HomeMy WebLinkAboutOwner Builder Affidavit III
Planning&Development Services Department
fl �''�� Building&Code RekulationsI
(t o lid'a 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 youriuse 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 violatiori'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 wi a cab e
laws,ordinances,building codes,and zoning regulations. I Ini
I understand that the building official and inspectors are not there to design or give adviceo meet
the minimum code. ;I In tial�
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 disput
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I understand that if I compensate any person or company for work performi6d they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible ais e forte .
cost of the license. Ini
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I understand that if any person that is unlicensed and uninsured gets injured ori my construction project-
they may be entitled to workmen's compensation. I could be held liable for alli doctor,lawyer and r at edic l
cost,which could include loss of wages during recovery from their injury. '' Initi
o quali fort 'Is tion undert is ubsectio , a owner ust pe so a al�`pear and sig the building
A—M-1111, MUM15MITUMf alCll eYabo e.�
I hereby acknowledge that I have read and understand the above dis losure 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�a knowledged on this
day of of 20�.
II
O Ider ignature
STATE OF FLORIDA fI.
COUNTY OF',-�,\, .�.c,� .
The foregoing instrument was acknowledged before me this_1 day ofry\�, p3� I ,201 ,
by a! >`� N.Ogkk . who is personally known tome,or who has
C:foduc d ( yJ`�'L)p .y3`t(o2Z�41 D as identification.
Signature�of Notary Type or Print Name of otary (Seal)
Title:Notary Public Commission Number
r
�`;9P„e,, II LASHAHNA INGRAM
SLCPDSD Revised os/15/2014 Notary Public-State of Florida
.• MyliiComm:Expires Dee 20,2018
Commission#FF 177249
'''P��"••, Bonded through National Notary Assn.
PLANNING&DEVFLOPA Mi*%i-SEI w isC -Er'DEPAR.- .WNT
Building&Code Regulations Division
• _ 2300 VIRGINIA AVENUE
FORT PIERCE FL 34982-5652
(772)462-1553
i
FILLED LAND AFFIDAVIT
1
I,the undersigned, am the owner ofthe following described property,
0035- -coo-(
(Parcel Id#!Legal description/Addrew
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number i �' , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St.Lucie County Land Development Code,I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT, be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or l maintain in any form,
adequate drainage off my property which will not adversely, affect the immediate
community.
arty Owner Name a Print)
Prd er Si ure Date
i
STATE OF FLORIDA,COUNTY OF
ACKN WLEDGED BEFORE ME THIS DAX OV `a11�X \ _2A
BY WHO IS PERSONALLY KNOWN TO ME(,)OR WHO HAS
Jy
PRODUCED )^ I AS IDENTIFICATION.
5kKG�YNATUREOF NOTAR1\�C
TYPE OR PRINT NOTARY I
COMMISSION NUMBER
i
SEAL)!� .
LASHAHNA INGRAM
. -j Notary Public-State of Florida
SLCPDSD Revised 04/1112011 MY Comm.Expires Dec 2Q,2018
.,, ,' `oa,• Commission#FF 177249
{9onded through National Notary Assn,
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