Real Estate Permitting Documents

REAL ESTATE PERMITTING DOCUMENTS

1. Property Identification

Property Address:

2. Applicant and Responsible Parties

3. Permit Details and Scope of Work

Type of Permit (check all that apply):

Building    Electrical    Plumbing    Mechanical    Change of Occupancy

Estimated Construction Value: $

Proposed Start Date:    Proposed Completion Date:

4. Supporting Documents Checklist

The applicant certifies that the following documents are submitted or will be submitted prior to permit issuance (check applicable):

Construction Plans / Drawings
Specifications / Structural Calculations
Energy Compliance Documentation
Geotechnical Report
Waste Management / Erosion Control Plan
Other (describe below)

5. Health, Safety and Hazard Disclosures

Lead-based Paint Present: Yes No

Known Asbestos or Hazardous Materials: Yes No

6. Inspections, Fees and Financial Terms

Required inspections will be scheduled in accordance with the permit conditions. Applicant acknowledges responsibility for scheduling inspections and obtaining approvals prior to concealment of work.

Permit Fee: $    Plan Review Fee: $

Deposit / Escrow (if required): $

Late Payment and Reinspection Fees: Applicant agrees that unpaid fees may incur additional charges and that reinspection fees may apply where required corrections were not completed.

7. Legal Conditions, Compliance and Indemnity

By submitting this application, the Applicant certifies that the information contained herein is true and correct to the best of Applicant’s knowledge. Applicant agrees to comply with all applicable building codes, zoning ordinances, environmental regulations and permit conditions. Issuance of a permit does not relieve the Applicant from responsibility to obtain any required approvals from other public agencies.

Applicant agrees to indemnify and hold harmless the permitting authority, its officers, agents, and employees from and against all claims, damages, losses and expenses arising out of or resulting from the performance of work under the permit, except to the extent caused by the gross negligence or willful misconduct of the permitting authority.

Permit may be suspended or revoked for false statements, failure to obtain required inspections, nonpayment of fees, or noncompliance with permit conditions. Applicant is responsible for correcting any unsafe or noncompliant work upon notice.

8. Certification and Authorization

Certification: I hereby certify under penalty of perjury that I am authorized to act on behalf of the applicant and that the information and documentation provided in connection with this application are true, complete and correct. I authorize representatives of the permitting authority to access the property for inspection purposes during normal business hours and after reasonable notice where required by law.

9. Records and Notice

Applicant shall maintain records of inspections, tests, and approvals and shall provide such records to the permitting authority upon request. Notices required under this application shall be in writing and shall be delivered to the contact information provided above.

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