To construct a 21 ft x 13 ft pergola to rear of existing single family residence. Using existing concrete slab. Minimum 5 ft side setbacks and 5 ft minimum rear setback. Must conform with easements. Plat shows a ft drainage easement along rear property line. 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, &

To construct a 21 ft x 13 ft pergola to rear of existing single family residence. Using existing concrete slab. Minimum 5 ft side setbacks and 5 ft minimum rear setback. Must conform with easements. Plat shows a ft drainage easement along rear property line. 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, &