ZIP:
ZIP:
DepartmentofBuildingSafety
4795SouthChurchSt.Ext.‐Suite2
Roebuck,SC29376
8645866111
PLEASE DIRECT ANY QUESTIONS TO PERMITS@CCISERVICESLLC.COM OR 864-586-6111 EXT 2
PROOF OF ID MUST BE SUBMITTED WITH APPLICATION
CONTRACTORS:MUSTHAVEACITYBUSINESSLICENSEPRIORTOAPPLYINGFORPERMIT
(*A)MUSTPROVIDECOPYOFSIGNEDCONTRACTCONTAININGDOLLARAMOUNTFORSCOPEOFWORK
PROJECT CONTACT INFORMATION:
PROPERTYLOCATION/ADDRESS:
Complete this section
ParcelID#:
NAME OF BUSINESS/LESSEE: SHOPPING CENTER / DEVELOPMENT NAME:
PROJECTREVIEWLETTERSWILLBEEMAILEDTOALLPARTIES
STREET ADDRESS: CITY: STATE:
BUSINESS NAME: D/B/A:
BUSINESSMAILING ADDRESS: CITY: STATE:
PHONE # WITH AREA CODE:
ARCHITECT: EMAILADDRESS:
PROJECTSUPERINTENDENT: EMAILADDRESS:
PHONE # WITH AREA CODE:
APPLICATIONSUBMITTALDATE:
PERMITNUMBER:
PLANSAPPROVED? YES_______NO_________
ZONINGAPPROVED?YES_______NO_______
B
FLOOD
SIGN
BUSINESSCONTACT'SNAME:
BUSINESSPHONE# WITH AREA
CODE:
B
USINESSCONTACT'SEMAILADDRESS:
PROPERTYOWNER: EMAILADDRESS:
PHONE # WITH AREA CODE:
PHONE # WITH AREA CODE:
CONTRACTOR CONTACT INFORMATION:
STATE LICENSE (LLR) #:
ENGINEER: EMAILADDRESS:
Page1of3
BPA42349CI(REV.02/2020)
BUSINESSCONTACT'SPHONE# WITH
AREA CODE:
PW
PERMIT FEE: $
F
CONV. FEE: $
TOTAL: $
FACILITATOR'S
INITIALS
OFFICE USE ONLY:
129 Rowes Pump Dr.
PO Box 95
Rowesville, SC 29133
803-534-2745
BUILDING
PERMIT
APPLICATION
GROSSSQUAREFOOTAGEOFENTIREBUILDING: GROSSSQUAREFOOTAGEOFTHETENANTSPACE:
TYPEOFWORK(checkallthatapply):
PROPERTYTYPE:
CONTRACTORS:YOUMUSTPURCHASEACITYBUSINESSLICENSEINORDERTOOBTAINAPERMITANDCONDUCTWORK.
Town of Rowesville
BUILDINGCODESFEESCHEDULE‐EFFECTIVEAugust 1, 2020
FEE SCHEDULE IS LOCATED UNDER PERMITS ON THE WEBSITE
RESIDENTIAL____________COMMERCIAL____________
GASCOMPANY:
UTILITIES/SEWER:RESIDENTIALONLY
SEWER:PlansRequiredforNewConstructionorAddingFixtures:Two(2)CopiesofSiteand
DrainagePlans
POWERCOMPANY: SEWER:
CITYOF:ROWESVILLE
NEW
REMODEL
REPAIRS ADDITION(commercialonly)
DESCRIPTIONOFWORK:
Isthebuildingover5,000Sq.Ft.?
YES NO
ProjectType:
Single Tenant
MultiTenant
Hasthesitebeenvacantover180days?
YES NO
MultiFamily:
Condominium Apartments
PAIDRECEIPTREQUIRED
YES NO
ZONINGDISTRICT:
CHANGEOFUSE:
(*A)CONTRACTAMOUNT: $
Doyouhaveacurrentbusinesslicense?
Yes,#: No
Page2of3 BPA42349CI(REV.02/2020)
SIGNATURE:
Bysigningthisapplication,IherebycertifythatIamtheowneroranauthorizedagentoftheownerorcompanyperformingworkstatedabove.Ifurthercertify
thatallinformationinthisapplicationiscorrectandthatallworkwillcomplywiththeSouthCarolina StateBuildingCodeandallotherapplicablestateandlocal
laws.Iunderstandthatifanyinformationprovidedisfoundtobeincorrectorfalselystatedthatthispermitwillbenulland voidandthatImayberesponsiblefor
violationofotherrelatedlawsandlocalordinances.TheDepartmentOfBuildingSafetyshallbenotifiedofanychangesintheapprovedplans orspecificationsfo
theprojectaspermitted.
Icertifytheinformationgivenonthisapplicationistrueandcorrect.
A3%CONVENIENCEFEEWILLBEADDEDTOALLCREDIT/DEBITCARDPAYMENTS.
THEREWILLBEA$30.00SERVICEFEEONALLRETURNEDCHECKS.
IMPORTANT NOTES
APPLICANT'SSIGNATURE:
INTHEEVENTOFAREQUESTFORCANCELLATIONORREFUNDOFA
PERMIT,IFGRANTED,THEMINIMUMPERMITFEE (residential/commercial)
WILLBENONREFUNDABLE.
ALLPERMITSEXPIRE6MONTHS(180days)AFTERISSUANCEORLAST
INSPECTION.ONCEA PERMIT EXPIRES, ALL FEES ARE NON‐REFUNDABLE,
INCLUDING THE MININMUM FEE.
APPLICANTNAME(PRINTED): COMPANYNAME: TITLE:
APPLICANT'SEMAILADDRESS:
Page3of3 BPA42349CI(REV.02/2020)
APPLICANT'S PHONE # WITH AREA
CODE:
PERMIT REQUESTS RECEIVED AFTER 4:00pm WILL BE PROCESSED THE NEXT BUSINESS DAY
PLEASE CLICK THE SUBMIT BUTTON TO SEND YOUR COMPLETED APPLICATION AND ATTACH ALL REQUESTED DOCUMENTS
For individuals wishing to build and/or improve their own home without the use of a licensed
residential builder or specialty contractor, a Residential Disclosure Certification Form is required. This form is
available on our website.
Submit