Commercial Certificate of Occupancy Application

Commercial Certificate of Occupancy Application
Today's Date*

MonthDayYear
Date
Applicant Name*

First NameLast Name
Email
example@example.com
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Name:*
Name should match Tax ID
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Zoning Type*
Hours of Operation:*
Days Open (Select All That Apply)*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
Emergency Phone Number*
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Type of Business*
Number of Employees*
Copy or Photo of Sales Tax Certificate (if applicable)

Cancelof
Copy or Photo of Health Permit (if applicable)

Cancelof
Other Supporting Documents

Cancelof
Description of intended activities relating to use of property:*
Description of equipment, machinery, materials, chemicals and/or solvents to be stored or used at/on this property:*
I have read, understand and agree to all terms listed above. I also declare that all information submitted on this application to be true and correct.*

I AGREE
Signature*

Clear
Please verify that you are human*
**PERMITS MUST BE OBTAINED FOR ANY NEW/UPGRADES TO ELECTRICAL, MECHANICAL, AND PLUMBING SYSTEMS**

**AN ASBESTOS SURVEY WILL BE REQUIRED PRIOR TO OBTAINING A BUILDING PERMIT FOR EXTENSIVE REMODELING**
Should be Empty: