HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVIT40
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kg & Development Services Department
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 1
exemption to that law. The exemption allows you, as tl
though you do not have a license. You must provide
may build or improve farm outbuildings, a one-famill
may also build or improve a commercial building at a
use or occupancy. You may not build or improve said
If you sell or lease a building you have built or impr
presumption is created that it was built or improved fc
may not hire an unlicensed person to act as your cont
your responsibility to make sure that people employed
municipal licensing ordinances. You may not dele,
contractor who is not licensed to perform the work bei.
laws, ordinances, building codes, and zoning regulation
I understand that the building official and
the minimum code.
,ensed contractors: You have applied for a permit under an
e owner of your property, to act as your own contractor even
erect, on -site supervision of the construction yourself. You
or two-family residence for your use and occupancy. You
ost not exceeding $75,000.00 as -long as it is for your own
ructures for the purposes of selling or leasing that building.
ved within, one year after construction is complete, then a
sale or lease, which is a violation of this exemption. You
.ctor or to supervise people working on your building; it is
iy you have licenses required by state law and by county or
ite the responsibility for supervising work to a licensed
or done. Your construction must comply with all appl'cabl
Initial
ctors are not thereto design or give advice on hh v meet
Initial
I understand that as an owner -builder that an�, 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
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 d� not possess a license, I may be responsible and liable for the
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 6uld 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 under this
permit application and initial the above.
I hereby acknowledge that I have read am
understand that any violation of the terms of the o
Zoning Department to the F orida S Department
day of llkD of 20 4.4L.
STATE OF FLORIDA
COUNTY OF _ems
The Mg! 'n inst
byl
of
Title:
before
an owner must personally appear and sign the building
understand the above disclosure statement and that I further
mer/builder exemption shall be reported by the Building and
)f Professional Regulation. Signed and acknowledged on this
Owner/Builder Signature
the day of 201/L
is personally known to me, or who has
as identification.
(4bkA5q
Print Name of N tary (Seal
Sion Number
SLCPDSD Revised 05/15/2014
t y eG•, AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thru Notary Pubriic Underwriters