To make repairs to existing single family residence due to storm damage. Improvements to include repairing rear portion of roof (replacing approx. 25% of shingles) repairing trusses, supports, decking and soffit fascia as needed. 1. Acknowledges applying for this self building permit in own name, & will act as own contractor accepting full responsibility for code compliance, for hiring & employing individuals & has ultimate responsibility for my own work & for the work of others. Acting as my own general contractor, i further understand that i may forfeit certain protections, which might be available to me through the state of tenn general contractors licensing process. I further acknowledge that as a self building permit holder i am responsible for requesting all required inspections & completing all authorized work in compliance with applicable adopted codes. I further understand that separate permits are required for any proposed electrical, plumbing, & gas mechanical work and is no

To make repairs to existing single family residence due to storm damage. Improvements to include repairing rear portion of roof (replacing approx. 25% of shingles) repairing trusses, supports, decking and soffit fascia as needed. 1. Acknowledges applying for this self building permit in own name, & will act as own contractor accepting full responsibility for code compliance, for hiring & employing individuals & has ultimate responsibility for my own work & for the work of others. Acting as my own general contractor, i further understand that i may forfeit certain protections, which might be available to me through the state of tenn general contractors licensing process. I further acknowledge that as a self building permit holder i am responsible for requesting all required inspections & completing all authorized work in compliance with applicable adopted codes. I further understand that separate permits are required for any proposed electrical, plumbing, & gas mechanical work and is no