2. Permit Applicant/Permit Holder Name*
4. Project Property Address*
6. City
7. State
8. Zip Code*
10. Contact Telephone Number*
11. Contact Email Address*
13. Construction/Trade Permit Application*
    Please describe construction or trade permit application request to include all proposed scope of construction or trade work. Please be advised that trade permit applications may require 72 hours to process.
15. Construction/Trade Permit Application Upload*
    Please provide complete and accurate construction or trade permit applications as located on City of Portsmouth website at http://www.portsmouthva.gov/168/Official-Forms#permits. Incomplete permit applications will not be accepted or processed.
17. Construction/Trade Permit Documentation Upload
    Please provide complete and accurate construction documents to delineate and detail all proposed construction work, to be printable on 11" x 17" minimum sheets. Incomplete construction documents will not be accepted or processed.
19. Commonwealth of Virginia Contractor/Tradesman License*
    Please provide Commonwealth of Virginia Contractor or Tradesman License issued by Department of Professional and Occupational Regulation, to include specialty classification designations.
21. City of Portsmouth Business License
    Please provide City of Portsmouth Business License issued by Department of Commissioner of Revenue,to be required when aggregate construction/trade work exceeds $25,000.
23. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature
Leave This Blank:


26. Submit

* indicates a required field