HomeMy WebLinkAboutBLG_Request_for_Transfer_revi- -
* $100.00 TRANSFER FEE PER PERMIT * ONLINE PAYMENTS ONLY
BUILDING PERMIT REQUEST FOR TRANSFER
DATE: TO: County of Hawaii – DPW – Building Division RE: Building Permit No(s)
- TMK:
Owner/builder transfers are allowed only if the request is made prior to final inspection. Transfers between contractors are allowed for all active permits. Originally approved job site plans should be available at the time of inspection or new plans may be required by the Building Inspector. Additional permit(s) may be required if construction is not per the approved plans.
LEGAL OWNER:
Name: (print)
Mailing address:
E-mail address: Telephone no:
Signature/Date:
BUILDER:
OWNER/BUILDER: (print) I declare an exemption under Sec. 444-2(7) for the following reasons: 1) this exemption allows me, as the owner or lessee of the property, to act as my own general contractor without possessing a license; 2) to supervise the contracting myself; 3) to hire licensed subcontractors; 4) the building is for my personal use and not for the use or occupancy by the general public; 5) building will not be built for sale or lease within one (1) year after construction is complete. I hereby acknowledge that the information I have provided is true and correct. I agree to comply with all County and State laws regulating building construction. I fully understand that if I violate any of the provisions of Sec. 444-HRS, I may be subject to civil action; administrative action, including fines; and/or administrative penalties per Sec. 444-22, 23, 35, & 36 HRS.
Signature/Date:
OR CONTRACTOR: (print) License no:
Mailing address:
E-mail address: Telephone no:
RME Signature/Date: (see Hawai`i Revised Statutes Chapter 444)
DESIGN PROFESSIONAL:
I acknowledge the transfer of ownership as designated above and accept continued responsibility of the above stated project.
Signature/Date:
(print name/license number)
Hawai`i County is an Equal Opportunity Provider and Employer Rev 9/22/21 nce coh33/building/forms/