Permits will not be issued without a Parcel ID Number.
It is the responsibility of the Contractor to provide all the information listed below.
OWNER:
ADDRESS:
CITY: STATE: ZIP:
PHONE:
CONTRACTOR:
CONTRACTOR:
ADDRESS:
ADDRESS:
CITY: STATE: ZIP:
CITY: STATE: ZIP:
PHONE:
PHONE:
NC LICENSE #:
NC LICENSE #:
E-MAIL ADDRESS:
E-MAIL ADDRESS:
PIN:
DETAILED DIRECTION TO SITE (IF POSSIBLE, PLEASE INCLUDE A 911 ADDRESS):
Mechanical
Plumbing
Electrical
Building
*Plans may be required.
Heat Pump
Water Line
Service Change
Demolition
A/C
Water Distribution
Lighting
Water Damage Repair
Gas Furnace
Water Heater
Receptacles
Structural Repair
Oil Furnace
Sewer Line
Panel
Foundation Repair
Hood
Drain, Waste, and Vent
Well Service
Retaining Wall
Boiler
Sump/Ejector
Electric Fence
Wall Heater
Barn Service
Gas Piping
Other-
Other-
Other-
Other-
Cost of Construction:
$
Permit Type: Residential Commercial
POWER PROVIDER: _____________________________ JOB # (if Duke Energy): _____________________
Applicant’s Signature: _________________________________________ Date: __________________________
JACKSON COUNTY PERMITTING & CODE ENFORCEMENT
Miscellaneous Permit Application
Sylva Office: 401 Grindstaff Cove Road, Suite 145, Phone: 828-586-7560 / Fax: 828-586-7563
Cashiers Office: 357 Frank Allen Road, Phone: 828-745-6850 / Fax: 828-745-6867
You may submit a completed, signed copy of this application to our office in person, by fax, or e-mail to
jcpermitcenter@jacksonnc.org. Fees may be required.
click to sign
signature
click to edit