Fillable INTERIOR DEMOLITION PERMIT APPLICATION (City of Goldsboro)

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INTERIOR DEMOLITION PERMIT APPLICATION (City of Goldsboro)

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Date: _________________
Square Footage: ________
INTERIOR DEMOLITION PERMIT APPLICATION
City of Goldsboro Inspections Dept.– 200 N. Center Street, Goldsboro, NC 27530
Phone: (919) 580-4389 or (919) 580-4385 Fax: (919) 580- 4315
Permit # __________________ (For Office Use Only)
Please choose one: Residential or Commercial
NOTE: A State Permit is required for all commercial demolitions
ADDRESS OF DEMOLITION: _____________________________________________________
Owner: _____________________________________________PH: _____________________
Owner Address: ____________________________City ______________State_____Zip_____
DEMOLITION CONTRACTOR: _____________________________License# ________________
Address: __________________________________City_______________State_____Zip_____
PH: ______________________________________Email_______________________________
………………………………………………………………………………………………………………………………………………
Demolition Permit Basic Fees: Residential: $115.00 or Commercial: $140.00
(Fee includes a $15.00 Technology fee which is added to all permits)
TOTAL PERMIT FEE __________________
An Asbestos Inspection Report prepared by an NC Accredited Asbestos Inspector must be provided with application to demolish any
building. It is the contractor’s responsibility to properly notify the Department of Health and Human Services Division of
Public health – Health Hazards Control Unit at least ten (10) working days before the demolition is to begin whether or not the
building is known to contain asbestos.
I
hereby certify that the information on this application is correct and that all work in connection with the above referenced
job will be performed under my supervision and that such work complies with the requirements of the NC State Building
Codes and applicable City of Goldsboro Ordinances.
_________
_______________________________ _______________________
Contractor/Applicant Date
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INTERIOR DEMOLITION PERMIT APPLICATION (City of Goldsboro)

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Completed 1 February 2021

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