App: _______________
Recv’d: ______________
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BUILDING PERMIT APPLICATION
GENERAL CONTRACTOR – RESIDENTIAL & COMMERCIAL
City of Sierra Vista Information: (520) 417-4413
1011 N. Coronado Drive Inspections only: (520) 452-7019
Sierra Vista, Arizona 85635 Fax No: (520) 452-7023
In accordance with the building, plumbing, electrical, mechanical codes and other ordinances of the City of Sierra Vista, the proposed work is to be executed in conformity with said laws.
This permit grants no conditions in excess of what the ordinances permit. NOTE: Permit shall expire and become null and void if work is not commenced within 180 days from
the date of approval of this permit, or if such work when commenced is suspended or abandoned for a period of 180 days. 20% of the permit fee will be charged if the permit
is cancelled or if initial inspection is not completed within 180 days of permit approval date. A refund of 80% of the paid permit fee may be requested by the permit applicant
within the 180 days.
Date: ____________________
Project Address: __________________________________________________ Owner Phone No: ___________________________
Project/Owner Name: ____________________________________________ Is this a rental property? Yes No
Address: _______________________________________________________ Tax Parcel ID No: ____________________________
If different than Project Address
General Contractor: __________________________________________________ Contractor License No: ________________________
Contractor Address: __________________________________________________ City/State/Zip: _______________________________
Point of Contact: _____________________________________________________ Telephone No: _______________________________
Email Address: ______________________________________________________ Customer I.D.: _______________________________
Project Activity: NEW SFR PLUMBING HVAC WALL/FENCE REROOF SHED SOLAR POOL/SPA
PATIO/CARPORT SERVICE PANEL ELECTRICAL SEWER WATER HEATER OTHER
Material and Labor Cost of Project: $ _______________________
Description of Work:
Description of Work and Cost of Project must be completed for approval of application. Two copies of a sketch or plot plan must be included showing dimensions and
distances to lot lines and existing structures. ONCE APPROVED THE PLANS AND PERMIT MUST BE ON SITE AT ALL TIMES!!
PURSUANT TO OUR LOCAL CODE AMENDMENTS: SECTION 109.2, INSERT SUBSECTION 109.2.3 – 80% OF THE PLAN REVIEW FEE AS DETERMINED IN SUBSECTION
109.2.1 SHALL BE PAID AT TIME OF SUBMITTAL AND BEFORE ANY REVIEW OF SUCH DOCUMENTS COMMENCES. APPROVED PLANS AND PERMIT MUST BE PAID FOR
IN FULL AND PICKED UP NO LATER THAN 30 CALENDAR DAYS UPON NOTIFICATION OF APPROVAL. PLANS PICKED UP AFTER THE 30 DAY PERIOD MAY BE SUBJECT
TO A DAILY STORAGE FEE OR SUCH DOCUMENTS MAY BE DISCARDED AT THE DISCRETION OF THE BUILDING OFFICIAL. STORAGE FEES MAY BE ASSESSED AND
DETERMINED BY THE BUILDING OFFICIAL BUT SHALL NOT BE LESS THAN $10.00 PER DAY.
I agree that the information provided above is correct and true. I understand the responsibility for code compliance rests with the permit
holder. Signature of licensed contractor or authorized representative performing work
Signature: __________________________________________ Date: ______________
DO NOT WRITE BELOW THIS LINE
Plan Review Fee: $___________________ Building Permit Fee: $___________________ Police Development Fee: $___________________
Collected at time of submittal (Plans will be reviewed once collected)◘
Fire Development Fee: $_____________________ Sewer Development Fee: $_______________________ Wall/Fence Fee $: ______________
Transportation Dev. Fee: $_________________ TOTAL PROJECT FEES: $ ________________________
Comments:
Application Approved: Date:
Application Disapproved: Date:
