12-31-19
Building Safety
125 W. Mountain St.
Fayetteville, AR 72701
Phone: 479.575.8238
permit@fayetteville-ar.gov
Master Building Permit (A/P) Number _________________________________________________________________
*Required if your scope of work is part of a building project*
Owner/Builder/Project Name _______________________________________________________________________
Project Site Address ______________________________________________________________________________
HVAC Contractor _________________________________________________________________________________
If your contact information has changed, please inform a staff member so it may be updated.
Project Details: Residential Commercial
*Manual J required for new residential projects*
New Addition Alteration Repair/Replace
Description of Work _______________________________________________________________________________
Estimated Valuation of Work $ _______________________
Total Number of Units ______________________________ $ ________________________
A unit is a piece of equipment or appliance used in heating, air conditioning, refrigeration &/or ventilation.
First Unit = $20.00; Each Additional Unit = $5.00
Total Gas Vents ____________________________________ $ ________________________
$5.00 per gas vent
Total Number of Exhaust Systems ______________________ $ ________________________
$2.00 per exhaust system
Total Number of Inspections Under Concrete _____________ $ ________________________
$10.00 per inspection under concrete
Total $ ___________________
(Minimum Fee = $20.00)
This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is
suspended or abandoned for a period of 6 months at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other
state or local law regulation construction or the performance of construction.
Signature ________________________________________________________________________________________
Master HVAC
Mechanical Permit Application
click to sign
signature
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