Fillable BUILDING PERMIT APPLICATION (Town of Superior)

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BUILDING PERMIT APPLICATION (Town of Superior)

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The BUILDING PERMIT APPLICATION (Town of Superior) form is 2 pages long and contains:

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  • 19 check-boxes
  • 53 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Superior

BROWSE TOWN OF SUPERIOR (AZ) FORMS

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TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173
520-689-5752
BUILDING PERMIT APPLICATION
TYPE OF APPLICATION: COMMERCIAL
RESIDENTIAL
TENANT IMPROV
REMODEL/ADDITIONS DEMO
JOB/STREETADDRESS:
PARCEL #: LEGAL DESCRIPTION: SUBDIVISION
SIZE OFPARCEL
PROPERTY OWNER(S)/RENTER/TENANT PHONE
MAILING ADDRESS CITY ST ZIP
BUILDER/CONTRACTOR PHONE
MAILING ADDRESS CITY ST ZIP
LICENSE # & CLASS
CLASS OF WORK (checkone) NEW ALTERATION ADDITION ESTIMATEDVALUE$
*The setbacks should be measured from either the property line or future road right-of-way, whichever is more restrictive.*
HEIGHT OF BUILDING Are there any outdoor light fixtures on building? Check one: YES or NO
IS THERE A WASH/ WATER COURSE ON THE PROPERTY? Check one: YES or NO INITIAL
IF YES, WHAT IS THE DISTANCE FROM BUILDING? NOTE: MIN. 50 FT. SETBACK REQ’D FROM THE EDGE OF WASH/WATER COURSE UNLESS OTHERWISE DETERMINED BY AN ENGINEER
CONTACT PINAL COUNTY FLOOD CONTROL DISTRICT (FOR REVIEW OF WASHES, FLOOD PLAIN, FISSURES AND REGIONAL ROUTES).
RESIDENTIAL/COMMERCIAL SQUARE FOOTAGE: BASEMENT 1ST FLOOR 2ND FLOOR GARAGE
CARPORT/PORCHES TOTAL SQUARE FOOTAGE # OF STORIES # OF BEDROOMS
GARAGE REMODEL CARPORT/PORCHES/ENCLOSURES
SEPTIC GAS LPG ELEC WATER WELL
ADDITIONS SQUARE FOOTAGE: LIVABLE
UTILITIES (check applicable): SEWER
SANITARY DISTRICT:
WATER CO:
GAS CO: ELECTRIC CO:
EXISTING USE:
PROPOSEDUSE:
PRINT NAME PLEASE
X
SIGNATURE OF OWNER/AGENT
DATE OFAPPLICATION
Permit # _________________
Date: ___________________
******************************************* FOR OFFICIAL USE ONLY*************************************************
Livable/sq ft: _______________________ Total: _______________________
AREA: N S E W
NON CONF: ___________________
ZONE: ________________________
Septic Clearance: Y N
ECD: _________________________
TYPE OF CONSTR:______________
OCC. CLASS:____________________
OCCUPANT LOAD:______________
ACT.VALUE:____________________
SPRINKLER: Y or N
PERMIT FEE:_________________
PLAN REVIEW FEE:___________
INSPECTION FEE:______________
ZONNING FEE:_________________
ADDRESS FEE:_________________
Civil or Site DESIGN FEE: __________
SUBMITTAL FEE: ______________
UTILITY FEE:___________________
PRINTING/MISC FEE:____________
TOTAL FEE:___________________
I UNDERSTAND THAT APPROVAL OF THIS APPLICATION DOES NOT GUARANTEE APPROVAL OF THE ACTUAL CONSTRUCTION. I HEREBY
CERTIFY THAT THE INFORMATION ON THIS APPLICATION AND ALL RELATED SUBMITTALS ARE TRUE AND CORRECT.
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199 N Lobb Ave, Superior, AZ 85173 T 520-689-5752
www. superioraz.gov
PROPERTY OWNER AUTHORIZATION FORM
I (property owner)
hereby authorize (owner’s agent)
To make application to Town of Superior for the following (description of work)
Assessor Parcel Number:
PhysicalAddress:
City/Town: State: AZ Zip:
By signing this Form, I acknowledge and agree that I am not released from
responsibility for: (1) the payment of any and all fees associated with the issuance
of any permits, orders, notices or other approvals (“Approvals”) by Town of
Superior pursuant to my agent’s application; (2) the satisfactory completion of all
work authorized by such Approvals in compliance with all applicable county, state
and federal laws, codes, rules, regulations and requirements; and (3) correcting
any violations of the terms and conditions of such Approvals issued by Town of
Superior pursuant to my agent’s application.
Property Owner:
By (signature):
Name:
Phone Number:
Email:
Date:
TOWN OF SUPERIOR
199 N Lobb Ave, Superior, AZ 85173
520-689-5752
(Incomplete applications will not be accepted)
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BUILDING PERMIT APPLICATION (Town of Superior)

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Completed 24 January 2021

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