Gallatin, Tennessee
te Applied ______/________/20____
Project Address Suite (if applicable) Subdivision Lot #
Property Owner
Mailing Address Phone Email
Contractor Mailing Address Phone Email
Agent Mailing Address Phone Email
Class of Work
New Construction* Addition* Remodel* Detached Accessory Deck Fence/Wall
Describe Work
Foundation Type
Monolithic Slab Slab Crawl Basement
Insulation Type
Encapsulated* Traditional
Valuation (cost of labor & material)
# of Stories
Fence/Wall Height & Material
Under Beam Sq Ft**
Type of Construction
Occupancy/Use Group
Applicable Trades included in project:
Plumbing Mechanical Fireplace (qty_____) Electrical Low Voltage Fiber Optics
*All Residential buildings require Manual J and Manual D load calculations and blower door and/or duct leakage tests.
** As of November 1, 2019 Under Beam Square Footage must include garage and covered porches.
his 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 in commenced.
In the event the licensed contractor disclosed hereon is replaced on this project, the Gallatin Building Department shall be immediately
notified. Failure to notify may result in revocation of this permit and is a violation of state law.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 regulating construction or the performance
of construction. Contractor and/or homeowner/builder is responsible to adhere to all existing setbacks, easements, and/or buffer
yards located on said property.
I hereby certify that I am the:
Owner Owner’s Agent and all official correspondence in connection with this application should
be sent to my attention using the contact information above.
___________________________________________________________ _________________________________
Print or type name here Date
Signature of Owner or Owner’s Authorized Agent
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