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PICKENS COUNTY PLANNING & DEVELOPMENT 1266 East Church Street, Suite 136, Jasper, GA 30143 Phone [PHONE REDACTED] Email: [EMAIL REDACTED] Fax [PHONE REDACTED] A permit is required on all new construction, repairs, alterations, and miscellaneous projects. Permits may not be issued the same day the application is submitted. An Access/Encroachment permit is required for driveways that access a county-maintained road. An 8 ½”x 11” copy of a survey of the property being permitted is required for all new construction permit applications (Pickens County Code of Ordinances Sec. 16-63). Permits expire 12 months from date of issue. Permit fees will be doubled if construction activity is undertaken prior to obtaining permits. Permits are Non-Transferable and Non-Refundable. Failure to schedule all required inspections will result in fines and/or stop work orders on the permit. Date Applicant of Permit: Property Owner: Mailing Address: City State Zip Phone Number: Email: A COPY OF THE CONTRACTOR’S STATE, BUSINESS AND DRIVERS LICENSE IS REQUIRED WITH THIS FORM Builder/Contractor: Mailing Address: City State Zip Phone Number: Email: Type of License State License: GA Contractor State License Expiration Date: Contractor’s Business License Issuing County: 911 Address City State Zip Type of permit applying for: Utility Company: Water: A.E.M.C. Jasper City Pickens County GA Power Well Size or Square Footage - Unheated Current Zoning Use: (Circle) AG SA ER RR SR UR SPC SRPC NC HB I Is the property subject to any restrictive covenants or conditions? Y or N Is the property in an HOA? Y or N If yes, does your HOA require approval? Y or N Subdivision Lot Number Total Acres Directions to Property: Estimated Completion Date: Estimated Project Value: Signed Date: ANY ALTERATIONS, DEVIATIONS, RELOCATIONS, OR CHANGES TO THIS APPLICATION WILL VOID THIS PERMIT Revised 2/15/2023 ---PAGE BREAK--- Building Information Sheet Permit Name: Parcel ID: Please fill in Square Footage (Heated and Unheated Space) Heated House Basement Addition/Remodel Bonus Room Unheated Garage Basement Addition/Remodel Bonus Room Attic Porch Deck Total Heated Total Unheated Total Square Footage # of Bedrooms # of Baths # of Stories (Not Including Basement) Basement: Basement Finish: None Part Half Full Unfinished Finished % Finished Attic: Floor Finish: Finished Unfinished Loft None Carpet Tile Hardwood Pine Vinyl Laminate Exterior Walls: Interior Walls: Masonry Wood Brick Stucco/Frame Sheet Rock Panel Plaster Pine Aluminum Siding Vinyl Siding Log Concrete Block Hardi Plank Other Interior Ceilings: Heat: Sheet Rock Acoustic Tile Exposed Beams Central Heat & Air Floor/Wall Furnace Plaster Pine Celotex Hot Water/Steam Solar Wood Heat Central Heat None Fireplaces: Garage: Prefabricated Constructed None Attached Detached None Qty: Elevator: No Yes (If yes, Revised 2/15/2023 ---PAGE BREAK--- For Office Use Only Is a copy of the septic tank permit attached to this application? If no, give reason: Parcel Number District and Land Lot Current Zoning Use: AG SA ER RR SR UR SPC SRPC NC HB I Special Flood Information As per Panel # of the Flood Hazard Boundary Map dated September 29, 2010, this property IS / IS NOT in a Flood Hazard Area. Comments BUILDING PERMIT FEES ACCESS/ENCROACHMENT NEW EXISTING HEATED SQUARE FOOTAGE UNHEATED SQUARE FOOTAGE TOTAL SQUARE FOOTAGE FEES CERTIFICATE OF OCCUPANCY FEE TOTAL RESIDENTIAL PERMIT FEE DATE PAID CASH/ CHECK/ CC# RECEIPT APPROVED BY DATE COMMENTS BUILDING PERMIT NUMBER Revised 2/15/2023