Name of Applicant: Applicant Signature:
COMMERCIAL BUILDING
PERMIT APPLICATION
For the erection of buildings, accessories, repairs, demolition,
moving, etc.
Expires in 6 months (180 days)
Non-Transferable
DATE:
PERMIT NUMBER:
101 Old Plantersville Road,
Montgomery, Texas 77356
Phone: 936-597-6434 Fax: 936-597-6437
permits@ci.montgomery.tx.us
OWNER:
JOB SITE ADDRESS:
CONTRACTOR:
ADDRESS:
CONSTRUCTION TYPE(S) TELEPHONE:
CLASS OF WORK (CHECK ALL THAT APPLY)
NEW EXTERIOR
ADDITION INTERIOR
GROSS SQ FT: ZONING DISTRICT: VALUE OF TOTAL PROJECT:
Superintendent Email:
APPROVED BY:
Da
te:
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR PUBLIC UTILITIES, ELECTRICAL, PLUMBING, HEATING, VENTILATION, AIR CONDITIONING, GRADING,
ALARMS, ROOFING, LANDSCAPING, FIRE SPRINKLERS, LAWN SPRINKLERS AND POOLS.
I hereby certify that I have read and examined this application and know the same to be true & correct. All provisions of law and ordinances governing this
type of work will be complied with whether or not specified herein. The granting of this permit does not presume to give authority to violate or cancel the
provisions of any state or local law regulating construction of the performance of construction.
TOTAL:
DATE PAID:
$0.00 - $1,000 $60.00 FLAT FEE
$1,001 - $50,000 $15.00 FOR FIRST $1,000 + $5.00 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF
$50,001 - $100,000 $260.00 FOR FIRST $50,000 + $4.00 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF
$100,001 - $500,000 $460.00 FOR FIRST $100,000 + $3.00 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF
OVER $500,001 $1,660.00 FOR FIRST $500,000 + $2.00 FOR EACH ADDITIONAL $1,000 OR FRACTION THEREOF
PLAN REVIEW FEE IS HALF OF PERMIT FEE - DUE UPON SUBMITTAL
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