Certificate Of Occupancy Application Page 2

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Certificate of Occupancy Application
Revised
08/01/16
CERTIFICATE OF OCCUPANCY APPLICATION
Please return form to:
Permit Center (Zoning Desk)
1st Floor, Government Plaza, Suite 130
505 Travis Street
Shreveport, LA 71101
DO NOT WRITE IN THIS AREA-OFFICIAL USE ONLY
Date
Application Number
Property Zoned:
:
:____________________________
_____________________________________________
Fees:
$125 (Inside City Limits)
None (Outside City Limits)
CERTIFICATE OF OCCUPANCY REQUEST
Home Occupation
Alcohol
Courtesy Inspection
Outside City Limits (Parish Address)
New Construction
Ownership Change
Other (Please specify)
New Business
PROPERTY INFORMATION
Name of Applicant:
Address or Description of Property:
Type of Business:
Square Footage of Building or Suite:
Owner of Business (if different than applicant):
Company Name / Name of Occupant:
Mailing Address (mailing address must be given if business location is in a mall, an itinerant vendor or temporary certificate of occupant i.e. firework sales) :
Telephone Number:
Date Inspections are Requested (Inspections are done 8:00AM to 12:00 Noon, occupant must be at location or have building open during these hours):
Remarks:
STATEMENT OF UNDERSTANDING
This is to certify that I have been advised that in order to occupy any building, that I/We are required to obtain a Certificate of Occupancy for the structure located at
______________________________________. I / We further understand that in order to obtain this certificate, the structure in question must be in full compliance
with City of Shreveport building and fire codes, zoning requirements and when necessary the Caddo Parish Health requirements. Failure to comply with these
requirements will prevent the City of Shreveport from approving any utility connections and issuing the Certificate of Occupancy.
___________________________________________________________
________________________________
Signature of Applicant
Date
NOTE: If you have not received your Certificate of Occupancy within a week of the inspection, please call (318) 673-6440 or (318) 673-6442
Metropolitan Planning Commission | 505 Travis Street, Suite 440 | Shreveport, LA 71101 | 318-673-6480 | fax 318-673-6112

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