To apply for a residential building permit, please complete the form and sign the agreement below. Unless otherwise noted, all fields are required.

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. All permits require final inspection. Water and sewer fees are due at the time the permit is issued. All fees are non-refundable. All contractors must register with the City of Floresville. When submittal documents are required, a plan review fee shall be paid at the time of submitting documents for plan review. The plan review fees shall be 65 percent of the building permit fee.

Building Permit Number

Valuation

Project Address

Zoning District

Lot

Block

Subdivision

Project Description

(check all that apply)


If Other, please specify:

Description of Work

Area (Square Feet)

Living (if applicable)

Garage (if applicable)

Covered Porch (if applicable)

Total (if applicable)

Number of Stories

Floodplain

Is this property in a floodplain?

If Yes, upload Floodplain Certificate (PDF, Word, images accepted):

Mobile Home

(if applicable)

Serial Number

Manufactured Date

Owner Information

Name

Contact Person

Address

Primary Phone

Mobile Phone (optional)

Email (optional)

General Contractor

Name

Contact Person

Phone

License Number

Mechanical Contractor

(if applicable)

Name

Contact Person

Phone

License Number

Electrical Contractor

(if applicable)

Name

Contact Person

Phone

License Number

Plumber/Irrigator

(if applicable)

Name

Contact Person

Phone

License Number

TPO Energy Provider

(if applicable)

Name

Contact Person

Phone

License Number


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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