Form Center

2. Building Permit Extension or Reactivation Request
4. Check Appropriate Request:*

   1. Extend
   2. Reactivate
6. Applicant First and Last Name:*
7. Applicant's Phone Number*
8. Email Address:*
10. Permit Number:*
11. Site Address:*
13. I will be ready to request the next inspection by:*
15. Reason for the request:*
17. By submitting this request, the applicant is confirming they have provided true information and are requesting to extend or reactivate this permit as selected above. *

    1. I agree to the above.
21. OFFICE USE ONLY

    Extension               Reactivation

    Building Official or Designees' Approval:

    Approval                Denial

    Upon payment of the extension or reactivation fee, the new permit expiration date is:

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field