Building Permit Application Form

Permit Date unknown · 1 page(s)

This is the Town of Centreville Building Permit Application form (Rev. 03/2025). It collects applicant and property information, zoning/lot data, proposed work type (e.g., new construction, alterations, fence, deck, shed, pool, demolition, new business), project size/height/stories/bedrooms, setbacks, driveway and entrance details, sign types and dimensions, estimated construction cost, and payment/fee fields. The form requires contractor, plumber, electrician, and HVAC license and contact information (each contractor must pull their own permit), includes fields for sediment control and county impact permits, and states construction cannot begin until the permit is issued and the permit expires if work has not started within one year.

building permit Town of Centreville contractors setbacks fees sediment control signs permit expiration

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Permit #
Fee: $ ------___ __
Acct. #:
THE TOWN OF CENTREVILLE 101 LAW YERS ROW CENTREVILLE, MD 21617
410-758-1180 FAX 410-758-4741 WWW.TOWNOFCENTREVILLE.ORG
PERMIT APPLICATION
Date: Email: Phone # Alt Phone #
Applicant Name: Property Owner Name:
Applicant Address: Property Address:
Zoning: Lot#: Map/Parcel#:
Proposed Work:
 New Construction  Alterations  Other Estimated Value: $ (Construction Costs)
 Residential  Commercial  Fence  Demolition  Deck  Shed  Other  Pool #Gallons
 New Business – Proposed Use Previous Use
Size (sq. ft.) Height (ft.) Stories No. of Bedrooms
Setbacks: Front Yard Rear Yard Side Yard (L) Side Yard (R)
(from front to property line) (from end of construction to rear yard) (From the end of construction to the side yard)
Entrances: # of Proposed Driveways: Width
Signs:  Temporary  Wall/Flat  Projecting  Free Standing  Placard/Easel
 Window  Awning  Construction
Linear Feet of Building Frontage: Sq. Ft. of Existing Signs:
Materials Used: Number of Existing Signs:
Sign Dimensions: Height: Width:
Event: Date of Event:
Contractors’ information must be provided at time of application. Each Contractor must pull their own permit.
Contractor: License #:
Address: Phone #:
Plumber: License #:
Address: Phone #:
Electrician: License #:
Address: Phone #:
HVAC: License #:
Address: Phone #:
Sediment Control Permit: $ Permit #: County Impact Fee: $ Permit #:
Construction cannot begin until permit is in hand. If the described work has not begun within one year from the date of issuance, said permit shall expire.
Applicant’s Signature:
TOTAL BUILDING PERMIT FEE
Payment Date:  Check  Cash  Credit Card
Amount: Check Number:
Receivables Approved: Date:
Rev. 03/2025