HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITPlanning & Development Services Department
® i Bu_ildin & Code Regulations
e s ����'� 2300 Virginia Avenue-
fr3 li Fort Pierce, Florida 34982
l�� u (772) 462-1553
OWNERBUILDER 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 orlimproved 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 asyour (contractor or to supervise people working on your building; it is
your responsibility to make sure that people employed by you have licenses required by state law and by county or
municipal licensing ordinances. You may not Idelegate the responsibility for supervising work to a licensed
contractor who is not licensed to perform the work being done. Your construction must comply with all ppl'cable
laws, ordinances, building codes, and zoning regulations. Initial2,=
I understand that the building official and inspectors are not there to design or. give advice on how_to meet
the minimum code. I Initial^_
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 Id epartment will not mitigate any contract disputes.
Initial Lo�-
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 theyI, do not possess a license, I may be responsible and liable for the
cost of the license. Initial C
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 related medical
cost, which could include loss of wages during recovI ry from their injury._ Initial �i.L—
To qualify for this exemption under this
permit application and initial the above.
I hereby acknowledge that I have read an(
understand that any violation of the terms of the o-
Zoning Department to the Florida State Department
' day of of 20 .
section, an owner must personally appear and sign the building
understand the above disclosure statement and that I further
ner/builder exemption shall be reported by the Building and
if Professional Regulation. Signed and acknowledged on this
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF The foregoing instrument was acknowledged before me this ``l � day of PAQw 20 a
by who is personally known to me, or who has
produced F as identification.
lgnature of Notary Type or Print Name of NVtary (Seal)
Title: Notary Public Commission Number
I
SLCPDSD Revised 05/15/2014
I
� t, VIN," LASHAHNA INGRAM
2* tr0- Notary Public - State of Florida
My Comm. Expires Dec 20. 2018
Commission # FF 177249
T""" Bonded through National Notary Aa,, '