CITY OF CASTROVILLE
Little Alsace of Texas
Manufactured Home Permit Application
Permit # _________________ Valuation: $_________________________
Project Address: __________________________________________ Zoning: __________________________
Project Description: _____________________________________________________________________________
Utilities Needed: Water | Sewer | Electric | Gas | None
Project in Floodplain: No | Yes If Yes, a Floodplain Development Permit is required.
APPLICANT
Name: _______________________________________ Contact Person: ______________________________
Address: _________________________________________________________________________________________________
Phone Number: __________________ Fax Number: __________________ Email: ____________________________
PROPERTY OWNER
Name: _______________________________________ Contact Person: ______________________________
Address: _________________________________________________________________________________________________
Phone Number: __________________ Fax Number: __________________ Email: ____________________________
I, the undersigned am the owner of the above mentioned property and I hereby authorize the placement of this
Manufactured Home on said property.
Signature:____________________________________________________ Date: ___________________________
MANUFACTURED HOME INFORMATION
Manufacturers Name: ___________________________ Model Name/No.: ___________________________
Label / Decal #________________________ Serial # ________________ Year of Manufacture: __________
Weight: ________ lbs. Size ____ft. X _____ft. Number of Sections: ________ Value of Man. Home $___________
Man. Home. Installer
Contact Person
Phone Number
Contractor License Number
Mechanical Contractor
Contact Person
Phone Number
Contractor License Number
Electrical Contractor
Contact Person
Phone Number
Contractor License Number
Resp. Master Plumber
Contact Person
Phone Number
Contractor License Number
City of Castroville Highway 90 Design Criteria may apply. A permit becomes null and void if work or construction authorized is not commenced within
180 days of the date of permit issuance, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is
commenced. All work is subject to inspections and approvals.
A certificate of occupancy must be issued before any building is occupied.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances
governing this type of work will be complied with whether specified or not. No work may begin until proper permits are approved and all associated fees
have been paid.
Signature of Applicant: ___________________________________________ Date: ____________________
Phone: (830) 931-4090
Fax: (830) 931-9186
For Manufacture Home Placement.
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