:: Commercial Mechanical Application ::
:: Construction Code Authority ::
1075 Suncrest Dr, Ste A, Lapeer, MI 48446
Phone:810-667-0420~Fax: 810-667-2952
COMMERCIAL MECHANICAL JOB LOCATION
Job Address:                                 City:                        Zip:                        Municipality:
Job Between What Roads?                                                                Side of Road Job On?
APPLICANT INFORMATION
Company Name:                                                           Licensee Name:
FED I.D.#                                                        MESC#                                                Workman's Carrier
License #                                         D.O.B. or Dr. Lic #                               Fax #
Email Address:                                                                        Phone #
General Contractor on Job Site or Project Name:
Section 23a of the State Construction Code Act of 1972, Act No. 230 of the Public Acts of 1972,
being Section 125, 1523a of the Michigan Compiled Laws, prohibits a person from conspiring to
circumvent the licensing requirements of this state relating to persons who are to perform work on
a residential building or a residential structure. Violators of Section 23a are subject to civil fines.
By entering your name, you electronically acknowledge that you have read and accept this permit
application.
Application Date:                                          Contractor's Signature:
JOB INFORMATION
(Fill in all the appropriate information)
Business Name:                                                                Property Owners Name:
Job is:                                                                                 Structure is:
If Other Please List:                                                          If Other Please List:
Commercial Base Permit Fee: $162.00
Enter # of Items to be Installed and Multiply Out and Enter Total at Right
Furnace/Unit  Heater/Burners                Air Handlers/Ventilation/Exhaust Vans
New or Conversion
$38.00 Each
$38.00 Each
Duct System (New or Add on)                          Insulation of Duct/Piping/Tanks
feet x .25 ft =
feet x .25 ft =
Combination Heat/Air Cond. Units                Air Cond. &/or Refrig. Heat Pumps
< 15 Ton   $32.00
Under 10 Tons   $32.00
10 to 20 Tons    $54.00
> 15 Ton   $81.00
Over 20 Tons    $64.00
Refrigeration System                                Air/Gas Process Piping/Hydronic HTG-CLG Piping
Self Contained   $22.00
feet x .25 ft =
Split System      $54.00
Cooling Towers w/Reservoir                        Evaporator Coils
$81.00 Each
$81.00 Each
Air Compressor                                          Air Compressor Dryer      
$54.00 Each
$22.00 Each
Fire Suppression
51 to 100 Heads                   $90.00


Over 101 Head-Per Head     $  1.00


Range Hood w/Suppression $38.00
1 to 2 Heads        $ 9.00


3 to 10 Heads     $27.00


11 to 50 Heads   $59.00
PLUS        Piping .25 Cents per foot
Feet =
Enter Number of Miscellaneous Items to be Installed-Multiply Out and Enter Total at Right
Breaching & Combustion to Appliance      $32.00


Range Hoods w/out Fire Suppression        $27.00


Electronic Air Cleaner w/Washer                $38.00


Centrifugal/Absorption Units/Chillers        $95.00


Incinerators/Crematories                             $27.00


Chimney Factory Built                               $49.00


Ovens                                                          $38.00


Solar Panel Each                                         $27.00


Gas Lines-LP/Generator                             $ 9.00


Exhaust Fans                                               $ 9.00


Fire Dampers                                              $ 9.00


Humidifiers                                                 $ 9.00     


Backflow Protector                                    $43.00  
Misc Total:

Plan Review Fee Per Hour $81.00


Code Compliance Inspections-Additional-Reinspections $81.00


Yearly Licence Administrative Fee $15.00


Installation started w/out permit being obtained -$100.00 Administrative Fee
Make Check Payable to C.C.A. or Construction Code Authority        TOTAL DUE:
Credit Cards Accepted-Contact C.C.A. 810-667-0420
Surcharge Fee of 3.5% will be applied to Credit Cards

Additional Information or Equipment Please List Below:


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