Queen Creek

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Contractor Declaration

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Project Address *

Contact Name *

Contractor Business Name *

Contact Name *

Mailing Address *

City *

State *

Zip Code *

Email *

ROC License Number *

License Class *

Owners of property who improve such property or who build or improve structures or appurtenances on such property and who do the work themselves, with their own employees or with duly licensed contractors, if the structure, group of structures or appurtenances, including the improvements thereto, are intended for occupancy solely by the owner and are not intended for occupancy by members of the public as the owner's employees or business visitors and the structures or appurtenances are not intended for sale or for rent.

Owners of property who are acting as developers and who build structures or appurtenances to structures on their property for the purpose of sale or rent and who contract for such a project with a general contractor licensed pursuant to this chapter and owners of property who are acting as developers, who improve structures or appurtenances to structures on their property for the purpose of sale or rent and who contract for such a project with a general contractor or specialty contractors licensed pursuant to this chapter. To qualify for the exemption under this paragraph, the licensed contractors' names and license numbers shall be included in all sales documents.

I understand that State Statute 32-1169 B. states that: The filing of an application containing false or incorrect information concerning an applicant's contractor's license with the intent to avoid the licensing requirements of this chapter is unsworn falsification pursuant to section 13-2704.

Created by AIPSS

Queen Creek

Contractor Declaration

Licensed Contractor Declaration State Statute 32-1169 A

Owner/Builder Declaration of Exemption State Statute 32-1121 A