Commercial Certificate of Occupancy Application

Commercial Certificate of Occupancy Application
Today's Date *

Month Day Year
Date
Applicant Name *

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

Street Address

Street Address Line 2

City State / Province

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

Street Address

Street Address Line 2

City State / Province

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

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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)

Cancel of
Copy or Photo of Health Permit (if applicable)

Cancel of
Other Supporting Documents

Cancel of
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: