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Reroof Permit Application

  1. Office Use Only
    Date: _____________ Permit #: _____________________ PID #: _____________________ Notes: ________ Total: $________________
  2. Property Type*
  3. Construction Type*
  4. The Applicant Is*
  5. If applicant is other, describe.
  6. Property Owner Contact Information
  7. Contractor Contact Information (if applicable)
  8. Provide a detailed description of the work that will be done.
  9. Is this a PARTIAL reroof? (a permit is required for replacing 100 sq ft or more):*
  10. Please indicated structure(s) being reroofed:*
  11. Payment*
    Permits must be paid for before issued.
  12. Receipt of Permit*
    All permits with plans will need to be picked up.
  13. Indicate who to contact for payment.
  14. Reroof Permit Application Terms & Conditions*
    I hereby apply for a Reroof permit, and I acknowledge that the information above is complete and accurate; that I understand this is not a permit and work is not to start without a permit. I understand and hereby agree that the work for which the permit issued shall be performed according to; (1) the conditions of the permit; (2) the approved plans and specifications; (3) the applicable city approvals, ordinances, and codes; and, (4) the state building/mechanical codes and regulations. I understand that the permit will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a period of 180 days any time after work has commenced; and, that I am responsible for ensuring that all required inspections are requested in conformance with the state building code.
  15. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  16. Leave This Blank:

  17. This field is not part of the form submission.