Business Permit Application

Business Permit Application

* Please make sure your Business License is current*
BUSINESS NAME*

LEGAL BUSINESS NAMETAX ID
Email*
example@example.com
JOB ADDRESS*

Street Address

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Signature*

Clear
Name*

First / Last NameTitle

CLASS OF WORK *
DESCRIBE WORK *
VALUE OF WORK   Number*

   LICENSE #   Number

($5.30 PER $1,000.00 FOR TOTAL VALUE OF WORK) = PERMIT FEE
TOTAL DUE FOR PERMIT   Number
* THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER IS COMMENCED.

* BY ACCEPTANCE OF THIS PERMIT, (I)(WE) AGREE TO CONFORM TO ALL RULES, REGULATIONS AND ORDINANCES OF THE CITY OF LIVINGSTON, ALABAMA, REGARDING CONSTRUCTION, HEATING, AIR CONDITIONING, PLUMBING, ELECTRIC WIRING, PAVING AND ZONING. (I) (WE) FURTHER AGREE TO HOLD THE CITY OF LIVINGSTON HARMLESS FROM ANY AND ALL DAMAGES THAT MAY ARISE ON ACCOUNT OF THIS BUILDING PERMIT BEING ISSUED BY THE CITY OF LIVINGSTON, ALABAMA INCLUDING, BUT NOT LIMITYED TO, A REASONABLE ATTORNEY'S FEE, COURT COSTS, AND ANY AND ALL COSTS RELATED THERETO.

* CONTRACTOR WILL REMOVE ALL BUILDING DEBRIS*
Signature*

Clear
Payment Method

Business Permit Amount to Process via Credit Card

USD