| Tax Folio No. ____________________ BUILDING PERMIT APPLICATION Owner's Name ___________________________________________________________ Owner's Address _________________________________________________________ City _____________________________ State _______________ Zip _______________ Fee Simple Titleholder's Name (if other than owner) ______________________________ Fee Simple Titleholder's Address (if other than owners) ____________________________ City _____________________________ State _______________ Zip _______________ Contractor's Name ________________________________________________________ Contractor's Address ______________________________________________________ City _____________________________ State _______________ Zip _______________ Job Name _______________________________________________________________ Job Address _____________________________________________________________ City _____________________________ County ________________________________ Legal Description _________________________________________________________ Bonding Company ________________________________________________________ Bonding Company Address _________________________________________________ City _____________________________ State _______________ Zip _______________ Architect/Engineer's Name __________________________________________________ Architect/Engineer's Address ________________________________________________ City _____________________________ State _______________ Zip _______________ Mortgage Lender's Name ___________________________________________________ Mortgage Lender's Address _________________________________________________ City _____________________________ State _______________ Zip _______________ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. |