HomeMy WebLinkAboutZoning Permit Application PDF - 1842 South 16th Street Fire PumpCity of La Porte Planning & Development Phone: 281-470-5073
604 W. Fairmont Pkwy. ZONING PERMIT APPLICATION Fax: 281-470-5005
La Porte, TX 77571 www.laportetx.gov
PG. 1 of 2
PROJECT INFORMATION: DATE OF SUBMITTAL__________________________
PROJECT ADDRESS: ________________________________________________________________________________
PROPERTY OWNER: _______________________________________________________________________________
HCAD PARCEL NO. (13-DIGIT TAX ID): _________________________________________________________________
PROPERTY LEGAL DESCRIPTION: _____________________________________________________________________
PROPOSED BUSINESS NAME: _______________________________________________________________________
LAST USE OF BUILDING: _________________________________________ DATE USE CEASED: __________________
PROPOSED USE OF BUILDING:_______________________________________________________________________
CHECK ALL THAT APPLY:
OWNERSHIP OF PROPERTY -NAME CHANGE
CHANGE OF TENANT - NEW TENANT
OWNERSHIP OF BUSINESS -NAME
CHANGE IN USE OF PROPRTY
BUSINESS OWNER INFORMATION:
BUSINESS OWNER’S NAME: _____________________________ E-MAIL: ____________________________________
PHONE 1: ________________________ PHONE 2: _______________________ FAX: __________________________
MAILING ADDRESS OF BUSINESS OWNER: _____________________________________________________________
CONTACT INFORMATION:
CONTACT NAME: _________________________________CONTACT TITLE: __________________________________
PHONE: _____________________________________E-MAIL: _____________________________________________
APPLICATION CHECK LIST AND SUPPORTING DOCUMENTATIONS (Check applicable boxes):
COMPLETE ALL () PAGES OF APPLICATION. PROVIDE ANSWER TO ALL QUESTIONS.
FURNISH COPY OF TEXAS SALE & USE TAX CERTIFICATE.
NOTE TO APPLICANT:
NOT A VALID PERMIT UNTIL BUSINESS OWNER IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL.
AUTHORIZED SIGNATURE:____________________________ AUTHORIZED PRINTED NAME: ______________________________
STAFF USE ONLY:
ZONING DISTRICT: ______ FLOOD ZONE: ______ TAXES: ______ CE: ______ NAICS NO. OF PROPOSED USE: ___________
ADD TABC/CSO COMMENT FOR RESTAURANT / BAR? YES N/A
APPLICATION IS: APPROVED DENIED NON- CONFORMING ISSUES: YES NO
DIRECTOR’S SIGNATURE: ___________________________________ DATE: __________________________________
COMMENT: ______________________________________________________________________________________
________________________________________________________________________________________________
APPROVED BY: ________________________ DATE:_______________ PERMIT NUMBER: ___________________
City of La Porte Planning & Development Phone: 281-470-5073
604 W. Fairmont Pkwy. ZONING QUESTIONNAIRE Fax: 281-470-5005
La Porte, TX 77571 www.laportetx.gov
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PROJECT ADDRESS: ____________________________________________________________________________________
1.DETAILED DESCRIPTION OF OPERATION/S TO BE PERFORMED AT THIS FACILITY: _____________________________
______________________________________________________________________________________________
2.NUMBER OF EMPLOYEES PER BUILDING (IF APPLICABLE): ________________________________________________
3.WILL TRACTOR TRAILERS BE INVOLVED IN ANY WAY FOR YOUR PROPOSED OPERATIONS? YES NO
IF YES, DESCRIBE _________________________________________________________________________________
4.WHAT TYPE OF MATERIALS AND PROCESSES WILL BE USED IN YOUR BUSINESS OPERATIONS?
MATERIALS: _____________________________________________________________________________________
PROCESSES: _____________________________________________________________________________________
5.WHAT TYPES OF EQUIPMENT WILL BE UTILIZED IN YOUR BUSINESS OPERATIONS?
EQUIPMENT: ____________________________________________________________________________________
6.WILL OUTSIDE STORAGE BE UTILIZED IN YOUR BUSINESS OPERATIONS? YES NO
*IF YES, DESCRIBE WHAT WILL BE STORED OUTSIDE, WHERE IT WILL BE STORED AND PROVIDE PHOTOGRAPHS.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
7.MANUFACTURING DISTRIBUTING RETAIL OPERATIONS
DESCRIBE: ______________________________________________________________________________________
_______________________________________________________________________________________________
8.WHO IS YOUR CUSTOMER BASE? ____________________________________________________________________
9.DESCRIPTION AND QUANTITIES OF MATERIALS TO BE STORED INSIDE BUILDING ______________________________
_______________________________________________________________________________________________
10.PROVIDE A LIST AND QUANTITY OF ALL HAZARDOUS AND ALL NON HAZARDOUS CHEMICALS TO BE STORED INSIDE
AND/ OR OUTSIDE OF BUILDING: (ATTACH SEPARATE SHEET IF NEEDED) IF THIS BUSINESS IS INTENDING TO STORE, USE,
PROCESS, OR CREATE HAZARDOUS MATERIALS INSIDE OR OUTSIDE, YOU MAY BE SUBJECT TO COMPLETING A HAZARDOUS MATERIAL
MANAGEMENT PLAN (HMIS). PLEASE CONTACT THE FIRE MARSHAL’S OFFICE AT 281-471-3607 FOR INFORMATION AND ADDITIONAL FORMS.
INSIDE: ________________________________________________________________________________________
OUTSIDE: _______________________________________________________________________________________
11.IS YOUR BUSINESS CURRENTLY OPERATING IN LA PORTE AT A DIFFERENT ADDRESS? YES NO
IF YES, PROVIDE ADDRESS: _________________________________________________________________________
12.PROVIDE YOUR COMPANY’S CODE (IF KNOWN): NAICS CODE: ______________________
13.HAVE YOU RECENTLY PURCHASED THIS PROPERTY? YES NO
IF YES, PROVIDE A COPY OF YOUR DEED AND PROPERTY SURVEY.
14.ARE YOU CURRENTLY LEASING THIS PROPERTY? YES NO
15.WHO’S NAME IS THE WATER ACCOUNT CURRENTLY IN? _________________________________________________
WHO’S NAME WILL THE WATER ACCOUNT BE TRANSFERRED INTO? ________________________________________