HomeMy WebLinkAbout2413 Elliott Shore Lane - Corrected Permit 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
Applicant Name: Project Address: Site Plan No. if applicable:
HCAD Parcel No. (s):
(1) _____________________________ (2) _____________________________ (3) _____________________________
LEGAL DESCRIPTION:
Property Owner: Mailing Address: E-Mail: Phone:
Contractor: Mailing Address: E-Mail: Phone:
Architect: Mailing Address: E-Mail: Phone:
Engineer: Mailing Address: E-Mail: Phone:
Contact Person: Mailing Address: E-Mail: Phone:
Project Description: Business/ Project Name:
Building Use: No. of Stories: Living Sq. Ft. Garage Sq. Ft. Porch Sq. Ft. Other Sq. Ft. Total Sq. Ft.
__________ __________ _________ __________ _________ __________ ____________
SELECT ALL THAT APPLY: *RESIDENTIAL COMMERCIAL VALUATION REQUIRED $ _______________________
*DOES NOT REQUIRE VALUATION
ADDITION REMODEL CULVERTS
FOUNDATION IRRIGATION SIGN OTHER
FENCE POOL DRIVEWAY
DESCRIBE WORK: ______________________________________________________________________________________________________
1. APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION:
RESIDENTIAL PROJECT: SUBMIT (2) COMPLETE SETS TO SCALE (HARD COPIES) OF CONTRUCTION PLANS FOR REVIEW.
COMMERCIAL PROJECT REQUIRES:
1. (2) COMPLETE SETS (HARD COPIES) OF CONTRUCTION PLANS AND SITE PLAN FOR REVIEW.
2. CD/ USB IN PDF FORMAT SHOULD INCLUDE CONSTRUCTION PLANS, SITE PLAN, AND COMPLETE APPLICATION.
3. SITE PLAN FEE DUE AT TIME OF SUBMITTAL. MAJOR SITE PLAN 10 ACRES OR GREATER: $300.00 + $5.00 PER ADDITIONAL ACRE;
MINOR SITE 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.
IF HOMEOWNER IS CONTRACTOR, MUST FURNISH NOTARIZED HOMESTEAD AFFIDAVIT. (FOR RESIDENTIAL PROJECT ONLY)
NOT A VALID PERMIT UNTIL OWNER/ CONTRACTOR IS NOTIFIED OF APPROVAL AND ALL APPLICABLE FEES ARE PAID IN FULL. SITE PLAN FEE IS
DUE AT SUBMITTAL OF APPLICATION.
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 INFORMATION PROVIDED IN THIS APPLICATION & THE PLANS SUBMITTED
THEREWITH.
SIGNATURE OF APPLICANT: _______________________ PRINTED NAME: ________________________ DATE: ______________
STAFF USE ONLY:
TAXES: CODE ENFOCEMENT: FLOOD ZONE: TYPE OF CONSTRUCTION: TYPE OF OCCUPANCY: USE ZONE:
BASE PERMIT FEE PERMIT FEE PLAN REVIEW FEE DRIVEWAY TIE-IN FEE PARKLAND & ZONE FEE
OTHER FEE
NEW WATER ACCOUNT SET-UP REQUIRED FOR THIS PROJECT: YES NO
PERMIT APPLICATION RECEIVED BY: DATE:
PERMIT NO. APPROVED FOR PERMIT ISSUANCE BY: DATE:
NEW