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Building Permit Application

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. Michael Lopez, 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