Fillable CITY OF FREDERICKSBURG APPLICATION FOR BUILDING PERMIT (City of Fredericksburg)

Fill Online, Printable, Fillable, Blank CITY OF FREDERICKSBURG APPLICATION FOR BUILDING PERMIT (City of Fredericksburg) Form

Use Fill to complete blank online CITY OF FREDERICKSBURG (VA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF FREDERICKSBURG APPLICATION FOR BUILDING PERMIT (City of Fredericksburg)

On average this form takes 48 minutes to complete

The CITY OF FREDERICKSBURG APPLICATION FOR BUILDING PERMIT (City of Fredericksburg) form is 4 pages long and contains:

  • 6 signatures
  • 9 check-boxes
  • 165 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Fredericksburg

BROWSE CITY OF FREDERICKSBURG (VA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
CITY OF FREDERICKSBURG
Building Services Division
601 Caroline Street, Suite 400
P.O. Box 7447
Fredericksburg, Virginia 22404
Phone: (540) 372-1080
Fax: (540) 310-0636
APPLICATION FOR BUILDING PERMIT
PROPERTY/SITE LOCATION
CURRENT OWNER INFORMATION
APPLICANT INFORMATION
MECHANICS LIEN AGENT
OFFICE USE ONLY
Received by:
Date:
Permit #:
Name:
Address:
City:
State: Zip Code:
Phone: Cell:
E-Mail:
Name:
Address:
City:
State: Zip Code:
Phone: Cell:
E-Mail:
Applicant's
Signature:
Owner's Name:
Owner’s
Address:
City:
State: Zip Code:
Phone: Cell:
E-Mail:
Owner's
signature:
Contractor/Company Name:
Address:
City:
State: Zip Code:
Phone: Cell:
E-Mail:
Print
Name: *Signature:
Virginia
Contractors License #:
Class:
Exp. Date:
Estimated
Value of Work:
*By signing above, I certify that (1) I am duly licensed under the Code of Virginia to perform the work associated with this application, and/or (2) I am
authorized by the above named contractor to sign on behalf of said contractor, who is duly licensed to perform the work described in this application
BUILDING CONTRACTOR INFORMATION
SAME AS OWNER
Street Address:
GPIN #: Subdivision:
Lot #:
Date:
Type of permit:
Building,
Electrical,
SAME AS CONTRACTOR SAME AS OWNER
✔
✔
✔
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
2
CITY OF FREDERICKSBURG PERMIT APPLICATION
PAGE 2 OF 4
ELECTRICAL CONTRACTOR INFORMATION
PLUMBING CONTRACTOR INFORMATION
MECHANICAL CONTRACTOR INFORMATION
Contractor/Company Name:
Address:
City: State:
Zip Code:
Phone: Cell:
E-Mail:
Print Name:
*Signature
Virginia
Contractors License#:
Class:
Exp. Date:
Virginia
Tradesman Certification#: Exp. Date:
Estimated
Value of Work:
*By signing above, I certify that (1) I am duly licensed under the Code of Virginia to perform the work associated with this application, and/or (2) I am
authorized by the above named contractor to sign on behalf of said contractor, who is duly licensed to perform the work described in this application
Contractor/Company Name:
Address:
City: State:
Zip Code;
Phone: Cell:
E-Mail:
Print Name:
*Signature
Virginia
Contractors License#:
Class:
Exp. Date:
Virginia
Tradesman Certification#: Exp. Date:
Estimated
Value of Work:
*By signing above, I certify that (1) I am duly licensed under the Code of Virginia to perform the work associated with this application, and/or (2) I am
authorized by the above named contractor to sign on behalf of said contractor, who is duly licensed to perform the work described in this application
Contractor/Company Name:
Address:
City: State:
Zip Code;
Phone: Cell:
E-Mail:
Print Name:
*Signature
Virginia
Contractors License#: Class: Exp. Date:
Virginia
Tradesman Certification#: Exp. Date:
Estimated
Value of Work:
*By signing above, I certify that (1) I am duly licensed under the Code of Virginia to perform the work associated with this application, and/or (2) I am
authorized by the above named contractor to sign on behalf of said contractor, who is duly licensed to perform the work described in this application
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
3
CITY OF FREDERICKSBURG PERMIT APPLICATION
PAGE 3 OF 4
DESCRIPTION OF WORK
Commercial Industrial
Single Family Dwelling
Townhome
Tent or Temporary Structure
Other
New Construction
Addition Alteration
Repair/Replacement Shell Only Foundation Only
Demolition
Type of Construction Proposed Use Group
Occupant Load
Code Edition Historic District
DESCRIBE ALL PROPOSED WORK
Area of Lot (Sq. ft.)
Number of Stories
Basement Area (Sq. Ft.)
Front Setback (Feet)
Number of Bedrooms
First Floor Area (Sq. Ft.)
Rear Setback (Feet)
Number of Full Baths
Left Setback (Feet)
Number of Half Baths
Right Setback (Feet)
Garage- Number of cars
Height Above Grade (Ft.)
Number of Fireplaces
Number of Fixtures
# of Gas appliances
Size of Water Main
Gas - Natural or Propane
Size of Sewer Main
Size of Fire Line
# of Backflow Devices
Electric Heat/A/C
Square Footage
Other
Other
Other
Other
Second Floor Area (Sq. Ft.)
Additional
Floors and Area (Sq. Ft.)
Garage
Area (Sq. Ft.)
Porch/Deck Area (Sq. Ft.)
PLUMBING
Size of Meter
MECHANICAL
Heat Pump
ELECTRICAL
Total Service Amps - New
Total Service Amps - Upgrade
Number of Circuits
Number of Lighting Circuits
Number of Power Circuits
Square Footage
4
CITY OF FREDERICKSBURG PERMIT APPLICATION PAGE 4 OF 4
FOR OFFICE USE ONLY
FLOODPLAIN INFORMATION
PLAN REVIEW RECORD
Type of Review
Reviewed By
Date of Review
Date of Approval
Notes
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
SITE PLAN
PLAT
DEPARTMENTAL APPROVALS
Type of Review
Reviewed By
Date of Review
Date of Approval
Notes
ZONING
FIRE
ALARM
FIRE
SPRINKLER
HD SUPPRESSION
PUBLIC WORKS
A.R.B.
Flood Map Number and Date Lowest Floor Elevation
Flood
Zone
Base Flood Elevation
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF FREDERICKSBURG APPLICATION FOR BUILDING PERMIT (City of Fredericksburg)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 December 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document