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HomeMy WebLinkAboutACKNOWLEDGEMENTPLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED, I CERTIFY THAT: (CHECK ONE) %'q%) A. I AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED k �) PROPERTY AND WILL BE CONDUCTING THE WORK AS OWNER/BUILDER. 061/6� Disclosure Statement: State law requires construction to be done by licensed contractors. You haw applied for a permit C0497j, under an exemptnin to that law. The exemption allows you, as the owner of your prqoeri)� to act as your am contractor with certain �Wcftons even though you do not have a license. You must provide diect, onsite supervision of the construction yourself You may build or improve a one -family or two-famw residence of a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75 000 The building or residence must be for your own use or occupancy. It may not be built or subsianbrally improved for sale or lease. If you sell or lease a building you have built � substanVally improved yourself within I year after the carrustuctan is complek the law wil presume that you built or substanually improved it for sale or )easg, which is a violation of this exemption. You may not him an unlicensed person to act as your contractor or to supervise pecple wondrg on your building. It is Your responsibility to make sure that pei;lile 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 pefform the work being done Any person workny on your building who s not licensed must work under your direct superksion and must be employed by you, which means dial you must deduct F. L CA. and Wthholding tax and proWde Wo4ers'compensatim for that emaloyee, all as presmbed by law. Your construction must comply with all applicable laws, ordinances, building codes� and zoning regulations. B. I AM NOT THE OWNER OF RECORD OF THE ABOVED DE8CRIBED PROPERTY; HOWEVER, I HAVE AUTH6RITY TO ACT AS AGENT FOR THE OWNER OF RECORD. (St. Lucie County Code and Compiled Laws requires that this type ofwork be done by a licensed contractor. PLEASEPROVIDE DOCUMENTATION). I CERTIFY THAT ALL INFORMATION SUBMITTED WITH THIS APPLICATION IS TRUE AND COMPLETE TO THE BOT OF MY KNOWLEDG9.--� '140. AWF-iW— `0�13�XTU" CONTRACT R SIGNATURE STATE OF FLORIDA COUNTY GFST. ttl�l <;�mOv�q The foregoing instrument was acknowledged before me this 93 da of 20 ol b iffiam Brya—n Ag"amis, IS, who is personally know to me or has produced as identification - STATE OF FLORIDA COUNTYCW- m- tzvp- The foregoing instrument was acknowledged bef ,p,�em tl�*Aag&��201% ,, 111a;n b Lok�pu *ho is personally know to me or has produced SHELLEY A. SEPULVEDA SHELLEYA. SEPULVEDA Type or Print Name of Notary Type or Print Name of Notary Notary Public Title Notary Public — Title C-A�262cr74 Commisi-sion —Number C42&=4 Commission Number (SEAL): SHELLEYA. SEPULVEDA (SEAL): ..... LVEDA SHELLEYA, SEPU My COMMISSION # GG 262074 MYCOMMISSION#G 262074 EXPIRES: January 25,2023 & EXPIRES: January 26,2023 ,15F 8ondodThruN*twPubHGUrAQrxftQf0 Bonded ;T61,u Notary NMI Underffbm P.QQ0-EFIG-EjQ$ APPROVED- DENIED - REVIEWED/ APPROVED BY: ENVIRONMENTAL RESOURCES DEPARTMENT DATE 112 UPDATED 10,'21/2014