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Permit #
Permit Fees Due
Date
Fee Simple Titleholder’s Name (If other than owner)
Must provide complete address including city, state and zip code
(in sq. ft)
Must provide a duly recorded notice of commencement for construction projects valued in excess of $2,500.00
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured fro ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, KITCHEN HOODS, FIRE SPRINKLERS, ALARM SYSTEM, AND SHEDS, ETC
OWNER'S ELECTRONIC SUBMISSION OF STATEMENT: Under penalty of perjury, I declare that all of the information contained in this building permit application is true and correct.
Application is valid for 180 days.Permit is extended for 6 months after each successful inspection. Permit expires after 1 year. Permit fee is non-refundable.
Signature - this must be signed and formally submitted when presenting this application for processing.
Asbestos regulations require asbestos to be identified prior to beginning any demolition or renovation activities. A State license asbestos consultant must perform the survey. If asbestos is identified in the survey, ad it is predicted that asbestos will be disturbed in any way, a State licensed asbestos contractor must remove it first. Additionally, for non-exempt buildings and Division ten working days prior to facility load supporting members either being moved or removed (demolitions) and prior to asbestos removal projects.
You, as the owner and occupier of a single family residence, not for sale or lease, may undertake the moving, removal or disposal of asbestos-containing materials on your own residential building. To quality for the licensing exemption, (subject to the limitations provide below) an answer must personally appear and sign the building permit application. State law requires asbestos removal to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own asbestos removal contractor even though you do not have a license. You must supervise the construction yourself. You may move, remove, dispose of asbestos-containing materials on a residential building where you occupy the building and the building is not for sale or lease, or the building is a farm outbuilding on your property. If you sell or lease such building within 1 year after the asbestos abatement is complete, the law will presume that you intended to sell or lease the property at the time the work was done, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your work must be done according to all local, state, and federal laws and regulations, which apply to asbestos abatement projects. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances.
For additional information about asbestos:
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