City of Rocky Mount Inspection Services
BUILDING PERMIT APPLICATION
Instructions
: Complete all pertinent fields, then read the information at the bottom of the form. Click the
Submit
button to send the information; click
Clear
to start over.
Applicant Name:
Telephone:
Date:
County Project is located in:
Edgecombe
Nash
Type Project:
Residential, or
Commercial
Project Address:
Parcel Identification Number:
Contractor Name:
State License #:
Address:
Model Home Name Builders Express:
City:
State:
Zip Code:
Telephone:
Project Supervisor:
Telephone:
Description of Proposed Work:
Contractor's Estimate (minus subcontractor cost) $
Type of Building:
New
Alteration
Addition
Repair
Other
Type of Construction:
IA
IB
IIA
IIB
IIIA
IIIB
IVA
IVB
VA
VB
Occupancy (check one):
(A), Assembly
Business
Educational
Industrial
Mercantile
(U), Utility
Hazardous
I unrestrained
I restrained
Other (mixed)
Storage
Single Family
Two Family
Multi-Family
Accessory Building
Demolition
Storage Tanks
Moving House
Building Area:
Width
Depth
Total Area in Sq. Ft.
Area Per Floor
Building Height:
Feet
Number of Stories
Comments:
Please fax a copy of a site plan showing distance from property lines, lot shape, size and relationship to streets to 252-972-1590.
I hereby certify that all the information in this application is correct and all work will comply with the State Building Code and all other applicable State and local laws, ordinances and regulations. The Inspection Department will be notified of any changes in the approved plans and specifications for the project permitted herein. I further understand that this is
NOT
an authorization to begin work.
Work may only commence after approval and issuance of the permit.
Owner/Applicant E-mail Address:
daytime phone: