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Planning & Development Services Department
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RECEI ti OWNER/BUILDER 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 or improved 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 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 not delegate 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 ap li able
laws, ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how
�,tgmeet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must beVed
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required be
licensed in this jurisdiction. If for some reason they do not possess a license, I m;Ly be responsible and liab r the
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction pro'e t-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate cal
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 read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be ported by the B ilding and
Zoning Department to the Florida State Department of Professional Regulati S' and a 1 wled d on this
2--day of Aae r t of 20
er/Builder Signature
STATE OF FLORIDA
COUNTY OF i AC1e,
The oregoing instru ent owledged before me this day ofr120 ,
by e who is personally knownto me, or who has
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as identification.
of Notary Type or Print Name of Not •� �� ; DPft�,�i EAT lato of TON
Nota �Q61ic - Stata of fb►fds
Title: Notary Public Commission Number 7
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SLCPDSD Revised 05/15/2014
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y omm. Expires AU02t1, a01i
Commission dr FF 37010
The 2013 Florida Statutes
Title XXXIi Chapter 489 _ View Entire Chapter
REGULATION OF PROFESSIONS AND OCCUPATIONS CONTRACTING
489.103 Exemptions. —This part does not apply to-.
(18) Any one-famity, two-family, or three -fatuity residence constructed or rehabilitated by Habitat for
Humanity International, Inc., or its local affiliates. Habitat for Humanity International, Inc., or its local
affiliates, must:
(a) Obtain all necessary building permits.
(b) Obtain all required building code inspections.
(c) Provide for supervision of all work by an individual with construction experience.
(19) A disaster recovery mitigation organization or a not -for -profit organization repairing or replacing a
one -family, two-family, or three-family residence that has been impacted by a disaster when such
organization:
(a) Is using volunteer labor to assist the owner of such residence in mitigating unsafe living conditions at
the residence;
(b) Is not holding itself out to be a contractor;
(c) Obtains atl required building permits;
(d) Obtains all required building code inspections; and
(e) Provides for the supervision of at[ work by an individual with construction experience.
REM I.° 7D APR 2 a 2015