HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITv
SCANy,�p1N�banning & Development Services Department
N Building &, Code Regulations
Y- -• -i300 Virginia Avenue
St LUCO� nty Fort Pierce, Florida 34982
(772) 462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 499.103 (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.
If 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 for sale or lease, which is a violation of this exemption. 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: 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 complywith all a lic le
laws, ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice' on ho eet .
the minimum code. Initial —�
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. j
Initial O� -1 V
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 liab for e
cost of the license. Initial ,
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 Ifor all doctor, lawyer and relate m
cost, which could, include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and 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 reported by the Building and
Zoning Department to the Florida State Department of Professional Regulation. Signed and owledged on this
day of ?Q26)Z.1!�4 of 20 Z t�-.
)AIM'KAMA �6aMA/2A_
COUNTY OF S LU c1 -t--
The foregoing instrument was acknowledged before me this day of 1%%A,9. e , 20 ,
by K �' H 5 n .,�— i30u� MAy✓ who is personally known �to me,.or who has
produced 7Q rl�_ as identification.
Signature of Notary Type or Print Name of Notary j (Seal)
Title: Notary Public Commission Number
I.
SLCPDSD Revised 05/15/2014 HEATHER BUR F
O R D
`HnStete of Florida -Notary Public
Commission # GG 183217
myCommission Expires
i
February 06, 2022
I
.LEGAL DESCRIPTION;
Lot 80 In Block 53 or
IOIAN RIVER ESTATES U?llT
EIC14T
occordino to the plat thereof
as recorded in Plot Book 10
popes 73 of the
Public Records of St. Lucre
Court ly, Flor ido.
ABBREYIATIONS:
(r) 01 vertiled by held meosurelnent
i=Value os plotted 7c field measured
F.T.C,=Fintshgd Floor Elevation
SET =Set b/8 Iro1r r'�SSbar 1*'rylh
ye U2.cap marked PSM 5543
NS=Value_as measured -in,Itold
P1. olue as
R Rodtus
L Length
m • 700
N 8.11,
a. tel 1
SURVEYORS NOTES.:, t. Unless othcrplso � ad only plotted easements
are shown hereon.
2. No underground utiJidles or improvenient,, here
Joe0led unless otheipise shoA'n.
3. This site Iles 91th(h Flood Insurance Rote Map
,one Jl.
4. Flood Zone sholin hereon Is an Interpretation
by the surveyor and !le provided as a courtesy.
The Ilood zone should. be verified by o
determination aaeney.
5. Bear loos sho*m hereon are based on the Center
line of Birch Drive as being N00'DO'DO'E
according to the Plot described hereon.
B. P.U.D.E.• denotes Public Utilities and Drainage
Eosemanl.
7, All Lot dimeislons sho*n are per plot unless
otherprise sho*n.
LOT 7 BLOCK 63
e
Fa S 90'00,W W oR 25.00'
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LOT 9 BLOCK 63
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`FdTU D — — SET
NAIL N90,00'00aW 1 125.00
I LOT•10 BLOCK 63
LAST FI
PBOUNDARY
CP, i 11 ed t o: Krvstina 8a14man
5710 Bitch Drive
A
bt Lucie lice xrnces; ma.a
National Title Se 'ees Inc
SCALE.I e=30'
t I on t' i c l and Designs
I hereby extity that the smvn .h.dn heron 1. Iru. and carre[I
kna ik boe.d 1.1
DATE: i2-20—Iuryer�aeels
of the Treasure Coast
on q —r—J. taken r. the fiord, This
the Idfnlnm Technical Standard3 el pwplee 54-17
DRA�i1: Mc��c
Tel jr;lyT J.xan.a..k slr0. j_. a..h, n s/ksT
Mailing Address:
nand. od.ininrel In I."
OII1M11y.Ignedby-,
P.O. Box 1421 Jensen Beath, FL 3495
A.C.mo
5012-0831
(7721 398-129D ALD55430gmoll.com
wrw
James A.'.c A=nl t nd � suj
DATE:
REVISIONS
the TC.ou.
Cesiro Jr.m -ALDS=�d�ma ,w<or
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NOTVAIMWrMMrANAUTWMCATEDMEORiONIC sMTUeE
AiDAUTNENRCATED SZOTRONICSEA•
RECEIVED
MAR 0 6 2010
Permitting Department
St. Lucie County