Plumbing Permit Application
City of Borger Department of Planning & Development
600 N. Main Street, Borger, TX 79007
Phone: (806) 273-0908 · Fax: (806) 273-0911
www.borgertx.gov
Permit #:
P
Permit applications must be submitted 24 hours prior to the issuance of the Permit.
Project Information
Permit Type
New Commercial New Residential Commercial Remodel Residential Remodel
Apartment Remodel Yard Line Repair (Gas Test)
Job Type:
Water Sewer Gas
Project Name: Parcel I.D. / Tax Account #
Address
Describe the project in detail:
______________________________________________________________________________________________
______________________________________________________________________________________________
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Identification
Owner or Lessee
Name Telephone: Cell Phone:
Address City State Zip
Email Address Fax Number:
Contractor
(Permit Holder)
if not the homeowner
Name Telephone: Cell Phone:
Address City State Zip
Email Address Fax Number:
Plan Review
Plans Submitted
Plans not required
Plans must be submitted before a permit can be issued, except as listed below:
Plans are not required for the following:
1. One and Two Family Dwellings.
2. Alterations and repair work determined by the building official to be minor.
3. Buildings with a required fixture count less than 12
4. Work completed by a governmental subdivision or state agency costing less than $25,000.00
Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed
pursuant to State of Texas statutes and shall bear the architect’s or engineers seal and signature.
Applicant Information
APPLICANT IS RESPONSIBLE FOR THE PAYMENT OF ALL FEES AND CHARGES APPLICABLE TO THIS
APPLICATION.
Applicant: Contractor Homeowner (**See Homeowner Affidavit Below)
I HEREBY CERTIFY THAT THE PROPOSED WORK IS AUTHORIZED BY THE OWNER OF RECORD AND THAT I HAVE BEEN AUTHORIZED BY
THE OWNER TO MAKE THIS APPLICATION AS HIS/HER AUTHORIZED AGENT, AND WE AGREE TO CONFORM TO ALL APPLICABLE LAWS OF
THE STATE OF TEXAS AND THE CITY OF BORGER. ALL INFORMATION SUBMITTED ON THIS APPLICATION IS ACCURATE TO THE BEST OF
MY KNOWELDGE.
Applicant Signature: Date Daytime Phone #:
Printed Name Address
click to sign
signature
click to edit
** HOMEOWENER AFFIDAVIT: I HEREBY CERTIFY THAT THE WORK DESCRIBED ON THIS PERMIT APPLICATION SHALL BE INSTALLED BY
MYSELF IN MY OWN HOME WHICH IS MY LEGAL RESIDENCE OF RECORD AND I HAVE NOT OBTAINED OR HELD A BUILDING PERMIT
WITHIN ANY TWO (2) YEAR PERIOD AS A HOMEOWNER FOR WORK AT (3) DIFFERENT ADDRESSES. ALL WORK SHALL BE INSTALLED IN
ACCORDANCE WITH THE CITY OF BORGER BUILDING CODE. I WILL COOPERATE WITH THE CITY OF BORGER INSPECTOR AND ASSUME
THE RESPONSIBILITY TO ARRANGE FOR REQUIRED INSPECTION. **
GENERAL: Plumbing work shall not be started until the application for permit has been filed with the City of Borger Department of Planning &
Development. All installations shall be in conformation with the City of Borger Plumbing Code. No work shall be concealed until it has been
inspected and approved.
EXPIRATION OF PERMIT: A permit remains valid as long as work is progressing, and inspections are requested and conducted. A permit shall become
invalid if the authorized work is not commenced within six months after issuance of the permit or if the authorized work is suspended or abandoned for a
period of six months after the time of commencing the work. A PERMIT WILL BE CANCELLED WHEN NO INSPECTIONS ARE REQUESTED AND
CONDUCTED WITHIN SIX MONTHS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CANCELLED PERMITS
CANNOT BE REFUNDED OR REINSTATED.