FORM NO. BI 48 REV. 8/19
Application for Roofing and Siding
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 __________________
A permit is hereby requested for the following construction at:
Street address: _________________________________________________Lot#/Suite#: ___________________
GPIN: _______________________________________________________________________________________
Owner/Occupant Name: _________________________________________ Owner Phone#: __________________
E-mail Address: ________________________________________________ Cell Phone#: __________________
Mechanic’s Lien Agent Name: _________________________________________________
None Designated
Address: __________________________________________________________ Phone#: __________________
E-mail Address: ________________________________________________ Cell Phone#: __________________
Company Name: ________________________________ State Registration # (Class A, B, or C) ___________________
*Address: ______________________________________ *Phone#: _________________ *Fax#: ______________
E-mail Address: ________________________________________________ Cell Phone#: _________________
*Provide this information when registering company for the first time or if change of address, phone, fax or email.
Contractor:
Cost of Construction/Alteration: $_____________________
Residential
Commercial
Check Scope of Work:
Roofing
Siding
Roofing & Siding EIFS: Y / N
(Circle)
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.
Additional Information:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Applicant’s Name (Please Print): _____________________________ Applicant’s Signature: ____________________________
****NOTE: Please see back of form for additional requirements for Roofing and EIFS Projects****
For Roofing:
Roof to be a nail-over with only one layer of roofing existing
Existing Roofing to be removed and replaced with new materials
Fire retardant treated plywood addressed in attached residences.
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