Fillable TOWN OF SUPERIOR EXISTING STANDARD PLAN ONLY PERMIT (Town of Superior)

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TOWN OF SUPERIOR EXISTING STANDARD PLAN ONLY PERMIT (Town of Superior)

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The TOWN OF SUPERIOR EXISTING STANDARD PLAN ONLY PERMIT (Town of Superior) form is 2 pages long and contains:

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  • 4 check-boxes
  • 51 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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JOB/STREET ADDRESS
PARCEL__________________________________________________
LEGALDESCRIPTION:_____________________________________________________________________________________
ROPERTY OWNER PHONE
MAILING ADDRESS CITY ST ZIP
BUILDER/ CONTRACTOR LIC# & CLASS PHONE
MAILING ADDRESS CITY ST ZIP
SETBACKS (FROM EAVES): FRONT LEFT SIDE RIGHT SIDE REAR
EXISTING USE PROPOSED USE
Is there a wash/watercourse on property? Check one: Yes or No Initials:
BUILDING HEIGHT
ACTUAL BUILDING AREA
1
ST
FLOOR sq.ft.
(Check one)
2
ND
FLOOR sq.ft.
GARAGE sq.ft.
PORCH/PATIO sq.ft.
UTILTY PROVIDER:
SEPTIC: YES NO
WATER CO:
GAS CO:
ELECT.CO.
TOTAL SQ FT: # OF BEDROOMS:
I UNDERSTAND THAT APPROVAL OF THIS APPLICATION DOES NOT GUARANTEE APPROVAL OF THE ACTUAL CONSTRUCTION.
I ACKNOWLEDGE AND AGREE THAT THE MAXIMUM SQUARE FOOTAGE APPROVED WITH THE STANDARD PLAN APPLICATION SHALL
SERVE AS THE BASIS FOR DETERMINING BUILDING VALUATION AND PERMIT FEES, AND THE TOTAL LIVABLE SQUARE FOOTAGE APPROVED
WITH THE STANDARD PLAN APPLICATION SHALL SERVE AS THE BASIS FOR DETERMINING DEVELOPMENT FEES.
I HEREBY CERTIFY THAT THE INFORMATION ON THIS APPLICATION AND ALL RELATED SUBMITTALS ARE TRUE AND CORRECT.
PRINT NAME SIGNATURE DATE
CONTACT PERSON / PHONE / E-MAIL
________________________________________________________________________________________________________________
MIN SETBACKS:
FRONT SIDE REAR
ST SIDE
STEMWALL
TO BLDG WALL ARCHITECTURAL FEATURES MAY ENCROACH 2’
ECD: ______________
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173/520-689-5752
EXISTING STANDARD PLAN ONLY PERMIT
**This application must follow with two-site plan (drawn to scale)**
**Please allow up to 10 working days for processing**
**Incomplete applications will not be accepted**
ZONE:
ZONING FEE:________________________
PLAN REVIEW FEE:___________________
PERMIT FEE:_________________________
DESIGN FEE:_________________________
SUBMITTAL FEE:_____________________
PRINTING/MISC FEE:__________________
TOTAL FEE:__________________________
NON CONF:
AREA: N S E W
SPECIAL CONDITIONS:
TYPE OF CONSTR:_______________
OCC. CLASS:_____________________
OCCUPANT LOAD:________________
VALUATION:_____________________
ADDRESSING Y or N FEE:_________
Permit :
Date:
**
****************************************** FOR OFFICIAL USE ONLY*************************************************
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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 EXISTING STANDARD PLAN ONLY PERMIT (Town of Superior)

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Completed 24 January 2021

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