PW-UTIL-PERMIT-with-cover-letter_EDITABLEPUBLICWORKSDEPT.
Public Works Permit Application Instructions
1.) All Public Works Permit Applications are to be submitted at the Public Works
Department at the City of Schertz:
10 Commercial Place Bldg. #2
Schertz, TX. 78154 pwpermits@schertz.com
2.) Applications will only be accepted if all items on the Public Works Permit Checklist are
included in the submittal. These items are:
•Completed Public Works Application Form
•Payment only on Street Cuts, Water Taps and Sewer Taps $25 per Street cut,Water Taps, and Sewer Taps (Check Only). All Other Utility permits are free.
•A map of the requested area where the work is being done.
3.) The applicant will be notified within a minimum of 5 business days if any additional
information will be needed for the review.
4.) Approved permits will be emailed, faxed, or picked up at Public Works at the above
address. The permit shall remain on-site while work is performed. The permit is non-
transferable and expires 6 months from date issued. Water and Sewer locates will be
notified to the Water Division when the permit is issued and they will have 48 working hours to complete locates. Locates are only good for 14 days and must be requested again within 14 days.
5.) Contact information:
Water/ Sewer locates: Jerad Moheit 210-823-0000 jmoheit@schertz.com
Inspections contact: Eddie Diggs 210-619-1833 ediggs@schertz.com General Questions: 210-619-1800
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CITYOF SCHERTZ PUBLICWORKS 10 COMMERCIAL PLACE, BLDG.#2 SCHERTZ, TEXAS 78154 (210) 619-1800, FAX (210) 619-1849 pwpermits@schertz.com
PUBLIC WORKS PERMIT APPLICATION
JOB ADDRESS/DESCRIPTION: COUNTY:
ZONING: BLOCK: LOT: SUBDIVISION:
OWNERNAME:ADDRESS, CITY, ST. ZIP:PHONE: CELL: EMAIL: CONTRACTOR:ADDRESS, CITY, ST. ZIP PHONE: CELL: EMAIL:
ENGINEER:ADDRESS, CITY, ST. ZIP PHONE: CELL: EMAIL: DESCRIPTION OF WORK BEING PERFORMED:
PROOF OF REGISTRATION WITH STATE AND/OR CITY:
WILL THERE BE ANYOF THE FOLLOWING PERFORMED: TRENCHING
ROADBORING: YES NO TRENCH DEPTH IS SHORING NEEDED:
**NOTE: IF TRENCH IS OVER 5 FEET SHORING MUST BE USED. STREET CUTS: YES NO
WHAT TYPE OF UTILITY LOCATES WERE MADE? WATER SEWER ELECTRIC GAS PHONE CABLE TV OTHER
NOTICE
THIS APPLICATION FOR PERMIT SHALL BECOME NULL AND VOID WITHIN 6 MONTHS OF ISSUANCE. PERMITS ARE NON-TRANSFERABLE FROM ONE PERSON TO ANOTHER. EXTENSION OF THIS PERMIT SHALL BE FOR UP TO ONE MONTH AFTER ORIGINAL EXPIRATION DATE.
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 LAW REGULATING CONSTRUCTION OR PERFORMANCE OF CONSTRUCTION.
FOR DEPARTMENT USE ONLY
PERMIT NUMBER:
PERMIT FEE:
TOTAL AMOUNTDUE:
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
APPLICATIONACCEPTEDBY DATE
PRINT NAME OF CONTRACTOR OR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER OR AUTHORIZED AGENT DATE CITY AUTHORIZATION BY DATE
PRINT NAME OF OWNER OR AUTHORIZED AGENT DATE
A $200.00 FINE WILL BE IMPOSED IN VIOLATION OF WORKING WITHOUT A PERMIT. PERMITS NOT POSTED ON SITE WILL BE ASSESSED A 50$ INSPECTION FEE.