HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITSGANNEDPlan I ning & Development Services Department
'Mal ruff,, ___J . R�ilding&C " ode Regulations
.......... Rt P .100*`rgi�la*Avenue
? wip Fort Piercle, Florida 34982
(772) 462-1553
OWNER/BUILDER AFFIDAYIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by
exemption to that law. The exemption allows you, as I
though you do not have -a license. You must provide
may build or improve farm outbuildings, a one-famil
may also build or improve a commercial building at
use or occupancy. You may not build or improve said
If you sell or lease a building you have built or imp
presumption is created that it was built or improved f
may not hire an unlicensed person to act as your con
your responsibility to make sure that people employec
municipal licensing ordinances. You may not delc
contractor who is not licensed to perform the work be
laws, ordinances, building codes, and zoning regulatioi
I understand that the building official and
the minimum code.
icensed contractors. You have applied for a permit under an
[e owner of your property, to act as your own contractor even
liredt, on -site supervision of the construction yourself. You
or two-family residence for your use and occupancy. You
cost not exceeding $75,000.00 as long as it is for your own
,tructures for the purposes of selling or leasing that building.
Dved within one year after construction is complete, then a
r sale or lease, which is a violation of this exemption. You
-actor or to supervise people working on your building; it is
by you have licenses required by state law and by county or
rate the responsibility for supervising work to a licensed
ig done. Your construction must comply—with-all-ap 1�qabl
V
ectors are not there to design or give advi e on how to me
nz!A!1�
I understand that as dn'owner-builder that an� contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This de�artment will not mitigate any contract disputes.
I understand that if I compensate any pers�,n or company for work performed they arerequired to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liabl!e ifor the
cost of the license. A—
I understand that if any person that is unlic nsed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation, I 1could be held liable for all doctor, lawyer and related medical
cost, which could include loss ofwages during recove�ry from their injury. Initial —,-
To qualify for this exemption under this sub I section, 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 ftirther
understand that any violation of the terms of the o6er/builder exemption shall be reported by the Building and
Z * g Department to !he Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20
—Ownef ilder
V_
STATE OF FLORIDA
COUNTY OF
The foregoing ins ay of Ir
ent was acknowled ed beforeme this d' %J,20\_q,
by L4L1b&-= —who is peisonally known to me, or who has
produced as identification.
DEANNA MARIE GIVENS
MYCOMIAISSION#04
1091023
Signature of NoWy Type oi Print Name of
EXPIG: Decembe 16, 20
Title: Notga Public Commission Number Underwriterms
-0-ndedThru Notary Public
SLCPDSD Revised 05/15/2014