| City of Fort Oglethorpe, Georgia | ||||||
| Building Permit | ||||||
| 7/8/2009 | ||||||
| Property Location | Description of Work: | |||||
| Subdivision: | Construction Cost: | |||||
| Lot Number: | Total Valuation | Fee | Quantity | Total Fee | ||
| Physical Address: | ||||||
| First $1,000 or Less | $15.00 | $0.00 | ||||
| Owner Information | $1,001 to $50,000 | $15.00 | $0.00 | |||
| ($15.00 + $5.00 per each | $5.00 | $0.00 | ||||
| Name: | additional $1,000) | |||||
| Address: | ||||||
| City, State Zip | $50,001 to $100,000 | $260.00 | $0.00 | |||
| Phone Number: | ($260.00 + $4.00 per each | $4.00 | $0.00 | |||
| additional $1,000.00) | ||||||
| Contractor Information | $100,001 to $500,000 | $460.00 | $0.00 | |||
| ($460.00 +$3.00 per each | $3.00 | $0.00 | ||||
| Name: | additional $1,000.00) | |||||
| Business Name: | ||||||
| Address: | $500,001 and up | $1,660.00 | $0.00 | |||
| City, State Zip: | ($1,660.00 + $2.00 per each | $2.00 | $0.00 | |||
| Phone Number: | additional $1,000.00) | |||||
| License Number: | ||||||
| Issue Fee | $20.00 | $20.00 | ||||
| Sub Total | $20.00 | |||||
| Type of Construction | Plan Review Fee (if applicable) | $10.00 | $0.00 | |||
| Permit Fee | $20.00 | |||||
| [] New Construction [] Alteration [] Addition | Admin Fee | $5.00 | $5.00 | |||
| Total Permit Cost | $25.00 | |||||
| Property Use | ||||||
| [] Residential [] Commercial [] Industrial | ||||||
| Signatures | Notice | |||||
| Contractor: | THIS DOCUMENT BECOMES THE BUILDING PERMIT | |||||
| WHEN SIGNED FOR OR BY THE CHIEF BUILDING OFFICIAL | ||||||
| Building Official: | ||||||