System
Pre-engineered Systems
Smoke Control System
Alarm Devices/F.A.C Panel
Motors - Fract. HP
Construction Permit Application
Dry Chemical
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.cityofchiefland.com
Alarm Valves
Foam Suppression
Fireplace Venting/Metal Chimney
Fuel-Fired Appliances
Kitchen Hood Exhaust System
Other Systems
Pre-action Valves
TOTAL
Wet Chemical
Emergency & Exit Lights
Supervisory Devices (i.e., tampers, low/high air)
Fire Pump/GPM Type
Solid
Standpipes
Number
110v Interconnected
Light Poles
Storable Pool/Spa/Hot Tub
CO2 Suppression
Alarm System
CO Detectors/110v
Flammable/Combustible Tanks
Signaling Devices (i.e., horn strobes, bells)
Pool Permit/with UW Lights
Number
Oil
Specify the Work Site address
Communications Points
Gas
Alarm Devices (i.e., smoke, heat, pulls, water/flow)
Number
Sprinkler Heads (Dry and Wet)
FM200 Suppression
Dry Pipe
  • Project
  • Applicant
  • Technical Sections
  • Attachments
  • Certification
Project Information
Zoning
Renovation
Height of Structure (ft)
Describe the work to be done in this project
Minor Work
Repair
Largest Floor Area (Sqft)
Select proposed work type(s)
Flood Hazard Area
Demolition
Work Site
New Building
Lot
Number of Stories
Alteration
Work Site Unit
Building/Site Characteristics
Block
Total Land Area Disturbed (Sqft)
Wetlands
Addition
Property Type
Reconstruction
Responsible Person Information
State License #
City, State, ZIP
ZIP
Address
Architect/Engineer Information
Name
State
Address
Search by Name
Fax #
Phone #
State
Name
City/State/ZIP
Phone #
City
Tenant Information
Phone #
ZIP
Provide information for a primary contact person for this application. e.g. the property owner, the agent/contractor, a project supervisor, foreman, etc.
Cell #
Name
Fax #
Phone #
Name
Address
Federal Employer ID # (EIN)
City
License Expiration Date
Email
Address
Name
Agent/Contractor Information
Cell #
Property Owner is Agent/Contractor
Property Owner Information
Email
Cell #
Email
Email
Trades Information
Add technical sections for all applicable subcodes
Attachments
Please attach the following:
  • Certificate of Insurance.
  • Contractor License.
  • Site Plans.
  • Product approval codes.
  • A/C changeout form.
  • Notice of Notice of commencement (when permit fee exceeds $5000).
  • 2 sets signed and sealed plans.
  • Energy calculations.
  • Sub-contractors list.
  • Mobile home set-up.
  • Wind load engineering.
  • SRWMD approval.
  • Owner builder statement
  • Drawings, site plans, and other supporting documentation.
Type Full Name :
Sign With Hand
Signature
Certification
Are you the owner or the contractor?
I certify that I have read the information on this permit application and agree that the information is true and correct. Any deviation from the information noted will be disclosed to the Building & Safety Division and agree to pay any additional fees that may result from changes in fixture count and/or project valuation as determined by myself, authorized representative(s), licensed contractor, design professional, or the Building Division staff.
Demolition
Subtotals
The costs of work below are summarized from the information provided in this application.
Permit Subtotal
Total Cost of Work
Certificate Fee
Admin Fee
Electrical
Building
Plumbing
Demolition
Alteration
Fire
Estimated Fees
Mechanical
Subcode
New Building
Cost of Work Summary
The fees below are estimated based on the information provided in this application and are subject to change upon review.
Total