HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITPlanning & Development Services Department
Auilding & Coale Regulations
Virginia Avenue —
Fort Pierce, Florida 34982
(772) 462-1553
R AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be c
exemption to that law. The exemption allows ,
though you do not have a license. You must
may build or improve farm outbuildings, a or
may also build or improve a commercial builc
use or occupancy. You may not build or. imprc
If you sell or lease a building you have built
presumption is created that it was built or imI
may not hire an unlicensed person to act as p
your responsibility to make sure that people er
municipal licensing ordinances. You may i
contractor who is not licensed to perform the
laws, ordinances, building codes, and zoning rf
I understand that the building
the minimum code.
I understand that as an owner -builds
in a civil court with the advice of an attorney
I understand that if I compensate
licensed in this jurisdiction. If for some rea
cost of the license.
I understand that if any person
they may be entitled to workmen's com
cost, which could include loss of wages t
To qualify for this exemption i
permit application and initial the above.
I hereby acknowledge that I
understand that any violation of the 1
Zfo� ng Departm t to
LFlorida Sta
�L day of / of 20
STATE OF FLORIDA
COUNTY OF <k-1.�.� ��-
The foregoing instrument was acknowled
by r4C Kc M 6 rXyy%C l 1fv 1-"Zc
Title:
SLCPDSD Revised 05115/2014
by licensed. contractors. You have applied for a permit under an
as the owner of your property, to act as your own contractor even
vide direct, on -site supervision of the construction yourself. You
amily or two-family residence for your use and occupancy. You
at a cost not exceeding $75,000.00 as long as it is for your own
said structures for the purposes of selling or leasing that building.
improved within one year after construction is complete, then a
ed for sale or lease, which is a violation of this exemption. You
contractor or to supervise people working on- your building; it is
Dyed by you have licenses required by state law and by county or
delegate the responsibility for supervising work to a licensed
k being done. Your construction must comply witk iiable
ations. Initial
it and inspectors are not there to design or give advice on ho t me t
IInitial
r that any contract disputes with sub -contractors and I must a handled
This department will not mitigate any contract disputes.
Initial
1ny person or company for work performed they are required o be
)n they do not possess a license, I may be responsible and e r the
Initia
is unlicensed and uninsured gets injured on my construction pr ject-
rtion. I could be held liable for all doctor, lawyer and.rela dic
g.recovery from their. injury.. Initial
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-repof (-,qby the 13 ilding and
)artment of Profession-aT—kegulaflorr'-Si-ghqd and wknowyl dged on this
before me this ±� day of r : , 20-W,
who is personally known to me, or who has
as identification.
or Print Name of Notary (Seal)
nission Number
�r Py ., • AUDREYB.HUMPHREY
MY COMMISSION # FF 174772
" EXPIRES: March 6, 2019
" RF StoQ9. Bonded Thor Notary Public Underwriters