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Construction Permit Application
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Specify the Work Site address
  • Project
  • Applicant
  • Technical Sections
  • Attachments
  • Certification
Siding
Property Type
9) Total Land Area Disturbed (Sqft)
Project Information
13) Type of Frame
Blacktop
Cost of Construction
4) Area of New Building (Sqft)
Fencing
1) Number of Stories
8) Sewage Disposal
Describe the work to be done in this project
Plumbing
Select proposed work type(s)
6) # of Parking Spaces
Masonry
Remodeling
Roofing
Qual
12) Heating Fuel
Demolition
Work Site
If Other
New Building
Lot
If Other
2) Height of Structure (Ft)
Electrical
11) Width
Work Site Unit
Building/Site Characteristics
Block
3) Largest Floor Area (Sqft)
Addition/Alteration/Repair
10) Length
Utility/Sheds
Recreation/Pools
5) Volume of New Structure (Cuft)
7) Water Supply
Responsible Person Information
State Licence Number
City/State/ZIP
ZIP
Address
Architect/Engineer Information
Name
State
Address
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 Number (EIN)
Builder's Registration
City
License Expiration Date
Email
Address
Name
Agent/Contractor Information
Cell #
Property Owner is Agent/Contractor
Property Owner Information
Email
Cell #
Email
Email
Add technical sections for all applicable subcodes
Attachments
Attach any plans or supporting documents that will allow the construction department to review this application more efficiently.
Type Full Name :
Sign With Hand
Signature
Certification
I have read and understand all requirements for my submission
I HEREBY CERTIFY I AM THE ( AGENT OF) OWNER OF RECORD AND AM AUTHORIZED TO MAKE THIS APPLICATION
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