HomeMy WebLinkAboutOWNER-BUIDER AFFIDAVITA
•
& Development Services Department
2300 Virginia Avenue'
Fort Pierce, Florida 34982
(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 orie-family or two-family residence for your use and occupancy. You
may also build br 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 builIi 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 mayil 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 ali pli ble
laws, ordinances, building codes, and zoningIregulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial
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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.
IInitial
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 lia . e or the
cost of the license. Initial .
I i n project -
they I understand that if any person that is unlicensed and uninsured gets inured on my construction ect- p �
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 •.
To qualify for this exemption Ider this subsection, an owner must personally appear and sign the building
permit application and initial the above.)
I hereby acknowledge that I
understand that any violation of the
rninZ g Department to the Florida Sta
day of _n21090 Yof 20
STATE OF Fl
COUNTY OF
The Wfigoing
by
Title:
SLCPDSD Revised 05/15/2014
read and understand the above disclosure statement and that I further
of the owner/builder exemption shall be reported by the Building and
3artment of Professional Regulation. Signed and acknowledged on this
before me this & day of , 20 / d
p_who is personally known to me, or who has
as identification.
Type Print Name of No (Seal)
Commission Number
AUDREYB.HUMPHREY
MY COMMISSION 1i FF 174772
r•, ` = EXPIRES: March 6, 2019
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•.�;;f1�gr Bonded ThruWary Public Undenvriters
Fa k Cover Sheet
To: Mr. William Durden
From: Beverly Sanborn
Re: Permit #1803-0125
date: March 27, 2018
Per our conversation yesterday
arch 26,2018. Attached is the product approval
you requested for the State of Florida. I hope this is what you require to finalize
my permit. If you need anything further, please let me know. Thank you for your
cooperation.