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  • HOMEOWNER DECLARATION FORM

    The undersigned hereby applies for consideration as a property owner desiring to performconstruction on his/her residence. In making this request for a “home owner” permit, theundersigned states the following to be true:
  • 1. Applicant resides or intends to reside on premises. Property described in permit
    application is currently owned by applicant. Applicant must reside in completed
    structure and does not plan to offer same for sale for a period of 24 months as per
    OCGA section 43-41-17. Applicant has not made a previous Homeowner
    Declaration where he/she has failed to reside at the premises thereafter.

    2. Applicant will serve as the general contractor and accept inherent responsibilities
    for the work authorized by the approved permit in accordance with Georgia's
    licensing law pertaining to Residential and General Contractors, and including
    workman's comprehensive liability.

    3. Applicant agrees to hire properly licensed contractors for work that is further sub-contracted. All plumbing, electrical and HVAC work will require separate sub-
    contractor forms, including work performed by applicant in lieu of licensed
    contractors.

    4. Applicant agrees to perform all work in accordance with all applicable codes and
    strictly adhere to the inspection requirements. The undersigned acknowledges that
    all required inspections must be performed in an established sequence and that
    any work done in violation of the codes must be corrected or may be ordered to be
    removed.

    5. Applicant acknowledges that he/she is aware that a permit issued under the
    provisions of the code may be revoked for false statements or misrepresentation
    as to the material fact in the application on which the permit was based.

    6. Applicant further acknowledges that he/she is aware that any knowingly false
    statements made in the permit application will subject said applicant to possible
    prosecution. Georgia Criminal Code, Section 16-10-71 (False Swearing).

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