ALL PERSONS HIRED TO PERFORM WORK MUST BE PROPERLY LICENSED BY THE STATE OF SOUTH CAROLINA AND THE CITY OF CHARLESTON. EACH
CONTRACTOR AND SUBCONTRACTOR HIRED TO PERFORM WORK ON THIS PROJECT MUST COMPLETE AND SUBMIT THEIR OWN BUILDING PERMIT & PLAN
REVIEW APPLICATION.
V. PROFESSIONAL INFORMATION
ARCHITECT
Name: _____________________________ Company: _______________________________________ Phone: ___________________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
ENGINEER
Name: _____________________________ Company: _______________________________________ Phone: ___________________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
GENERAL CONTRACTOR
Name: __________________________________________________________ Phone: ______________________________________
Company: _________________________________________________________ City of Charleston Bus License #: _______________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
State License Agency: South Carolina Contractors’ Licensing Board South Carolina Residential Builders Commission
State Lic. Classification: ___________________________ State Lic. #: __________________ State Lic. Limitation: _________________
ELECTRICAL CONTRACTOR: if known
Name: __________________________________________________________ Phone: ______________________________________
Company: _________________________________________________________ City of Charleston Bus License #: _______________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
MECHANICAL CONTRACTOR: if known
Name: __________________________________________________________ Phone: ______________________________________
Company: _________________________________________________________ City of Charleston Bus License #: _______________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
PLUMBING CONTRACTOR: if known
Name: __________________________________________________________ Phone: ______________________________________
Company: _________________________________________________________ City of Charleston Bus License #: _______________
Address: ___________________________________________ City: ______________________State: _________Zip:______________
Email: _______________________________________________________________________________________________________
VI. DISCLAIMER AND SIGNATURE
I understand and agree that this permit does not authorize any encroachment upon City or State owned property.
If a Construction Permit is issued by the City for this project that Construction Permit only provides authorization for the limited scope of work identified on the
permit and the permit remains the property of the City of Charleston.
By signing below, I certify that I am the owner of the property where the work stated above will be performed or the authorized agent for the company performing
the work stated above and that all information provided is true and correct.
I further understand and agree that if any information provided is found to be incorrect or falsely stated that any permits granted as a result of submitting this
application will become immediately null and void. Additionally, I do hereby covenant and agree to comply with the ordinances of this jurisdiction and to perform the
work herein stated in accordance with the plans and specifications submitted herewith. I shall be responsible for any and all violations of state laws and local
ordinances.
I understand and agree that any alteration or change in plans made without approval of the Building Official subsequent to the issuance of the Construction Permit
shall constitute grounds for revocation of such permit.
Permit void if work not started within SIX months of date of issue or if work stops for a period of SIX months. All permits expire two years from the date of their
issuance.
All City Ordinances and Building Codes can be reviewed at the City of Charleston Division of Inspections located at 2 George Street, Ground Floor, Charleston, SC.
Additional Construction Permits shall be required for any additional work not authorized under a permit issued for this application.
Applicant is responsible for calling to schedule all required inspections.
Signature ____________________________________________________________________ Date ____________________________
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