Town of Mount Olive
Application for Building Permit
Date: _________________
Name of Owner: ______________________________________
Name of Subdivision: ______________________________Lot No._________________
Permanent 911Address: ___________________________________________________
Zoning Certification______________________ Septic Approval___________________
Setbacks: Front_____________ Rear____________ Side_____________________
Flood Area: Yes______ No________ Storm Water: Yes________ No________
Residence: New__________ Add/Remodel Res.__________ Relocated Res.___________
Commercial: ____________ Accessory Bldg: ____________ Pools: _______________¬_
Mobile Home_______________ Other______________
Residence: (Bonus Room Requires a Residence to be 2-story)
Modular Home Set Up - $500.00 Surety Bond Required.
________________________________________________________________________________________
_____
Res. – Unfinished
Heated sq. ft.(to be
No. Stories____ No. Bathrooms___ Siding___ completed later- Heated Sq.
Including bonus room)
Ft__________
________________________________________________________________________________________
_____
Unheated Sq. Ft.
No. Rooms_____ Brick ____ Block ___ Including Garage__________
Total Estimated Construction Cost____________________
Minimum $80.00 per Sq. Ft. Building Cost
Total Fee _________
Late Fee _________
Contr. Fee_________
Total Fee _________
Contractor/Owner
I have less than 3 full-time employees and not required to have workmen’s compensation insurance: _______
Owner: This Building is for my residence/business and will be living/using business for at least 12 months:
______
Contractor: I Have workmen’s compensation insurance as required by G.S. 97 and a current copy is on file in
the Town of Mount Olive Inspections Dept.______
Contractor/Owner: I will be responsible for all subcontractors having workmen’s compensation insurance:
_______
______________________________________
Contractor and/or Owner
______________________________________
Signature
______________________________________
______________________________________
Address
______________________________________
Tele. No. (office) Cell Phone
_______________________________________
Contr. Lic. No.
Note: Double permit fee for all permits not listed prior to construction.
Call for inspections: 1. Footing 2. Foundation 3. Flooring 4. R-in 5. Insulation 6. Final Elec
7. Final House
Complete set of plans ( 1-Residential; 2-Commercial) must be approved prior to building permit being issued.
Application for Building Permit
Date: _________________
Name of Owner: ______________________________________
Name of Subdivision: ______________________________Lot No._________________
Permanent 911Address: ___________________________________________________
Zoning Certification______________________ Septic Approval___________________
Setbacks: Front_____________ Rear____________ Side_____________________
Flood Area: Yes______ No________ Storm Water: Yes________ No________
Residence: New__________ Add/Remodel Res.__________ Relocated Res.___________
Commercial: ____________ Accessory Bldg: ____________ Pools: _______________¬_
Mobile Home_______________ Other______________
Residence: (Bonus Room Requires a Residence to be 2-story)
Modular Home Set Up - $500.00 Surety Bond Required.
________________________________________________________________________________________
_____
Res. – Unfinished
Heated sq. ft.(to be
No. Stories____ No. Bathrooms___ Siding___ completed later- Heated Sq.
Including bonus room)
Ft__________
________________________________________________________________________________________
_____
Unheated Sq. Ft.
No. Rooms_____ Brick ____ Block ___ Including Garage__________
Total Estimated Construction Cost____________________
Minimum $80.00 per Sq. Ft. Building Cost
Total Fee _________
Late Fee _________
Contr. Fee_________
Total Fee _________
Contractor/Owner
I have less than 3 full-time employees and not required to have workmen’s compensation insurance: _______
Owner: This Building is for my residence/business and will be living/using business for at least 12 months:
______
Contractor: I Have workmen’s compensation insurance as required by G.S. 97 and a current copy is on file in
the Town of Mount Olive Inspections Dept.______
Contractor/Owner: I will be responsible for all subcontractors having workmen’s compensation insurance:
_______
______________________________________
Contractor and/or Owner
______________________________________
Signature
______________________________________
______________________________________
Address
______________________________________
Tele. No. (office) Cell Phone
_______________________________________
Contr. Lic. No.
Note: Double permit fee for all permits not listed prior to construction.
Call for inspections: 1. Footing 2. Foundation 3. Flooring 4. R-in 5. Insulation 6. Final Elec
7. Final House
Complete set of plans ( 1-Residential; 2-Commercial) must be approved prior to building permit being issued.
 | |  | |  | |  | |  | |  | |  |