BUILDING PLAN SUBMITTAL APPLICATION
Instructions: An application for submitting plans for review must include the applicant’s physical
address or legal description if an address has not been assigned. The plans must be factual and
complete and submitted in duplicate to the City of Semmes Building Inspection Department
along with payment of the appropriate fee.
The undersigned hereby applies for the submittal and review of the attached plans.
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Land Owner / Applicant Name Contractor Name
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Street Address or Legal Description Street Address
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Telephone Number City, State, Zip
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Telephone Number
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Type of Plan Submittal Fee
The applicant is responsible for providing the Building Inspections Department with any
upgrades, changes, or resubmittals for the plans submitted for review. The applicant
understands and agrees that all submitted plans are in accordance the 2012 International
Building Codes, adopted by the City of Semmes Ordinance 2012-130.
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Applicant Signature Date
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Assigned Plan Review Number Public Works Clerk Signature
