HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITSr. LuciE
CO u M"rY
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State law requires construction to be done
exemption to that law. The exemption allow
though you do'not have a license., You mus
may build or impiove farm outbuildings, a
may also, build or improve a commercial bui
use or occupancy. You`may not build or imp
You, may not hire an unlicensed person to ac
is your responsibility to make sure that peop
or municipal licensing ordinances.
If you sell or lease a building you have
presumption is created that it was built or
SMAN11 ED
(BY
3 14OCU Dent Services Department
Building & Code Regulations
230.0 -Virginia Avenue
Font Pierce, Florida 34982
(772);462-1553
AFFIDAVIVDIS_,CLO'SURE STATEMENT
489:103 (7) EXEMPTIONS
by'licensed 'contractors. You have applied for a permit under an
s you, as the owner of your property, to act as your own contractor even
provide -direct, on -site supervision of the construction yourself. You
one -family or two-family residence for your use and occupancy. You
1�ding at a cost not exceeding $75,000.00 as long as it is for your own
rove said structures for the purposes of selling or leasing that building.
t has your contractor or to supervise people working on your building; it
le employed by you have licenses required by state law and by county
Initial Here. J 6
or improved within one year after construction is complete, then a
ved for sale or lease, which is a violation of this exemption. Initial Here. :3 6,
You may not delegate the responsibility for supervising work to a licensed contractor who is not Iicensed to perform
the work being done. Your construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations. I Initial Here. J
I understand that the building official and
minimum code.
I understand that as an owner -builder that any
court with the advice of an attorney. This dep
I understand that if I compensate any person or
jurisdiction. If for some reason they do not p
license.
are not there to design or give advice on how to meet the
Initial Here. 36•
t disputes with sub -contractors and I must be handled in a civil
will not mitigate any contract disputes.
Initial Here. 3�
ny for work performed they are required to be licensed in this
a license, I may be responsible and liable for the cost of the
Initial Here. J G
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 for all doctor, lawyer and related medical cost, which
could include loss of wages during recovery from their injury. Initial Here. �G
To qualify for this exemption under this
application, and initial the above
I hereby acknowledge that I have read and und(
that any violation of the terms of the owner!
Departmeilt to the Florida State Department of
day of of 20X a -
STATE OF FLORIDA
COUNTY OF `J 1�_ "f—
The foregoing instrument was acknowledged
by
produced —VI)o L/
an owner must personally appear, sign the building permit
the above disclosure statement and that I further understand
exemption shall be rep rted byte Building and Zoning
oional Regulation. Sign and a owledged on this Z
O er/ it er Signature
me this "Z' day of r-C10 , 20 ZZ
who is personally known to me, or who has
as identification.
td�ZWU VO
Signature of Notary Type for Print Name of Notary (Seal)
Title: Notary Public Commission Number
aYP�, H AP iER BURFOR �lic
;=o�" B�State of Florida -Notary
�_ Commission # G(3 189217
My Commission Fxpires
'�" �" o6, 2022
/,OF February
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