HomeMy WebLinkAboutOwner Builder AffidavitI
Planning & Development Services Department
Building & Code Regulations R
2300 Virginia Avenue ECE��O
Fort Pierce, Florida 34982
(772) 462-1553 No r Q q 101
8
Permitting
youOWNER/BUILDERIDISCLOSURE
ESTATEMENT st.
489.1037) EXMP LutY ant
State law requires construction to be done by license
exemption to that law. The exemption allows you, as the owr
though you do not have a license. You must provide direct,
may build or improve farm outbuildings, a one -family or tv
use or occupancy. You may not build or improve said structur,
If you sell or lease a building you have built or improved w
_presumption is created that it was built or improved for sale (
may not hire an unlicensed person to act as your contractor o
your responsibility to make sure that people employed by you
municipal licensing ordinances. You may not delegate th(
contractor who is not licensed to perform the work being don(
laws, ordinances, building codes, and zoning regulations.
I understand that the building official and inspectors
the minimum code.
I understand that as an owner -builder that any contrac
in a civil court with the advice of an attorney. This department
I understand that if I compensate any person or
licensed in this jurisdiction. If for some reason they do not
cost of the license.
I understand that if any person that is unlicensed an
they may be entitled to workmen's compensation. I could be
cost, which could include loss of wages during recovery from 1
To qualify for this exemption under this subsection,
permit application and initial the above.
I hereby acknowledge that I have read and u
understand that any violation of the terms of the own
Zoning Department to the Florida State Department of
--(,0- day of M nn V of 20 —L&.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
by who is I
produced
L E a e2
Si nature of Notary Type or Print P
Title: Notary Public Commission N
SLCPDSD Revised 05/15/2014 E L L E N VA`U G H
State 0t Florida -Notary
Pic Commission # GG 27
MY Commisslon Exa
contractors. You have applied for a permit under an
of your property, to act as your own contractor even
,i-site supervision of the construction yourself. You
-family residence for your use and occupancy. You
_exceeding_$75,000.00 as long as it is for your own
--- -- ---- ------ -
s for the purposes of selling or leasing that building.
thin one year after construction is complete, then a
lease, which is a violation of this exemption. You
to supervise people working on your building; it is
Piave licenses required by state law and by county or
responsibility for supervising work tAali sed
Your construction must comply with aable
Initial
re not there to design or give advice on how't1t
Initial
disputes with sub -contractors and I mus a died
will not mitigate any contract disputes.
Initial
npany for work performed they are require to . be
less a license, I may be responsible and lia for the
Initial
uninsured gets injured on my constru bn roject-
ield liable for all doctor, lawyer and relate edical
leir injury. Initial
t owner must personally appear and sign the building
the above disclosure statement and that I further
exemption shall be reported by the Building and
lal Regulation. igned and acknowledged on this
At
erBuilder Signature
day of iVVV , 20_1k
ly known to me, or who has
as identification.
(Seal)