HomeMy WebLinkAboutOwner Builder Affidavit PLANNING AND DEVELOPMENT SERVICES DEPARTMENT ....... -
• Building and 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 owner/builder exemption shall be reported by the
Community Development Director to the Florida State Department of Professional Regulation. Signed and
acknowledged on this day of • ,20 /,S—
AV, ,, /'&—'.
OWN UILDER SIGNATURE
STATE OF FLORIDA
COUNTY OF
d'p� -
The fore . g instrument was acknowledged before me this 3 day of e ,20 Is
by ,who is personally known L_)to me or
has produced as identification.
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Signature o N ry Print name of Notark
Title: Notary Public Commission Number
;�«iY'Pyfc; AUDREY B.HUMPHREY
SLCPDSD Revised 4/11/2011 MY COMMISSION#FF 174772
EXPIRES:March 6,2019
St.Lucie County Owner Builder Affidavit-Electrical Contracting pE'�° Bonded Thru Notary Puhl'c Underwriters
Planning&Development Services Department
COUNTY Building&Code Regulations
• 2300 Virginia Avenue
Gaza Fort Pierce,Florida 34982
(772)462-1553
OWNERBUILDER 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 aable
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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 h®owWet
the minimum code. Initial
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 4W
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 liablethe
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 relatedical
cost,which could include loss of wages during recovery from their injury. Initial agv
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
Zoning Departnt to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20/.
0wnerBuilder Whature
STATE OF FLORIDA
COUNTY OF
The foregoing instrIlThent was ac owledged before me this day of-2)&C. ,20/S
•,
by Q rn�S S C •A who is personally known to me,or who has
produced as identification.
Mai
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ature of N ype or Print Name o No i ry �?eal)
Title:Notts blic Commission Number
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