Laserfiche WebLink
<br />OWNER-BUII.DER AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br /> <br />BEFORE me. the undersigned authority, personally appearedc.~e.Jl;:ZN' <br /> <br />PCJ4dR"eM-<-f <br /> <br />, who being by me first duly sworn, under oath, deposes and states <br /> <br />as follows: <br /> <br />I do hereby swear/affirm: <br /> <br />That I own the property described 11S <br /> <br />'13 3 S- I/';h MjI,d <br /> <br />kp <br />, <br /> <br />Disclosure Statement <br /> <br />St11t~ IfJ\~ '('(Ill; res cons tructioTl to l).~ donp. by licensed contrbctors. YOll hnve IlpplJed <br /> <br />for a permit tinder an exemption to the law. <br /> <br />The exemption a !lows you, as the owner of <br /> <br />your property, to act as your own contractor even though you do not hAve a license. You <br /> <br />must supervise the construction yourself. <br />family residence or 11 farm outbuilding. <br /> <br />You may build or improve a one-family or two- <br />You may also build or improve a commercinl <br /> <br />building C't I] cost of $25,000.00 or l~ss. Thf' building must be for your own use and <br />occupancy. It may not be built for sale or lease. If you sell or lease a building you <br />have bui.lt yourself tdthin one year after the construction is complete, the lat" will pre- <br />sume that you built it for sal~ or lease, which is a violation of this exemption. You may <br /> <br />not hire an unlicensed person as your contractor. <br /> <br />It is your responsibility to make sure <br /> <br />that people employed by you have licenses required by State law and by County or municipal <br />licensing ordinances. Any person working on your ~uilding who is not licensed must work <br />under your supervision and must be employed by you, which means that you must deduct <br />F.I.C.A. and withholding tax and provide Workers' Cc~pensation for that employee, all as <br /> <br />prp.scribed by law. <br /> <br />Your construction must comply with all applicable laws~ ordinances, <br /> <br />bu i 1 rl i. ng codes. find 7:cn ing f.'egu 1 c3 t i un:; . <br /> <br />That I have rend the foregoing, and am awnrc of my responsibilities and liabilities <br />for construction work on the above-de~cribed property and do hereby agree to each of the <br />aforesaid stipulations. <br /> <br />FURTHER AFFIANT SAYETIf NOT. <br /> <br />~. ~3<OCnq1{ 6'4 l.\ ~ '& U <br />;1\( ~ .ti,vL-L <br />Owner's Signature <br />1~~ the. \'\ \ ().,{)L\ \,OD? <br />\ Address <br />'~"I(h'I\\" ~ l.., 37J~ ~. <br />'L N 0\1 C\) L- <br /> <br />~~ <br /> <br />Date <br /> <br />SWORN~ojand subsc~~bed befo.re me <br />this ~ day of ~~~<i...A- <br />fill ~~ <br /> <br />Ith(JJ~ W6~ <br /> <br />N6tary Public <br />State of Florida at Large <br /> <br />",-.;,,::i-A':r~?:-,_ Sharon L Barber <br />~""i."Ib."'f;~ MY COMMISSION # CC814789 EXPIRES <br />;'~,~'s:o March 7, 2003 <br />"''If..9f.:M'<,'' BONDED THRU TROY FAIN INSURANCE INC <br /> <br />My Commission Expires: <br /> <br />Print, Type, or Stamp Commissioned <br />Name of Notary Public <br /> <br />Personally Known _____ or Produced Identification <br /> <br />/ <br /> <br />, <br /> <br />Type of Identification <br /> <br />fi C}))L <br /> <br />PC93053047 <br />