Form Center

2. Type of Permit*

   1. Commercial
   2. Residential
4. Date*
   Date
6. Construction Address*
8. City*
9. State*
10. Zip Code*
12. Legal Description of Construction Property*
14. Lot*
15. Block*
17. Addition*
21. Contractor*
23. Address*
25. City*
26. State*
27. Zip Code*
29. Phone Number*
31. Email*
33. Number of Plans*
34. Number of Pages*
36. Type of Work*

    1. New
    2. Addition Remodel
    3. Accessory Building
    4. Remodel
    5. Other
37. If type of work is "other," please describe:*
39. Square Footage*
40. Lot Size*
42. Declared Value of Work to be Done*
46. Owner*
48. Address*
50. City*
51. State*
52. Zip Code*
54. Home Phone*
55. Work Phone*
57. Email*
59. Daytime Contact Person*
61. Proposed Use (if Commercial)*
63. Floodplain/Detention Issues*
65. Submit Plan Drawings
69. Please provide the following sub-contractor information if applicable.
71. Electrical Contractor
73. State License Number
75. Phone Number
76. Email
80. Plumbing Contractor
82. State License Number
84. Phone Number
85. Email
89. Mechanical Contractor
91. State License Number
93. Phone Number
94. Email
Leave This Blank:


96. 1. Receive an email copy of this form.
97. Email address

    This field is not part of the form submission.

98. Submit

* indicates a required field