HomeMy WebLinkAboutOWNER BUILDER AFFIDAVITO planning & Development Services Department
_SCANNED Building & Code Regulations
�Y/ 2300 Virginia Avenue
i Fort Pierce, Florida 34982
St Q (° ucle v®un `'P I (772) 462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE 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 use 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 orditances.
Initial Here.
If you sell or lease a building you have built or improved within one year after construction is complete, then
presumption is created that it was built or improved for sale or lease, which is a violation of this exemption.
Initial Here.
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, a
zoning regulations. Initial Here.
I understand that the building official and inspectors are not there to design or give advice on how to mee t
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.
Initial Here. xi�
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 posIsess a license, I may be responsible and liable for the cost o
license. -Initial Here.
1 understand that if any person that is unlicensed and uninsured gets injured on my construction project -they may
entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, w
could include loss of wages during recovery from their injury. Initial Here.
To qualify for this exemption under this subsection, an owner must personally appear, sign 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 understand
that any violation of the terms of the owner/builder exemption shall be report by the Building and Zonipg
Department t the lorida State Department of Professional Re ulation. igned acknowledged this
day of of 20 11k 14WC. fA
Own ui det Signature
STATE OF FLORIDA
COUNTY OF Cd--�dA -
The foregoin instru�was acknowledged before me this day of ICY 20
by who is personally known ,t Ad 6 as
identifica �° °mom:
Produced as ` State Of (EN V
C'! �FFLO co,�,y�tS �or;da No GHN
.h9y n a�Y P
Signature of Notary Type or Print Name of Not eopanrSSloGG 22 b'
Title: Notary Public Commission Number 6 &Q.% !r�s s
a:
O >: Planning & Development Services Department
111 • e Building & Code Regulations
- 2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE 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 use 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.
Initial Here.
i
If you sell or lease a building you have built or improved within one year after construction is complete, then
presumption is created that it was built or improved for sale or lease, which is a violation of this exemption.
Initial Here.
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, a
zoning regulations. Initial Here.
I understand that the building official and inspector's are not there to design or give advice on how to mee t
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.
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 for the cost o
license. -Initial Here.
1 understand that if any person that is unlicensed and juninsured gets injured on my construction project -they may b
entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, w
could include loss of wages during recovery from their injury. Initial Here.
To qualify for this exemption under this subsection, an owner must personally appear, sign 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 understand
that any violation of the terms of the owner/builder exemption shall be report by the Building and Zoning
Department t the- lorida State Department of Professional Re ulation. igned a acknowledged o this
day of of 20 '1k
Own ui de Signature
STATE OF FLORIDA .
COUNTY OF
The foregoin instrum(
by
produced �"CL
Signature of Notary
Title: Notary Public
was accknowledged before me this day of
who is personally known
as ides
Type or�Print Name ofNotaNJ
Commission Number ids J_?
20
Stare o f F1 l� V
Ni"'r";S�°�`aa nro �yAt
^ ` - afy pubs
b�e)�sSion Er �.