CITY OF PETERSBURG

BUILDING PERMIT APPLICATION 

(Please Note: Separate Applications Must Be Completed for Plumbing, Mechanical and Electrical Work Permits, if applicable) 

Project Information: 	Residential 	Commercial 	Cell Towers 	
Project Title: 				
Project Address: 				
Legal Description: 				
Property ID No.: 				

	New Construction 	Remodel! Addition 	Accessory Building 	Repair/Replace 	Foundation Only 	
Project Type: 	Demolition 		Swimming Pool 	Deck 		Windows 	Carport/Garage 	
	Other (Specify): 								
									
Work Includes: 	Electrical 		Plumbing 	Mechanical 		Fire Protection and/or Fire Alarm System 	
Description of Work: 									
Commercial Use of Building: 	Factory 	Food Service 	Business 	Storage 	Hospital/Institutional 	
Residential Use of Building: 	Single Family 	Duplex 	Multi-Family (number of units__________ 		
						IConstruction Valuation 			
Building Area (Sq. Ft. Under Root): 					(Building Only-All Trades Inclusive): 		
Miscellaneous Building Information: 									
All Electrical 	Gas Fired Heating 		Gas Water Heater 		Irrigation System included 	
Fence included 	Property Line Sidewalk 	Curb Back Sidewalk 		Corner Lot 		

Property Owner: 					
Address: 		City: 	State: 	Zip: 	
E-mail Address: 			Telephone No.: 		
Architect or Engineer: 	 				
Address: 		City: 	State: 	Zip: 	
E-mail Address: 			Telephone No.: 		
Contractor: 					
Address: 		City: 	State: 	Zip: 	
E-mail Address: 			Telephone No.: 		
		NOTICE 		
Separate permits are required for electrical, plumbing, heating, ventilating or air conditioning. This permit becomes null and void if work or construction is suspended 	
or abandoned for a period of 180 days at any time after work is commenced. 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 herein 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. 	

1524 MAIN STREET, PETERSBURG, TX  79250     •       TELEPHONE: (806) 667-3461      •       FAX: (806) 667-3678