Planning and Zoning

I have completed the checklist for the my Building Permit Application prior to submitting my application.

Building Permit Application
Please fill out all applicable information for your building project below.

Applicant/Owner Information
Applicant:

Date:

Phone:

Email:

Street Address:

City:

ZIP Code:

Project:



Property Owner:

Telephone:

Address:

City:

State:

ZIP Code:

Project Information
New Single Family DwellingAddition to Existing SF DwellingRenovation/Rehab to Existing SF DwellingAccessory Structure (Post Building/Detached Garage/In-Ground Pool)
Scope of Work:

Is this property in a floodplain?:
SelectYesNo
Utility Providers (electric, water, etc.):

Contractor Information
General Contractor:

Address:

City/State/Zip:

Phone:

Email:

Square Footage of Project
Basement (if applicable):

1st Floor (excluding garages and covered porches/patios):

2nd Floor (excluding covered porches and/or patios):

Garage:

Total SQFT of any covered porches, covered patios, and/or ANY deck 30” or more above adjacent grade:

Total SQFT:

No. of Bedrooms:

No. Full Bath:

No. Half Bath:

Total No. Bathrooms:

Est. Cost of Project:

**PLEASE READ BEFORE PROCEEDING**
Please ensure all required documents are submitted to prevent any delay in the issuance of the requested Building Permit.

Complete Copy of the BUILDING PERMIT Application:

DIMENSIONAL DRAWING of the Proposed Floor Plan:

**IF APPLICABLE** Copy of the Proposed Properties WATER/SEWAGE PERMIT

Disclaimer and Signature:
If there is any misrepresentation in this application or any associated documents, Perry County may revoke any permit or Certificate of Occupancy issued in reliance upon such representation. I agree to comply with all Perry County Ordinances, permit conditions, and State statues which regulate the building and construction, use, occupancy, and site development, and grant Perry County Officials the right to enter onto the property for the purpose of inspecting work related to this permit and/or posting any notices deemed necessary.

I certify that my answers are true and complete to the best of my knowledge.

Signature:

Date: