Loading...
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