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Stand Alone Permit Application - Fayette County Government

Stand Alone Permit Application - Fayette County Government

Stand Alone Permit Application - Fayette County

FEES $100.00 Permit Fee unless noted different $ 50.00 or $150.00 Plan Review Fee - if required $ 25.00 Plan Revision Fee – as needed 3. TYPE OF STRUCTURE (CHECK ALL THAT APPLY): Fayette County Permits & Inspections Department 140 Stonewall Avenue West · Suite 201 · Fayetteville, GA 30214 Phone: 770-305-5403 Fax 770-305-5258 Web: http://www.fayettecountyga.gov/bldg_permits/infobldg.asp STAND ALONE PERMIT APPLICATION 1. STRUCTURE TYPE (CHECK ONE): RESIDENTIAL COMMERCIAL FOR DEPARTMENTAL USE ONLY PERMIT NO.: RECEIVED BY / DATE: PAGE 1 of 3 REVISED: 2012 2. PROPOSED PROJECT (CHECK ALL THAT APPLY): REPAIR REPLACEMENT NEW OTHER: _______________________ COMM. BLDG CABANA FARM OUTBUILDING GREENHOUSE POOL SIGN HOUSE CARPORT GARAGE MANF. / MOBILE PORCH STORAGE BLDG. BARN DECK GATE RETAINING WALL SUNROOM TOWER BASEMENT FIREPLACE GAZEBO PAVILION OTHER:__________________________________ 4. TYPE OF PERMIT (CHOOSE ONE CATEGORY ONLY): ELECTRICAL PLUMBING MECHANICAL CABLING / PANEL WORK LIGHTING/RECEPTACLE/SWITCHES SEASONAL LITES -- RECONNECT SEPTIC LIFT PUMP SERVICE CHANGE SERVICE RECONNECT/EVALUATION T-POLE * #SERVICE UPGRADE * REQUIRES PLAN REVIEW IF UPGRADING FROM SINGLE PHASE TO THREE PHASE SERVICE *UTILITY POWER SUPPLY * #ELECTRIC HEATING UNIT * #GENERATOR / TRANSFER SWITCH * #NEW ELEC. SERVICE * #PANEL / METERBASE UPGRADE *SEASONAL LITES – NEW * #SERVICE UPGRADE * #SOLAR PANELS *OTHER____________________________ # REQUIRES PLAN REVIEW RESIDENTIAL * REQUIRES PLAN REVIEW COMMERCIAL *BATHTUB/SHOWER *DISHWASHER *FLOOR DRAIN *GARBAGE DISPOSAL *GASLINE * #GEOTHERMAL SYSTEM *GREASE TRAP / OIL SEPARATOR *SINK / TUB *TOILET / BIDET / URINAL *WASHING MACHINE * #WATERLINE * #WATER FOUNTAIN WATER HEATER CHANGE WELL PUMP *OTHER_____________________________ __ # REQUIRES PLAN REVIEW RESIDENTIAL * REQUIRES PLAN REVIEW COMMERCIAL 5. OWNER’S INFORMATION: EMAIL: NAME: ADDRESS: ____ BASE HVAC PERMIT $100.00 (INCLUDES FIRST (2) PIECES OF EQUIPMENT- EX: AIR HANDLER, FURNACE, GROUND MOUNTED HEAT PUMP) _____Add $50.00 for number of additional pieces over the first (2) pieces RESIDENTIAL ONLY: Exclude from # of pieces the installation or replacement of NON Heat Pump exterior ground mounted air conditioning units *Installation of new system requires plan review, provide full electrical calculations and HVAC plans * # GASLINE * #GEOTHERMAL SYSTEM *RANGE HOOD * CHILLER CHILLER ALSO INCLUDES SA ELEC. FEE *STOVE / COOKTOP *RANGE HOOD *OTHER______________________________ # REQUIRES PLAN REVIEW RESIDENTIAL * REQUIRES PLAN REVIEW COMMERCIAL CITY: STATE: ZIP CODE: DAY PHONE NO.: CELL NO.: FAX NO.: 6. APPLICANT’S / CONTRACTOR’S INFORMATION: EMAIL: NAME: TITLE (CONTRACTOR, OWNER, ETC.): BUSINESS NAME: BUSINESS LIC. NO.: GA STATE LIC. NO.: GEORGIA STATE LIC. TYPE: GEORGIA LIC. EXPIRATION DATE: ADDRESS: CITY: STATE: ZIP CODE: Page 1 of 3

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