BUILDING PERM
IT APPLICATION
Commercial New
Commercial Addition
Residential
APPLICANT
Date
Applicant Name
Email
Relationship to Project
Contact Phone No.
Owner Contractor Architect/Designer Agent
JOB SITE
INFORMATION
Owner, Tenant or Business Name
Project Address
Unit/Ste. No.
City
Zip Code
PID Number
No. of Stories
Subdivision (Only for New Construction)
Block/Lot (Only for New Construc
tion) Tract
(Only for New Construction)
RESPONSIBLE PARTIES
(as applicable)
Owner - Name
Address
City, State Zip Code
Email
Phone Number
( )
General Contractor (Company Name)
Address
City
Zip Code
Email
Phone Number
( )
TYPE OF
STRUCTURE
Residential
Commercial
Single Residence
Duplex
Carport (Attached)
Accessory Dwelling Unit
Swimming Pool
Fence
Storage Shed
Other: _____________
Assembly
Office
Educational
Industrial
PROJECT INFORMATION
Scope of Project
Total Cost of Improvements
Square Footage (new, added, or affected area)
$
Previous Occupancy Proposed Occupancy
TDLR EAB
EAB Project No.
EXEMPT
Affidavit: 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 herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of
any other federal, state, or local laws regulating construction or the performance of construction. I also hereby certify that the information on the site plan is true and
correct and that all known easements have been properly shown. I also understand that I am required by city ordinance to notify a Texas “One Call” system before
starting any excavation or digging work.
Signature of Applicant Date
Form Date: 4/27/18
Permit Number (Leave this portion blank)
New Construction
Addition
Other: ________________________
( )
_______________
Institutional
Retail
Warehouse
Temporary Placement
Commercial Shell
Tenant Improvement
Change of Use
Conversion
Foundation
Demolition
Description of Work
Building
Sprinklers
Yes
No
Apartments
# of Units
Parking Lot
Other:
Expedited Review (Additional fees apply)
Yes
Print Name
Signature
New Building
Date:
Residential
Master Plan
Yes
No
Master Plan Model Number