R24-230 1 RESOLUTION NO. R24-230
2
3 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON
4 BEACH, FLORIDA, APPROVING AN OWNER/BUILDER AFFIDAVIT FOR
5 THE RENOVATIONS TO THE MAINTENANCE BUILDING AT 124 E.
6 WOOLBRIGHT ROAD; AND FOR ALL OTHER PURPOSES.
7
8 WHEREAS, an owner affidavit form is required to be uploaded with a request for a permit.
9 This owner affidavit is for the renovations to the maintenance building at 124 E. Woolbright Road;
10 and
11 WHEREAS, the City Commission, upon the recommendation of staff, has deemed it in the
12 best interests of the city's citizens and residents to approve an Owner/Builder Affidavit for the
13 renovations to the maintenance building at 124 E. Woolbright Road.
14
15 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON
16 BEACH, FLORIDA, THAT:
17 SECTION 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
18 being true and correct and are hereby made a specific part of this Resolution upon adoption.
19 SECTION 2. The City Commission of the City of Boynton Beach, Florida, does hereby
20 approve an Owner/Builder Affidavit for the renovations to the maintenance building at 124 E.
21 Woolbright Road, in form and substance similar to that attached as "Exhibit A."
22 SECTION 3. The City Commission of the City of Boynton Beach, Florida, hereby
23 authorizes the Mayor to execute the Affidavit and other related documents as may be necessary
24 to accomplish the purpose of this Resolution.
25 SECTION 4. The fully executed Affidavit shall be provided to Gail Mootz for further
26 handling.
27 SECTION 5. This Resolution shall take effect in accordance with law.
28 [signatures on the following page]
29
Si-
30 PASSED AND ADOPTED this / day of ID2024.
31 CITY OF BOYNTON BEACH, FLORIDA
32 YES NO
33 Mayor—Ty Penserga �/
34 t./---
35
35 Vice Mayor—Aimee Kelley
36 ..---
37
37 Commissioner—Angela Cruz
38
39 Commissioner—Woodrow L. Hay
40
41 Commissioner—Thomas Turkin
42
43 VOTE SV
44 ATTEST:
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48 City Cle %, May•
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50 11.1t...1%° TF•';�-57c,4i APPROVED AS TO FORM:
51 (Corporate Seal) S c)• SEAL ••= s,
52 i ;INCORPORATED. $
53 ••• 1920 :• %t AM< J. c7►'�c �/
54 11�`%� •FLOR\O :- Shawna G. Lamb
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55 City Attorney
7 CITY OF BOYNTON BEACH
= DEVELOPMENT DEPARTMENT BUILDING DIVISION
, ..
o 3301 Quantum Blvd.Suite 101 ••Boynton Beach,FL 33425••(561)742-6350•
�roN 9
OWNER/BUILDER AFFIDAVIT
To qualify for exemption from contractor licensing requirements, an owner must personally appear
and sign the building permit application and satisfy local permitting agency requirements proving
that the owner has a complete understanding of the owner's obligations under the law as specified in
the disclosure statement below. If any person violates the requirements of the subsection cited below,
the local permitting agency 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.
OWNER/BUILDER DISCLOSURE STATEMENT
SECTION 489.103, FLORIDA STATUTES
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit
under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
3. I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in the contractor's name instead of my
own. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on
permits and contracts.
4. I understand that I may build or improve a one-family or two-family residence or a 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. If a building or residence that I have built or substantially improved
myself is sold or leased within one (1) year after the construction is complete, the law will presume that I built or substantially
improved it for sale or lease,which violates the exemption.
5. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by county or
municipal ordinance.
7. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner-builder permit which
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 my insurance coverage for injuries to workers on my property.
8. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on my building who is not licensed must work under my direct supervision and must
be employed by me, which means that I must comply with laws requiring the withholding of 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 may subject me to serious financial risk.
9. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable
laws and requirements that govern owner-builders as well as employers. I also understand that the construction must comply with
all applicable laws,ordinances,building codes,and zoning regulations.
(CONTINUED ON OTHER SIDE)
OWNER/BUILDER AFFIDAVIT (CONTINUED)
10. I 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 Construction Industry Licensing Board by calling 561-233-5525 or visiting their
website,http://www.pbcgov.com/pzb/Contractors,for more information about licensed contractors.
11. I am aware of, and consent to, an owner-builder permit applied for in my name and understand that I am the party legally and
financially responsible for the proposed construction activity at the property address stated below.
12. I agree to notify the City of Boynton Beach Building Division immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure.
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 and Department of
Business and Professional Regulation 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. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner-builder permit and wish to hire a licensed contractor, you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor's workers'
compensation coverage.
To apply for an owner-builder permit, this form must be completed and submitted with the building
permit application package.
Property Address 124 E. Woolright Rd. Boynton Beach, FI, 33435
Property Owner 41.4- Iv zoZ
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STATE OF FLORIDA
COUNTY OF PALM B-ACH �s1
The foregoing instrument was acknowledged before me this / S} day of 15----46942e- (month),�v (year),
by '.1 __:,7 _ (printed name of signer).
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