City of Stafford
2610 South Main Stafford, Texas 77477
Office Number (281) 261-3940 Fax Number (281) 261-3939
Demo Permit Application
Permit #:
Site Address:
Applicant Name:
Mailing Address: Phone Number:
Owner Name (Individual): Driver’s License Number: Provide copy
Contractor: Phone Number
Contractor Address: Home Number:
Use of
Building
Residential:
Commercial:
Sq. Ft:
# Stories:
Legal Description:
Lot:
Block:
Email Address:
Was an Asbestos survey performed in accordance with Texas Asbestos Health Protection Rules (TAHPR) and
the National Emission Standards for Hazardous Air Pollutants (NESHAP)? Yes: No:*
Date of Survey: TDH Insp. License # :
*If you answered No, then as the owner/operator of the renovation/demolition site, I understand that it is my
responsibility to have this asbestos survey conducted in accordance with Texas Asbestos Health Protection
Rules (TAHPR) and the National Emission Standards for Hazardous Air Pollutants (NESHAP) prior to a
renovation/demolition permit being issued by the City of Stafford.
Signature of Contractor or Authorized Agent:____________________________________________
Name of Contact Person: ____________________________________Phone:__________________
For the Demolition of any building or structures, the fee shall be: $75.00 First Story & $25.00 for each additional
story.
Estimated Completion Date:_______________________ Permit Fee: $
Receipt #
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signature
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