Form Center

2. 
3. ROOFING PERMIT
5. Job Site Address:*
6. Date:*
   Date:

   Date:
8. Permit Fee: $25.00
10. PROPERTY OWNER:
12. Name:*
14. Address:*
16. City:*
17. State:*
18. Zip Code:*
20. Phone Number:*
21. Email Address:*
23. PROPOSED PROJECT: ROOFING PERMIT
25. General Requirements
    Roofing - General Requirements
27. GENERAL CONTRACTOR:
29. Name:*
30. Email Address:*
32. Address:*
34. City:*
35. State:*
36. Zip Code:*
38. Phone Number:*
40. Contact Person*
41. Contact Person Phone Number*
43. Email Address:
45. Existing Roof Covering*
    -- Select One --AsphaltSteelWoodShakeOther

    Select the type of roof covering currently on the structure.
46. Existing Roof Covering - Other*
    If you selected "other" please list the type of roof covering currently on the structure.
48. Proposed Roof Covering*
    -- Select One --AsphaltSteelWoodShakeOther

    Select the type of roof covering proposed for replacement.
49. Proposed Roof Covering - Other*
    If you selected "other," please list the type of roof covering proposed for replacement.
51. Roofing Permit is valid for one year from the date of issuance.
53. Historic Review Acknowledgement*

    1. I agree

    I understand that if my property is located in a historic district or on the state or national register, it may take additional time to be reviewed and for a permit to be issued. If my property is located in a historic district or on the national or state register I understand that there may be additional information and forms to submit. 

55. 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.

    1. I agree.
57. Electronic Signature
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field