HomeMy WebLinkAboutOwner Builder Affidavit 777777777777777777
Planning&Development Services Department
Building&Code Regulations
o o 2300 Virginia Avenue
Fort Pierce,Florida 34982
- (772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
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 ap licable
laws,ordinances,building codes,and zoning regulations. rI'nitial
I understand that the building official and inspectors are not there to design or give advice on h to meet
the minimum code. --ftitial- Ib
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.
--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 the
cost of the license. Initial
I understand that if any person that is unlicensed end uninsured gets injured on my construction project-
they maybe 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
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 owneribuilder exemption shall be reported by the Building and
Zotipg Departm t to the Florida State�partment of Professional Regulation. Signed and acknowledged on this
�( day of of 20�-
OAU/Build&Signature
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this`d day of 20
by S06- Y who is personally known to me,or who h
produced F L .0 as identification. PG`SEt�S,F�O�tAa
-
��dl.nv�� cYQ°0%c'�gspea5��61 0
Signature of Notar Type or Print Name of No N°�a mm.Eegl�ti °�a�y Pss
Title:Notary Public Commission Number
o. a
. . ace` eo�da
SLCPDSD Revised 05/15/2014 ,.
Planning_&Development Services Department
• _ Building& Code Regulations Division
+ M 2300 Virginia Ave
Fort Pierce,FL 34982
772-462-1553
Owner Builder Affidavit—Electrical Contracting
DISCLOSURE STATEMENT
F.S. 489.503 (6) EXEMPTIONS
State_law requires electrical contracting to be done by licensed electrical contractors. You have applied for a
permit under an exemption to that law. The exemption allows you,as the owner ofyour property,to act as your own
electrical contractor even though you do not have a license.You may install electrical wiring for a farm outbuilding
or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate
construction costs of which are under$75,000. The home or building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year
after the construction is complete,the law will presume that you built it for sale or lease,which is a violation ofthis
exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall 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 ordinances. Failure to do so may result
in a liability for you!
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit-application.-- — — –
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
Community Development erector to the Flor'da State Department of Pr fe 7inal Regulation. Signed and
acknowledged on this 1`1 day of ,20
OWNER/BUILDER SIGNATURE
STATE OF FLORIDA
COUNTY OF a
The foregoing instrument was acknowledged before me this \ day of '20 ,
by <S2SSe,p,'�- Q C,e.,M, who is personally known to me or
has produced as identification.
EPNN S\a\e c�6?1
vv e v (Seal)�pob\�°',\�eSOe ey016 P55�.
Signature of Notary Print name of Notary J N°�a�o'R`
X04 PUB, r
_ �••,,,�y m• rNa
Title: Notary Public Commission Number L�
ga
•�SF 4 ,
SLCPDSD Revised 7/23/2010
St.Lucie County Owner Builder Affidavit-Electrical Contracting