2. Application Date
   Application Date
4. Job Location*
   Address, Apt/Suite # (Optional), City, State, Zip Code, or Parcel ID if no address assigned.
6. Owner Name
8. Owner Address
   Address, Apt/Suite # (Optional), City, State, Zip Code
10. Owner Phone Number
12. Mechanic Lien's Agent (if applicable)
16. Contractor's Name
18. Contractor's License Number*
    (if owner is doing work, put owner as contractor.)
20. Contractor's Phone Number
22. Contractor's Email
24. Statement

    1. As Master Agent, I hereby acknowledge that I have read this application and know the same to be true. I agree to comply with all City ordinances and state laws regulating building construction and use
28. Estimated Cost*
    Materials and Labor. (Contract Price if Commercial)
30. If the estimated cost is greater than $25,000, the contractor will also need to apply for a business license with the City of Colonial Heights.
32. Total Sq. Ft.
34. Work Description*
    Please list specified work for this trade.
38. Submit: When submitting plans/specifications, please select one of the following options.

    1. Mail to/Bring in: Building Inspections Department, 201 James Ave, Colonial Heights, VA 23834
    2. Email to: siteplans@colonialheightsva.gov
    3. Submit below (can only submit one document)
40. Plan/Specification Upload

    If submitting more than one document, please email all documents to siteplans@colonialheightsva.gov

42. SITE PLANS ARE REQUIRED FOR BUILDING PERMIT TO BE CONSIDERED COMPLETE.
46. Payment
    Checks may be mailed in or dropped off, and made out to the City of Colonial Heights. For credit payments, we will send you a link upon approval of permit application. Please call 804-520-9297 with any questions.
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field