Fillable Trade Permit Application

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Trade Permit Application

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WASHINGTON COUNTY BUILDING DEPARTMENT
1331 South Boulevard, Suite 214
Chipley, Florida 32428
Phone (850) 638-6195
Fax (850) 638-6304
Trade Permit Application
RESIDENTIAL COMMERCIAL NEW CONSTRUCTION EXISTING BUILDING
OWNER NAME: PHONE:
PROJECT ADDRESS:
CONTRACTOR NAME: PHONE:
COMPANY NAME:
ELECTRIC GCE GP WFECA – B WFECA – G
JOB COST: SQUARE FOOTAGE:
SERVICE CHANGE AMPS: SIGN
SERVICE REPAIR AMPS: MOBILE HOME POLE
TEMPORARY CONSTRUCTION POLE AMPS: POOL
REWIRE WITH SERVICE CHANGE PRE-INSPECTION FOR POWER
ADDITIONS WITHOUT SERVICE CHANGE NEW CIRCUITS
NEW CONSTRUCTION LOW VOLTAGE/BURGLAR ALARM
MISCELLANEOUS SERVICE POLE FOR (60 AMPS):
DESCRIPTION OF WORK:
MECHANICAL
HVAC JOB COST: HOODVENT NO. OF SYSTEMS:
PLUMBING
JOB COST:
FIXTURES:
WATER HEATER:
SEWER TAPS:
WATER HEATER / VENT:
OUTLETS:
GAS
JOB COST:
ROOF
NEW BUILD REPLACEMENT ROOF OVER
SQUARES: METAL SHINGLE
JOB COST: FL. PRODUCT APPROVAL CODE:
SECURITY ALARM
SQ. FT: JOB COST:
# OF OUTLETS: ANNUAL FIRE INSPECTION:
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work
or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be
secured for ELECTRICALWORK, PLUMBING, SIGNS, POOLS, AIR CONDITIONERS etc.
I understand all REQUIRED INSPECTIONS will be requested of the work permitted herein. Compliance will
be strictly enforced. This permit is VOID after six (6) months from issuance unless the work it covers has been
commenced and has had ongoing inspections. The Building Official may revoke this permit or remove service,
in such case as there has been any false statement or misrepresentation as to the material fact in the application
or plans, upon which this permit was based.
SIGNATURE OF OWNER / CONTRACTOR DATE
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Trade Permit Application

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Completed 25 March 2021

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