Building Inspections Permit Application Please complete and be specific. Failure to do so will cause a delay in the issuance of the permit. Address/Location of property Street Address City ZIP Code LOT No.BLKCBZONEName First Last LOT SIZE AGEAn application is hereby made for a permit to cover the following described work to be done or future use of building. Contact City Hall at (210) 661-3198 ext. 7 to determine if plans are required (ALL NEW CONSTRUCTION REQUIRED TWO SETS OF COMPLETE PLANS)No. RoomsNo. BathsNo. StoriesCarport / Fence / Patio Slab Cover / Roof Carport Fence Patio Slab Cover Roof Select AllLot SizeTotal Sq. Ft. Floor AreaGarage Type: Single Double Attached Detached Property Owner First Last Address Street Address City ZIP Code Property Owner Phone NumberEmail Company Name First Address Street Address City ZIP Code Email TOTAL SQUARE FOOTAGETOTAL VALUE OF CONSTRUCTION PLUS ALL FINISHED WORK*For Residential, Building, Mechanical, Plumbing, Elevators, Fire Extinguisher Systems, and other permanent work. See the International Codes published by the International Code Council. For electrical see the NEC published by NFPA. SEPARATE INDIVIDUAL PERMITS WILL BE REQUIRED BY THE VARIOUS TRADES. THE APPLICANT SHALL BE RESPONSIBLE FOR INFORMING ALL PARTIES INVOLVED, INCLUDING THE DESIGN PROFESSIONAL OF ANY CODE NON-COMPLIANCE AS NOTED ON PLANS. INSPECTIONS REPORTS OR ANY OTHER DOCUMENTS ISSUED BY THE BUILDING OFFICIAL/INSPECTOR. I hereby acknowledge that I have read this application and state that the above is correct and I agree to comply with all City of Kirby ordinances, State Laws, and the International Codes as published by ICC regulating building construction.Authorize Signature(Required) Reset signature Signature locked. Reset to sign again Print First Last Company First Company PhoneCompany Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Application MM slash DD slash YYYY Date Permit Issued MM slash DD slash YYYY Permit FeePlan Review FeeInvestigation FeeInspection FeeApproved to Issue Permit Building Official First Last THIS APPLICATION DOES NOT CONSTITUTE PERMISSION TO BEGIN WORK. IF WORK IS STARTED WITHOUT A PERMIT, AN INVESTIGATION FEE WILL BE ASSESSED IN ADDITION TO THE PERMIT FEE. THE INVESTIGATION FEE SHALL BE EQUAL TO THE PERMIT FEE. NO REFUND AFTER THIS PERMIT LEAVES THE OFFICE. THE PERMIT IS NON-TRANSFERRABLE. CITY OF KIRBY | 112 BAUMAN STREET KIRBY, TEXAS 78219 | PHONE (210) 661-3198 | FAX (210) 661-4525 Δ
