HomeMy WebLinkAboutOWNER-BUIDER AFFIDAVITSCANNED
BY
COUNTYoY ,
rR 4_.1D A.43
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OWNER/BUILDER AFFIDAVIT
F.S. 489.103 (7) E
State law requires construction to be done by licensed cor
exemption to that law. The exemption allows you, as the owner of
though you do not have a license. You must provide direct, on-si
may build or improve farm outbuildings, a one -family or two -far
may also build or improve a commercial building at a cost not ex
use or occupancy. You may not build or improve said structures fc
If you sell or lease a building you have built or improved withir
presumption is created that it was built or improved for sale or le;
may not hire an unlicensed person to act as your contractor or to
your responsibility to make sure that people employed 'by you hav
municipal licensing ordinances. You may not delegate the re;
contractor who is not licensed to perform the work being done. Y
laws, ordinances, building codes, and zoning regulations.
I understand that the building official and inspectors are
the minimum code.
opment Services Department
& Code Regulations
I Virginia Avenue
fierce, Florida 34982
(772)462-1553
STATEMENT
ractors. You have applied for a permit under an
dour property, to act as your own contractor even
supervision of the construction yourself. You
ily residence for your use and occupancy. You
ceding $75,000.00 as long as it is for your own
the purposes of selling or leasing that building.
one year after construction is complete, then a
;e, which is a violation of this exemption. You
upervise people working on your building; it is
licenses required by state law and by county or
)onsibility for supervising work to a licensed
ur construction must comply with all applicable
Initial f-AM
there to design or give advice on ho3y to meet
Initial ft—
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This department wifI not mitigate any contract disputes.
Initial_
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not posse s a license, I may be responsible and li le or the
cost of the license. Initial 14
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 relI. a medic I
cost, which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an
permit application and initial the above.
I hereby acknowledge that I have read and ui
understand that any violation of the terms of the owns
Zoning Department to the Florida State Department of
J 1 _ day of _ of 20 L V.
STATE OF FLORIDA
COUNTY OFsk
The foregoing instrument was acknowledged before me this%
by S, w % % % 4-.^ i<o w 31. Z who is per:
roduced
1 k-ei►rA�y
Signature of Notary U Type or Print Nai
Title: No1W Public Commission Nuir
SLCPDSD Revised 05/15/2014
must personally appear and sign the building
the above disclosure statement and that I further
exemption shall be reported by the Building and
Ial Regulation. Signed and acknowledged on this
Ow ffiuilder Signature
i day of 1`n4 { , 20 11 ,
,nally kno tome or who has
as id if
3 DEANNA MARIE GIVENS
yr MY COMMISSION # GG 022023
EXPIRES: December 16, 2020
of Notary Bonded Thru IQ8100�blic underweter,