FACTORY BUILT-BUILDING INSTALLATION PERMIT APPLICATION

Before filling out this form, please see the permit application instructions here to ensure the information on your application is complete.
You will be able to electronically submit required documents after completing this page.






  To make a correction or modification to an existing permit application submitted or denied, check here.


Owner Information

Name  

Email Address

Phone Number

Street Address  

City   State

Zip Code

Installation Address

Address  

City   State

Zip Code

Description

Unit Manufacturer  

Serial Number  

Insignia

Installation Plan Approval Number

Building Size (no decimals and round to nearest whole number) Feet X Feet = lineal feet

Building Type

Occupancy Type

Number of Stories

Duration


Fire Systems

Fire Sprinkler System:
Local fire authority having jurisdiction:


Fire Alarm System:
Local fire authority having jurisdiction:

Dealer Information

Company Name  

License Number Classification

Phone Number

Email Address

Street Address

City State

Zip Code

Permit Purchaser

Name  

Phone Number  

Email   (Important - This email will be used to track and manage your application)  

Properly Licensed Entity(s) Performing Work

To add additional Installers and/or Contractors, click on "Add Additional Installer/Contractor" button below.

Contractor's Company Name

License Number License Classification

 

Phone Number

Email Address

Street Address

City State

Zip Code














Other Work (If you have checked 'Other'):