HomeMy WebLinkAboutOwner Builder Affidavit0-T", LN1C�llL �'
0 — Planning & Developmen_ Department
4wwu 4� Building & Code Regulations
L.i 2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OwNER/BUILDER AFFIDAVIT
DISCLOSU
P TONS STATEMENT
a permit under an
State law requires Thec p xemti nealows you, as the wneed rof your property, to areactors. You have applied for
your contractor
exemption to that law.. 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 $75,0000. 0 as l onog easing that building.
as it is for your own
use or occupancy. You may not build or improve said structures for the purposes
You may not hire an unlicensed personeto ct as your contractor or to employed by you havesupervise licenses equirled by working
a law and by building; oun it
is your responsibility to makepeople ��%��
or municipal 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
Pti
presumption is created that it was built or improved for sale or lease, which is a violation of thia Initial Here.
work to a You may not delegate the responsibilityo�for supervising ust omply with all applicable laws, ordinances, building coed contractor who is not licensed to es, perform d
the work being done. Your Initial Here.
zoning regulations.
I understand that the building official and inspectors are not there to design or give advice meet the
initial Here.
minimum code.
I understand that as an owner -builder that any contract disputes with sub-contractors
sdis utes.d I ust be handled in a civil
court with the advice of an attorney. This department will not mitigate any P Initial Here.
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 forial the cost of the
He
license.
I understand that if any person that is unlicensed and uninsured gets injured on my construction proj etmayy co which
entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate II' ��
could include loss of wages during recovery from their injury. �
To qualify for this exemption under this subsection, an owner must ers nal a e s'gn 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 and Zonand
that any violation of the terms of the owner/builder exemption shall be reported by owled ed on this l�
Department to the Florida State Department of Professional RegulatiojSigneV�der
g
day of N QV of 20�
OwnerBgnature
STATE OF FLORIDA
COUNTY OF 20 ���
The forego' instrumen was acknowledged before me this �,'(�day of to me, or who has
b who is personally known
y as identification.
produced
��— (Seal)
Signature of Notary Type or Print Name Notary
Commission Number ,.%N11'p ELLEN VAUGHN
Title: Notary Public `PaY P °°
„�_ ,a° `;';State of Florida -Notary Public
Commission # GG 270079
ojj11 My Commission Expires
October 22, 2022