HomeMy WebLinkAboutOwner Builder Affidavit -777777777
Planning&Development Services Department
O Building&Code Regulations
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 or a commercial building at a 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 sale or lease. If you sell or lease a building you have built or substantially improved your self 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 not licensed must work under your direct supervision and must be
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 applica a 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 to meet
the minimum code. Initial A
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!�C
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 liab for the
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 edical
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 uilding and
Zoning Department to the Florida State Department of Professional Regulation. S' ed and ackno dged on this
_dayof of 20�.
i
Owner/Builder Signature
STATE OF FLORID
COUNTY OF
The eg 'ng instrument was acknowledged before me this r day of
Jproced��—!L—_U
Q_Ny x who is personally kno to me,or who has
� as identification.
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Y ..
Signature of Notary Type or rtnt Name of Notary D WN MILONE
Title:Notary Public Commission Number ** ?MNotar Public•State of
iN 4
Y Comm.Expires Mar 'J2
SLCPDSD Revised 07/22/2010 %,,,oF F��o?,� Commission#EE a�
Bonded ThrouT. gh National Nota
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`+ Planning&Development Services Department
Building& Code Regulations Division
' 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 of your 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 of this
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 ownertbuilder exemption shall be reported by the
Community Development Director to the Florida State Department of Professional Regulation. Signed and
acknowledged on this / day of ,A.7 e ,2
OWNER/BUILDER SIGNATURE
STATE OF FLO A'
COUNTY OF l
The f egoing instrument was acknowledged before me this day of ,20 1
by `�;wh-lbis personally knowna-
7ha
to me or
oduced � � as identification.
Signature of Notary Print name of Notary
Title: Notary Public Commission
a DAWN MILO:Notary
_.0 `�; Notary Public-Stateida
My Comm.Expires M017
SLCPDSD Revised 7/23/2010 r'�'vr ' #°`•` Commission#EE
, Bonded Through
St.Lucie County Owner Builder Affidavit-Electrical Contracting �; g National ssn.