HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVIT(� gg
811Ang Development Services Department
Building.&. Code.�tegulations ,
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
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 buil 'ng; it is
your responsibility to make sure that people employed by you have licenses required by state law and by c unty or
municipal licensing ordinances. You may not delegate the responsibility for supervising work to a icensed
contractor, who is not licensed to perform the work being done. Your construction must comply with all a licable
laws, ordinances, building codes, and zoning regulations. , Initial
I understand that the building official and inspectors are not there to design or give advice on how
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. -
Initial
I understand that if I compensate any person or company for work performed they are require
licensed in this jurisdiction. If for some reason they, do not possess a license, I maybe responsible and liab]
cost of the license. Initial
I understand that if any person that is unlLensed and uninsured gets injured on my construction
they may be, entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related
cost, which could include loss of wages during recovery.from their injury. ... _..... Initial
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 cf sclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption s all be reported -by the Building and
Zoning Departme t the Florida Stat Department of Professional Regulatib Signed and acknowledged on this
day of of 20.
Signature
STATE OF FLORIDA
COUNTY OF Sat-• )— J
The foregoing instrument was acknowledged before; me this _d day of �1 P f ,% A,
by A wft *, A C J 1 a who is personally known to me, or who has
produced—
avru""• DEANGIVENS
.: �a;%....�.
�,�� My COMMISSION
SION#GG022023
Signature Noty Type or Print Name ofPIRES: Decem ts, 020
g az Y yP&_�.rZ 7hm Notary Pu®frwriters
Title: Notary Public Commission Number .
SLCPDSD Revised 05/15/2014