Building Addition/
Accessory/ Storage
Building/ Pergolas/ Covered Patio/ Deck
Permit Application
Use this application for additions and alterations to an existing residential building
Permit Number
PROJECT INFORMATION
Project Address
Apt #
Subdivision
Lot
Block
Property Owner Address (if
different)
Phone
General Contractor Address
Phone
Contact Email:
DESCRIPTION OF WORK
Description of work to be done:
Project Value: $
Check one:
Single-family (detached)
Zero-lot line
Duplex
Townhome
Multifamily
Project Details
Attached to main structure
Detached from main structure
Gas
Propane
Electric
Enclosed Building Addition
Covered Patio
Storage Shed
Dimensions (SF):___________________
Pergola
Deck
Other_____________
See Miscellaneous Permit (solar panels, A/C, mechanical, irrigation, etc.) or Fence Permit as applicable.
CONTRACTOR TRADES (COMPANY NAME)
Contractors must validate on this permit before starting work
Plumbing Contractor
Electrical Contractor
Other
NOTICE
I certify that I have read this application and state that the above information is correct. I agree to comply with all city
ordinances and
state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-
mentioned
property for inspection purposes.
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or construction on wor
k is
suspended or abandoned for a period of 180 days at any time after work is commenced.
Applicant Name (print)
Applicant Signature
Date
For a complete application, payment must be received within 48 hours of submission.
------------------------------------------OFFICE USE ONLY BELOW THIS LINE-----------------------------------------
Plan Review Fee:
Received By:
Date:
Permit Fee:
Approved By:
Date: