VILLAGE OF MILFORD 1100 ATLANTIC MILFORD, MI 48381 248-684-1515

APPLICATION FOR HOMEOWNERS BUILDING PERMIT

I, herby certify that I am the owner and (will be on completion) occupant of the residence at

In making this application to (make alterations in or build at) the above residence, I agree that all work will be done promptly by myself, in accordance with all requirements of the Village of Milford Ordinance Sec. 18-31.

SOME PROVISIONS OF THESE ORDINANCES ARE:

1. A permit must be secured before any work is started.

2. Plans for the work will be required.

3. I, the owner, will perform the actual work myself.

4. No work shall be covered before inspection is made and approval received.

5. No licensed contractor nor person allegedly possessing such required skills shall work directly under the supervision of the owner.

It is further understood and agreed that the work is the sole responsibility of myself and if, upon inspection, the Building Official finds that I am not qualified to do the work, he may require me to engage a properly licensed contractor at once to correct and finish the work.

“Section 23a of the State Construction Codes Act of 1972, Act No. 230 of Public Acts of 1972 being Section 125.1523a of the Michigan Complied Laws, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who perform work on residential building or a residential structure. Violators of Section 23a are subjected to civil fines.”

Signature of Owner Date

Building Official Date