RECEIVED BY CITY STAFF:_____________________________________________________
date
REQUEST FOR TEMPORARY CERTIFICATE OF OCCUPANCY (TCO)
DATE:_______________
ADDRESS:_______________________________________PERMIT NUMBER:____________
LEGAL DESCRIPTION
LOT:________ BLOCK:________ SUBDIVISION:_______________________________
PROPERTY OWNER:__________________________________________________________
USE OF PREMISSES:__________________________________________________________
PROPERTY OWNER
ADDRESS:___________________________________________________________________
TENANT:____________________________________________________________________
Requests for Temporary Certificate of Occupancy will be met upon varification of the following
items:
o All required inspections as related to safety have been completed.
o A final fire safety inspection was performed (if required), and a recommendation of
Certificate of Occupancy was made by the Fire Chief.
o Any debts related to completed construction have been satisfied, including but not
limited to:
Inspections
Additional Plan or Drainage Review Fees
Outstanding Utility Bills
Upon varification of the following items, the Building Official shall issue a Temporary Certificate
of Occupancy within ten days. Temporary Certificates of Occupancy expire after 180 days.
All construction, required drainage facilities, and landscaping tied to the permit, must be
completed within the 180 days to receive CO, and mainatain building occupancy. Failure
to complete final construction within the proscribed time, may lead to eviction from the
premises.
SIGNATURE:_______________________________________________________________
owner date
SIGNATURE:_______________________________________________________________
contractor date
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
