Document template
Owner-Builder Disclosure Statement & Affidavit
When a homeowner pulls their own permit, the building department requires an owner-builder disclosure: a signed statement that the owner is acting as their own contractor and accepts responsibility for supervision, payroll and liability. The statutory language differs by state — Florida uses section 489.103(7) and requires an in-person signature, Arizona uses A.R.S. 32-1121(A)(5), California uses Business & Professions Code 7044 — so this template swaps in the correct citation and acknowledgements for the state you enter.
Who uses it
Homeowners pulling their own permits and contractors assisting owners with counter paperwork.
What the generated document includes
- State-specific statute citation and eligibility summary
- Owner name, property address, property use and estimated cost
- Numbered statutory acknowledgement block (licensing, supervision, unlicensed labor, inspections)
- Signature lines, plus a notary acknowledgement in states that require one
Mistakes that get it kicked back
- Using owner-builder status on a property that is rented or being sold within a year
- Leaving the estimated cost blank, which sets the permit fee tier
- Assuming the exemption covers licensed trades such as electrical, plumbing or HVAC
- Submitting without the notarized or in-person signature the state requires
Owner-Builder Disclosure Statement & Affidavit by state
Requirements around this document change at the state line. Pick your state for the rules that apply to your license.
Other documents
Requirements vary by jurisdiction. Always confirm final submittal requirements with the authority having jurisdiction before filing.