Important Disclaimer: Permitting requirements vary significantly by location in the USA. This template provides a general framework, but always consult your local building department for specific forms, fees, and procedures.

General Information:

    • Applicant Name: [Your Business Name]
  • Applicant Contact Information: [Phone Number], [Email Address]
  • Project Address:
  • Property Owner Name (if different from applicant):
  • Property Owner Contact Information (if different from applicant):
  • Project Description: Briefly describe the HVAC work to be performed (e.g., installation of new furnace, air conditioning unit replacement, ductwork modification).

Permit Type (Select all that apply):

  • New HVAC System Installation
  • HVAC System Replacement
  • Ductwork Installation/Modification
  • Gas Line Installation/Modification (if applicable)
  • Electrical Work (if applicable)

Project Details:

  • Provide detailed information about the planned HVAC work, including:
    • Equipment specifications (brand, model number, capacity) for new installations or replacements.
    • Detailed plans or diagrams outlining the ductwork layout (if applicable).
    • Description of any electrical work involved (if applicable).
    • Any additional information required by your local building department.

Attached Documents:

  • Include any required documents as specified by your local building department, such as:
    • Contractor license information
    • Equipment manufacturer specifications and certifications
    • Detailed plans or drawings
    • Proof of insurance


  • I hereby certify that the information provided in this application is true and accurate to the best of my knowledge.
  • I understand that this permit application does not guarantee approval and is subject to review by the building department.

Signature of Applicant


Additional Notes:

  • Contact your local building department to obtain the official permit application form(s) specific to your area.
  • Fees associated with permits can vary, so inquire about the cost when submitting your application.
  • Allow sufficient processing time for permit approval before commencing any HVAC work.
  • Never perform HVAC work without the required permits, as it can result in fines, delays, and potential safety hazards.

By utilizing this template as a starting point and consulting with your local building department, you can ensure a smooth permitting process for your HVAC business.