HomeMy WebLinkAboutOWNER-BUIDING AFFIDAVIT,S(;ANkP iug &_Development Services Department
Building & Code Regulations
U - 2300 Virginia Avenue .
Lurip en. i m�/ 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 lic
exemption to that law. The exemption allows you, as the
though you do not have a license. You must provide di.
may build or improve farm outbuildings, a one -family r
may also build or improve a commercial building at a o
use or occupancy. You may not build or improve said sti
If you sell or lease a building you have built or improi
presumption is created that it was built or improved for
may not hire an unlicensed person to act as your contras
your responsibility to make sure that people employed b;
municipal licensing ordinances. You may not delega
contractor who is not licensed to perform the work bein€
laws, ordinances, building codes, and zoning regulations.!
I understand that the building official and
the minimum code.
I understand that as an owner -builder that any
in a civil court with the advice of an attorney. This dep
;used contractors. You have applied for a permit under an
)weer of your property, to act as your own contractor even
ect, on -site supervision of the construction yourself. You
r two-family residence for your use and occupancy. You
st not exceeding $75,000.00 as long as it is for your own
ictures for the purposes of selling or leasing that building.
-d within one year after construction is complete, then a
kale or lease, which is a violation of this exemption. You
for or to supervise people working on your building; it is
you have licenses required by state law and by county or
e the responsibility for supervising work to a licensed
done. Your construction must comply with all'applica�ble
Initiaf����e�
are not there to design or give advice on how tom t
Initia
t disputes with sub -contractors and I must be handled
will not mitigate any contract disputes.
Initial / 1
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 of possess a license, I may be responsible and liable for the
cost of the license. Initials '` ` eA
I understand that if any person that is unlic
they may be entitled to workmen's compensation. I
cost, which could include loss of wages during recovi
To qualify for this exemption under this si
permit application and initial the above.
I hereby acknowledge that I have read and
understand that any violation of the terms of the ov
Zoning Department to the Florida Stat Department i
jL da ) of 20 LK.
STATE OF FLORID y
COUNTY OF
The fore oing instrument was acknowledged before
by l'?9, Q j) q1) At 1 L
Signature of No y
Title: Notary PuBlic
SLCPDSD Revised 05/15/2014
Pft at �,�J U P--AS
�)R,ZiC
;ed and uninsured gets injured on my construction project-
ald be held liable for all doctor, lawyer and related medical
from their injury. Initialy917�.
an owner must personally appear and sign the building
mderstand the above disclosure statement and that I further
ter/builder exemption shall be reported by the Building and
.' Professional Regulation. Signed an cknowledged on this
9
*Builder Signature
this 'ice day 1 , 20�
is personally known to me, or who has
as identification. x
int Name of Notary (Seal)
on Number
- I
! ,,�� P "•
AUDREY B. HUMPHREY
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MY COMMISSION H FF 174772
EXPIRES: March 6, 2019
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Bonded Thru Notary Public UndOrw(ders
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SURVEYOR'S AFFIDAVIT
PARCEL ID: 2323 501-0004-000-4
SECTION 23 - TOWNSHIP 35 SOUTH - RANGE 39 EAST
ON MARCH 28, 2018, THE FENCE WAS NOTED TOE EXCEED THE 4' MAXIMUM HEIGHT (BASED ON THE
CENTERLINE OF ROCK ROAD) REQUIREMENT AS S T FORTH BY ST. LUCIE COUNTY, FLORIDA.
A MARK ON THE FENCE WAS GIVEN TO THE LAND OWNER TO DENOTE THE SAID 4' MARK.
i
ON APRIL 02, 2018, THE FENCE WAS RE -SURVEYED AND WAS NOTED TO BE WITHIN THE.
AFOREMENTIONED REQUIREMENTS AND DOES NOT EXCEED THE 4' MAXIMUM HEIGHT (BASED ON THE
CENTERLINE OF ROCK ROAD) REQUIREMENT AS SET FORTH BY ST. LUCIE COUNTY, FLORIDA.
I.
i
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M7CHAEL T. `04�� N,ji FROr r SS10LU7tL:;;;al}RV,EYOR & MAPPER
DATE:
FLORIDA -RE'ISTRA71dN.,Now55E. `
SURVEYOR'S AFFIDA�/If,°"@rA`,��
PARCEL ID: 2323-501 00.04 OOCf=°�' -yt�'c �� I' 10250 VILLAGE PARKWAY
SOUTH ROCK ROAD t k''y,O�aY' UNIT 201
G a J ' ' " PORT ST. LUCIE, FL 34987
T? 772-462-2455
PREPARED FOR:
ENGINEERS 0 SURVEYORS •b www.edc-inc.com
ENVIRONMENTAL
MANUELA CUELLAR BONILLA F.B.P.E. CERTIFICATE OF AUTHORIZATION 9935
L.B. CERTIFICATE OF AUTHORIZATION 8098
REVISIONS
i
JOB No.: 17-189
DATE: 04/02/1B
CHECKED CADD 17-1B9 AFFIDAVIT
SHEET 1
OF 1
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DRAWN BY: ASC BY: MTO FILE : —