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 Residential Building Permit
Property
Location
Address: ________________________________________________________
Subdivision: ________________ Lot #: _______County: __________________
Permit
Type
_______ Single Family
_______ Two Family
_______ Three Family
_______ Quad
_______ Apartment
Number of:
_____ Garage
_____ Carport
_____ Patio
_____ Bedrooms per House
____ Porch
____ Deck
____ Other
____ Bathrooms
Flood Plain: (Circle one)
YES NO *If yes, Certificate of Finished Floor Elevation required before C.O.
Description of Work to Be Preformed:
Building Information:
____ Demolition
____ Move/Relocation
____ Addition Sq. Ft.______
Total Sq. Ft: _______
# of Stories: _______
Construction Cost: ______________
Property
Owner
Name: _________________________________________________________
Address: _______________________________________________________
City/State: ________________________________ Zip: __________________
Phone: ______________________ Email:_____________________________
Contractor
(License &
Insurance
Required for jobs
$25,000 and
above)
TN License # ______________________ Insurance # ____________________
Name: __________________________________________________________
Address: ________________________________________________________
City/State: _________________________________ Zip: __________________
Phone:_____________________ Email: _______________________________
_______________________________________
Applicant Signature Date
_______________________________________
Building Inspector Signature Date