City of Byron - New Single Family Residential BuildingPermit Application

New Single Family Residential BuildingPermit Application
ElectricalPlumbingHVAC /Gas
Date*

MonthDayYear
Date
Permit No. *
Estimated Cost of Construction (Laborand Materials): $*
JOB SITE ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Subdivision Name:*
Parcel ID #:*
Zoning Class:*
Property Owner
Name:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
General Contractor
Name:*
GA License #:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Plumbing Contractor
Name:*
GA License #:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Electrical Contractor
Name:*
GA License #:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HVAC /GasContractor
Name:*
GA License #:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Building Height: *
Lot size: *
YesNo
#Bedrooms *
#Bathrooms *
SlabBasementCrawl
AttachedDetached
Total ElectricTotal GasBoth
Gas Provider:
Electrical Provider: Gas Provider:
Total Heated Sq. Ft.: : *
Total Unheated Sq.Ft.: Total Heated Sq. Ft.: : *
Notice: No changes shall be made from that which is stated in this application, or in attached plans and specifications, except by submitting a revised application, plans and/or specifications and receiving approval of the Chief Building Official for such change. Granting of a permit shall not be construed as a permit for or an approval of any violation of the Building Code or any other state or local law regulating construction or the performance of construction. I hereby certify that I have read and examined this application and the information provided herein is true and correct. I further certify that all construction will comply with the International Building Codes.
Signature of Licensed Cardholder or Applicant

Clear
Date

MonthDayYear
Date
FOR OFFICE USE ONLY
Code Official Signature:
Administrative Fee:
Plan Review Fee:
Permit Fee:
CO Fee:
Total Fee:
Residential Permit Application Checklist

The following list of documentation is required before a permit will be issued for residential construction. Incomplete forms will not be processed and will delay permit issuance. Please return this form with all permit application submittals. All documents must be legible

Completed building permit application

Contractor licensing documentation (state license card, business license, driver’s license)

Subcontractor licensing documentation (state license card, business license, driver’s license) GSWCC Level 1A certification (Blue Card)

Two (2) sets of scaled construction drawings with dimensions (foundation plan and detail, floor plan of each level, elevations, and wall details) 1 copy on 8 ½“ x 11” for file

House location plan: scaled lot drawing with a scaled footprint of house and any other structure located on property, show building limitations, setback requirements, and erosion sediment control.

One (1) copy set of GSWCC approved ESC plans for initial, intermediate and final phases. (applicable for secondary and tertiary permit holders)

Verification of 911 addressing

Septic permit (if applicable)

Completed water/sewer application (if applicable) Recorded deed of property

Recorded plat of property
Project Address:
Applicant Name:
Received by:
Date

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

New Single Family Residential BuildingPermit Application

Property Owner

General Contractor

Plumbing Contractor

Electrical Contractor

HVAC /GasContractor

FOR OFFICE USE ONLY