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Step One

Current use of Property/Structure
Please type in answer
Description of work being performed (check all that apply)
1. New residential dwelling
2. New commercial building
3. Renovation, remodelling, rehab to existing dwelling or building
4. Addition to existing dwelling or building
5. Manufactured home
6. Removal of Asbestos (ACM)
1. Marine Structure-Pier/Dock/Etc.
2. Deck or Patio
3. Demolition of structure
4. Detached garage, outbuilding, shed, accessory structure
5. Pool, Spa or Hot Tub
6. Change of Use and/or Occupancy
Details of work to be performed
Square footage
Number of Bedrooms
Number of Bathrooms
Number of Stories
Type of Foundation
Estimated Date of Completion
Estimated Date of Completion
Estimated Cost (whole dollars)
Fee
2.% State Education Surcharge
Total Fee
Acknowledgement (Sign & Date)
I hereby certify that the foregoing information, as well as, attachments are true and accurate to the best of my knowledge, and I agree to make all required improvements in accordance with the State of Virginia Building Code. I understand the approval of this permit is for six months.
APPROVAL OF MATHEWS COUNTY BUILDING DEPARTMENT
Name
Date
Date
Mechanics’ Lien Agent
Address
City
State
Zip Code
Phone Number
Contact Us
Mathews County Building Department
(804) 384-0138

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