DEPT. OF BUILDINGS, CODES & INSPECTIONS DIVISION
City of Tuskegee
APPLICATION FOR BUILDING PERMIT
No. __________________________
Plan No. ______________________
Zone _________________________
Application is hereby made to the Building Inspector for the City of Tuskegee for approval of plans, herewith
submitted, for the erection of the building herein described. All provisions of the Building Laws and Zone
Ordinances shall be complied with the erection of said building or buildings, whether specified herein or not.
______________________________________________________________________________
BUILDING ADDRESS: _____________________________________________ CITY LIMITS □
POLICE JURISDICTION □
CLASS OF WORK
New Construction □ Addition □ Alteration □ Repair □
Frame □ Frame/Veneer □ Concrete Block □ Masonry □ Other □
Specify Work: __________________________________________________________________
Cost of Alteration, Addition or Value of New Structure: ___$___________________________
Type of Occupancy: What building to be occupied as (Residence or Commercial): ____________
Name of Owner: ________________________________________________________________
Address: _______________________________________________________________________
Phone Number: _________________________________________________________________
______________________________________________________________________________
WHO IS DOING THE WORK? - BY WHOM IS THE WORK BEING DONE?
□
By Day Labor □ By Contractor
Name of Owner: _______________________________________________________________
Address: ______________________________________________________________________
City, State, Zip Code: ____________________________________________________________
Phone Number: _____________________ State of Alabama Registration No: _______________
Date: ________________________ , 2 _______ Signature: ___________________________
Owner or Authorized Agent
______________________________________________________________________________
SUBCONTRCTORS’ INFORMATION
Plumber _____________________________ Phone _______________________ Contract Amt. ____________________
Electrician ___________________________ Phone _______________________ Contract Amt. ____________________
HVAC _______________________________ Phone _______________________ Contract Amt. ____________________
REVISED 07.05.2011
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