HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITPlanning & Development Services Department
f �� � .1 Building,&_CQdeRegalations :.RECEIVED
• ��MW Virginia Aveuu'e
a Fort Pierce, Florida 34982
�¢ 9 I (772) 462-1553 MAR 2 6
_bidsCoup� 2018
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT ST, aun 6ug ! c� G
F.S. 489.1031(7) EXEMPTIONS _ ,Permitting
State law requires construction to be done b;
exemption to that law. The exemption allows you, as
though you do not have a license. You must provid
may build or improve farm outbuildings, a one-fam
may also build or improve a commercial building at
use or occupancy. You may not build or improve sail
If you sell or lease a building you have built or im
presumption is created that it was built or improved
may not hire an unlicensed person to act as your coi
your responsibility to make sure that people employe
municipal licensing ordinances. You may not de
contractor who is not licensed to perform the work b
laws, ordinances, building codes, and zoning regulate
I understand that the building official and
the minimum code.
I understand that as an owner -builder that,
in a civil court with the advice of an attorney. This
I understand that if I compensate any
licensed in this jurisdiction. If for some reason t
cost of the license.
I understand that if any person that is ur
they may be entitled to workmen's compensation.
cost, which could. include loss of wages during rea
To qualify for this exemption under this
permit application and initial the above.
I hereby acknowledge that I have read i
understand that any violation of the terms of the
Zoning Department tq the Florida S Departme
_ day of of 20 .
licensed contractors. You have applied for a permit under an
he owner of your property, to act as your own contractor even
direct, on -site supervision of the construction yourself. You
y or two-family. residence for your use'and occupancy. You
cost not exceeding $75,000.00 as long as it is for your own
structures for the purposes of selling or leasing that building.
roved within one year after construction is complete, then a
ar sale or lease, which .is a violation of this exemption. You
raetor or to supervise people working on your building; it is
by you have licenses required by state law and by county or
:gate' the responsibility for supervising work to a licensed
ins done. Your construction must comply with 04pg &Jble
are not there to design or give advice on
contract disputes with sub -contractors and I must
irtment will not mitigate any contract disputes. /
,son or company for work performed they are required be
do not possess a license, I may be responsible and li the
Initia
censed and uninsured gets injured on my constractio project-
[ could be held liable for all doctor, lawyer and relate ical
,ery from their injury.. Initia
)section, an owner must personally appear and sign the uilding
understand the above disclosure statement and that I further
ivner/builder exemption shall be reported by'the Building and
of Professional Regulation. Signed and acknowledged on this
OwnerB ild 'gnature
STATE OF FLO D j
COUNTY OF
The foregoing ins ent w�s acknowledged befo I e me this day of 20
b 1,Y5 who is personally known to me, or w o has
ny r„ Pet �r� i 1 as identification.
Signature of Notary Type or Print Name.of Notary (Seal)
Title: Notary Public Commission Number
SLCPDSD Revised 05/15/2014 l�q{2 E N S N i E L S EGN37
��44AY 49C�i Commission # FF 115
ssion fires
MY June 112, 2018