HomeMy WebLinkAboutBP APPCity of La Porte Planning & Development Phone: 281.470.5073
604 W. Fairmont Pkwy BUILDING PERMIT APPLICATION Fax: 281.470.5005
La Porte TX 77571 permits@laportetx.gov
pplicant N Ze: Project Address: Site Plan No. if applicable:
sa
HCAD Parcel No. (s):
1 Z3- (2) Z3-161 -O00 00b 3
LEGAL DE RIP O
roperty Owner: Mailing Address: E-Mail: Phone:
lL4 CJ%C-`L-
Contractor: Mailing Address: E-Mail: Phone: 1; Z- 7:5V 1
l&S O?- 5 7HST �4�°1'� Ca UJ 6.00r+
Architect: Mailing Address: E-Mail: Phone:
Engineer: Mailing Address: E-Mail: Phone:
ontact Person: Mailing Address: E-Mail: Phone: F s y
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IS YOUR PROPERTY INSURED? ❑ YES ❑ NO Busin / Project Name:
Building Use: No. of Stories: LiT Sq. Ft. GaraZge q. Ft. Porch Sq. Ft. Other Sq. Ft. Total Sq. Ft.
SELECT ALL THAT APPLY: 'RESIDENTIAL COMMERCIAL VALUATION REQUIRED $ f 3 0'- 0 0 d
'DOES NOT REQUIRE VALUATION
NEW ❑ADDITION ❑REMODEL ❑CULVERTS
❑ FOUNDATION ❑ IRRIGATION ❑ SIGN ❑ OT R
❑ FENCE POOL ❑ DRIVEWAY JUN 0 D
DESCRIBE WORK: 'G� C. JUN120,
APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION: ppv
RESIDENTIAL PROJECT: COMPLETE BUILDING PERMIT APPLICATION AND (2) COMPLETE SET OF CONSTRUCTION PLANS OR TO SCALE
DRAWINGS
COMMERCIAL PROJECT: HARD COPIES: COMPLETE BUILDING PERMIT APPLICATION, (2) 24 X 36 COMPLETE PLAN SET, AND SITE PLAN
USB MUST INCLUDE THE FOLLOWING IN PDF FORMAT: COMPLETE BUILDING PERMIT APPLICATION, COMPLETE PLAN
SET IN A SINGLE FILE, AND SITE PLAN. (PLEASE DO NOT SUBMIT CD IN LIEU OF USB)
NOTE: SITE PLAN FEE DUE AT TIME OF SUBMITTAL. MAJOR SITE PLAN 10 ACRES OR GREATER. $3W.00+$5.00 PER ADDITIONAL ACRE; MINORSITE
PLAN LESS THAN 10 ACRES: $200.00+$5.00 PER ADDITIONAL ACRE.
CONTRACTOR REQUIREMENTS: CURRENT GENERAL LIABILITY CERTIFICATE OF INSURANCE MINIMUM OF $100,000.
CITY OF LA PORTE; 604 W. FAIRMONT PKWY; LA PORTE, TX 77571 AS THE CERTIFICATE HOLDER.
NOTE: NOT A VALID PERMIT UNTIL OWNER/ CONTRACTOR IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL.
AS A CONDITION OF THIS SUBMITTAL, I AGREE TO ALLOW EMPLOYEES OF THE CITY OF LA PORTE TO ACCESS MY PROPERTY FOR THE PURPOSE OF
INSPECTING OR.VERIFYING INFO TION PROVIDED IN THIS APPLICATION , THE PLANS SUBMITTED THEREWITH.
SIGNATURE OF APPLICANT G d1 ta•G PRINTED NAME: �S lJ YG•L Z' DATE:
STAFF USE ONLY:
PERMIT NO. APPROVED FOR PERMIT ISSUANCE BY: DATE:
21-1M'
TAXES: CODE ENFORCEMENT:
FLOOD ZONE:
TYPE OF CONSTRUCTION:
TYPE OF OCCUPANCY:
USE ZONE:
BASE PERMIT FEE
PER FEE
FIgN REVIEW FEE
RWVEWAY TEIN FEE
PgRKLANN&ZONEFEE
OTHER FEE
NEW WATER ACCOUNT SET-UP REQUIRED FOR THIS PROJECT: YES NO