Building Permit Application Revised 6-2016-TD-WEB06-2016 REVISED TD
BUILDING PERMIT APPLICATION
JOB ADDRESS: COUNTY:
ZONING: BLOCK: LOT: SUBDIVISION:
OWNER NAME: ADDRESS, CITY, ST. ZIP: PHONE:
CONTRACTOR: ADDRESS, CITY, ST. ZIP: PHONE:
ELECTRICAL CONTRACTOR: ADDRESS, CITY, ST, ZIP: PHONE:
PLUMBING CONTRACTOR: ADDRESS, CITY, ST, ZIP: PHONE:
MECHANICAL CONTRACTOR: ADDRESS, CITY, ST, ZIP: PHONE:
ARCHITECT: ADDRESS, CITY, ST. ZIP: PHONE:
ENGINEER: ADDRESS, CITY, ST. ZIP: PHONE:
CLASS OF WORK: CHECK ALL THAT APPLY :
RESIDENTIAL COMMERCIAL NEW CONSTRUCTION REMODEL ADDITION INTERIOR FINISH OUT
REPAIR MOVING DEMOLITION * OTHER ___________________________________________
*DEMOLITION – AN ASBESTOS SURVEY IS REQUIRED OF COMMERCIAL DEMOLITION PROJECTS IN ACCORDANCE WITH THE TEXAS
STATE HEALTH SERVICES DEPARTMENT REQUIREMENTS AND TEXAS ASBESTOS HEALTH PROTECTION RULES. ATTACH A COPY OF
ASBESTOS SURVEY.
DESCRIPTION OF WORK: CHECK ALL THAT APPLY AND INCLUDE SUB-TRADE(S) THAT APPLY TO THIS PROJECT:
ELECTRICAL PLUMBING MECHANICAL FLATWORK ASPHALT/PAVING FENCE >CHAIN LINK OR PRIVACY?
WOOD DECK CONCRETE PATIO >COVERED OR UNCOVERED? SHED >TYPE OF FLOOR ________________________
WINDOW REPLACEMENT > NO. _______________ SIDING/FASCIA OTHER TYPE OF PERMIT EXPLAIN:
____________________________________________________________________________________________________________________________________
ALL WORK IS SUBJECT TO REVIEW FOR MAXIMUM IMPERVIOUS COVERAGE ACCORDING TO THE REQUIREMENTS OF THE UNIFIED DEVELOPMENT CODE (UDC) ADOPTED 02/24/2009, CITY ORD NO. 09-S-06.
COST OF CONSTRUCTION:
NEW CONSTRUCTION RESIDENTIAL: *___________TOTAL SQUARE FEET (Under Roof) X $75.00 PER SQ FT = $ _______________
*FOR RESIDENTIAL NEW CONSTRUCTION, SQUARE FOOTAGE IS BASED ON TOTAL SQUARE FEET, NOT HABITABLE SPACE.
** NEW CONSTRUCTION COMMERCIAL/ALL COMMERCIAL: $___________________________ ACTUAL COST OF CONSTRUCTION
ALL OTHER CONSTRUCTION - COST/VALUE OF WORK:____________________________________________________________
OCCUPANCY GROUP: *TOTAL SQ. FT. NUMBER OF STORIES:TYPE OF CONSTRUCTION:
** TDLR REFERENCE NUMBER: For
Projects $50,000 or greater FIRE SPRINKLER REQUIRED: YES NO NUMBER OF OFF STREET
PARKING?
IS THIS PROPERTY WITHIN A FLOOD ZONE? YES NO FLOOD ZONE:
NOTICE
THIS APPLICATION FOR PERMIT SHALL INCLUDE ALL SUB-TRADES OF ELECTRICAL, MECHANICAL AND PLUMBING. THIS PERMIT BECOMES NULL AND VOID WITHIN 6 MONTHS OF ISSUANCE. ANYONE HOLDING AN UNEXPIRED PERMIT MAY APPLY FOR AN EXTENSION, IN WRITING. PERMITS ARE NON-TRANSFERABLE FROM ONE PERSON TO ANOTHER.
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 STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR PERFORMANCE OF CONSTRUCTION.
AS CONTRACTOR, I AUTHORIZE THE PROPERTY OWNER TO PICK UP THIS PERMIT ON MY BEHALF. I UNDERSTAND THAT WORK MAY NOT BEGIN UNTIL THE PERMIT IS POSTED ON THE JOB SITE. I ASSUME ALL RESPONSIBILITY FOR ANY PENALTY THAT MAY BE ASSESSED IF WORK IS PERFORMED WITHOUT THE PERMIT BEING POSTED.
SIGNATURE OF OWNER, CONTRACTOR OR AUTHORIZED AGENT
PRINT NAME OF OWNER, CONTRACTOR OR AUTHORIZED AGENT
DATE EMAIL ADDRESS (PRINT)
FOR DEPARTMENT USE ONLY
PERMIT NUMBER: ________________________________________
BUILDING PERMIT FEE: ___________________________________
PLAN CHECK FEE: ___________________ 50% OF PERMIT FEE
SUB-TRADE FEES: _________________ $300.00 PER BLDG/UNIT ($100.00 FLAT RATE PER TRADE)
LEAD SOLDER TEST: _______________ $15.00 PLUMBING ONLY
WATER FEE: ____________________________________________
SEWER FEE: ____________________________________________
OTHER FEES: ___________________________________________
TOTAL AMOUNT DUE: ___________________________________
APPLICATION ACCEPTED BY DATE
APPLICATION APPROVED BY DATE
PLANNING & COMMUNITY DEVELOPMENT INSPECTIONS DIVISION
1400 SCHERTZ PARKWAY, BLDG. #1
SCHERTZ, TEXAS 78154-1634
(210) 619-1750, FAX (210) 619-1769 EMAIL:
inspections@schertz.com