HomeMy WebLinkAboutOwner Builder Affidavit 0 Planning&Development Services Department
• • Building&Code Regulations
2400 Virginia Avenue
_ Fort Pierce,Florida 34982
(772),462-1553
OWNER/BUILDER AFFIDAVIT�.DIS.,CLOSURE 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 for your usei and occupancy. You
may also:build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is.for your own
use.or occupancy-You'may not build or improve said structures for the purposes of selling 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. I
iInitial Here. '
If you or lease a building you have built or improved within one year after construction is com t�n a
Y gY P Y comp
le,
is created that it was built or improved for sale or lease,which is a violation of this exemption.
Initial
You may not delegate the responsibility for supervising work to a licensed.contractor who is not licens to perform
the work being done. Your construction must comply with all applicable laws, ordinances; building codes, and
zoning regulations. Initial H e
I
I understand that the building official and inspectors are not there to design or give advice Ion hcp to mee the
minimum code. i Initial HePedKivil
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be hand
court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial Her .
v/I'
I understand that if I compensate any person or company for work performed they are requiredlto be liccceeense 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 Her
I understand that if any person that is unlicensed and uninsured gets injured on my construction project ey 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 Her
I
To qualify for this exemption under this subsection, an owner must personally appear, sign the b ding permit
application,and initial the above
i
I hereby acknowledge that I have read and understand the above disclosure statement and thaf I further understand
that any violation of the terms of the-owner/builder exemption shall be reported by the Building and Zoning
Department to the Florida State Department of Professional Regulation. Z
eid and acknowle ed on this :Zf4t A
day of of 20';,-,L
Q4ndr—/Bui ier r'
STATE OF FLORIDA. «,f _{ S. N I E L S E N
COUNTY OF St' . w G e -Nn
qq.�� _1— ;:State o; Florida-1Nlotary Public
The foregoinginstrument was acknowledged before me this)5 day of �Q'rC.Y 1 sI• � Commission #1 GG 207484
by who is personally known 1 to me, `vy F `'!F My Commission Expires
rodu rI L f Se as identification. tune 12, 2022
I
ShelU� +inn L Mgjer p pR Sheltie Ann Leeder
SignatuA of Notary Type or Print Name of Notary I NOTARY PUBLIC
Title:Notary Public Commission Number G�LI 15DIMIq -STATE OF FLORIDA
Comm#GG256069
r�HCE►��� Expires 9/29/2022
I
i
I
i
I