Building Demolition Destruction Certification

Building Demolition Destruction Certification
Submit details to certify the demolition or destruction of a building.
Property Owner's Full Name
First NameLast Name
Owner's Contact Email
example@example.com
Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Building Type
Demolition Contractor/Company Name
Demolition Permit Number (if applicable)
Date of Demolition
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Demolition Method
Other
Reason for Demolition
Local Authority/Permit Issuer Name
Signature of Responsible Party
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