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