Section 307 of the Uniform Building Code states that no building or structure "shall be used or
occupied, and no change in the existing occupancy classification of a building or structure or
portion thereof shall be made until the building official has issued a Certificate of Occupancy
therefor as provided herein". All required electrical, gas, mechanical, plumbing and fire protection
systems must be inspected for compliance with the technical codes and other applicable laws and
ordinances and released by the Building Official.
Please be complete and specific. This application does not constitute permission to begin work or
occupy building. Each individual trade that performs work is required to secure their own permits.
(i.e. Building, Electrical, Plumbing and Mechanical). NAME OF BUSINESS:____________________
BUILDING ADDRESS ____________________________________ZONE__________________
OWNER/APPLICANT__________________________ADDRESS_________________________
BUILDING OWNER__________________________ ADDRESS__________________________
CONTACT PHONE NUMBER__________________DATE OF APPLICATION_____________
LOT__________BLOCK__________ CB_____TYPE CONSTRUCTION___________________
CURRENT USE OF BUILDING____________________________________________________
PROPOSED USE OF BUILDING___________________________________________________
WILL ALCOHOL BE SERVED?______TYPE____________(ON) (OFF) PREMISE___________
(A separate State and City alcohol license must be obtained)
WILL FOOD BE SERVED? (EXPLAIN)______________________________________________
Is property located in an Identified Flood Hazard Area.? (YES) (NO)
If in a Flood Hazard Area complete a Flood Plain Development Permit.

WILL CONSTRUCTION WORK BE PERFORMED BEFORE OCCUPYING BUILDING?_____
BUILDING__________________ CONTRACTOR_____________________________________
ELECTRICAL________________CONTRACTOR_____________________________________
PLUMBING_________________ CONTRACTOR_____________________________________
MECHANICAL_______________CONTRACTOR_____________________________________
OTHER____________________CONTRACTOR______________________________________
(Inspector(s) must be contacted to inspect and approve all work performed under applicable
permit. Do not cover plumbing, electrical, mechanical, or construction work required until
work has been inspected and approved).
DATE AND TIME BUILDING WILL BE OPEN FOR INSPECTION_______________________

FOR OFFICIAL USE ONLY

SQ. FT._________ OCC.LOAD_______ RESTROOMS: MEN - URINALS_____TOILETS_____
WOMEN - TOILETS_____ HANDICAP ACCESSIBLE_____ (REQUIRED: YES NO)
TYPE OF VENTILATION IN RESTROOMS: WINDOWS_______MECHANICAL___________
CONSTRUCTION TYPE_____ GROUP_____FIXED SEATING (YES) (NO)?
FIRE COMMENTS______________________________________________________________
______________________________________________________________________________
APPROVED____________ DISAPPROVED__________________DATE___________________
HEALTH COMMENTS___________________________________________________________
______________________________________________________________________________
BUILDING COMMENTS_________________________________________________________
______________________________________________________________________________
APPROVED_______________ DISAPPROVED________________ DATE_________________