Electrical Permit Application Revised 7-2017-TD7-2017 Rev TD
BUILDING PERMIT APPLICATION ELECTRICAL- REPAIR, REPLACEMENT OR UPGRADE
JOB ADDRESS: OWNER NAME: ADDRESS, CITY, ST. ZIP: PHONE: ELECTRICAL CONTRACTOR: ADDRESS, CITY, ST. ZIP: PHONE: ARCHITECT: ADDRESS, CITY, ST. ZIP: PHONE: ENGINEER: ADDRESS, CITY, ST. ZIP: PHONE:
EMAIL ADDRESS FOR CONTACT REGARDING PERMIT: ____________________________________________________________
CLASS OF WORK: RESIDENTIAL COMMERCIAL ADDITION REPAIR OTHER
IF NEW CONSTRUCTION, NAME GENERAL CONTRACTOR: ________________________________________________ DESCRIPTION OF WORK: CHECK ALL THAT APPLY TO THIS PROJECT TEMPORARY METER UPGRADE METER LOOP SERVICE > FROM _________ AMPS TO _________ AMPS
UPGRADE SUB-PANEL ________ NO OF CIRCUITS DISCONNECT/RECONNECT CHANGE POSITION
WORK WITH FIXTURES > NO OF 110V PLUGS ________ NO OF 220V PLUGS ________
NO OF SWITCHES __________ NO OF LIGHT FIXTURES ___________ NO OF CEILING FANS ________
SPA OTHER ______________________________________________________________________________
DESCRIBE PURPOSE OF PERMIT: ___________________________________________________________________________________________
CONSTRUCTION - COST/VALUE OF WORK:___________________________________________________________________________________
IS THIS PROPERTY WITHIN A FLOOD ZONE? YES NO NOTE: A FLOOD PLAIN PERMIT MAY BE REQUIRED IF APPLICABLE.
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
FOR DEPARTMENT USE ONLY PERMIT FEE: $60.00 OTHER FEES ____________________ FINAL TOTAL ____________________
APPLICATION ACCEPTED BY DATE
APPLICATION APPROVED BY DATE PERMIT NUMBER: ___________________________________
NOTICE SEPARATE PERMITS ARE REQUIRED FOR BUILDING, PLUMBING AND MECHANICAL. 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. IF AN EMERGENCY SITUATION, THE PERMIT APPLICATION SHALL BE SUBMITTED AND OBTAINED BY THE NEXT BUSINESS DAY. 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.
SIGNATURE OF OWNER, CONTRACTOR OR AUTHORIZED AGENT
PRINT NAME OF OWNER, CONTRACTOR OR AUTHORIZED AGENT
DATE