Owner Affidavit printable pdf download

Owner Affidavit

EPCI

PORT ST JOE BUILDING DEPARTMENT

1002 10TH STREET

PORT ST JOE, FL 32456

850-229-1093 FAX 850-229-8242

OWNER AFFIDAVIT

__________________________

______________________________

Owner Name Printed

Address of Construction Site

do hereby give my permission for contractor

___________________________________

Contractors Name Printed

to accept the Responsibility of obtaining and signing for my Development Order

and /or Building Permit. I further understand that even though the contractor has

signed in my behalf I am responsible for the entire contents and requirements set

forth within these documents, Ordinance, or State Law. I further understand that if

any violations occur I can be held solely responsible for correction of these

problems because I am the owner of said property.

This Affidavit is for the City’s use only and is not intended for use by the contractor

against the property owner in any disagreement, civil suit, dispute, or violation.

Owners Signature______________________________________Date___________

STATE OF FLORIDA

COUNTY OF _____________

On this____day of_______________, 20___

Who is personally known to me or has produced the following identification

______________________

Type of identification

_________________________________________

Signature of person taking acknowledgement

Notary Seal or Stamp with Expiration date

Owner Affidavit