Action Center / PERMITS - Building Permit Application / Sulphur, Louisiana

BUILDING PERMIT APPLICATION

Date of Application*

MonthDay Year,

811 Number

Phone Area Code-Phone 3-Phone 4

Owner Information

Owner Name*

Please Do Not Complete The Following Field

Owner's Physical Address*

Owner Email Address*

Confirm Owner Email Address*

Owner Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Contractor Information

Contractor Name*

Contractor's Physical Address*

Contractor Email Address*

Confirm Contractor Email Address*

Contractor Office Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Contractor Mobile Phone Number

Phone Area Code-Phone 3-Phone 4 ext Extension

Job Information

Type of Job*

Physical Address of Job*

Description*

SQ Feet*

Cost of Job*

$

Fees

Phone number of person paying fees*

Phone Area Code-Phone 3-Phone 4 ext Extension

Email of person paying fees & receiving application confirmation*

Confirm Email of person paying fees & receiving application confirmation*

Disclaimers

I agree to the disclaimers.*

Yes

The above work shall be performed by the undersigned permitted property owner or a licensed and bonded Contractor. All construction shall comply with the appropriate International Building code. Construction must commence within 180 days from the date the permit is issued.

Notice\Disclaimer - the Permittee/Landowner and their transferee(s), heir(s) and assign(s) are responsible for compliance with any and all building restrictions. NO permit issued by the City of Sulphur authorizes violation of building restrictions. Furthermore, the City of Sulphur does not conduct any search of the records related to any restrictions, limitations of use or any other encumbrances.

TERMINATION OF PERMIT BY OWNER. In the event of termination or cancellation of a permit by an owner, the owner must notify the City in writing of said termination and notify the City if the name of the substitute or replacement contractor, if any. The permit shall be amended effective on the date of notice of the substitute or replacement contractor form from the owner. The owner shall pay the sum of $60.00 for the substitution and/or replacement of a contractor.

PERMITS - Building Permit Application

PERMITS - Building Permit Application

BUILDING PERMIT APPLICATION

Owner Information

Contractor Information

Job Information

Fees

Disclaimers

FOR OFFICE USE ONLY

ENTERED BY: __ DATE: _

PERMIT #: _____ FLOOD ZONE: _ INSPECTOR: ______

Dialog Title

PERMITS - Building Permit Application

PERMITS - Building Permit Application

BUILDING PERMIT APPLICATION

Owner Information

Contractor Information

Job Information

Fees

Disclaimers

FOR OFFICE USE ONLY

ENTERED BY: ______________________________ DATE: _____________________________

PERMIT #: ___________ FLOOD ZONE: _____________ INSPECTOR: ____________

Dialog Title

ENTERED BY: __ DATE: _

PERMIT #: _____ FLOOD ZONE: _ INSPECTOR: ______