COMMERCIAL BUILDING PERMIT APPLICATION
All applicable blanks must be completed before a building permit can be issued.
TODAY’S DATE: __________________________________
Company Information that is perfoming the work
Company Name: _______________________________________________________________
Owner’s Name: ________________________________________________________________
Mailing Address: _______________________________________________________________
Street Address (if different from mailing): ___________________________________________
City, State, Zip Code: ___________________________________________________________
Telephone Number: (___) ___________ Email Address: ____________________________
SC Contractor’s License #: ____________________________ Exp. Date: ______________
City of Hartsville Business License #: ____________________ Exp. Date: ______________
Home Owner Information (where work is being performed)
Home Owner’s Name: ___________________________________________________________
Address: ______________________________________________________________________
City, State, Zip Code: ____________________________________________________________
NATURE OF WORK: circle one Square Footage: ______________________
New Building Mechanical
Addition Gas Occupancy Type: _____________________
Electrical Demolition
Plumbing Renovation **Tax Map #: ________________________
Description of work being performed: _______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I certify that the information stated on the subcontractors list is accurate and that all work will be performed by State
licensed and local licensed contractors.
1. WORK THAT REQUIRES A BUILDING PERMIT CAN NOT START UNTIL PERMIT CARD IS POSTED IN A
VISIBILE LOCATION.
2. PERMIT IS VOID IF WORK IS NOT STARTED IN SIX (6) MONTHS FROM ISSUANCE.
3. ALL BUILDING CODES MUST BE FOLLOWED AT ALL TIMES. INSPECTIONS MUST BE CALLED FOR
BEFORE MOVING TO NEXT PROJECT.
4. USING UNLICENSED SUBCONTRACTORS MAY PREVENT YOU FROM BEING ELIGIBLE FOR
INSPECTIONS AND OR A CERTIFICATE OF OCCUPANCY.
________________________________________ _______________________________
Signature of Contractor Date
________________________________________ _______________________________
City of Hartsville Planning and Development Representative Date
Cost of project: ________________________________
Project Start Date: _____________________________
Project End Date: ______________________________
