HomeMy WebLinkAboutOwner/Builder Affidavit SS Uo is
O Planning& Development Services Department
13 • n Building& Code Regulations
2300 Virginia Asenue
Fart Pierce,Florida 34982
(772)462-1553
OWNEWBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.499.103(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.
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.
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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.
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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 applicable laws, ordinances, building codes, and
zoning regulations. Initial Hera WA)
I understand that the building official and inspectors are not there to design or give advice on how to meet the
minimum code_ Initial Here. W/V
I understand that as an owner-builder that any contract disputes with sub-contractors and 1 must be handled in a civil
court with the advice of an attorney. This department will not mitigate any contract disputes.
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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 liable for the cost of the
license. Initial Here. !NA/
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 related medical cost, which
could include loss of wages during recovery from their injury. Initial Here. 4VN
To qualify for this exemption under this subsection, an owner must personally appear, 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 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 A_�
day of /rla�n __of 20a.
Owner/Builder Si ature
STATE OF 1 LO A
COUNTY OF
The f regoi g instrument was acknowledged before me this I_day of MQL I 20Z 1
by oc1 who is personally known to me,or who has
r ced 1 as identification.
x ____ D4_
Signature of Notary T e or Print Name of Notary (Seal)
Title! No�Public � Yr .. toA AHW'urlber HEATHER 13URFORI]
.`SPRY PU i
Notary Public-State of Florida :° State of Florida-Notary Public
Commission 4 iIH 116943 Commission s GG 183217
-:01K My Comm.Expires May i,2025
ar�o�. y Commission Expires
BandeC through Natiarai Notary Assn "'�'� February 05, 2022