Building Permit Request Form

Building Permit Request Form
Section 1: Project Type
Project Description (e.g., Business, Church, Residence, School)*
ResidentialCommercial
New ConstructionRenovation/Alteration
Section 2: Applicant Information
Property Owner Name*

First NameLast Name
Contact Person (if different from property owner)

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
Section 3: Property Details
Job Location (911 Address)*
Tax Map Number
Zoning Classification
Section 4: Scope of Work
Detailed Description of Work (Include all aspects such as electrical, plumbing, HVAC, structural, roofing, etc*
Section 5: Contractors
General Contractor Name
Contact Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
List of subcontractors (Electricians, Plumbers, HVAC, etc.) If none, state N/A. (Note: NO approval for permit will be issued until all subs have a city business license.)*
Note: Subcontractors must also apply for business license. NO approval for permit will be issued until all subs have license.
Section 6: Declaration
I hereby certify that the information provided is true and complete. I understand that incomplete applications may delay the review process.
Signature: (sign or type name)*

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Date

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Date
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