Planning & Development Department
Building Permit Application
04/01/2019
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 1 of 2
DETAILED WORK DESCRIPTION
N/A
ADDRESS
CITY STATE ZIP CITY STATE ZIP
CONTACT NAME PHONE CONTACT NAME PHONE
EMAIL EMAIL
N/A
RESIDENTIAL ACCESSORY, ADDITION & ALTERATION
Production Accessory, Pool or Spa (Standard Plan)
Approval Letter from Standard Plan Owner (if applicant is not owner)
3
Building Plan Sets with Roof Layout
3
Service Upgrade 201-400 Amps
Load Calculations and One-Line Diagram
3
3
SUBMITTAL DOCUMENTS REQUIRED FOR FIRST REVIEW
APPLICANT
SCOPE OF WORK
REQUIRED DOCUMENT
COPIES
ALL
Complete Permit Application Form
1
FOR OFFICE USE ONLY
Fence or Pool Barrier >6' / Retaining Walls >4'
Engineered Fence Details and Structural Calculations
4
GOTO(S):
ADDITION TO EXISTING STRUCTURE: _________ SF
ALTERATION TO EXISTING STRUCTURE: _________ SF
ACCESSORY STRUCTURE (DETACHED): _________ SF
Alteration
Building Plan or Floor Plan
3
Ground Mount Photovoltaic System
Fence or Pool Barrier ≤6' / Retaining Walls ≤4'
Fence Details
4
Other:______________________________
_____________________________________________
______
ALL
Site or Grading & Drainage Plan (Aerial may be used for Alterations only)
7
Accessory Structure / Addition
Building Plan and Structural Calculations (if applicable)
COMPANY NAME (IF APPLICABLE)
COMPANY NAME
ADDRESS
APPLICANT INFORMATION
CONTRACTOR INFORMATION
CHECK ONE
LICENSE NUMBER
TRUST ACCOUNT NUMBER
AGENT ARCHITECT/ENGINEER OWNER SAME AS CONTRACTOR
4. Does the driveway tie into a Maricopa County right-of-way?
PIPE: ______LF ______HT WOOD: ______LF ______HT
NO YES Street name:
_________________________
OTHER:________ _____LF ______HT
OTHER:_________ ______LF ______HT
NO YES Septic receipt #:
OW_____________________
IRON: ______LF ______HT
RETAINING: ______LF ______HT
NO YES Building permit #:
B______________________
FENCE PERMIT TYPE
CMU/BLOCK: ______LF ______HT
CHAINLINK: ______LF ______HT
3. Will there be a new septic tank or changes to existing septic?
AREA OF NEW BUILDING
TOTAL AREA OF EXISTING
$ SQ FT SQ FT
2. Is there any other construction occurring on this property right now?
1. Are there any code violations on this property?
NO YES Violation case #:
V______________________
PROJECT VALUATION
WASTE WATER: SEWER SEPTIC ELECTRIC: APS SRP
__________________________________
__________________________________
WATER: WELL HAULED COMPANY:_______________________
GAS:
PROPANE
NATURAL GAS CO:__________________
CHECK "NO" OR "YES". PROVIDE THE RELATED INFORMATION IF APPLICABLE.
PROPERTY INFORMATION
PROJECT INFORMATION
PARCEL NUMBER
NEAREST CROSS STREETS
PERMIT TYPE
WITH:
PLUMBING
CITY
ZIP
OWNER NAME
GROUND MOUNTED SOLAR PHOTOVOLTAIC SYSTEM
, AZ
PROPANE TANK ≥250 GALLON WATER TANK >5,000 GALLON
ELECTRICAL
PROJECT ADDRESS
MECHANICAL
OTHER: ________________________________________________
UTILITIES TO PROPERTY (CHECK ONE AND FILL IN BLANK IF APPLICABLE)
Planning & Development Department
Building Permit Application
04/01/2019
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 2 of 2
INITIALS:
PERSONAL GUARANTEE OF FINANCIAL RESPONSIBILITY
INITIALS:
PERSONAL ASSURANCE OF SUBMITTAL ACCURACY
INITIALS:
ACKNOWLEDGEMENT & AGREEMENT
PRINT NAME:
SIGNATURE: DATE:
compliance with the Maricopa County Zoning Ordinance, which may be found at:
RESIDENTIAL ACCESSORY, ADDITION & ALTERATION
I hereby unconditionally and without reservation guarantee and warranty to Maricopa County that the documents submitted to Maricopa
County Planning and Development, including but not limited to the application materials and/or any and all site plan(s) and building plans,
provide a true and accurate depiction of the requested construction and accurately reflect the existing conditions of the subject parcel.
I am aware that Maricopa County Planning and Development will rely upon the accuracy of the materials provided to perform a Zoning
Clearance review, as required in the Maricopa County Zoning Ordinance, Section 1504.5. I have also seen and verified that the submitted site
plan materials include and accurately provide all listed items on the Department’s Site Plan Checklist.
I am aware and understand that the issuance of a Building Permit does not represent that Maricopa County has verified or authenticated the
veracity of any materials submitted in support of the application for permit. I understand that Maricopa County will issue a Building Permit based
upon the subject materials and that any falsification of documentation submitted as part of this permit application may void the Building Permit
upon which it is based.
In addition, issuance of a Zoning Clearance in conjunction with this application by the Department does not approve or imply the approval of
other structures, permitted or unpermitted, which may be on the same property, but which are not the subject of this permit request.
I also certify, to the best of my knowledge, that each of the buildings, structures, and conditions reflected on the submitted plan is in
FEE INFORMATION
I am aware and understand the fee information below:
I hereby absolutely, unconditionally and irrevocably guarantee to Maricopa County the prompt payment of any and all fees and charges in
connection with this application, without the necessity of Maricopa County first seeking payment from the named applicant.
This includes that if at any time, a written cancellation is submitted for this project application, I personally
guarantee prompt payment of the balance of any and all fees and charges incurred.
TRACKING NUMBER:
GOTO(S):
I acknowledge that I am the property owner or I have the authority to represent the property owner on this application as an authorized agent for
the property. Further, I guarantee access to Maricopa County personnel for the purpose of building inspections, zoning enforcement and the
provision of emergency services. I agree to abide by all of the development laws of Maricopa County. The information and plans provided are
correct to the best of my knowledge including recorded lot dimensions and structure locations. I understand filing of an application containing
false or incorrect information, with the intent to avoid the licensing requirement of ARS Title 32, is falsification pursuant ARS section 13-2701 and is a
class 2 misdemeanor.
Owner / Builder will do the work themselves, with their own employees, for owner’s use and not for sale or rental within
one year of completion.
YES NO
Owner / Applicant is claiming another exemption under ARS, Section 32-1121.A. A signed statement from the Registrar of
Contractors verifying exemption must be attached.
YES NO
(CHECK ONE):
AGENT
CONTRACTOR
OWNER
FOR OFFICE USE ONLY
www.maricopa.gov/DocumentCenter/View/272/Maricopa-County-Zoning-Ordinance-PDF
For residential projects, there is an online fee estimator to assist with planning / preparing for your project:
www.maricopa.gov/391/Fee-Schedule-and-Estimators
An upfront fee will be required upon acceptance - $110 for Residential Accessory Structures, Storage Tanks,
Additions, Alterations and $500 for Ground Mounted Photovoltaic System
If the application / permit submittal is not approved on the initial review, full permit fees will be required at the time
the revised submittal is accepted.
Any remaining fee balance must be paid prior to permit issuance.
If a permit application is denied, any unearned fees will be refunded.