BUILDING
PERMIT APPLICATION
SCOTTSBORO, ALABAMA
Application is hereby made for a BUILDING PERMIT as
required under the Zoning Ordinance of the City of Scottsboro for the
erection, moving or alteration, and use of buildings and premises. In making this application the applicant represents
all of the following statements and attached maps and drawings as a true description
of the proposed new or altered uses and/or buildings. The applicant agrees that the permit applied
for, if granted, is issued on the representations made herein, and that any
permit issued may be revoked without notice on any breach of representations
or conditions.
1. LOCATION OF PROPOSED CONSTRUCTION:
Address
Block No. Lot No.
Owner of premises:
Name Address
Contractor
Construction located in Zoning District; in Fire District
(name district) (yes
or no)
2. PROP0SED CONSTRUCTION:
Proposed cost of
construction: $
3. LAND:
Size of lot: ft. x ft.;
sq. ft. of lot.
Area covered by buildings including
existing structures upon completion of proposed construction:
sq. ft.
Percentage of lot covered by buildings
per cent.
4. PLANS AND SPECIFICATIONS:
A plat
showing location and dimensions of lot and of existing and proposed buildings
on the lot is ( )
attached. ( )
on back of this form.
Plans and
specifications for proposed construction are
( ) attached. ( ) not required by the
Building Inspector.
5. SPECIAL EXCEPTIONS:
A variance or special exception to
provisions of the Zoning Ordinance is requested?
It is
understood that any permit on this application will not grant any right or
privilege to erect any structure or to use any premises herein described for
any purpose or in any manner prohibited by the Zoning Ordinance, or by other
ordinances or regulations of the City of Scottsboro.
Building Permit No.
Applicant
or Authorized Agent
Date: Approved
by the Board of Zoning Adjustment
Approved: Date:
Building
Inspector