HomeMy WebLinkAboutOwner Builder AffidavitST. Ll1CIE
COt.I T�Y
F aL-0....R
State law requires con:
exemption to that law. "
though you do not have
may build or improve f
may also build or imprc
use or occupancy. You I
You may not hire an un.
is your responsibility to
or municipal licensing o
If you sell or lease a
presumption is created
Planning & Development Services Department
Building & Code Regulations
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
)ER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
:;tion to be done by licensed contractors. You have applied for a permit under an
exemption allows you, as the owner of your property, to act as your own contractor even
icense. You must provide direct, on -site supervision of the. construction yourself. You
i outbuildings, a one -family or two-family residence for your use and occupancy. You
a commercial building at a cost not exceeding $75,000.00 as long as it is for your own
not build or improve said structures for the purposes of selling or leasing that building.
nsed person to act as your contractor or to supervise people working on your building; it
ke sure that people employed by you have licenses required by state law and by county
Initial Here.
ig you have built or improved within one year after construction is complete, then a
was built or improved for sale or lease, which is a violation of this exemption.
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You may not delegate the'' l'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 j Initial Here. L__D
I understand that the building official and inspectors are not there to design or give advice on how to met e
minimum code. j Initial Here.
I
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. I Initial Here.
I understand that if any pel son 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 wage1'sduring recovery from their injury. Initial Here.
.II
To qualify for this exem LIL)n under this subsection, an owner must personally appear, signthe building permit
q fY P, P Y PP �g
application, and initial the;above
I hereby acknowledge tha
that any violation of the
Department to the Floridz
day of of
STATE OF FLORpik
COUNTY OF , I
The foregoing instrument
by `—G x�
produced
have read and understand the above disclosure statement and that I further understand
rms of the owner/builder exemption shall be reported by.the Building and Zoning
:ate Department of Professional Regulation. Signe and acknowledged on this �5
rr`n
rBuilder Signature
acknowledged before me this J-6- day of , 20 ��
who is personally known o me, or who has
as identification.
Signature —of Nofary Type or Print Name of
Title: Notary Public Commission Number E
ELLEN N
)e oq Florida No ary Publi
CoMrnission # GG 270079
Expires
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