HomeMy WebLinkAboutMisc Letters ri TIU E� Planning&Development Services Department
COUNTYBuilding&Code Regulations
2300 Virginia Avenue RECEIVED
Fort Pierce,Florida 34982
(772)462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT DEC 2 8 2015
F.S.489.103(7)EXEMPTIONS PER:JlITTING
St. Lucie County, FL
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 applicable
laws,ordinances,building codes,and zoning regulations. Initial Z.
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial 41-
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 Y"
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 medical
cost,which could include loss of wages during recovery from their injury. Initial V,L.
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
S day of� g f20�.
Owne 11der Signature
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of -Z>e-c � ,20 t
by -3> .w 4 __ who is personall known to me,or who has
produced as identification.
Signature;Y Notary Type oar Pn`nt N me ofNots (Seal)
Title:Notary Public Commission Number
KAREN S. NIELSEN
SLCPDSD Revised 0511512014 '•° .''- Commission#FF 115637
. .ter My Commission Expires
%;;o,,•°;A'' June 12, 2018
rr„rr,
F.<s-�rs .;-gr -7 _ _ Y:.. : . .'sT - - -sM1 - —�', .z , -ate,n'.yx�- -r ,\ `•a -' :xr-�r--
ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
�... �' NAME
St. Lucie County - PCIS ACCT.# Ll 1 �3 , sac)
12-28-2015 08:50:07
14153/5203 SERVICE ADDRESS 5_90(0 S2-( QCP_
JR, V
5908 SPRUCE DR
FORT PIERCE SUBDIVISION � �� LOT BLOCK 9
FL 34982
BILLING ADDRESS ^0: ►-7
Amount Tendered: 519.00 ff ++
tt f amt? >e.-Ar } !_ . 33C5D
Amount Paid: 519.00 !, ,
PHONE# LSLf 7 / MOVE IN/CLOSING DATE
Change Due: 0.00 ".
This application hereby request and authorises the Utility to render water and/or sewage disposal
Thank You services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
User ID: RODRIGUEZM CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID f 3� !
SPPUSE SOCIAL SEC. !
OFFICE USE ONLY
DATE RECEIVED CASH CHK# � RECEIVED B
RECEIVED
DEC 2 8 2015
PE' - "'G
y. FL