( ) New Building: ( ) Addition: ( ) Alteration: ( ) Repair/Replacement:
( ) IA ( ) IB ( ) IIA ( ) IIB ( ) IIIA ( ) IIIB ( ) IV ( ) VA ( ) VB
In consideration of the issuance of the permit, the owner & his agent or contractor, do hereby covenant and agree to comply with all laws of State of OH & the Building Code & Zoning
Resolution of Miami County, OH, & to install the proposed building and/or work, or make the proposed change or alteration or do the work described above, in accordance with the plans &
specifications as approved by the Building Official, & certify that the information and statements given on this application, specifications, & accompanying drawings are true & correct to the
best of their knowledge. Legal Applicant applying for plan approval is stating that he/she is the owner or agent of the owner of the address specified.
USE GROUP CLASSIFICATION:
( ) Four or More Family, No. of Units
( ) Transient Motel / Hotel, No. of Units
Square footage in each story:
MIAMI COUNTY DEPARTMENT OF DEVELOPMENT
510 W. Water Street; Suite 120; Troy, Ohio 45373
( ) Group F - Factory & Industrial
( ) Group H - High Hazard
( ) Group I - Institutional
( ) Group R - Residential
( ) Group T - Temporary & Misc.
( ) Group U - Utility
NO REFUNDS: PLEASE CHECK YOUR SUBMITTALS BEFORE PAYING FOR THEM
Fees: Processing Fee: $283.25
Describe briefly proposed use:
Estimated cost of improvement: