City of Bedford
Development Department
Building Inspections
1805 L Don Dodson Dr.
Bedford, TX 76021
Phone: 817-952-2140
Fax: 817-952-2211
building.permits@bedfordtx.gov
Date:
TEMPORARY BUILDING PERMIT APPLICATION
Permit #:
Job Address:
Suite #
Job Name(Description):
Commercial Residential
General Contractor/Applicant:
Address:
City:
Zip:
State:
Cell #:
Email:
Description of Permit Request:
SCOPE OF WORK
Qty
Temporary Certificate of Occupancy (Building)
Temporary Certificate of Occupancy (Fire)
Temporary Reconnect Electric
Temporary Building
Temporary Electric
Temporary Gas
Temporary Container (Pod)
Temporary Clothing Container
Other:
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of this code or of any other ordinance of the City of Bedford. I have read the completed application and
know the same is true and correct and hereby agree that if a permit is issued all provisions of the City Ordinances and
State Laws will be complied with whether herein specified or not. I agree to comply with all property restrictions. I am the
owner of the property or the duly authorized agent.
Permission is hereby granted to enter the premises and make all inspections.
Print Name:
Signature:
Contact Phone:
Drivers License #:
FOR OFFICE USE ONLY
Building Permit Fee $
Approved By:
Date:
Notified contractor / Permit ready:
click to sign
signature
click to edit
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