Commercial Building Permit Application Page 3
Updated 8/5/2019
SUB-CONTRACTOR AFFIDAVIT
Copies of State cards and business licenses (or Occupational Tax Certificates) are required before the final inspection is performed.
Master permit number:
Date issued:
Address of project:
Subdivision:
Parcel:
Contractor or owner:
Electrical Contractor ___Restricted ___ Non-restricted
Company or Contractor:
Address:___________________________________ City/State:_____________________________ ZIP:
Ga. State Certification #
Local Business License or Occupational Tax Certificate #
Card holder signature:__________________________________________________________ Phone:
Master Plumber ___Restricted ___ Non-restricted
Company or Contractor:
Address:___________________________________ City/State:_____________________________ ZIP:
Ga. State Certification #
Local Business License or Occupational Tax Certificate #
Card holder signature:__________________________________________________________ Phone:
Conditioned Air ___Restricted ___ Non-restricted
Company or Contractor:
Address:___________________________________ City/State:_____________________________ ZIP:
Ga. State Certification #
Local Business License or Occupational Tax Certificate #
Card holder signature:__________________________________________________________ Phone:
Low-Voltage ___Restricted ___ Non-restricted
Company or Contractor:
Address:___________________________________ City/State:_____________________________ ZIP:
Ga. State Certification #
Local Business License or Occupational Tax Certificate #
Card holder signature:__________________________________________________________ Phone:
I understand that I am responsible for each required licensed contractor to obtain a business license in his or her County.
Any false information or representation will be prosecuted under all applicable laws and ordinances.
Master permit holder signature:
Date:
Greene County Building Inspection Division
BUILDING PERMIT APPLICATION
Chuck Wooley
Building Official
Jamie Brantley
Permit Clerk
Brad Cherry
Building Inspector C
David Johnson
ode Enforcement
1034 Silver Dr., Ste 103, Greensboro, GA 30642 Telephone 706-453-3333 www.greenecountyga.gov
Renee' Criswell
Admin. Assistant
COMMERCIAL