HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITPlanning & Development Services Department
S.0 ip NN Building & Code Regulations
2300 Virginia Avenue -
DIV Fort Pierce, Florida 34982
(772)462-1553
BUILDS AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
. State law requires construction to
exemption to that law. The exemption allc
though you do not have a license. You rr
may build or improve farm outbuildings,
may also build or.improve a commercial 1
use or occupancy. You may not build or it
If you sell or lease a building you have I
presumption is created that it was built or
may not hire an unlicensed person to act
your responsibility to make sure that peop
municipal licensing ordinances. You m
contractor who is not licensed to perform l
laws, ordinances, building codes, and zonh
I understand that the building
the minimum code.
I understand that as an owr
in a civil court with the advice of an
done by licensed contractors. You have applied for a permit under an
s you, as the owner of your property, to act as your own contractor even
It provide direct, on -site supervision of the construction yourself. You
one -family or two-family residence for your use and occupancy. You
ilding at a cost not exceeding $7.5,000.00 as long as it is for your own
trove said structures for the purposes of selling or leasing that building.
ilt or improved within one year after construction is complete, then a
nproved for sale or lease, which is a violation of this exemption. You
your contractor or to supervise people working on your building; it is
employed by you have licenses required by state law and by county or
not delegate the responsibility for supervising work to a licensed
work being done. Your construction must comply with all licable
regulations. Initial l
and inspectors are not there to design or give advice on o
ho meet
Initial 1. H
that any contract disputes with sub -contractors and I must be handled
This department will not mitigate any contract disputes.
Initial I ,
I understand that if I compensat6 any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reon they do not possess a license, I may be responsible and liable for the
cost of the license. I Initial!::! ti
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 could be held liable for all doctor, lawyer and related edical
cost, which could include loss of wages dtuing recovery from their injury. Initial . t _
To qualify for this exemption t
permit application and initial the above.
I hereby acknowledge that I
understand that any violation of the 1
ZoniFg Department to the Florida Sta
day of of 20
STATE OF FLORIDA - o
COUNTY OF Sk-, LUC-k 0—
by t
r om i stru tM a o3;d
Title:
SLCPDSD Revised 05/15/2014
this subsection, an owner must personally appear and sign the building
read and understand the above disclosure statement and that I further
of the owner/builder exemption shall be reported by the Building and
3artment of Professional Regulation. Signed and acknowledged on this
cdlx��,
Owner/Builder Signat
before me this"ie—.day of a
4M,4k , 20
who is personally knownw to me, or who has
as identification.
C-q lik M Fowele/
AQ
Name of No ary (Seal)
Number
t+7^vat•,, AUDREY 8. HUMPHREY
MY COMMISSION # FF 174M
:,Qs€ EXPIRES: March 6, 2019
pF Mq,••' Bonded Thru Notary Publa Underwriters