,, LASHAHNA INW Wl
11�V P(,B� State at Florida
Signature of Notary Type or Print Name of Notary +o ��•,: Notary I( t€1)
Title:Notary Public Commission Number ;.:My Comm.Expires Dec 20,201B
comission #FF 177249
OF f.� Bonded through National Notary
SLCPDSD Revised 05/15/2014 .,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT- -
` Building& Code Regulations Division
Wi 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
ddg�4rw�. FX 4� F/.
(Parcel filffliffejil descriptim/Address)
for which I have applied to St. Lucie County for.a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with .Section
7.04.01(D), St.Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in. any form,
adequate drainage off my property which will not adversely affect the immediate
community.
rl(/A .1 dir'&c V6qAq
Property oar Name(Please int)
Pr�perFy Owne tore Date
STATE OF FLORIDA,COUNTY OF,_Y117.�A[�
ACKNOWLEDGED BEFORE ME THIS_ DAY OF 120
BY /V WHO IS PERSONALLY KNOWN TO ME(a OR WHO HAS
PRO UCED. AS IDENTIFICATION.
�S era l�
JN�AURE OF NOTARY PUULIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
ShAL LASHAHNA INGRAM
Notary Public-State of Florid
My Comm.Expires Dec 20,2018
Commission#FF 177249
SLCPDSD Revised 04/11/201 I '�%°� � ' Bonded through National Notary Assn.