HomeMy WebLinkAboutOWNER BUILDER AFFIFDAVITPlanning & Development Services Department
Building &Code Regulations
o a 2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
- SCANNED
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT BY
—----__----- _ — _ ----F.S.-489.103.(7)-EXEMPTIONS------------ - - -St. Luci&COu*---
-- _ _State law requires-construction:to_be done_ by licensed -contractors -You have applied_ -fora 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: havea. license. -You must provide.direct,_on-site. supervision of the construction.yourself._You
—__ _ may_build.or-irnprove-farm-outbuildings,a-one-family-or-two-family residence or-a-commercial-building-ata-cost-of---.-----
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
- --improved-for saleorlease. If-you-sell-or-leasea-building-you.have-built-or substantially improved yourself -within- - - - --
one year after the construction is complete, the law will presume that you built or substantially improved it 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.
Any person working on your building who is noflicensed must work underyourdirectsupervision and must tie
employed by you, which. means that -you -must. deduct F.I.C.A.-and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicabole�Iw//�
ordinances, building codes, and zoning regulations.— - - - Initial_-�xr4 -- -.
I understand that the building official and inspectors are not there to design or give advice on how t m
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub-contractorsand I must be handled
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 to be
licensed in this jurisdiction. If for some reason they do not. possess a license, I may be responsible and liable,;for
cost of the license. Initial off."
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 a 'c
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
_day of of20
Owner/Builder Sfgnat&C
STATE OF FLORIDA
COUNTY OF 4�1-
V c�
"The foregoing insuulnent was acknowledged before me this \1Pdayof 75 y V%4 , 20 t3
by %,¢ %0 � fa SAt 'n 1N % j who is personally known tome, or who has_
produced - 3as identification.
Signature of Notary - Type or Print Name of Notary d (Seal)
Title: Notary Pahl Commission Number
SLCPDSD Revised 071=010
DEANNA GIVENb
�`04�Y P4B�i
;e Z.
Notary Puh1lc -State of Florida
• My Comm. Expires Dec 16, 201i
oa' Commission
�# EE 858761
Bonded Through National Notaty Ass'