Fillable RESIDENTIAL BUILDING PERMIT APPLICATION 101 Old Plantersville Road, (City of Montgomery)

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RESIDENTIAL BUILDING PERMIT APPLICATION 101 Old Plantersville Road, (City of Montgomery)

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REVISED- 06/12/2019
RESIDENTIAL 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:
LICENSE NUMBER: TELEPHONE:
ZONING DISTRICT: LOT: BLOCK: LOT SIZE:
CONSTRUCTION TYPE(S)
NEW ADDITION EXTERIOR INTERIOR
GROSS SQ. FT. SUBDIVISION:
Superintendent Email:
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR PUBLIC UTILITIES, ELECTRICAL, PLUMBING, HEATING, VENTILATION, AIR CONDITIONING, GRADING,
ALARMS, ROOFING, LANDSCAPING, FIRE SPRINKLERS AND LAWN SPRINKLERS.
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.
Name of Applicant: Applicant Signature:
TOTAL:
GROSS SQ. FT.
PERMIT
<
1,000
770.00
1,000
1,499
1,084.00
1,500
1,999
1,369.00
GROSS SQ. FT. PERMIT
2,000
2,499
1,624.00
2,500
2,999
1,849.00
3,000
3,499
2,044.00
GROSS SQ. FT. PERMIT
3,999
2,209.00
4,499
2,344.00
4,999
2,450.00
GROSS SQ. FT.
PERMIT
5,000
5,499
2,607.00
5,500
5,999
2,750.00
6,000
6,499
2,877.00
GROSS SQ. FT. PERMIT
6,500
6,999
2,990.00
7,000
7,499
3,087.00
7,500
7,999
3,170.00
GROSS SQ. FT. PERMIT
8,000
8,499
3,237.00
8,500
8,999
3,290.00
9,000
9,999
3,500.00
> 10,000
3,800.00
APPROVED: _______________________________________
DATE: _____________________________________________
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RESIDENTIAL BUILDING PERMIT APPLICATION 101 Old Plantersville Road, (City of Montgomery)

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Completed 14 July 2020

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