HomeMy WebLinkAboutOWNER BUILDER AFFIDAVITSCANNED
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�Q gVingf & flevelopment Services Departme t— ---._
Building& Code Regulations RECEIVED
2300 Virginia Avenue.
Fort Pierce, Florida 34982 APR 0 (772) 462-1553 2 2018
OWNER/BUILDER DISCLOSURE STATEMENT S?. Lucie jaunty, Per+nittin
F.S. 489.103 (7) EXEMPTIONS 9
B
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 one -family or two-family residence for your use and occupancy. You
may also build or 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 built 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 may 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 all applicable
laws, ordinances, building codes, and zoning regulations. Initial L
I understand that the building official and i Ispectors are not there to design or give advice on how to eet
the minimum code. I Initial
I understand that as an owner -builder that I y 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 alp
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 liable fo the
cost of the license. I Initial G0�
I understand that if any person that is unlI icensed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation. II could be held liable for all doctor, lawyer and related medical
cost, which could include loss of wages during recovery from their injury. Initial G
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of thelowner/builder exemption shall be reported by the Building and
Zoning Departent to,the Florida Stap Department of Professional Regulation. Signed and acknowledged on this
day of of 20 I 12 A �
Owner/Builder Si "Ure
STATE OF FLOTt. Lo
I (
COUNTY OF
The egoi in was acknowledged before me this dayI p
of F� 20
by �, PtN/T . Ej f who is personally known to me, or who has
produced
Signature of Notary
Title: Notary Public
SLCPDSD Revised 05/15/2014
as identification.
Type or Print Name of Notary
Commission Number
KAREI`1 S• NIELSEN F
"""",,, F 115637
Commission
mission Exp.Tres
June 12. 2018
(Seal)