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O Planning&Development Services Department
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2300=V.irginia Avenue
Foct Pierce,Florida 34982
(772).a6i-iss3 JAN 12 2022
OWNER/BUILDER AFFIDAV. MDISCLOSURE STATEMEISTLucie County
F.S.489.103(7)EXEMP.FIONS P 1 rnitting
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 useI and occupancy. You
may also build or improve a commercial building at a cost not exceeding$751000.00 as long as it is for your own
use or occupancy.You may not build or improve said structures for the purposes of selling o 1 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. /r
If you sell or lease a building you have built or improved.within one year after constnicti n is complete, then a
presumption is created that it was built or improved for sale or lease,,which is alviolation 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. I Initial Here.
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.
I 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.
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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. �nitial Here. /_
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.
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To qualify for this exemption under this subsection, an owner must personally appear, sign the building permit
application,and initial the above i
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 thel Building and Zoning
Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this I
day of_'�',VV_ of20aX --v
OwnerBuilder Signature
STATE OF FLORIDA I
COUNTY OF
The foregoing instrument was acknowledged before me this 1 a day of
by who is personally known to me,or who has
produced 1. Cpt a=ar ,i
Signature
CcANNA GIVShS
otary>tState o'=:orida
6 %v¢ 4CommSssior r)!H 086359
Signature of No Type or Print Name of Noty Cc l firesjar 28.2025
� ,Title:Notary Public Commission Number d throng tiora:.rotary Assn.
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