Fillable FORM NO. BI 40 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 40 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 40 Rev. 8/19
Application for Demolition Permit
CITY OF VIRGINIA BEACH ∙ PERMITS AND INSPECTIONS
2875 Sabre Street, Suite 500 ∙ Virginia Beach, VA 23452 ∙ (757) 385-8060
FAX (757) 385-5777 ∙ www.vbgov.com/buildingpermits
Date: ___________________ Associated Permit #: ______________________
A
permit is hereby requested for the following construction at:
Street Address: _________________________________________________________ Lot #/Suite #: _______________________
GPIN: ____________________________________________________________________________________________________
Owner/Occupant Name: ________________________________________________ Owner Phone #: _______________________
Email Address: _________________________________________________________ Cell Phone #: _______________________
Contractor
Com
pany Name: _____________________________________________ State Registration #: ____________________________
Cost of Demolition: $ ___________________ Residential Commercial
Structure Elevator UST/AST
A
ll disconnect paperwork must accompany application:
Virginia Power Disconnection
Virginia Natural Gas Disconnection
Water Disconnection
Cable Company
Phone Company
Septic Tank Date:
Sanitary Sewer Lateral and Water Line Capped on Private Property at the Right of Way Line
Asbestos Report (required for commercial buildings built prior to 1985)
Additional Information:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
____
____________________________________________________________________________________________________
Applicant’s Name (Please Print): __________________________________ Applicant’s Signature: _____________________________________
I
understand this permit is granted only for the work shown and described in this application.
Any falsification, misrepresentation, or misleading information given VOIDS this permit.
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FORM NO. BI 40 Rev. 819: Application for (City of Virginia Beach)

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Completed 4 June 2021

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