Online Building Permit

Residential Building Application

1. Check Box if Property is in a Floodzone Please Select Yes No
2. Firm Number

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3. Builder/subcontractor:
4. Phone No.
5. Address:
6. City:
7. State: Alabama
8. Zip Code:
9. Cell Ph.
10. Fax No.
11. E-mail:
12. Al. Reg. No.
13. County Lic. No.

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14. Owner (if other than Homebuilder)
15. Owner Address:
16. City:
17. State: Alabama
18. Zip Code:
19. Phone:
20. Cell:
21. E-mail/Other:

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22. Building Address (911):
23. City:
24. State: Alabama
25. Zip Code:
26. Subdivision Name:
27. Lot:
28. Blk: (If Applicable)
29. Proposed Use:
    One Family
    Multi-Family
    
30. Other-specify:
31. Owner (if other than builder):
32. Phone No.
33. Owner Address:
34. City:
35. State: Alabama
36. Zip Code:

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37. Building Size: Front (ft)
38. Side (ft)
39. No. of stories
40. Foundation (sq. ft)
41. (1) Total Non-Heated Area - including covered porches, attached/detached garages & storage building(s) in sq. ft. =
42. (2) Total Heated Area in sq. ft =
43. Sum of Area (1) and (2) in sq. ft =
44. Lot Size: Front (ft)
45. Side (ft)
46. Or, No. Acres or Total Area (sq. ft.)

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47. Principal type of house:
    Masonry
    Wood
    Brick Veneer
    Vinyl Siding
    
48. Other:
49. Number of bedrooms:
50. Number of bathrooms:
51. Principal type of heat:
    Gas
    Electricity
    
52. Other:
53. Type of Sewage disposal:
    Public or private co.
    Individual (septic tank, etc.)
    
54. Type of Water Supply:
    Public or private co.
    Individual (well)
    
55. Approved onsite septic system permit number

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I hereby acknowledge that I have read this application and state that the above information is true and correct. I agree to comply with all adopted building codes and other laws regulating building construction.

I hereby acknowledge that I have a valid E-911 address, and the Floodplain Manager's Office has checked the F.I.R.M. maps to ensure the property is not in a floodzone.

As a permittee, I hereby agree to protect all public improvements and public utilities adjacent to or serving the property on which the permitted building is located.

I further agree to be financially responsible for any repairs for damage to said public improvements caused as a direct or indirect result of construction permitted hereby.

I hereby acknowledge that I have read and received a copy of the Houston County Right of Way Encroachment Policy

56. Permittee Name
57. Signature
58. Date