HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVIT0
mow
Oew )aR. A
F.S. 4
State law requires construction to be done by
exemption to that law. The exemption allows yot
though you do not have a license. You must prc
may build or improve farm outbuildings, a one .
may also build or improve a cornm ial buildinj
use or occupancy. You may not build or improve
You may not hire an unlicensed person to act as
is your responsibility to make ' sure that people er
or municipal licensing ordiances.
Ilanning k Development Ser, lepartment
Building & Code Regnlationg- RE I CENED
.2300 Virgin% Avenue
Fort.Pferce, Florida 34982
(772) 462-1553 JAN 0.7 2,,,,)
DAVIT DISCLOSURE STATEMENT at, Lucia counl�,
03 (7) EXEMPTIONS PerrWaing
,censed contractors. You have applied for a permit under an
as the owner of your property, to. act as your own contractor even
ide direct, on -site supervision of the construction yourself You
mily or two-family residence for your -ase and occupancy. You.
at a cost not exceeding $75,000.00 as long as it is for your own.
�aid structures for the purposes of selling or leasing that building.
)ur contractor or to supervise people working on Y6 ur'building; it
ployed by you have.licenses required by state law and by county
initial Here.-aff
If you sell or lease a building you have built or �mproved 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 -
Initial Here.
You' may not delegate the responsibility for supe work to a licensed contractor who is not licensed to perform
the work being done. Your construction must c roply with all applicable laws, ordinances, building codes, and
zoning regulations. Initial Here.
I understand that the building official and
minimum code.
I understand that as an owner -builder that any
court with the advice of an attorney. This dep
I understand that if I com pensate any pers.on or
jurisdiction. If for some reason they do not p
license.
3 are not there to design or give advice on how to. meet the
Initial Herev_-�
t disputes with sub -contractors and I must be handled in a civil
will not mitigate any contract disputes.
Initial Here.
any for work performed they are required to be licensed in this
a liceri�e, I may be responsibli and liable for the cost of the
Initial Here.
I understand that if any person that is unlicensed a�d uninsured gets injured on my construction project -they may be
entitled to workmen's compensation. I could be held liable f6r all doctor, lawyer and related medical cost, which
could include loss of wages during recovery from t1heir injury- Initial Here.
To qiIalify for this exemption under this subsection, an owner must personally appear,. sign th� building permit
application, and initial the above
I hereby acknowledge that I have rea d 'and under I nd the above disclosure statement and that I further understand
that any violation of the teims of the owner/bu I ilder exemption shall be reported by the Building and Zonm'�;,
Department -to the Florida State Department of P ofessional Regulatio this
day of �_ - of 20 -z-2- /___
STATE OF FLORIDA
COUNTY 0 F 6-h'- V-*
The foregoing instrument was acknowledged
by bdt%-V%4N e—VS-0i
produced
�Situ&reof �tary
Title: NoLM Public
Owner/Builder Signature
-me this day of 'U�ft Y.--,- . '�%
___, 20.�
who is pbrsonally known _ to me, or who -has
1�_s i k. 1, 4, W N ( �, -J �
Type'ar Print Name o
I
Commission Number
as iciep 1q, 14"".
0 DEANNA GIVENS
_AE:
Notary Publi, - State of Florida
Commission# HH 0863�9
My Comm. Eg'&S
on�
alan 28, 2025
Bonded through Notary Assn.
LAI