David M. Frings Mayor
Steve Sims Building Official
Marsha Massey City Clerk
Melissa Krebs Senior Clerk
Department of Building Safety Residential Permit Application Subdivision: ______________________________________________Lot#____________ Address: ______________________________________________________________________________ *********************************************************************************************************************
Contractor Company Name: _______________________________________________ Phone: (_____) _________________ Address: _______________________________________________City: __________________State:_____ Zip: ___________ Contact Person:-__________________________________ Phone: (_____) ________________Nextel:____________________ Building Owner _________________________________________________________ Phone: (______) __________________ Address: _______________________________________________City:__________________ State: _____Zip:___________ State Homebuilder’s License Number (required) _________________________ *********************************************************************************************************************
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 ________, ______ ********************************************************************************************************************* Perk Test: ____________ Lot Drainage (Ordinance#94-348):_____________ Full Dimension Plot Plan: __________________
Zoning: _______ Front Setback: ________ Side Setback ________ Rear Setback ________ *********************************************************************************************************************
Permit # _________________
report code _________
Total Permit Cost ____________
Valuation Amount $________________ Total square footage___________ Permit Cost____________ Occupancy ___________________ Plan Review ___________ New Construction Addition Renovation Construction Type______________ Site Review____________ Type of Heat __________________ Basement______________ Is this property in the 100 year flood plain? Yes No Has the water tap been paid? Yes No Garage ________________ Has the sewer tap been paid? Yes No All subs Included? Yes No
10052 Highway 119, Alabaster, Alabama 35007 Phone 205-664-6823 Fax 205-664-6851