COMMERCIAL  BUILDING PERMIT APPLICATION    Street Address of Job Site                                                                               

                APN#  

 

 

 

Owner                                                                      

 

 

              Phone Number (       )   

 

  

Owner’s Address   

 

 

 

 

 

 

 

 

    

 

   

 

 

 

 

 

 

 

Permit Covers     Building Structure (complete)     Frame Structure (shell only)   Project Name                                                                                  

    

           Bldg #    

Number of Levels              Total Sq. Ft.                           Occupancy                        Construction Type       

Use  Public  Private   Semi‐Private  Industrial  Manufacturing           Plans Attached to Permit   On File  Description of Work    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permittee is to build according to above description and to the approved plans and specifications of the Building Code and to submit  to the Building Department for any changes and inspections at each building phase.   

GENERAL CONTRACTOR 

 

Q.P. License Holder 

 

 

 

 

 

 Phone Number (     )   

 

 

                     Q.P. License Holder               Date               (Signature)  I hereby certify that the information provided on this application form, and any plans submitted, are complete and correct and  request the issuance of a permit with the City of Mesquite.  I also certify that all Subcontractors working on this permit are licensed  within the City of Mesquite and the State of Nevada. 

 

 

 

 

         (Print Full Name) 

  SUBCONTRACTORS INFORMATION  PLUMBING Contractor Co  

 

 

 

 

 

Q.P. License Holder 

 

 

   

   

 

 

          (Print Full Name)  ELECTRICAL Contractor Co       Q.P. License Holder 

 

 

 

Date    

 

 

 

Q.P. License Holder        

    (Signature) 

 

 

 

 

 

Date    

 

 

 

 

 

   

   

Q.P. License Holder        

    (Signature) 

 

 

 

          (Print Full Name)  MECHANICAL Contractor Co     

 

 

 

Date    

 

 

 

Q.P. License Holder 

 

 

Q.P. License Holder        

    (Signature) 

 

 

 

 

 

 

 

 

 

 

 

 

 

          (Print Full Name)        This permit is being issued subject to the following   

 

 

 

 

 

Internal Use Area 

  Bin No.              Permit No.   

 

Date Received    

 Submittal Amount  

 Check No.  

 

   

Existing ERU’s                   Total Dwelling Units           Total ERU’s: 

      

 

BUILDING DEPARTMENT  10 E. Mesquite Blvd., Mesquite, NV 89027  702‐346‐2835, FAX 702‐346‐5382, www.mesquitenv.gov   

 

Revised 3/31/2011       

city of mesquite permit

702-346-2835, FAX 702-346-5382, www.mesquitenv.gov. COMMERCIAL BUILDING PERMIT APPLICATION. Street Address of Job Site. APN#. Owner.

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