HomeMy WebLinkAboutOWNER BUILDER AFFIDAVITSPlanning & Development Services Department
Building & Code Regulations Division
2300 Virginia Ave
— Fort Pierce, FLJ4982 . SCANNED
712-462-1§53
BY
IUCountV
er-Ruff&--ffidavit :Elestrlcal<Contracting -
DISCLOSURE STATEMENT.
F.S. 489.503,f,EXI;1VLgII0N$ '
State law requires electrical. contracting to be done bylicensed electrical contractors. You have applied fora
permit iir�deran exemptiunrtflrthatiaw he exemption allows you, as the owner ofyour:property, to act as your ouvn
electrical contractor even though you do not have; a lioense You may install electrical wiring for a firm ontbuilding
or;a single-family or-duplex,residenceYou may install
'------ niu�.,u nic uuuc+.c/�,000. lIIe IIOnIe Or OunQing-Must be�OL-y0„IILAIYIl.I]SC_.8,nd-0Cellpan .. It
cy
maynot be built Or S. e: or ease Ifyou sell or.lease more than one building you have wired yourself 'within l.year
aftgr the construction is .complete, the.law.will.presume that year
it forsale or_lease, which is violation ofthis
eXeinpgon You n ymot.hire an unlicensed person as,your electrical contractor' Your construction shall be done
aecordmg. to building codes and zoning. regulations. It is.your responsibility to make sure that people'employed by.
you leave hoenses required by state 'law and by county or municipal licensing "ordinances, "Failure" to do so may result
in a liability for you! .
To qualify for this exemption under this subsection, an owner must.pers
permit application: onally appear and sign the building
I.hereby acknowledge.that I have read,and 'understand the above disclosure:statement and that I "
further understand thatany.violation-of-the terms .ofthe ownerPoui]der exemption shall beireported"by tfie '
Communrty Development Dmrectorto the Florida State Department of ProfessionalRegtr4tidn. Signed and
acltaowledied on this. 3 0 F9 day of p /
OWNER/BUILDER SIGNATURE
STATE OFTLORID
COUNTY OF LC -Lc e - . .
g ..
The f in instrument was aclmowledged before me tits day of. Q C� 20
_.
by. who is persoboy lmown to me or
has produced. yz, ' - j as identification. -
Title:_ Notary Public
Commission Number
$LCPDSD Revised 7/23/2010
S=W
FF
St Lucie County Owner Builder Affidavit -Electrical Contracting :r� -_ 0o 5N
r o. ,`
',1W......r boOndercm!=rs
t
Planning & Development Services Department
O Building & Code Regulations
2300 Virginia Avenue
.,..�, z;• _ Fort Pierce, Florida 34982 SCHNIVtU
(M) a5z-tss3 BY
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT St. Lucie County
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 appl'cab
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 t e t
the minimum code. Initial
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. o
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 liable or e
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 related e 1
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 reported by the Building and
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
Allay of QP.�f 20 /_�' .
Owner/Buuildeer, J Signature
STATE OF FLO
COUNTY OF C,1, e—
Th f ri�gq'� i¢s trument was acknowledged before me this,�Qlay of �_ 20A
by —�dL�, 1 P� "-is personally known to me, or who has
p duced — as idenZa_
Signature of T e Print Name of No (Seal)
Title: Notary Public Commission Number
SLCPDSD Revised 05/I5l2014 Im=_
MELA M. HUFFST SSIONN EE 033530RES: April 12,2015 Notary Public Underwriters