Performance Bond Application Form - Metropolitan Nashville Planning Department

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Metropolitan Nashville Planning Department
Voice:
615.862.7202
Metro Office Building
Fax:
615.880.2450
800 Second Avenue South
E-mail:
bond.desk@nashville.gov
Nashville, TN 37201 **
** For overnight express mail, use zip code “37210” to ensure
a 2 to 3 day delay in delivery does not occur.
P
B
A
erformance
ond
pplication
APPLICATION FEE: $285.00
___ New Bond
____ Extension of Existing Bond
___ Replacement Bond
Requested period of extension: ___________
Reason for Replacement_________________________________________________________
___ Bond Reduction
____ Bond Release
Subdivision No._________________
Subdivision Name
_______________________________
Phase No._____ Section No. ______
Former Subdivision Name (if any): ________________________________________________________
Residential Buildout
Commercial Buildout
Total Approved Lots ________
Has site received a use and occupancy
Total Lots Built*
________
permit*?
Buildout %
________
____yes
____no
*Build out information is required. If you have exceeded 75% buildout or have at least one commercial building that has been given
a use and occupancy permit, please give a detailed reason below for your requesting an extension.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
DEVELOPER INFORMATION
Developer Name: _____________________________________________________________________________
Address: _____________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________
Contact Name: ___________________________________________ Title: ________________________________
Phone 1: _____________ Phone 2: __________________ Fax: ______________ Email: ____________________
______ Corporation (resolution required for new bonds)
______ L.L.C (resolution required for new bonds)
______ Sole Proprietorship or Individual
______ Joint Venture
______ General Partnership
______ Limited Partnership
SIGNATURE: _________________________________________ DATE: ___________________
SECURITY INFORMATION
(Bank or Insurance Company)
Company Name: ______________________________________________________________________________
Address: _____________________________________________________________________________________
City/State/Zip: ________________________________________________________________________________
Contact Name: ___________________________________________ Title: ________________________________
Phone 1: _____________ Phone 2: __________________ Fax: ______________ Email: ____________________
_____ Irrevocable Letter of Credit
______ Assignment of Certificate of Deposit
_____ Surety Bond
______ Cashiers or Certified Check
SECURITY REQUIREMENTS
Surety Bond – must be issued by an insurance company licensed to do business in Tennessee and must be non-expiring.
Irrevocable Letter of Credit – must be issued by or confirmed by a bank located within Davidson County, Tennessee or any
adjoining county and shall bear an expiration date no less than six months beyond expiration of the Performance Agreement.
Cashier’s or Certified Check
Assignment of Certificate of Deposit –from a bank located in Davidson County, Tennessee or any adjoining county, must be non-
expiring and have automatic roll over features.
Ver. 2.0 Rev. 6/29/07

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