Permit Extension / Cancellation Request

Request Type

Permit Extension

Cancellation Request

Permit Number

Contractors or Owner Builders Name

Job Site Address

Contact Phone Number

Email

The Building Official may grant a permit extension for up to 90 days, per FBC 105.3.2. The permit extension request shall be in writing and a justifiable cause demonstrated. AN EXTENSION WILL NOT BE GRANTED IF THE PERMIT IS ALREADY EXPIRED.

Reason for lack of inactivity causing permit to expire or reason for cancellation request.

Please allow up to 5 business days for review and processing of request.

Signature

Date

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Permit Extension / Cancellation Request

Permit Extension / Cancellation Request