Greene County
ENERGY PERMIT
APPLICATION
OFFICE USE ONLY_
Permit Number_________________________________ Permit Fee_________ Date___________
Zoning Approval_____________________________ Final Approval________________________
Use Classification_________________ Type__________ Permit File________________________
OWNER INFORMATION
Owner________________________________________ Phone_______________________________
Site Address_____________________________________________ Fax_____________________________
__
City / State / Zip_____________________ Subdivision ________Parcel No_____________________
CONTRACTOR INFORMATION
Contractor____________________________________________ Phone______________________
Address______________________ City / State / Zip___________________________________
Email_______________________________________________ Cell____________________
Business License___________________ State Cert. No._______________ Exp. Date _____________
Copy of business license and certification card (if applicable) must be provided.
Check
Identify Type of Insulation
Foam
Permit Fee $50
Batts
Blown
Floor
R-Value
Ceiling
R-Value
Wall
R-Value
Attic
R-Value
Foundation Wall
R-Value
APPLICANT’S SIGNATURE____________________________________________________ DATE
***The Greene County Board of Assessors, in accordance with Ga. Law must give reasonable notice to property owners prior to making
a site visit. Notice is hereby given that a representative of the appraisal staff will be listing new construction from active building permits
for changes and improvements which have been made to the property. Revised 11/01/14/effective 11/01/14
$50
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signature
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