Page 98 - permit book

RESIDENTIAL BUILDING PERMIT APPLICATION
City Code of Ordinances Section R105 PERMITS of the 2015 International Residential Code

Application Type:

□ New Construction □ Addition □ Remodel □ General Repair
□ Driveway □ Demolition □ Foundation Repair □ Pool/Spa
□ Patio/Carport □ Dock/Deck/Boatlift □ Mobile Home Tie Down □ Fence
□ Window Replacement □ Garage □ Detached Garage □ Siding
□ Shed/Storage

2406 Leopard Street, Suite 100
Corpus Christi, TX 78408 Project Address:
(361) 826-3240
(361) 826-4375 (FAX) Subdivision: LT BLK
PermitRequests@cctexas.com
Property Tax ID _-_ -_
ALL ITEMS MUST BE
FILLED OUT Platted: □ YES □ NO **Building Permits CAN NOT be Issued on Properties NOT PLATTED**
COMPLETELY. Previous Use:

Description of work in detail:

Area of Work Project Cost City Gas □ YES □ NO

1 ST Floor Sq. Ft. Building: City Water □ YES □ NO

2 nd Floor Sq. Ft. Mechanical: City Wastewater □ YES □ NO

3 Floor Sq. Ft. Electrical:
rd

Garage Sq. Ft. Plumbing: Office Use:
Demolition: (E-mail)
Total Square Footage: Total Project Cost: GAS GIS

(Include additional floors on a separate sheet)

Names E-Mail Address, City, Zip Phone #
CONTRACTOR:

PROJECT CONTACT:

OWNER:

ARCHITECT / ENGINEER / DESIGNER:

ENERGY COMPLIANCE INSPECTOR:
(NEW & ADDITIONS)

ENERGY COMPLIANCE OPTION TO BE
UTILIZED: □ PRESCRIPTIVE ANALYSIS □ PERFORMANCE ANALYSIS □ ENERGY RATING INDEX ANALYSIS
Please provide Company Name and Contact Person for each field

Print Signature Name Phone Number Office Use:

Signature of Contractor or Authorized Agent Date Permit #: Intake Date:_

PR Fee: Staff Initials:
Signature of Owner (If Owner is Builder) Date

Revised 09/28/2016