HomeMy WebLinkAboutOwner Builder Affidavit L1L
Planning& Development Services Department
Building&Code Regulations
2300 Virginia Avenue
Forl Pierce,Florida 34982
(772)462-1553
OWNEWBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.489.103(7)EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied fix a permit under an
exemption to that law. The exemption allows you,as the owner ofyour 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 Win outbuildings, a one-family or two-family residence fix your use and occupancy. You
may also build or improve a commercial building at a cost not exceeding$75.000.00 m long as it is fir 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.
Initial Here. M
It'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 fix sale or lease,which is a violation of this exemption.
Initial Here. M
You may not delegate the responsibility fix supervising work to a licensed contractor who is not licensed to perfimn
the work being done. Your construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations. Initial here.
I understand that the building official and inspectors are not there to design or give advice on how to Jeetthe
minimum code, Initial Nf.
1 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 here.
im
1 understand that if I compensate any person or company firr work pertirrmed they arc 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 Itere-
I understand (hat ifany person that is unlicensed and uninsured gets injured on my construction project-they may be
entitled to workmen's compensation. 1 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.
rM
To qualify fix this exemption under this subsection, an owner must personally appear, sign the building permit
application,and initial the above
I hereby acknowledge that 1 have read and understand the abo Isclosur statement and that I further understand
that any violation of the terms of the owner/builder excmpu shall reported by the Building and Zoning
Departs I t to the Florida State Department of Professional Rego or Signed and a owled red on this
day of ot'20 `, l
0 r/Builder:Ig atu
STATE- 01'I'LOR1U
COUNTY 01' Uli�l (i
The lip c ping instrument was acknowledged before me this day of 2Q9
by who is personally know to me,or who has
prod a as ids tification.
Sign tunic of Ne ry T p•or Print Name of No any (Seal)
title: Notary I'u tic Co nmission Number
AUDREY B.HUMPHREY
MY COMMISSION#GG 300817
3; A.6
EXPIRES:March 6,2023 :S
;° Bonded Thru Notary Publir,Undervrr:!:r_