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Planning & Development Services Department
Building & Code Regulations
4.. 2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNERIBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
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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 g 'c' al 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 al aca le
laws ordinances, building codes, and zoning regulation
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'a and inspectors are not there to design or give
advice on ho
me t
I understand that the building official p
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the minimum code. �` y
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be lkidled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
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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 for the
cost of the license. Initia
I understand that if any person that is unlicensed and uninsured gets injured on my construction oject-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate edical
cost, which could include loss of wages during recovery from their injury. Initial
I hereby acknowledge that I have read and understand the above disclosure statement and that further
understand that any violation of the terms of the ownerlbuilder exemption shall be reported by the Building and
Zo ing Dep t the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20.
Owner/Builder Signa
STATE OF FLORIDA
COUNTY OF
TT��oregomg instrument was acknowledged before me thi day
-1 , who is personally k
Signature
Title: Not
SLCPDSD Revised 06/13/2014
Print Name of Notary
sion Number
2(�l ,
to me, or who has
(Seal)
AUDREY B. HUMPHREY MY .
COMMISSION # GG 300817
EXPIRES: March 6, 2023 r
'•.F of Fig. Banded Thru Notary Public Undenvriterc