David M. Frings Mayor
Steve Sims Building Official
Marsha Massey City Clerk
Melissa Krebs Senior Clerk
Department of Building Safety Mechanical Permit Address_______________________________________________________________________ Subdivision _______________________________________________Lot _________________
Owner/Occupant__________________________
Mechanical Contractor________________________________
Address_________________________________
Address___________________________________________
Phone __________________________________
Phone ____________________________________________
Type of Occupancy: Work to be done:
Commercial ________ Building Addition ___
Residential _______ New Building _____
Institutional _________ Existing Building_____
Total Valuation
Fee
$101 to $1,000
$25
$1,001 to up
$13.50 for first thousand plus $6 for each Additional thousand or fraction thereof
$ ______________valuation
$_________________Fee Total
Signatures By signing this application, I hereby certify that all information herein is true and correct and I agree to be personally responsible to the City of Alabaster for any and all code violations and code enforcement actions associated with this building application and the construction contemplated herein, whether such actions or inactions were performed by me, my company, employees, contractors or sub contractors. Name (print): _________________________________________ Signature: _____________________________________________________ Notary: ____________________________________ Sworn to and subscribed before me this the _________ day of ________, _______
________________________________ Signature of Certified HVAC or Representative
__________________ Date
_________________________________ Current HVAC Certificate #
__________________ Permit # __________________ Total cost of Permit
10052 Highway 119, Alabaster, Alabama 35007 Phone 205-664-6823 Fax 205-664-6851