St. Lucie Village
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F .S. 489103 (7) EXEMPTIONS
Phone: 772 528-2777
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.
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 departtnent will not mitigate any contract disputes.
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, l may be responsible and liable for the cost of the license.
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. l could be held liable for all doctor, lawyer and related medical cost, which could include loss of wages
during recovery from their injury.
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 Departtnent to the Florida State
Department of Professional Regulation. Signed and acknowledged on this day of year of 20
STATE OF FLORIDA
The foregoing instrument was acknowledged before me this day of , 20 , by
who is personally known to me, or who has produced
Signature of Notary
Type or Print Name of Notary (Seal) Commission Number 10. l understand that I may obtain more information regarding
my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of
Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing
Board at or for more information about licensed contractors.
Title: Notary Public