Building Permit Application Form - Mount Pearl
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1Revised: May 2016
Planning and Development Department
City of Mount Pearl
Telephone: (709) 748-1017/1022
3 Centennial Street
Fax: (709) 748-1111
Mount Pearl, NL
E-mail: planning@mountpearl.ca
A1N 1G4
Website:
P E R M I T
A P P L I C A T I O N
CONTACT INFORMATION (To be completed by the applicant):
(Please Print)
Applicant Name:
Property Owner:
(Complete below if different from Applicant)
As:
Contractor
Consultant
Property Owner
Mailing Address:
Mailing Address:
Postal Code:
Postal Code:
Telephone:
Telephone:
Fax:
Fax:
Cellular:
Cellular:
Email:
Email:
NOTE: Applications will not be processed until such time as form is fully completed and all information is received.
PROJECT DETAILS:
(Please Print)
Location of Property:
____________________________________________________________________________
Description of Work/Use: ____________________________________________________________________________
(Detailed)
____________________________________________________________________________
Type of Construction/Use:
Commercial
Residential
Institutional
To Construct
To Extend
To Demolish
To Repair
To Replace
To Occupy
Width:
Length:
Footprint Area:
Finished Floor Area:
Heating Source:
Fireplace:
Electrical:
Plumbing:
Yes
No
Yes
No
Yes
No
Estimated Cost of Construction:
Commencement Date:
Completion Date:
DECLARATION: I hereby submit this application and confirm that the
Please note:
The required Permit Fee (see City’s Schedule of
information supplied is correct and complete to the best of my knowledge.
I agree to comply with all Municipal Regulations, the National Building Code
Rates and Fees) is to accompany the application
2015 Edition and ancillary codes, agree to build in accordance with the plans
form.
Prior to formally submitting an application form, it is
approved by the City of Mount Pearl, and not to commence building without
applicable written approval and permits from the City of Mount Pearl.
advisable that the applicant set up an appointment to
review the application with the Planning and
NOTE: Where the Applicant and the Property Owner are not the same, the
Development Department to ensure that all required
signature of the Property Owner is required before the application can be
information has been supplied and to facilitate
accepted for processing.
application processing.
Applicant: ______________________________________________________
• • • • STAFF USE ONLY • • •
Date: __________________________________________________________
Date Fee(s) Received:
Property Owner: ________________________________________________
Received By:
Date: __________________________________________________________
Receipt #:
FOR APPROVAL (OFFICE USE ONLY)
Building Permit #:
File #:
Occupancy Permit Required
Yes
No
Drawings Supplied
Yes
No
Referred to Council
Yes
No
Fees/Deposits:
Building Permit ____________________
Occupancy Permit _____________________
Service Connection ____________________
Refundable Deposits __________________________________________________________
Landscaping Deposit ____________________
Security Deposit ____________________
Other _______________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
TOTAL DUE _______________________________ APPROVED ______________________
DATE ______________________________
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Parent category: Business