BUILDING PERMIT APPLICATION PERMIT NO.: _____________________
Department of Community Development
Today’s Date: ________________ City of Saint Charles, Missouri Same As Permit: ___________________
Project address________________________________________________ Lot __________ Subdivision ________________________
Contact person________________________________________________ Phone No. _______________________________________
Email Address________________________________________________ Fax No. _________________________________________
Estimated cost of construction ($) __________________ Is any portion of this property located within the floodplain? □Yes □ No
If “yes”, have you submitted a Flood Elevation Certificate? □Yes □ No
Commercial: State Statutes require a Missouri engineer’s or architect’s seal on all commercial or multi-family plans. Four (4) complete sets of
plans, two (2) sets of structural calcs., four (4) site plans with landscape, parking/lighting details, mechanical drawings, etc. are needed at submittal.
Residential: Two (2) complete sets of plans with site plans, truss designs, and mech. drawings, etc. Truss design must have an engineer’s seal.
Above ground: Two site plans, manufacturer’s brochure indicating pool pump is U.L. approved, the name of a City approved licensed electrician.
In-ground: Two site plans, information from the pool manufacturer describing pool construction, the name of a City approved licensed electrician.
Fire Sprinkler: Yes / No
Fire Alarm: Yes / No
PROPERTY OWNER (PLEASE PRINT)
Name __________________________________________ Address ____________________________________________________
LICENSED CONTRACTORS: (PLEASE PRINT)
City ordinances require that the general contractor, electrician, plumber, and HVAC contractor be licensed and bonded with the City.
Company Name Address Phone
Fire Sprinkler _____________________________________________________________________________________
Fire Alarm _______________________________________________________________________________________
I certify that I am the owner in fee or agent authorized to apply for this permit, that I have contracted Date Received Stamp
with the electrical, plumbing, HVAC, and general contractors regarding performing the work, and the
cost estimates herein are true and correct, to the best of my knowledge.
SIGNATURE OF APPLICANT _______________________________________________
FOR STAFF USE ONLY: □ AARON □ ANDREW □ BRAD □ BOB □ CHRIS □ DAN □ GREG □ JOHN
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