Town Of Quartzsite

P.O. Box 2812/465 N Plymouth Ave., Quartzsite, Az. 85346

Planning and Zoning

Licensed Contractor

 

 

I am currently a licensed contractor: Name _________________________________________________

 

License No.____________________________ ROC License Class ____________________________

 

Signature _______________________________________ Title _______________________________

 

EXEMPTION FROM LICENSING

I AM EXEMPT FROM Arizona Contractors’ License laws on the basis of the license exemptions contained in A.R.S. §32-1121A., namely:

A.R.S. §32-1121A.5 – I am the owner/builder of the property and the property will not be sold or rented for at least one year after completion of this project.

A.R.S. §32-1121A.6 – I am the owner/developer of this property and I will contract with a licensed general contractor to provide all construction services. All contractors’ names and license numbers will be included in all sales documents.

Other - _________________________________________________________________________

                  (Please specify)

 

I understand that the exemption provided by A.R.S. §32-1121A.14 (the Handyman Exemption) does not apply to any construction project which requires a building permit and/or the total cost of materials and labor are $750 or more.

 

I will be using the following licensed contractors on this project;

 

______________________________________License No. ROC_______________ Class_________

(General Contractor)

 

______________________________________ License No. ROC ______________ Class _________

(Mechanical Contractor)

 

______________________________________ License No. ROC______________ Class__________

(Electrical Contractor)

 

______________________________________ License No. ROC ______________ Class _________

(Plumbing Contractor)

 

 

Signature _____________________________________ Date ________________________________

Falsification of information on this document for the purpose of evading State licensing laws is a Class II misdemeanor pursuant to A.R.S. §13-2704.