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Home My WebLink AboutOWNER-BUILDER AFFIDAVITr� OWNER/BUILDER ' RS. State law requires.construction!to be done exemption to that law. The exemption allows you, though you, do not.have a license. You must prov may build or improve farm,outbuildings, a one -fa may also -build or improve a commercial building use, or occupancy. You may not build or improve s If you sell or lease a building you -have built or i presumption.is created that it was built or improyt may not hire an unlicensed person. to act as your i your responsibility to make sure that.people emplc municipal licensing ordinances. You. may not contractor. who is not licensed to perform the work laws, ordinances, "building codes, and zoning regulr 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 SCANNED c }]jgtBY el-y,e>atltSg�ices Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 LVIT DISCLOSURE STATEMENT (1) EXEMPTIONS licensed contractors. You have applied for a permit under:an the owner of your property, to act as your own contractor even direct, on -site supervision of the construction yourself You ily or two-family residence for your use and occupancy. You a cost not exceeding $75,000.00 as long as it is for your own i structures for the puiposes of selling or leasing that building: proved.within one year after construction is complete, then a for sale or lease, which is a violation -of this exemption. You itractor or to. supervise people working on your building; it is- d-by you have licenses required by state law. and by county or legate the responsibility for supervising work to. a licensed. eing done. Your construction.must:comply with all pplicable 1ny. Initial rr,�tT are not there to design or give advice on -how to meet Initial 'PmT t disputes;with sub -contractors and I mustbe handled will not mitigate any contract disputes. Initial MT - I understand that if I compensate any p�rson or company for work performed :they are required to be licensed in this jurisdiction, If for some reason the do not possess a license;.I may be responsible and liable for the cost of the license: Initial •TW= I understand that if any person that is icensed and uninsured gets.ir*gd on my construction project - they may be entitled to workmen's compensation.I I could be held liable -for all doctor, lawyer and related medical cost, which could include loss of wages during recovery from their injury. Initialy= To qualify for this exemption under this permit application and initial the above. I hereby acknowledge that I have read understand that any violation of the terms of.th Zoning Department to the Florida State Depamn day ofAvaAt of 20 V_. STATE OF FLORIDA COUNTY OF Pa i✓ ,4 Ly C i •e The fQoing instrument was acknowledged by Q- Fi i i iy 11 _+,P1 e-0 W i G L" S1 ature of Notary Title: Notary Public SLCPDSD Revised 05/15/2014 an owner must personally appear and sign the building ad understand the above disclosure -statement and that I further, owner/builder exemption'shall be reported by the Building and it of Professional Regulation. Signed and acknowledged on this �lCd Owner Ider Signature e me this _Z7 'day of M CA. ✓-6 k 20 — L5 who is personally known . to me; or who has ISM' as identification. or Print Name of Notary (Seal) nission Number .c— C,1 *,Z1v-1-`_ExpIres Eleanor A. Sexton NOTARY PUBLIC STATE OF FLORIDA Comm#GG166366 12/7/2021