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Home My WebLink AboutOwner Builder AffidavitPlanning & Development Services Department Building & Code Regulations Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-1553 Owner Builder Affidavit — Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Director to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of fr- , 20 1 . OWNEWBUILDER SIGNATURE STATE OF FLORID COUNTY OF cS'a--2 L_ b _(f The foregoing instrument was acknowledged before me this / ' day of� , 20 by �� (S)Gt,44QU-J , who is personally known t___1t'o me or duced as identification. tt�)re of Notary Print name of Notary (Sea') *,��,: CAommiss�i�ARTE PE ��, May 7 EE 17 84�6 fires y , 2016 Title: Notary Public Commission Number' % w �-I ^�P"'�� BOrded�""T10� F�^hes1018 SLCPDSD Revised 7/23/2010 St. Lucie County Owner Builder Affidavit -Electrical Contracting Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 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 or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it 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. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initi I understand that the building official and inspectors are not there to design or give advice on to meet the minimum code. Initia I understand that as an owner -builder that any contract disputes with sub -contractors and I mu a handled in a civil courtwith the advice of an attorney. This department will not mitigate any contract disputes. Initial.0 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. InititJ:;r__ 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 rela ed medical cost, which could include loss of wages during recovery from their injury. Initi To qualify for this exemption under this subsection, an owner must personally appear and sign a 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 owneribuilder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 Owner/Builder Signature STATE OF FLORIDA I 1 COUNTY OF l l (�xP �� D The e fo oing instrument was acknowledged before me this IT Iday of 20 , y L�� _ L ,(� 0L who is personally known to me, or who 1. has „mi ,ice as identification. of Notary V Type or Print Name of Notary iry Public v Commission Number Gt 1 L ke SLCPDSD Revised 07/22/2010 g% e�, C3eEgNET DUARTE PENTZ }, tC:oommission # EE 170846 g Eicpires May 7, 2016 Hm&dTMuTmvFWnkwmw 600385d019 Property Appraiser - St.Lucie /"-»nty, FL Page 1 of 1 St Lucie County Record: 1 of 3 Property Identification Site Address: 2300 Virginia Ave Sec/Town/Range: 16 :35S :40E . Map ID: 24/16S Zoning: C1 Ownership and Mailing Owner: Address: 2300 Virginia Ave Sales Information Date Price 6/1/1988 100 PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 2416-504-0770-000-8 Account #: 25850 y ? x Use Type: COUNTIES City/Cnty: Fort Pierce Legal Description St Lucie County LAWNWOOD ADDN ALL THAT PART OF VACATED BLKS 110, 133, %Management & Budget 134 AND 159 BOUNDED ON N BY SLY RAN RHODE ISLA Fort Pierce FL 34982-5632 More... Assessment 2012 Total Land and Building Code Deed Book/Page 2012 Final: 19181700 Land Value: 3713900 Acres: 24.36 01 CV 0598 / 1832 Assessed: 19181700 Building Value: 15467800 Ag.Credit: 0 Finished Area: 147739 SgFt Exempt: 19181700 Taxable: 0 Taxes: 0 BUILDING INFORMATION i]wni CCro, v cw I.IUCIE C... T' ale; BI I'BAS I] MUIx15iPnTBN BLBB x (A]]):' u ]B�Yn]BBI IID B BBB M CN3 "� •: '�`� �` 3r (4i0v) q_f IBB) I .(IW l rl .. Exterior Features View: - RoofCover: GY - Gypsum RoofStruct: TP - Steel Conc ExtType: HROF - OFFICE YearBlt: 1977 Frame: - Grade: S+ - S+ EffYrBit: 1977 PrimeWall: BR - 8in Brick StoryHght: 0020 - 2 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 0 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 100 Special Features and Yard Items Land information Type Y/S Qty. Units Qua]. Cond. YrBlt. No. Use Type Type Measure Depth ELEV - ELEVATOR S 1 5000 AV AV 1977 1 8600-COUNTIES 320 -Sq Feet 1061122 CNC2 - CONCRETE LOW Y 1 72000 AV AV 1989 ASP2 - ASP2 LOW Y 1 100300 AV AV 1977 CURB - CEMENT CURB Y 1 733 AV AV 1977 LGT1 - SINGLE LIGHT Y 1 5 AV AV 1989 LGT2 - DOUBLE LIGHT Y 1 4 AV AV 1989 LGT4 - QUAD LIGHT Y 1 2 AV AV 1989 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasle.org/pasle/prc.asp?prelid=241650407700008 2/11/2013 CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER OR CONTRACTOR SIGNATURE STATE OF FLORID COUNTY OFC(� The foregoing instrument was acknowledged before me this � ' day of � C ntb 20 15 by W . Q L lQ�.l� who is personally known for has produced CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was,,i'cknowledged before as identification. S nat re of Notary I, -� r •, .......... JNNET DUARTE PENTZ Commission No. I ,;)K"Zi Commission # EE 170846 Expires May 7,2016 r,�p1p4,�.' Bonded Tb. Ty Fehr k.'yK880MM7019 me this day of f , 20 , by who is of Notary No. or has produced as identification. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUHLED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist.