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• 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 of2016
OWNER/BUILDER SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instr ent was acknowledged before me this � Z�day of ,20 Ir
by W tcyy� ,who is personally known to me or
has produced A as identification.
(Seal)
Signatureof Ta ANGELA M HU Print name of otary
.`�.; Notary Public-State o Florida
Title: Nota d c ;.g Commission#FF 234730 Commission Number
My Comm.Expires May 27,2019
Bonded through National Notary Assn.
SLCPDSD Revise 4 1 0 1
St.Lucie County Owner Builder Affidavit-Electrical Contracting