Fill - Free fillable Permit Transfer Request PDF form

Pikes Peak Building Department

Permit Transfer Request

The form must be completed in its entirety by all required parties; otherwise, the Building Department will not process it.

Permit No.: ___________ Residential Commercial I am (select one

below):

Property address:

(for Permit stated above)

Street Address:

Apt./Unit:

City: State: Zip Code:

Owner(s) of record:

Phone: (Primary)

Phone: (Secondary)

Street Address: Apt./Unit:

City:

State: Zip Code:

E-mail:

Phone: (Primary)

Phone: (Secondary)

Street Address: Apt./Unit:

City:

State: Zip Code:

E-mail:

 Record owner  Contractor



Record owner

 Contractor

I authorize the transfer of this Permit No. __________

By signing below, I acknowledge, by transferring the permit as indicated above, that I will not perform any further work

associated w

ith the permit, and that I will be required to apply for a new permit and pay new fees for any future construction

consulting work or construction work, which requires license(s)/registration(s) and resulting permit(s) and inspections,

performed at the Property address. I further understand and acknowledge that making a materially false statement or

representation may be punishable under the criminal laws of the State of Colorado as perjury in the second degree

pursuant to Colorado Revised Statutes § 18-8-503, as amended.

Date

Signature

RBD USE ONLY

RBD Initials:

Approved:

Denied:

Applicant:

Company Name:

___________________________________

Reason for transfer of permit: [Limit 250 characters]

Page 1 of 2

From (Applicant): _________________________________________________

Company Name: _______________________________________________

To (Transferee): ___________________________________________________

Company Name: _______________________________________________

Applicant - Print Name Last

Updated: October 28, 2020

A licensed/registered contractor with the Building Department:

Contractor ID: __________________________

The record owner(s) of the affected property

An agent authorized to act on behalf of the owner(s) of record or licensed registered contractor

(agent must present to the Building Department an original or certified, fully signed copy of the

authorization/limited power of attorney (with sufficient notary blocks))

By signing below, I acknowledge, by accepting the transfer of the permit as indicated above, that: (1) it is the responsibility

of the permit holder to request and complete all required inspections in a timely manner as determined by the Building

Official; (2) all work is subject to compliance with the applicable codes, including, but not limited to, the provisions of

Chapter 3 of Pikes Peak Regional Building Code, and the codes adopted by reference therein; (3) if any new, future, or

additional work is not listed in the scope of work within the permit specified above, then a new permit is required and new

fees for that work shall be paid to the Building Department before any work outside of the scope of the permit is performed

at the Property address. I further understand and acknowledge that making a materially false statement or representation

may be punishable under the criminal laws of the State of Colorado as perjury in the second degree pursuant to Colorado

Revised Statutes § 18-8-503, as amended.

Transferee - Print Name

Signature

Date

Owner(s) of Record Consent

I authorize the transfer of this Permit No. __________, as described above, and I consent to the requested

transfer of the permit and transfer / assignment of ownership of any and all documents associated with the

permit.

Scope of Work: [Limit 250 characters]

I understand and acknowledge that making a materially false statement or representation may be punishable under the

criminal laws of the State of Colorado as perjury in the second degree pursuant to Colorado Revised Statutes § 18-8-503,

as amended.

Owner(s) of Record –

Print Name

Signature

Date

Owner(s) of Record –

Print Name

Signature

Date

Any transfer of permit(s) to record owner(s) must be in compliance with Section RBC201.3 of the Code, as follows, and the Department may require

additional documentation:

RBC201.3 LICENSES REQUIRED. Licenses shall be required to perform any work requiring a permit. It shall be a violation of this Code for any person

to contract to perform any work without a license.

Exception: Any person who owns and resides in or intends to reside on a property suitable for a one- or two-family dwelling may:

1. Construct or erect on that property without a license one (1) one- or two-family dwelling and any structures accessory thereto intended for

the owner's personal use. The owner is limited to the construction or erection of one (1) one- or two-family dwelling and any structures

accessory thereto in any twelve (12) month period and the construction or erection of a total of no more than five (5) one- or two-family

dwellings and any structures accessory thereto during the person’s lifetime.

2. Enlarge, remodel, alter, repair, maintain, improve, convert or demolish without a license any one- or two-family dwelling and structures

accessory thereto.

RBC201.4 PROHIBITED WORK.

RBC201.4.1 Owners Not Residing in a Dwelling. Agents or owners of any dwellings who do not reside in the building may not perform any work

requiring permits in accordance with this Code unless they are licensed or registered in accordance with this Chapter.

Last Updated: October 28, 2020

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