Grady County Code Enforcement

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

CK # ______

REC # ______

Residential Housing Permit Application

Property Owner’s Information:

Name: ______

Current address: ______

City: ______State: ______Zip code: ______

Phone Number: (Daytime) ______(Alternate) ______

E-mail address: ______

Property Location:

Land Lot: ______Land District: ______Map: ______Parcel: ______

Property address: ______

City: ______State: ___GA_ Zip code: ______

Name of subdivision (If applicable): ______Lot number: ______

Applicant Information (If not Property Owner):

Name: ______

Current address: ______

City: ______State: ______Zip code: ______

Phone Number: (Daytime) ______(Alternate) ______

Contractor Information:

Contractor’s name: ______

Contractor’s address: ______

City: ______State: ______Zip code: ______

Phone Number: (Daytime) ______(Alternate) ______

State certification number: ______Expiration date: ______

Type of Building Permit Requested:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Single Family Dwelling

Two Family Dwelling (Duplex)

Utility / Storage

Addition

Remodel (Explain)

Other (Explain)

Manufactured Home (Single Section) Addition

Manufactured Home (Multi Section) Addition

DCA Modular Home

Garage

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Explanation: ______

______

______

Building Information: (Please fill in all pertinent information)

Total cost of construction: $ ______

Building dimensions (Foot print): ______

Total square footage of building:

Heated: ______Sq ft.Unheated: ______Sq ft.

Total Square Footage per Floor:

Basement (Heated): ______Sq ft.1st Floor (Unheated): ______Sq ft.

Basement (Unheated): ______Sq ft.2nd Floor (Heated): ______Sq ft.

1st Floor (Heated): ______Sq ft.2nd Floor (Unheated): ______Sq ft.

Number of Stories:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

1

1 ½

2

2 ½

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Foundation Type:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Basement

Crawlspace

Slab

Combination

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Foundation Material:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Block

Concrete

Brick

Stone

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Exterior Materials:(Please check all that apply)

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Brick

Vinyl

Stone

Wood

Block

Metal

Concrete

Stucco

Hardi-Plank

Other

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Explain Other: ______

Roof Framing:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Truss

Stick

Combination

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Roofing Material:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Shingles

Concrete

Roll Roofing

Wood shingles

Metal

Membrane

Slate

Other

Tiles

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Explain Other: ______

ACCESS SHALL BE FURNISHED BY INSTALLER FOR ALL MANDATORY INSPECTIONS

CONTRACTOR MUST READ AND INITIAL.

INSPECTION REQUIRED: FLASHING – SHINGLE NAILING PATTERN – LATHING

SCREW PATTERN – INSPECTIONS OF ANY SHEATHING REPLACED OR REPAIRED. ______

Garage:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Attached

Detached

No Garage

Carport

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

(Heated): ______Sq ft(Unheated): ______Sq ft

Number of Rooms:

______Bedroom(s)______Half bathroom(s)

______Full bathroom(s)______Kitchen(s)

______Total number of rooms

Number of Fireplace(s):

______Wood Fireplace(s)______Gas Fireplace(s)

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Masonry

Pre-fabricated

Insert

Wood Stove

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Fuel Type:

Wood

Propane

Natural Gas

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Type of Heating System:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Electric

Heat Pump

Gas

Duel Fuel

Solar

Geo-thermal

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Power Company:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Grady EMC

City of Whigham

Thomasville

City of Cairo

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Water Supply:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Well

Public

Private

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Sewage:

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Septic

New

Public

Private

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Existing: Approved by ______Date: ______

Report Code: ______Type of Construction: VBOccupancy Type: R3

1

GRADY COUNTY CODE ENFORCEMENT

250 N. BROAD ST. BOX 6 ~~ CAIRO, GEORGIA 39828

(229) 377-8857 FAX # (229) 377-6947

Environmental:

Is the building within 200 feet of State Waters?______Yes ______No

Is there a flood plain on the property?______Yes ______No

Is the property in the Conservation Use Program?______Yes ______No

All information is true and accurate to the best of my knowledge.

______

ApplicantDate

Reviewed by______Date______

Approved to Issue by ______Date ______

Forms permit-building

1