HomeMy WebLinkAboutOWNER-BUILDER AFFIDAVITFAI Mjftft Planning & Development Services De artmenRECETVED
• Building & Code Regulation
° SCAN N 236u' VirgiHi9 Avenue �� Q I Fort Pierce, Florida 34982 MAY 2 9 Z O � 0
(772) 462-1553
st Lucie Co"MVO I ST. Lude COUntY, P filit l lClg
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489. 03 (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 pro ide 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 I aid structures for the purposes of selling or leasing that building.
If you sell or lease a building you have built or improved within one year after construction is complete, then a
presumption is created that it was built or impro ed for sale or lease, which is a violation of this exemption. You
may not hire an unlicensed person to act as your, 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 note delegate the responsibility for supervising work to a licensed
contractor who is not licensed to perform the woik being done. Your construction must comply with all a icable
laws, ordinances, building codes, and zoning regulations. •Initial C,
I understand that the building official a d inspectors are not there to design or give advice on hqw;no meet
-
the minimum code. Initial C
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. r,/p
IInitialC
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 li bl r the
cost of the license. Initial
I understand that if any person that i 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 i I
cost, which could include loss of wages during recovery from their, injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have
understand that any violation of the terms
Zoning Department to the Florida State De
2 q day of i'rJ of 20 J.
STATE OF FLORIDA
COUNTY OF CA . L �c Q
The foregoing instrument was acknowled
by W %N\-\ ara. C0T *'% S5
produced FL- to L_
Signature of Notary
Title: Notary Public
SLCPDSD Revised 05/15/2014
id and understand the above disclosure statement and that I further
the owneribuilder exemption shall be reported by the Building and
tment of Professional Regulation. Signed ;and 7ackKn-ledged on this
wner/Builder ignature
before me this ag day of W.g\� , 20-VA-1
who is personally known to md, or who has
as identif oa iom -_n - - - --un-
Type or Print Name of Not
Commission Number Vr
DEANNAMARIEGIVEIlit;s
MY COMMISSION # GG 0220'
EXPIRES: D r 16, 2020
Bonded TLnr 1•loi�ry Nua)a Underwr i; r ,7