Building Permit Application

APPLICANT INFORMATION

Legal Business Name:

DBA/Trade Name:

Primary Contact Name: Title:

Business Address:

City, State, ZIP:

Phone: Email:

Federal Tax ID: State Tax ID:

WORK EXPERIENCE

Company/Employer	Position	Start Date	End Date	Type of Work	Supervisor/Contact

Total Years of Experience: Years in Current Classification:

EXAMINATION RESULTS

Trade Examination Date: Score:

Business & Law Exam Date: Score:

Examination Provider:

Certificate/License Number:

BUSINESS INFORMATION

Business Structure:

Sole Proprietorship

Partnership

Corporation

LLC

State of Incorporation: Date Established:

General Liability Insurance Carrier:

Policy Number: Coverage Amount:

Workers' Compensation Carrier:

Policy Number: Expiration Date:

PROFESSIONAL REFERENCES

Reference Name	Company	Phone	Email	Relationship	Years Known

SERVICE CLASSIFICATIONS REQUESTED

General Building

Electrical

Plumbing

HVAC

Roofing

Concrete

Framing

Insulation

Flooring

Painting

Landscaping

Demolition

Other Classifications (specify):

PROJECT DETAILS

Project Address:

Property Owner:

Project Description:

Estimated Project Value: Proposed Start Date:

Estimated Completion: Square Footage:

COMPLIANCE & LEGAL DECLARATIONS

I certify that all information provided is true and accurate

I agree to comply with all applicable building codes and regulations

I understand that false information may result in license denial or revocation

I agree to maintain required insurance throughout the project duration

I consent to inspection scheduling and compliance monitoring

Applicant Signature

Date:

Authorized Representative

Date:

Digital Submission Capabilities:
This form supports electronic submission where available. Digital signatures are accepted in participating jurisdictions. Application tracking and status updates will be provided via email and through the Alliance contractor portal. All submitted documents are encrypted and stored securely in compliance with industry standards.

Alliance Integration Features:
• Automatic form population from your Alliance contractor profile
• Cross-jurisdiction license recognition and reciprocity tracking
• Integrated inspection scheduling with local authorities
• Real-time compliance monitoring and renewal notifications
• Seamless integration with project management and documentation systems
• Local requirement customization based on project jurisdiction

Form Version 2024.1 | Alliance for Contractors Universal Template
For technical support or jurisdiction-specific requirements, contact: [email protected]

Universal Template - Alliance for Contractors