Building Permit Application - El Paso, Texas

1 Permit Number (Leave this portion blank). Building Permit Application . Commercial New Commercial Addition Commercial Shell Tenant Improvement Residential Date Applicant Name Email APPLICANT. Relationship to Project Contact Phone No. Owner Contractor Architect/Designer Agent Other: _____ ( ) _____. Owner, Tenant or Business Name Project Address Bldg. No. Unit/Ste. No. INFORMATION. City Zip Code PID Number No. of Stories JOB SITE. Subdivision (Only for New Construction) Block/Lot (Only for New Construction) Tract (Only for New Construction).

2 Owner - Name Address City, State Zip Code RESPONSIBLE PARTIES. Email Phone Number (as applicable). ( ). General Contractor (Company Name) Address City Zip Code Email Phone Number ( ). Residential Commercial Swimming Pool Assembly Institutional Apartments STRUCTURE. Single Residence TYPE OF. Duplex Fence Office Retail # of Units Carport (Attached) Storage Shed Educational Warehouse Parking Lot Accessory Dwelling Unit Other: _____ Industrial Temporary Placement Other: Scope of Project Total Cost of Improvements Square Footage (new, added, or affected area).

3 New Construction Change of Use Foundation $. Addition Conversion demolition PROJECT INFORMATION. Previous Occupancy Proposed Occupancy Description of Work New Building Expedited Review (Additional fees apply). Yes Print Name Date: Signature Building Yes Residential Yes Master Plan Model Number Sprinklers No Master Plan No TDLR EAB EAB Project No. EXEMPT. Affidavit: 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.

4 The granting of a Permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local laws regulating construction or the performance of construction. I also hereby certify that the information on the site plan is true and correct and that all known easements have been properly shown. I also understand that I am required by city ordinance to notify a Texas One Call system before starting any excavation or digging work. Signature of Applicant Date Form Date: 4/27/18.