To apply for a certificate of occupancy, please complete the form and sign the agreement below. Unless otherwise noted, all fields are required.

It shall be unlawful to use or occupy or permit the use of occupancy of any building or premises created, erected, changed, converted, or altered or enlarged in its use or structure until a Certificate of Occupancy shall have been issued by the administrative official. A permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. If applicable, water and sewer are due when permit is issued. All fees are non-refundable. 65 percent of your permit fee is due at application submittal. All contractors must register with the City of Floresville.

Project Information

Permit Number

Project Name/Description

Project Address

Square Feet

Lot

Block

Subdivision

Intended Use of Space

Total Occupancy of Building

Zoning District

Owner Information

Company Name

Contact Person

Street Address

Primary Phone

Mobile Phone (optional)

Email (optional)

Tenant Information

Company Name

Contact Person

Street Address

Primary Phone

Mobile Phone (optional)

Email (optional)

Business Activity

Does your business involve the storage, sale, or use of any of the following?
(check all that apply)

Provide chemical data sheets listing the maximum quantity of all hazardous materials (PDF, Word, images accepted):

List any material discharged into the drainage system, ground, or atmosphere:


Non-Discrimination Statement
The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.

Ethnicity (optional)

Race (optional)

I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. If you agree to all the terms and conditions stated above, sign this document electronically by typing your full name:

...and today’s date:

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