City of South Bend and St. Joe County HVAC Permit

City of South Bend and St. Joe County HVAC Permit
Please be advised:
- If applying a duplex or a multi-building, please complete separate applications for each unit
- Payment for permit can be completed in-person at City Hall with a company card or check and can't be made over the phone
- Receipt of application does not mean a permit has been issued
- If work has been started without a permit being issued, fines may be issued

About You
Who are you filing this application as?

I'm the property owner, and I'm completing the work myselfI'm the contractor, and I've been hired to complete the work
About Property and Property Owner
Property Owner Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Project Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the mailing address the same as the project address?*

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About Project
Is this part of any renovation work or construction project?*

YesNo
Construction Permit Number
Number of Furnaces*
List fuel type (gas, oil, or electric) and capacity (BTU or kW) for each furnace*
Air Conditioners or Heat Pumps*
List the tonnage, whether or not the system is a replacement (Yes or No), and whether or not the system is water sourced (Yes or No) for each system*
Ventilating and Exhaust Systems*
Dedicated ventilation or exhaust systems — bath fans, range hoods, ERV/HRV units, commercial exhaust
CFM Rating for each system*
Commercial Kitchen Hoods*
Restaurant/commercial kitchen exhaust hoods — requires separate Make-Up Air unit (list as furnace above)
Exhaust CFM Rating for each system*
Have you obtained your State Design Release?

YesNo
Please upload the State Design Release

Cancelof
Refrigeration Systems*
Walk-in coolers, freezers, or commercial refrigeration systems
Overall Horsepower (HSP)*
Rooftop Units*
Combined heating/cooling rooftop package units (RTUs)
List the tonnage for each unit*
Mini Split Systems*
Ductless mini split systems
Total Number of Heads for (all) System(s)*
Boilers*
List the capacity (BTU) and the system type (Hot Water or Steam) for each boiler
VAV Boxes / Thru-Wall Units*
VAV boxes with reheat coils, PTAC units, or thru-wall heating/cooling combination units
Air Handlers / Make-Up Air Units*
Air handlers or make-up air units NOT associated with a commercial kitchen hood
List the CFM Rating for each unit*
Duct Openings and Registers*
Total count of supply registers, return grilles, and exhaust openings being installed or modified
Any generator gas line work?*

YesNo
Generator Size (kW)*
Is there a gas reconnection?*

YesNo
New Gas Outlets*
Woodburning Stoves*
Freestanding wood stoves or fireplace inserts
Any other HVAC work?*

YesNo
Description of Work and Quantity*
About Contractors
Company*
Contractor Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Terms and Conditions
By typing my name in the boxes below, I agree that I'm electronically signing this form. I affirm that the information that I've provided is accurate and true to the best of my knowledge. I understand that my electronic signature is legally binding and equivalent to my handwritten signature.
Name:*

First NameLast Name
Date*

MonthDayYear
Hour MinutesAM/PM Option
Filer Email
example@example.com

We Would Love Your Feedback!

Let us know what you think of this experience before clicking "Submit" to complete the application.
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City of South Bend and St. Joe County HVAC Permit

About You

About Property and Property Owner

About Project

About Contractors

Terms and Conditions

We Would Love Your Feedback!