2005 NFC - River Rouge, Michigan



|B 2006 B |

|Authority: 1972 PA 230 |

|Completion: Mandatory to obtain permit. |

|Penalty: Permit cannot be issued |

Commercial Building Permit Application

City of River Rouge Building Department

10600 W. Jefferson River Rouge, MI 48218

(313) 842-4209 Fax: (313) 842-4208

JOB LOCATION:__________________________________________ DATE:_____________________________

All permit requests must have an address to be processed.

Property ID number Subdivision Zoning

____ Old Bldg. ____ New Bldg. ____ New ____ Replacement

Contractor Information:

__________________________________________________________________________________________________

Contractor’s Name License Number Date Issued

__________________________________________________________________________________________________

Address City State ZIP Code

___________________________________________________________________________________________________________

Telephone Number Federal ID Number

___________________________________________________________________________________________________________

Worker’s Compensation Carrier Licensee’s Signature

Owner of Property Information:

Owner’s Name: _____________________________________________ Phone#:__________________________________________

Owner’s Address: ____________________________________________________________________________________________

Owner’s Address City State ZIP code

Application Fee $25

Registration Fee ($15 Reg., $15

Processing) $30

Permit Cost is based on the cost of the Construction Job

Total Cost of Construction Job: $________________

TOTAL PERMIT FEES =

1% OF COST OF JOB:

$______________

*$100 Bond

Check Here If:

□ FENCE PERMIT

□ SIGN PERMIT

□ DEMOLITION PERMIT

Type of Structure: _____________________

Scope of Work:

_____________________

Rough Inspection: $50 each

Plans or drawings may be required before permit will be issued.

Contact Building Department before submitting permit.

(313) 842-4209

_________________________________

Rough inspections are required on all structural work. Failure to comply will result in an unapproved permit.

This is not a permit. Installation may not commence until a Building permit has been secured. A copy of the permitee’s State of Michigan Photo ID/Driver’s license is REQUIRED. A copy of the licensee’s State of Michigan Electrical License is REQUIRED (Registration fee $30). An original application with original signatures must be submitted for processing. Self addressed stamped envelopes must be submitted with all mail-in permits.

Section 23a of the State Construction Act of 1972, 1972 PA 230, MCL 125.1523A, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential building or a residential structure. Violators of section 23a are subject to civil fines.

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