ZIP:
ZIP:
CONTACT'S
PHONE #:
PROPERTY OWNER: PHONE:
NEW REMODEL REPAIRS ADDITION
DESCRIPTION OF WORK:
EMAIL ADDRESS:
CONTRACTOR/OWNER INFORMATION:
STATE LICENSE (LLR) #:
D/B/A OR OWNER NAME:
RESPONSIBLE PARTY MAILING ADDRESS: CITY: STATE:
NAME: PHONE #:
TOTAL HEATED SQUARE FEET: NUMBER OF BATHROOMS:
TOTAL UNHEATED SQUARE FEET:
FIREPLACE (Y/N)
CITY:
PROPERTY OWNER EMAIL ADDRESS:
RESIDENTIAL
BUILDING PERMIT
APPLICATION
129 Rowes Pump Dr.
PO Box 95
Rowesville, SC 29133
803-534-2745
Department of Building Safety
4795 South Church St. Ext. - Suite 2
Roebuck, SC 29376
864-586-6111
APPLICATION SUBMITTAL DATE: ________________
PLANS APPROVED? YES _______ NO _________
FACILITATOR'S INITIALS
__________________
PERMIT(S) NUMBERS: _________________________
PLEASE DIRECT ANY QUESTIONS TO PERMITS@CCISERVICESLLC.COM OR 864-586-6111 EXT 2
PROOF OF ID MUST BE SUBMITTED WITH APPLICATION
CONTRACTORS: MUST HAVE A CITY BUSINESS LICENSE PRIOR TO APPLYING FOR PERMIT
(*A) MUST PROVIDE COPY OF SIGNED CONTRACT CONTAINING DOLLAR AMOUNT FOR SCOPE OF WORK
OFFICE USE ONLY:
TOTAL SQUARE FEET:
(This includes all areas under a roof)
NUMBER OF BEDROOMS:
TYPE OF WORK (check all that apply):
PROPERTY LOCATION/ADDRESS:
Parcel ID #:
STREET ADDRESS: STATE:
BUSINESS NAME:
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FEES:
PLAN REVIEW.................. $_____________
PERMIT............................ $_____________
CONVENIENCE FEE.......... $_____________
TOTAL ............................. $_____________
Flood __________
PW __________
W/AREA CODE
W/AREA CODE
w/Area Code
PERMIT REQUESTS RECEIVED AFTER 4:00 PM WILL BE PROCESSED THE NEXT BUSINESS DAY
APPLICANT'S SIGNATURE:
PAID RECEIPT REQUIRED
* For individuals wishing to build, repair and/or improve their own home without the use of a licensed residential
builder or specialty contractor, a Residential Disclosure Certification Form is required. This form is available on our
CONTRACT AMOUNT:
(*A)
$__________________
Do you have a current business license?
Yes, #: ______________________________ No ______
APPLICANT NAME (PRINTED): COMPANY NAME: TITLE:
APPLICANT'S EMAIL ADDRESS:
APPLICANT'S
GAS COMPANY:
UTILITIES / SEWER:
SEWER: Plans Required for New Construction or Adding Fixtures: Two (2) Copies of Site and
Drainage Plans
By signing this application, I hereby certify that I am the owner or an authorized agent of the owner or company performing work stated above. I further certify
that all information in this application is correct and that all work will comply with the South Carolina State Building Code and all other applicable state and local
laws. I understand that if any information provided is found to be incorrect or falsely stated that this permit will be null and void and that I may be responsible
for violation of other related laws and local ordinances. The Department Of Building Safety shall be notified of any changes in the approved plans or
specifications for the project as permitted.
All work shall comply with Ordinances and International Codes. I certify the information given on this application is true and correct.
website.
* There will be a $30.00 service fee on all returned checks.
SIGNATURE:
* A 3% convenience fee will be added to all Credit/Debit card payments.
POWER COMPANY: SEWER:
CITY/TOWN OF:
non-refundable.
IMPORTANT NOTES (Please Read)
CONTRACTORS: YOU MUST PURCHASE A CITY BUSINESS LICENSE IN ORDER TO OBTAIN A PERMIT AND CONDUCT WORK.
A COPY OF THIS LICENSE MUST BE INCLUDED WITH THE APPLICATION.
Town of Rowesville
BUILDING CODES FEE SCHEDULE - EFFECTIVE August 1, 2020
FEE SCHEDULE IS LOCATED UNDER PERMITS ON THE WEBSITE
* In the event of a request for cancellation or refund of a permit, if granted, the minimum permit fee will be
Page 2 of 2
PHONE
W/AREA CODE:
PLEASE CLICK THE SUBMIT BUTTON TO SEND YOUR COMPLETED APPLICATION AND ATTACH ALL REQUESTED DOCUMENTS
Submit