BALDWIN COUNTY BUILDING INSPECTION DEPARTMENT
RESIDENTIAL PERMIT APPLICATION
REVISED 5/29/2020
OWNERS NAME:
MAILING ADDRESS:
(CITY, STATE, ZIP)
PHONE: EMAIL:
PROPERTY ADDRESS:
(CITY, STATE, ZIP)
SUBDIVISION AND LOT #
PARCEL: 05- ___ ____-___ ____-____ ____-____-___ ____ ____-____ ____ ____. ____ ____ ____
CONTRACTOR: AHBLB #
PHONE: FAX: E-MAIL:
ELECTRIC SERVICE PROVIDER:
ELECTRICAL CONTRACTOR:
PLUMBING CONTRACTOR:
HVAC CONTRACTOR:
CLASS OF WORK: (CHECK ONE)
NEW CONTRACT PRICE: ___________
ADDITION/ALTERATION
REPAIRS
ACCESSORY STRUCTURE
INSULATION TYPE: (CHECK ONE) BATT FOAM CELLULOSE
SQ FT HEATED AREA: SQ FT UNHEATED AREA:
DESCRIPTION OF WORK (ADDITION OR REPAIRS)
SIGNATURE DATE
****************************************************************************************
FOR OFFICE USE ONLY
HEALTH DEPT/SEWER RELEASE WATER RELEASE DATE RECEIVED
OWNER CONTRACTOR FORM DRIVEWAY PERMIT CHECKED BY
THIS FORM MUST BE FILLED OUT COMPLETELY