BALDWIN COUNTY BUILDING DEPARTMENT
312 Courthouse Sq., Ste. 14
Bay Minette, AL 36507
Fairhope, AL 36532
Foley, AL 36535
SWORN STATEMENT OF PARTY CLAIMING EXEMPTION
FROM THE REQUIREMENTS OF THE HOME BUILDERS LICENSURE LAW,
ALA. CODE§ 34-14A-1, et seq. (1975)
I do hereby solemnly swear that I, or the business entity of which I am the designated qualifying representative,
am exempt from the licensing requirements of the State of Alabama Home Builders Licensure law pursuant to
Section 34-14A-5 for the following reason (please mark appropriate response):
I am an authorized employee of a federal, state, or local government exempt from this law and do not
hold myself out for hire or otherwise engage in contracting except in accordance with my employment.
I am a General Contractor holding a current and valid license issued prior to January 1, 1992.
General Contractors license # ________________. Section 34-14A-6(c).
I am the Property Owner acting as my own contractor and providing all material supervision myself on
property for my own occupancy or use, and not offered for sale. I do not intend to use this permit for
the constructing or superintending of the construction of any residential building or structure for sale.
(Proof of the sale, or offering for sale, of structure by an owner-builder within one year after substantial
completion of same is presumptive evidence that the construction was undertaken for the purpose of
sale). Section 34-14A-6(e).
I understand that this exemption is not transferable. I will not hire or
compensate anyone to supervise the building or improvement of this residence.
I understand that by claiming exempt status, I waive my rights for protection under the provisions of the Home
Builders Licensure law and that in the event of litigation involving activities resulting from the grant of this permit,
I may not make demand of any money from the Homeowner's Recovery Fund, established by the Home Builders
I sign this statement under penalties of perjury. Permit #: ___________________
911 Property Address (include city): ___________________________________________________________
Property Owner’s Printed Name
Property Owner’s Signature
Business Entity, if applicable
Witness’ Printed Name
*Violation of the Alabama Home Builders Licensure Law is a
Class A misdemeanor (§34-14A-14) punishable by up to 12
months in jail and fines up to $6,000.00.*