HomeMy WebLinkAboutOWNER BUILDER AFFIDAVITa1�rY..
St. Lucie County
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, FL 34982
561-462-1553
OWNER/BUILDER AFFIDAVIT
DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
SCANNED
SY
St,t udeGouot►i
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 supervise the construction yourself. You may build or improve farm buildings, a one -family or two-family residence or a
commercial building at a cost of under $25,000.00. The building must be for your own occupancy. It may not be built or improved for
sale or lease. If you sell or lease the building you have built or improved yourself within one year after construction is complete, the
law will presume that you built or improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed
person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility
to make sure that people employed by you have licenses required by state law and by county or municipal licensing o 77
dl ones.
Initial'
I understand that the building official and inspectors are not there to design or give advice on how to et a minimum
code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and myself must be nd ed 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 have a business licenses in
this jurisdiction. If for some reason they do not posses a business licenses I will be responsible and liable for the cost of th license.
Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction project -they are entitled to
workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, which could includ TJoss 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 of
20
Owner/Builder Signature
STATE OF FLORID., (t
COUNTY OF T
by�9The fo oin instrument was ackno�yledged before me this �t�da of 20
r- �il� Lt +r�� who is personally kno to me or who has produced
�. 15_ as identification.
LORIEAGERSIEMEIEP
_c MY COMId SSION 0 DD 05Y;
(net Ofty(e°e` aadepd Ttw NOLtBry a 14, 2", Publ:
y Type or Print Name of Notary jai)
Title: Notary Public
Commission Number
Common/MuterForms/Buildinp/AppGcatioos 11/OW
OWNER / BUILDER RENEWAL FORM
SCANNED
BY
k LuP,IP. minty
DATE: l a �'2l lcyl
I U/C W'D e : Z2,e :5 (OWNER / BUILDER),
AM REQUESTING THE ABOVE PERMTT NUMBER BE RENEWED. I
UNDERSTAND,THAT I MUST SCHEDULE AND PASS ALL NEEDED
INSPECTIONS FOR THIS PERMIT TO BE FINAL;ED.
OWNERS ADDRESS 7,2o-q "% aY:t.- Q U'C-
z
OWNER'S PHONENUMBER i%Z- .40)4 - 0s4?.
PRINT OWNER'S NAME HOMEOWNER`S SIGNATORE
RECEIVE®
DEC 21 2007
PERMITTING
St. Lucie County, FL