City-Wide Moratorium information

CHANGE OF CONTRACTOR / SUBCONTRACTOR FORM

Construction Type *

Commercial

Residential

Applicant Type: *

Owner

Contractor

What is changing: *

Contractor

Subcontractor

Permit Number: *

Project Address: *

Current Contractor Business Name: *

Current Contractor's License Number: *

Contractor Release Date:

edit-submitted-contractor-release-date-month

edit-submitted-contractor-release-date-day

edit-submitted-contractor-release-date-year

New Contractor's Business Name: *

New Contractor Name: *

New Contractor Address: *

Please include City, State, and Zip Code

New Contractor Phone: *

New Contractor Email: *

New Contractor License Number: *

Permit Owner Name: *

Permit Owner's Phone Number: *

Property Owner's Name: *

Property Owner's Phone: *

Property Owner Address: *

Please include City, State, and Zip Code

Project Parcel ID: *

This information is readily available on the Zoning and Future Land Use Map.

Permit Owners Affidavit *

I, the Permit Owner am making a request to change a contractor or subcontractor. Further, I acknowledge, as the Permit Owner, I will be taking full responsibility for the requested change and any subsequent changes related to this requested. I, the Permit Owner, acknowledge that the previous contractor/ sub-contractor has been removed from the permit listed above and, I, the Permit Owner, shall assume full responsibility for any work completed by the previous contractor that has not passed inspection. I understand that a Change of Contractor fee, per the City of Edgewater’s Fee Resolution, will apply for this change if the permit has already been issued.

Accepted

Building Permit Approval *

Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Applicant hereby consents and authorizes drone use for permit related inspection(s). OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby affirm that I have complied with the provisions of Chapter 469 of the State Statutes, and I have notified the Dept of Environmental Protection of my intention to remove asbestos, if applicable. OWNER’S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.

Accepted

CHANGE OF CONTRACTOR / SUBCONTRACTOR FORM

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