HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVIT,(,�4� r�-
Planning & Development Services Department
AS:41AE�9N ' Building & Code Regulations
' ' ' 2311'U Virginia iX'vQriue '
Luc"
Fort Pierce, Florida 34982
L�Jlc" �C1 7 �''' (772) 462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done
exemption to that law. The exemption allows you,
though you do not have a license. You must pros
may build or improve farm outbuildings, a one-f-,
may also build or improve a commercial building
use or occupancy. You may not build or improve!
If you sell or lease a building you have built or
presumption is created that it was built or improv
may not hire an unlicensed person to act as your
your responsibility to make sure that people empl(
municipal licensing ordinances. You may not
contractor who is not licensed to perform the worl
laws, ordinances, building codes, and zoning regufi
I understand that the building official and
the minimum code.
by licensed contractors. You have applied for a permit under an
is 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 use and occupancy. You
it a cost not exceeding $75,000.00 as long as it is for your own
rid structures for the purposes of selling or leasing that building.
mproved within one year after construction is complete, then a
d for sale or lease, which is a violation of this exemption. You
ontractor or to supervise people working on your building; it is
yed by you have licenses required by state law and by county or
lelegate the responsibility for supervising work to a licensed
being done. Your construction must comply with all li ble
Lions. Initial
are not there to design or give advice on how to Wet
Initial, I
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 will not mitigate any contract disputes.
j Initiall/.
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 possess a license, I may be responsible and lia yhe
cost of the license. Initial (%
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 relat der e ' al
cost, which could include loss of wages during recovery from their injury. - Initial Z
To qualify for this exemption under this
permit application and initial the above.
I hereby acknowledge that I have read
understand that any violation of the terms of the
Zoning Department to the Florida State Departme
J day of of 20
an owner must personally appear and sign the building
I understand the above disclosure statement and that I further
Amer/builder exemption shall be reported by the Building and
of Professional Regulation. Signed and acknowledged on this
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF S+ • UArLe,
The foregoing instrument was acknowledged before me this �'7day of al. , 20 ,
by 0ry\C -S vNIES who is -personally known o me, or who has
V
as identification.
l✓�SEti1
gigfiatur6l0t Nutary A�®r game of Notary (Seal)
Title: Notary Public Commission Number
Pve% KAREN S. NIELSEN
SLCPDSD Revised 05/15/2014 ,aWkv`
t State Of Florida -Notary PublicCommission # GG 207484My Commission Expires
���ii�`� June 12, 2022