Fillable TOWN OF SUPERIOR C of O / OCCUPANCY (Town of Superior)

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TOWN OF SUPERIOR C of O / OCCUPANCY (Town of Superior)

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The TOWN OF SUPERIOR C of O / OCCUPANCY (Town of Superior) form is 2 pages long and contains:

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  • 5 check-boxes
  • 40 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Superior

BROWSE TOWN OF SUPERIOR (AZ) FORMS

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CERTIFICATE OF OCCUPANCY HOME OCCUPATION
SUITE#
PHONE
STATE ZIP _
PHONE
STATE ZIP
Check one:
CHANGE OF OCCUPANCY
JOB/STREET ADDRESS:
PARCEL:
PROPERTY OWNER(S)
MAILINGADDRESS
CITY
RENTER/TENANT
MAILINGADDRESS
CITY
SQUARE FOOTAGE OF FLOOR AREA
ARE THERE ANY SIGNS ON THE PROPERTY YES NO *Any changes to signs may require permits*
PRIOR USE:
PROPOSED USE:
NAME OF BUSINESS:
** 2 COPIES OF A FLOOR PLAN ARE REQUIRED AT TIME OF APPLICATION **
(Please see attached example)
I understand that by signing below I am not making any changes or alterations to the current structure that would require a building permit (ex.
mechanical, plumbing, electrical, partitions, signs, etc.)
PRINT NAME
SIGNATURE OF OWNER/AGENT
_
DATE OF APPLICATION
CONTACT NAME IF DIFFERENT: _ PHONE#
EMAIL:
SPECIAL CONDITIONS:
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173
520-689-5752
C of O / OCCUPANCY CHANGE
Permit # _________________
Date: ___________________
TYPE OF CONSTRUCTION:
OCCUPANTLOAD:
OCCUPANCYCLASS:
PERMITFEE:
Final Building: ____________
Fire Marshal-100%: ____________
Final Site Inspection: ___________
Test & Balance: _______________
Other: _______________________
AUTOMATIC SPRINKLER: YES OR NO
*****************************FOR OFFICIAL USE ONLY******************************
INSPECTOR
______________________
______________________
______________________
______________________
______________________
_____________
_____________
_____________
_____________
_____________
DEPARTMENT INSPECT DATE PASS/FAIL/NA
TOTALFEE:
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199 N Lobb Ave, Superior, AZ 85173 T 520-689-5752
www. superioraz.gov
PROPERTY OWNER AUTHORIZATION FORM
I (property owner)
hereby authorize (owner’s agent)
To make application to Town of Superior for the following (description of work)
Assessor Parcel Number:
PhysicalAddress:
City/Town: State: AZ Zip:
By signing this Form, I acknowledge and agree that I am not released from
responsibility for: (1) the payment of any and all fees associated with the issuance
of any permits, orders, notices or other approvals (“Approvals”) by Town of
Superior pursuant to my agent’s application; (2) the satisfactory completion of all
work authorized by such Approvals in compliance with all applicable county, state
and federal laws, codes, rules, regulations and requirements; and (3) correcting
any violations of the terms and conditions of such Approvals issued by Town of
Superior pursuant to my agent’s application.
Property Owner:
By (signature):
Name:
Phone Number:
Email:
Date:
TOWN OF SUPERIOR
199 N Lobb Ave, Superior, AZ 85173
520-689-5752
(Incomplete applications will not be accepted)
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TOWN OF SUPERIOR C of O OCCUPANCY (Town of Superior)

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Completed 24 January 2021

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