Ashland City Fire, Building &
Life Safety Department
101 Court Street
Ashland City TN 37015
Fire & Life Safety: (615) 792-4531 – Building Codes (615) 792-6455
Permit No.____________
Approved by:_________
Date:________________
Application for New or Reissued Change of Occupancy Permit
Name: ______________________________________________________________
Address: ______________________________________________________________
City/State/Zip: ________________________________County: ____________________
Phone: _______________________________ Email:____________________________
Name: ____________________________________________________________________
Address: __________________________________________ Parcel ID:________________
City/State: _________________________________________ Zip: ____________________
Business Phone: __________________________ Home Phone: ______________________
Business Description of Use:
MUST PROVIDE COPY OF FLOOR PLAN FOR UNIT AND BUILDING
I certify that I am the business owner of authorized agent for the business owner and I will comply with all
conditions of occupancy per State and City Codes.
I certify that no Structural, Electrical, Plumbing, Mechanical, or Fire changes have been made to the Building.
________________________________ _____________
Applicant Signature Date
Are you using a contractor? __________________ What is your permit number? __________________
Have you paid your impact fees? _______ When do you expect to open for Business?______________
__________________________
Building Plan Review
__________________________
Fire Plan Review
__________________________
Utility Plan Review
WARNING: The Fire Marshal requests that all equipment and furniture be in place prior to his inspection.
