Polk County Public Works
5885 NE 14
th
Street
Des Moines, IA 50313
publicworks@polkcountyiowa.gov
515-286-3705
Fence Permit Application and Checklist
JOB SITE ADDRESS: _______________________________________________________ GEO PARCEL#: ______________________________
OWNER: ________________________________________________________________ PHONE: __________________________________
ADDRESS: ________________________________________ CITY: _________________________ STATE: ______ ZIP: __________________
EMAIL: ______________ ___________________________________ ______________________________________
CONTRACT
OR: ___________________________________________
________________ PHONE: __________________________________
COMPANY
: _______________________________________
_____
__
ADDRE
SS: ________________________________________ CITY: ________________________ STATE: ______ ZIP:
__________________
EMAIL: _______________________________________________________________________________________
Height of proposed fence________
Checklist of items to be filled out or completed prior to submitting application packet:
Fence Permit Application and checklist
Detailed Site Plan Drawing
Proposed fence location staked
-No construction shall start until the permit is issued.
-
All work must be permitted prior to inspections.
-Unresolved Zoning, Subdivision, Floodplain, Health items may delay the issuance of any permit. No structure should be used or
occupied until the certificate of occupancy is issued.
-If an electrical, mechanical, or plumbing permit is needed, they must be applied for separately by a state licensed contractor.
Contractor/Owner/Applicant Statement:
W
ork must commence within 180 days from permit issuance date, and be completed and inspected within one year from the permit
issuance date, or the building permit will be null and void. I understand all work must be inspected and approved by Polk County prior to
concealing any installation and that I must call for a final inspection. I further understand that a Certificate of Compliance or Certificate of
Occupancy/Use is required in accordance with applicable codes and ordinances.
I have included all of the above checked items and I understand that all the items listed above must be reviewed and fees paid before a
permit will be issued. I further understand that construction work cannot begin until the building permit has been issued. All information
supplied by me is true and correct, and to the best of my knowledge and belief.
*Please allow 5-7 business days for permit review and approval
__
__________________________________________
Print Name
__________________________________________ _____________________
Signature Date
Permit #______________________
click to sign
signature
click to edit
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