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

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

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File type: PDF

U.S.A. forms for Town of Superior

BROWSE TOWN OF SUPERIOR (AZ) FORMS

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**Must be a licensed residential contractor to apply for a Standard Building Plan**
1. BUILDER/ CONTRACTOR LIC# & CLASS PHONE
MAILING ADDRESS CITY ST ZIP
BUILDER PLAN # :
Height of HOME
Height of detached structure
2. MAXIMUM BUILDING AREA
1
ST
FLOOR sq.ft.
2
ND
FLOOR sq.ft.
GARAGE sq.ft.
PORCH/PATIO sq.ft.
TOTAL SQ. FT: _____________________
*NOTE: If this plan will have any DETACHED buildings, a separate Standard Plan application must follow with a separate set of plans*
I ACKNOWLEDGE AND AGREE THAT THE MAXIMUM SQUARE FOOTAGE APPROVED WITH THIS APPLICATION SHALL SERVE AS THE BASIS FOR
DETERMINING BUILDING VALUATION AND THE TOTAL LIVABLE SQUARE FOOTAGE APPROVED WITH THIS APPLICATION SHALL SERVE AS THE
BASIS FOR DETERMINING DEVELOPMENT FEE. I HEREBY CERTIFY THAT THE INFORMATION ON THIS APPLICATION AND ALL RELATED
SUBMITTALS ARE TRUE AND CORRECT.
CONTACT PERSON / PHONE / E-MAIL (this person whom wi
ll receive notifications of plan approval and fees due)
CONTACT PERSON/PHONE/E-MAIL (PERSON FOR PLAN REVIEW QUESTIONS, IF DIFFERENT FROM ABOVE)
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 851173/520-689-5752
NEW STANDARD PLAN ONLY PERMIT
Permit :
Date:
*
****************************FOR OFFICE USE ONLY******************************
TYPE OF CONSTRUCTION:
OCCUPANCY CLASS:
ZONING :_________________________
NON-CONF:________________________
ACT. VALUATION:_________________
PERMIT FEE:_________________
PLAN REVIEW FEE:___________
INSPECTION FEE:______________
ADDRESSIGN FEE:______________
ECD:_________________
SUBMITTAL FEE: ______________
ZONING FEE:___________________
DESIGN FEE:___________________
PRINTING/MISC FEE:____________
TOTAL FEE:____________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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:
Physical Address:
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 NEW STANDARD PLAN ONLY PERMIT (Town of Superior)

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Completed 24 January 2021

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