WARNING  Pulling an Owner/Builder Permitis Risky Business!  Ifyou do not intend to do the worky yourself and have been asked by someone without a contractor's license to pull the permit, you are: atr risk of Section 489.103 (7), Florida Statutes requires that when property owners acta as their own contractor, they must supervise the work being performed. Any person working on your building whoi isr not licensed must be employed by you, which means that you must deductFI.C.A. and withholding tax and  financial harm.  provide workers' compensation for that employee. Without workerscompensation insurance, you could be held liable fori injuries incurred on your property. Typically,your homeowners'nsurance policy will not honor your claimi ift the work being performed required al licensed contractor. You could end up responsible for thousands of dollars of medical bills. Notonlyisit dangerous, butit's ayainst the law.  Section 455.227(1)0), Florida Statutes prohibits any person from aiding, assisting, procuring, employing or advising any unlicensed person ore entity. Individuals who aid unlicensed persons mayf facet fines of upi to $5,000.  Isitworth it? For more information, speak with your local building Department of Business and Professional Regulation at 850.487.1395 or online at op.yondalrenscon  FlordaDepartments! Professional Regulation License Elficientiy. RegulateFairly.  department before you apply for a permit or contact the Business    City of Anna Maria  OWNER BUILDER STAIEMENTAFFIDAVIT  Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from  qualifying as contractors and to express any applicable restrictions and responsibilties.  OWNERS MUSTI PERSONALLY APPEAR ATTHE BUILDING DIVISION TO SIGN THIS DOCUMENT  BY SIGNING THIS STATEMENT,IATTEST THAT: (Initial to the left of each statement)  lunderstand that state law requires construction to be done by al licensed contractor and have applied for an owner-builder permit under an exemption from the law. The exemption specifies that 1,as the owner of the property listed, may act as my own contractor with certain restrictions even lunderstand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction andi is not hiring a licensed contractor to assume lunderstand that, as an owner-builder, I am the responsible party of record on a permit.I understand that Imay protect myself from potential financial risk by! hiring al licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all IUnderstand thatl Imay build or improve a one-family or two-family residence or ai farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. Ifal building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that Ibuilt or substantially improved it for sale or lease, which violates this exemption. lunderstand that, as the owner-builder, I must provide direct, onsite supervision of the lunderstand thatImay not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. Iti is my responsibility to ensure that the persons whom lemploy have the licenses required by law and by county ordinance. lunderstand that iti is ai frequent practice of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner-builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries.I am willfully acting as an owner-builder and am aware of the limits of myi insurance coverage for  though Id do not have al license.  responsibility.  permit and contracts.  construction.  injuries to workers on my property.  Rev 2-23-2017    lunderstand that Imay not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done, Any person working onmy building who Is not licensed must work under my direct supervision and must be employed byme, which means that Imust complywith) laws requiring the withholding off federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws lagree that, as the party legally and financially responsible for this proposed construction activity, Iwill abide by all applicable laws and requirements that govern owner-builders as well as employers.lalso understand that the construction must comply with all applicable laws, lam of aware of construction practices and Ihave access to the Florida Building Code. lunderstand 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. lalso understand thatImay contact the Florida Construction Industry! Licensing Board at 1-850-487-1395 or at www.mylorlda.comldbprlpro/cib for more information about licensed contractors. lam aware of, and consent to, an owner-builder building permit applied fori in my name and understand that! I am the party legally and financially responsible for the proposed construction lagree to notify the building department immediately of any additions, deletions, or changes to any of the information thatl Ihave provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. Iti is also important for you to understand that, if an unlicensed contractor or employee of an individual or firmi is injured while working on your property, you may be held liable for damages. Ify you obtain an owner-builder permit and wish to hire al licensed contractor, you willl be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage.  may subject me to serious financial risk.  ordinances, building codes, and zoning regulations.  activity at the address listed below.  Property. Address:  do hereby state that lam qualified and capable  ofp performing the requested construction involved with the permit application filed and agree to the conditions specified  above..  Signature of Owner-Builder Form of Identification  Date  (Must be Photo ID)  Aviolation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person  performing work that requires licensure under the permit issued.