Roofing 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
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Project Information
Site Address: Project / Business Name (Commercial Only):
Property Owner Name: Phone:
City State Zip
Describe the project in detail:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Permit Holder
Homeowner
Contractor
Name of Roofing Contractor or Homeowner:
Name Telephone: Cell Phone:
Address City State Zip
Email Address Insurance Carrier / Number (or Exemption):
Type of Job
Residential Commercial
Main Building
Garage
Accessory Building
Manufactured Home
Other: ________________________
Number of Squares: _______________
Valuation of Job: $_________________
Type of Roof Covering
Composition Metal
Wood Other: _______________
Valuation of Job: $________________________________
Estimated Start Date: _________________________
COMPLETE PAGE 2 OF THIS PERMIT
Types of Appliances
Please mark what type of appliances are used in the structure:
Gas Fired Heating Gas Fired Water Heater All Electric Combination: _________________ None
Homeowner Affidavit / Applicant Signature
I hereby certify 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 Roofing permit within the past two (2) years at any other residence. 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
inspections.
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 on this application is accurate to the best of my knowledge.
Applicant Signature: Date
Printed Name:
GENERAL – Work shall not be started until the application has been filed with the City of Borger. All work shall be in conformance with the City of
Borger Building Code. When ready for inspection, call the Planning and Development Department had the number above and give as much advance
notice as possible.
EXPIRATION OF PERMIT - A roofing permit is valid for 60 Days. A permit shall become invalid if the authorized work is not commenced within 60
days of issuance of the permit or if authorized work is suspended or abandoned for a period of 60 days after work commences. A PERMIT WILL BE
CANCELLED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN 60 DAYS OF ISSUANCE. CANCELLED PERMITS
WILL NOT BE REFUNDED OR REINSTATED.
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