Permit Application
( ) Electrical, ( ) Plumbing, ( ) Gas, ( ) Mechanical
ALL INFORMATION MUST BE COMPLETED BEFORE PERMIT CAN BE ISSUED
Address where work is to be done
Applicant Name and Phone #
Is Applicant Contractor or
Homeowner?
[ ] Contractor [ ] Homeowner
Property Owner Name
Owner Phone #
Owner Address
Is this location Commercial or Residential?
[ ] Commercial [ ] Residential
CONDITIONS OF PERMIT
Work may not start until a permit has been issued pursuant to approval of this
application. Permits so issued shall not be construed as authority to alter or set
aside any building code, plumbing code, electric code, mechanical code, zoning
ordinance requirements, or any other applicable regulations, nor shall such issuance
of a permit prevent the Building Official from thereafter requiring correction of error in
plans or in construction, or violations of applicable codes and regulations. Permits
shall become invalid if work is not commenced within six (6) months after issuance,
or work authorized by such permit is suspended, or abandoned for a period of six (6)
months after work has commenced.
I hereby make application for a permit for work noted herein and as described by
submitted plans and specifications. I agree to abide by all requirements of the City
of Stephenville Code of Ordinances and any other applicable regulations.
______________________________________________________________
Signature of Applicant Date
Please list sq. footage for new construction or
specific work to be performed for existing
construction.
# of electric circuits, mechanical units, or
plumbing fixtures, if applicable:
Complete the following for HOMEOWNER'S PERMIT only:
I hereby request a homeowner's permit to perform work outlined above. By signing below, I am certifying
that I own this home and the property it sits on, and I also live at this location. I also certify that I will
abide by all requirements of the City of Stephenville’s Code of Ordinances and the required inspections. I
know that permits shall become invalid if work is not commenced within six (6) months after issuance, or work
authorized by such permit is suspended, or abandoned for a period of six (6) months after work has commenced.
Signature Date
*Contact the Community Development Department at 254-918-1213, to determine the adopted Codes the
City of Stephenville is currently under.
Inspection Division Use Only:
Permit #
Comments _________________________________
__________________________________________
__________________________________________
___________________________________________
___________________________________________
Date Issued
click to sign
signature
click to edit
click to sign
signature
click to edit