Commercial Building Permit Application Form - City Of Northport Page 2

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Commercial, Industrial, or Multi-Family Permit Application
FOR OFFICE USE ONLY
THIS IS NOT A PERMIT
CITY OF NORTHPORT
DO NOT START CONSTRUCTION
RESIDENTIAL/COMMERCIAL PERMIT
COMMERCIAL, INDUSTRIAL,
ROUTING FORM
OR MULTI-FAMILY BUILDING
Date of Application:______________
Permit Number:_______________
PERMIT
Applicant Name:__________________________
City Limits ( )
Police Jurisdiction ( )
If you are constructing a com-
mercial, industrial, or multi-family
Project Street Address:____________________________________ ZIP:_____________
Project Address:__________________________
structure or an addition or a renova-
Subdivision and Lot No.:___________________________________________________
Permit Fees:
tion of a commercial, industrial, or
Architect/Engineer:________________________________
Phone:_______________
Planning:
Zone:
_________
Site Plan Review: Yes ( ) No ( ) Date Approved _________
Fee $_________
multi-family structure you are re-
Address:________________________________________________________________
quired to complete all sections of the
Comments: _____________________________________________________________
attached Commercial Building Permit
Fence Permit:
Yes ( ) No ( )
Fee $_________
Application. Once completed, return
Owner/Tenant:___________________________________
Phone:_______________
the application package, along with
Address:________________________________________________________________
Sign Permit:
Yes ( ) No ( )
Fee $_________
two full size copies and one 11 x 17
copy of the construction plans, site
Approved By:
______________
Date: _________
Time: _________
General Contractor:_______________________________
Phone:_______________
plans, landscaping plans, and erosion
control plans to the Building Inspec-
Address:________________________________________________________________
Engineering:
Flood Hazard: Yes ( )No ( )
FFE: __________
Easements: Yes ( )No ( )
tion Department.
City Lic. No.:____________________________
State Lic. No.:_________________
Applicants are advised that a
Estimated Cost of Erosion Control Measures:
$___________
Land Disturbance
Fee $_________
Electrical Contractor:______________________________
Phone:_______________
Right-of-Way Permit, granted by the
Bond Amount (150%): $_______________ (must accompany application)
Mechanical Contractor:____________________________
Phone:_______________
City Engineer, will be required if the
contractor plans to do any work
Comments: _____________________________________________________________
Plumbing Contractor:______________________________
Phone:_______________
within the ROW.
Approved By:
______________
Date: _________
Time: _________
Unless there are some un-
Full estimated valuation: $_________________
Building Use:_________________
usual circumstance surrounding an
Building
_______________________________________________________________________
Building:
_________
Electrical:
_________
application, permits should be ready
Mechanical:
_________
Plumbing:
_________
Inspection:
to collect within five working days
Class of Work: New ( ) Addition ( )
Alteration ( )
Raze ( )
Repair ( )
Demolition:
_________
Pool:
_________
after submittal.
Other_____________________ Description of Work:____________________________
All permit fees will be due at
Comments:______________________________________________________________
Fee $_________
______________________________________________________________________
the time you collect your permit. The
total fees due upon collection of the
Approved By:
______________
Date: _________
Time: _________
permit will generally include all per-
Special Conditions: (square footage, where applicable)
Total Building Permit Fees:
$
mit fees due from the Building Inspec-
________
# of Buildings
________ # of Units ______
# of Floors________
tion, Planning and Zoning, Engineer-
Check Number:
____________
# Bathrooms
________
ing, and Water Departments. The fees
Cash:
____________
Finished Floor Area
________ 1st Floor _______
2nd Floor _______
do not include Business License fees.
Received by:
____________
3rd Floor _______
Basement _______
A Business License can be obtained
Water & Sewer Fees:
by visiting the License Clerk on the
Unfinished Floor Area ________ 1st Floor _______
j
2nd Floor _______
Meter Deposit:
Fee $_________
West End of City Hall.
3rd Floor _______
Basement _______
Tappage Fee:
Fee $_________
If you have any questions,
Connection Fee:
Fee $_________
please do not hesitate to contact City
Foundation:
Slab on Grade
( )
Monolithic
( )
Crawl Space ( )
Water Development Fee:
Fee $_________
Hall at (205)339-7000.
Sewer Development Fee:
Fee $_________
Sewer Service: City
( )
Septic Tank
( )
NOTE TO APPLICANT: Applica-
Water Service: City
( )
Rural - please specify_____________
tion will not be processed until all
Comments:______________________________________________________________
required information is provided and
Construction Type:
applicant signs application.
This per-
Approved By:
______________
Date: _________
Time: _________
mit becomes null and void if authorized
Type I
( )
Type II
( )
Type III
( )
Total Water & Sewer Fees:
$______
work or construction has not begun within
Type IV/1Hr
( )
Type IV
( )
Type V/1Hr ( )
six months of issuance of permit, or if
Check Number:
____________
Type V
( )
Type VI/1Hr
( )
Type VI
( )
work is suspended or abandoned for a
Cash:
____________
period of one year at any time after work
Received by:
____________
has commenced.
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