Form Center

2. 

3. City of Lamesa, Texas

5. Buildings and Inspections Department

7. Application for Permit
9. Date:*
10. Permit No.
12. To the inspector of buildings:
    The undersigned hereby applies for a permit to build according to the following specifications:
14. 1. Street address of property:
16. 2. Lot No.
17. Block
18. Subdivision
20. Zoning Classification
22. 3. Owner*
23. Address*
25. Phone:*
26. E-mail:
28. 4. Building Contractor:
29. Address:
31. Phone:
32. E-mail:
34. 5. Plumbing Contractor:
35. Address:
37. Phone:
38. License #:
40. 6. HVAC Contractor:
41. Address:
43. Phone:
44. License #:
46. 7. Electrical Contrator:
47. Address:
49. Phone:
50. License #:
52. 8. Purpose of Permit*
    -- Select One --Commercial ConstructionResidential ConstructionAdditionDemoGarage/CarportPatio/PorchRoofingMobile HomeCommerical RemodelResidential RemodelStorage BuildingFenceOther
53. If other explain:
54. EAB #:
56. 9. New residential construction features:
58. Bedrooms:
59. Bathrooms:
60. No. of Stories
61. Basement:
63. Garage/Carport:
64. No. of families:
65. Other:
67. 10. Commericial Construction Classification:
68. 11. Type of exterior finish:
70. 12. Size of Lot:
71. No. of Feet Front
72. No. of Feet Rear
73. No. of Feet Deep
75. 13. Size of building:
76. No. of Feet Front
77. No. of Feet Rear
79. No. of Feet Deep
80. Height
82. 14. Setback from Curb:
83. Setback from Lot Lines
85. 15. Variance No.
87. 16. Foundation Type
88. Foundation depth: Edge
89. Center
91. Rebar Size:
93. 17. Foundation Treatment Provided By:
95. 18. Type of Roof:
    -- Select One --FlatPitch
96. Roofing Material:
98. 19. HVAC System Size and Type:
99. Water Heater Size and Type
101. 20. Water Meter tap Size
102. Sewer Tap Size
103. Gas Line Size
105. Electric Service Size
107. 21. Mobile Home Description
108. Year Model:
110. Serial No.
112. 22. Value of Construction (Labor and Material):
114. By checking this box, I certify that on the above date I made application at the Building Inspector's Office for a permit to erect, remodel, repair, or remove a building or part thereof in accordance with this detailed statement, and plans filed with the Building Inspector, and I agree to construct said buildings in conformity with said plans and detailed statement, and in compliance with all provisions of the Building Ordinance and all applicable codes, and that the statement of the estimated value is correct.State of Texas, County of Dawson, City of Lamesa*

     1. I agree
116. Fee Collected
117. Paid by:

     1. Cash
     2. Check
     3. Credit Card
118. Employee initials:
120. Daniel Meistrell, Building Inspector
Leave This Blank:


124. 1. Receive an email copy of this form.
125. Email address

     This field is not part of the form submission.

126. Submit

* indicates a required field