Building Permit Application
Please complete this form to request building permit.
Property Information
Job Site Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parcel/Tax Map Number
*
Zoning District
*
Flood Zone
*
Yes
No
Current Use of Property
*
Proposed Use of Property
*
Property Owner Information
Property Owner Name:
*
First Name
Last Name
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Contractor Information
General Contractor
Company Name
*
License Number
*
Expiration Date
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Electrical Contractor
Name
First Name
Last Name
License Number
Insurance
Plumbing Contractor
Name
First Name
Last Name
License Number
Mechanical/HVAC Contractor
Name
First Name
Last Name
License Number
Project Information
Estimated Construction Cost
*
Total Square Footage
*
Number of Stories
*
Occupancy Type
*
Construction Type
*
Description of Work
*
Required Submittals
Please attach the following as applicable
Site Plan
Construction Drawings
Structural Plans
Electrical Plans
Plumbing Plans
Mechanical Plans
Energy Compliance Documentation
Contractor License Copies
Proof of Ownership
Tennessee State Approvals(if applicable)
Attach Site Plan Here
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Attach Construction Drawings Here
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Attach Structural Plans Here
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Attach Electrical Plans Here
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Attach Plumbing Plans Here
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Attach Mechanical Plans Here
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Attach Energy Compliance Documentation Here
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Attach Contractor License Copies Here
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Attach Proof of Ownership Here
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Attach Tennessee State Approvals (if applicable) Here
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Applicant Certification:
I hereby certify that the information contained herein is true and correct to the best of myknowledge. I understand that all construction shall comply with applicable codes, ordinances,and regulations adopted by the City of Harriman and the State of Tennessee. I understand thatwork must not begin until this permit is approved and issued.
Signature
*
Printed Name
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Submit
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