Permit Application

1. 

2. CITY OF LAMPASAS PERMIT APPLICATION

4. Fields marked with a " * " are required fields. If the field does not apply to you please complete the field with "N/A"

5. Date of Application*

6. JOB INFORMATION

7. Address1*

8. Address2

9. City*

10. State*

11. Zip*

12. Lot Number

13. Block Number

14. Subdivision

15. Zoning

16. Valuation of Work*

17. Describe Work Being Done*

19. OWNER/NAME ON UTILITIES

20. First Name*

21. Last Name*

22. Address1*

23. Address2

24. City*

25. State*

26. Zip*

27. Phone Number*

28. Fax Number

29. Email Address

30. Cell Number*

32. GENERAL CONTRACTOR

33. First Name*

34. Last Name*

35. Address1*

36. Address2

37. City*

38. State*

39. Zip*

40. Phone Number*

41. Cell Number*

42. Fax Number

43. License Type*

44. License Number*

45. Exp. Date*

47. ARCHITECT/ENGINEER

48. Name of Firm

49. Business Owner's Name

50. Address1

51. Address2

52. City

53. State

54. Zip

55. Telephone Number

56. Cell Number

57. Fax Number

58. Upload Business License

60. ELECTRICAL CONTRACTOR

61. First Name*

62. Last Name*

63. Address1*

64. Address2

65. City*

66. State*

67. Zip*

68. Telephone Number*

69. Cell Number*

70. Fax Number

71. License Number*

72. Exp. Date*

74. PLUMBING CONTRACTOR

75. First Name*

76. Last Name*

77. Address1*

78. Address2

79. City*

80. State*

81. Zip*

82. Telephone Number*

83. Cell Number*

84. Fax Number

85. License Number*

86. Exp. Date*

88. HVAC/MECHANICAL CONTRACTOR

89. First Name*

90. Last Name*

91. Address1*

92. Address2

93. City*

94. State*

95. Zip*

96. Telephone Number*

97. Cell Number*

98. Fax Number

99. License Number*

100. Exp. Date*

102. TDLR ARCHITECTURAL BARRIER REGISTRATION NUMBER

103. Commerical/Retail (If Job Exceeds $50,000) #*

104. License Information & Fee
     No license shall become effective until the required certificate of insurance has been submitted and is on file with the city. The contractor license fee is (your fee) per year.

     No license shall become effective until the required certificate of insurance has been submitted and is on file with the city. The contractor license fee is (your fee) per year.

105. Electronic Signature*

     By checking ?I agree,? you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature. By checking ?I agree ?U agree and understand that it will be your responsibilty to ensure at all times compliance with the applicable laws of the State of Texas, Federal Government, and the City of Lampasas with respect to the permit which may be issued for this project. In accordance with plans and specifications submitted herewith and in full conformity with the provisions and regulation of all ordinances of the City of Lampasas, the City reserves the right to approve or disapprove the project requested based solely upon the representations of the applicant. The Building Inspector is hereby given authority to make inspections of the project site at any time during the progression of the work and stop all work not in conformity with this permit, the plans and specifications or any laws of the State of Texas, Federal Government or the City of Lampasas.The construction permit shall become null and void if work or construction authorized herein is not commenced within six (6) months of if work is suspended of abandoned for a period off six (6) months at any time after the work is commenced.

     1. I Agree
106. This permit is not valid without proper payment/receipt and must have City Official approval/signature.

Leave This Blank:


107. 1. Receive email copy
108. Email address

     This field is not part of the form submission.

109. Submit Submit and Print

* indicates a required field