HomeMy WebLinkAboutOWNER BUILDER AFFIDAVITPlanning & Development Services Department
Building & Code Regulations
2300 Virginia Avenue
Fort Florid1d %INeC)
a34982
- (772462-53 L7MYt YC
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT St Lucie F.S. 489.103 (7) EXEMPTIONS County
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 app,pplicable
laws, ordinances, building codes, and zoning regulations. Initial L.9
I understand that the building official and inspectors are not there to design or give advice on hqw to meet
the minimum code. Initial L—K
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. p yy,
Initial �—
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 liabley�for the
cost of the license. Initial Lyn
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 recovery from their injury. Initial L. Y�—
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 reported by the Building and
oning Department to the Florida State Department of Professional Re ulation. Signed and acknowledged on this
ko day of IN of20LL�. b�=A
rq At,
0 nerBuilder Sig a fire
STATE OF FLORIDA
COUNTY OF
The foregoing inst�t as ackno led d before me this _2� daylof�20�
by who is personally known to me, or who has
produced as identification. �-+� J �F
1 y _vv
S1gna re of o ry Tye Print Name of o y (Seal)
Title: No[ary Pu lic Commission Number
SLCPDSD Revised 05/15/2014
'`•gao
LA M. HUFFSIONNC-E000A nl 12 2015�
,Ikrypublic UnOerwrltera
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Ave
Fort Pierce, FL 34982 .
772-462 1553 .. SCANNE0
- Co_
,. .. _ Omer-: uildei Affdau t .Mectrical••Cont�-ecting
un y
DISCLOSURE STATE1kiE11TT .
P S. 489 503 O EXEIVI)'TIQNS
State law requires electrical contracting to be done by licensed electrical contractors You have applied for a _.
eoePerror- under-an-exemphontarth tacy Te'xioaIlowsustwner ofyur - --
grope Ly; to act as your own
electrical contractor eyen thoughyou do not have a license You may install electrical wiring for a fun outbuilding
or:Ia sin gie family.or duplex •residence You may installelectrical wane iu a rnmmrtt ,at
—tuldingt7,e mate
T mP 'der $75,000 The home or buildingrnust:befoLyour ownztse.and ocen anc It
mi mic oncosts of wffi—ch a un _ p Y
ma not be built for sale or lease Tiyou sell or lease more than one building you have wired yourselfwrthin3 year,
a$ rtheconstructionisco lete thelawwill presumethat youbuiltrtforsaleor.lease,wlnchis.aviolatiouofthis
exemption.. You maymot liire,an unlicensed personas;your electricalcontractor Your constriction shall.be done
acc rdmg to building codes and zoning: regulations. It is.your responsibility10 makesure that people employed by
yotfi have licenses u. required by state law and by county or municipal licensing ordinances.. Failure. to do so may result
in a liab' ' for o ilriy 3' 1
To qualify for this exemption under this subsection, an owner must personally appear and,sign the building
permit application.
hereby acknowledge that I have read and 'understand the above disclosure:statementand that I
f11url., .1 understand t... 11y viohttlon of the terms ofthe owner/builder exemption shall be;i sported by the
Co munityDevelopnie, Directortothe-] onda teDe artmenfofProf sionalRegulation Signed acknowledged on this. n�7 day of 20,
OWNER/BUILDER SIGNAT
STATE OF FLORIDA /
COUJMOF —6 1�� E4e
The Wegoing instrument was acknowledged before me this day of 2d
who >s personally (mown _ to me or
has p induced }�
asiden ' cation.
Si na re o[ o �(JeaO
g ry Prlldt na e f otaiy .
Title: _otary Public Commission Number
. +, ANGRA 1.1. 811Ff
" +_ MYCOMNdSSi0N H EE083530
SLCPDS) Revised 7/23/2010 '� EXPIRES: April 12, 2015 Pf,„@1"` • Bonded Thm Nti Pabiic underwriters
SL Luch County Owner Builder davit -Electrical Contracting