Loading...
Deck Permit Application DECK PERMIT APPLICATION CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213-8692 Date:__________________ PERMIT #BLDR___________________ Street Address:_______________________________________________ Type (deck materials)__________________________________________ Please attach Plot Plan from Rutherford County Register of Deeds with location of the proposed deck placement. APPLICANT/PROPERTY OWNER Name:________________________________Phone:_________________ Address:______________________________________________________ City, State and Zip:____________________________________________ CONTRACTOR: If you are pulling a “self” permit indicate so by writing “self” in the name area below. Name:______________________________Phone:____________________ EMAIL_________________________ Address______________________________________________________ City, State and Zip:_____________________________________________ PERMIT FEE $50.00 INFORMATION AND DRAWINGS SUBMITTED WITH THIS FORM ARE TAKEN TO BE THE CORRECT STATED INFORMATION AND BY SIGNING THIS FORM YOU ARE STATING THEY ARE CORRECT.IF FOUND TO BE INCORRECT THE CITY OF LAVERGNE CAN REQUIRE THE CORRECTION OF THE PROBLEM BY SUCH MEANS AS DEEMED NECESSARY. SIGNATURE OF APPLICANT:___________________________________DATE___________________ APPROVAL:_______________________________DATE:______________________________________ DENIED: _________________________________DATE:______________________________________