Electrical Permit Application

Electrical Permit Application

City of Homewood Building, Engineering & Zoning Department
2850 19th Street South
Phone (205) 332-6800
Fax (205) 332-6955

The minimum permit fee is $100.
Electrical Company Name*
Electrical Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Electrical Company Email*
example@example.com
Electrical Company Phone Number*

Area CodePhone Number
Licensed Contractor? *
State of Alabama License Number & Expiration Date:
Job Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Owner Name*

First NameLast Name
Property Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Owner Email*
example@example.com
Property Owner Phone Number*

Area CodePhone Number

Building Permit #:*
Description 1
Description 2
Upload drawings (If applicable)

Browse Files

Cancelof
Brief description of job:*
Property used for:*

Outlets & Fixtures

	Quantity
Outlets
Fixtures

U.L. Listed Pre-wired Equipment Not Otherwise Shown on Fee Schedule

	Quantity
20 & UnderAmperes
21-30 Amperes
31-60 Amperes
61-150 Amperes
151-300 Amperes
301-400 Amperes
400+ Amperes

Main Line Service Switches for lights, Heat or Power (Fee for switches shall include only main line service entrance switches & switches for subfeed panels)

	Quantity
< = 100 Amperes
200 Amperes
400 Amperes
600 Amperes
800 Amperes
1200 Amperes
2000+ Amperes

Low Voltage wiring or installation

	Quantity
Alarms
Telephones
Signaling & CATV Systems
Sensors
Detectors
Stations

Motors

	Quantity
< = 5 H.P.
6 - 25 H.P.
> = 26 H.P.

Generators

	Quantity
> = 10 KW
1 - 25 KW
> = 26 KW

Transformers

	Quantity
> = 10 KW
1 - 25 KW
> = 26 KW

Capacitors

	Quantity
> = 10 KW
1 - 25 KW
> = 26 KW

Dimmers > 1000 Watt

	Quantity
1,000 - 5,000 Watts
5,000 Watts

Fuel dispensing

Quantity

1 Unit per hose
Signs

Quantity

Wiring

	Quantity
1 Unit per hose

	Quantity
Wiring

Wiring for and/or installation of Heating Appliance, Ranges, Ovens, Cooktops & Water Heaters

	Quantity
Heating Appliance
Range
Ovens
Cooktop
Water Heaters

Temporary/Permanent Power

	Quantity
Temporary Installation
1- 1000 Amps
1001 - 2000 Amps
< 2000 Amps

Cost of Project*
Permit charges are now based on Cost of Job

$9.50 Per thousand or fraction of $1,000 – Residential

$10.50 Per thousand or fraction of $1,000 – Commercial
Permit Fee (Residential Minimum $100.00, Commercial minimum $101.00)*
E-Signature of Bonded Licensed Master Electrician Only *

First NameLast Name
Card #:*
Today's Date*

MonthDayYear
Date
*By signing your name electronically on this form, you are agreeing that your
electronic signature is the legal equivalent of your manual signature.
Should be Empty: