TOWN OF HUACHUCA CITY

BUILDING PERMIT APPLICATION

DATE:
APPLICANT NAME: MAILING ADDRESS: PHONE:

PERMIT #
FAX:

JOB ADDRESS:

TAX PARCEL #

BUILDING USE:

LOT #:

BLOCK:

SUBDIVISION:

PLEASE ATTACH COPY OF LEGAL EISCRIPTION: PHONE: FAX:

OWNER NAME:

MAILING ADDRESS:

GENERAL CONTRACTOR:

MAILING ADDRESS:

PHONE:

FAX:

ELECTRICIAN NAME:

MAILING ADDRESS:

PHONE:

FAX:

PLUMBER NAME:

MAILING ADDRESS:

PHONE:

FAX:

HEATING/COOLING CONTRACTOR:

MAILING ADDRESS:

PHONE:

FAX:

ARCHITECT/DRAFTSMAN

MAILING ADDRESS:

PHONE:

FAX:

ENGINEER:

MAILING ADDRESS:

PHONE:

FAX:

CLASS OF WORK:

NEW CONSTRUCTION ALTERATION/UPDATE FENCE MOVE BUILDING

ADDITION TO EXISTING STRUCTURE REPAIR SIGN REMOVE BUILDING

DESCRIBE WORK:

CHANGE OF USE FORM: CHANGE OF USE TO: TOTAL AREA: PLEASE SUBMIT THE FOLLOWING WITH THIS APPLICATION:

ESTIMATED VALUE OF WORK:

DETAILED DRAWINGS AND SPECIFICATIONS TO INCLUDE: MATERIALS TO TBE USED FOUNDATION DETAIL - ELECTRICAL/PLUMBING/ HEATING AND COOLING LAYOUTS ROOF/WALL DETAILS, ETC. GIVE AS MUCH INFORMATION AND DETAIL AS POSSIBLE. NEW RESIDENTIAL CONSTRUCTION IS REQUIRED TO HAVE 2 SETS OF FULL BLUEPRINTS AND SPECIFICATIONS DRAWN BY AND ARCHITECT OR DRAFTSMAN. NEW COMMERCIAL CONSTRUCTION IS REQUIRED TO HAVE 2 SETS OF FULL BLUEPRINTS AND SPECIFICATION DRAWN BY A LICENSED ARCHITECT.

FOR YOUR INFORMATION:

ANY PLUMBING, ELECTRICAL, OR HEATING/COOLING WORK PERFORMED ON RESIDENTIAL OR COMMERCIAL PROPERTIES MUST BE DONE BY A LICENSED C ONTRACTOR IN THE FIELD. ALL WORK PERFORMED ON A COMMERCIAL PROJECT MUST BE DONE BY LICENSED COMMERCIAL CONTRACTORS IN THE APPROPRIATE FIELD. THE FOLLOWING PLAN CHECK FEE IS DUE WHEN THIS APPLICATION IS SUBMITTED TO THE TOWN OF HUACHUCA CITY AND IS NONREFUNDABLE . THE PLAN CHECK FEE DOES NOT INCLUDE THE PERMIT FEE. THE BUILDING OFFICIAL WILL PERFORM THE PLAN CHECK, THEN UPON APPROVAL WILL SUBMIT THE PERMIT WITH THE APPROPRIATE PERMIT FEES TO BE COLLECTED THE VALUATION OF THE WORK TO BE PERFORMED WILL BE DETERMINED BY APPLYING THE BUILDING VALUATION SCHEDULE ADOPTED BY THE TOWN OF HUACHUCA CITY. THE PERMIT FEE WILL BE FIGURED BASED ON THIS VALUATION. TO BE FILLED OUT BY HUACHUCA CITY PERSONNEL VALUATION: OTHER FEES COLLECTED: TOTAL AMOUNT COLLECTED: EVIDENCED BY: PLAN CHECK FEE: DATE:

DIRECTION FR ONT

STREE T

P RO P E R TY L IN E P R O P E RTY L IN E

25' 7' 7' 20' NOTE: OUTLINE ADDITIONS AND CONTEMPLATED WORK INSIDE THE DOTTED LINES OUTLINE CURRENT BUILDINGS WITHIN THE SOLID LINES