2. Building permit form to allow tradesmen and homeowners to fill out. For a paper copy of this form, please click here.

4. Date*
   Date

   Date
8. Job Address
10. Address 1*
12. Address 2
14. City*
15. State*
16. Zip*
20. Job Information
22. Job Valuation (Commercial only)
23. Lot Number
24. Block number
26. Subdivision
27. Zoning
28. Covered Square Footage*
30. Mechanical

    1. Mechanical
31. Plumbing

    1. Plumbing
32. Signs

    1. Signs
33. Electrical

    1. Electrical
35. Fence

    1. Fence
36. Building

    1. Building
37. Storage Shed\ Carport

    1. Storage Shed\ Carport
38. Other

    1. Other
40. Job Description*
44. First Name of Property Owner*
45. Last Name of Property Owner*
47. Mailing Address1*
49. Address2
51. City*
52. State*
53. Zip*
55. Phone Number*
56. Email
60. Contractor Information/Company Name*
62. Contact First and Last Name*
64. Phone Number *
65. Email Address*
67. License #*
68. License #
70. Please check box if you want your phone number confidential.

    1. Please check box if you want your phone number confidential.
72. Permittee/Authorized Agent Signature*
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field