City of Mingus, Texas

Appendix A — Building Permit Application

Referenced in Title X – Building and Construction

Applicant / Property Information

Applicant Name
Mailing Address
Phone
Email
Property Address / Location
Property Owner (if different)

Project Information

Type of Work	New Construction Remodel / Addition Electrical / Plumbing / HVAC Manufactured Home Placement Demolition Other
Description of Work
Estimated Cost of Construction
Square Footage (if applicable)
Water Source	City Water Private Well
Septic System	Existing New (County Approved)

Contractor Information (if applicable)

Contractor Name
Trade / License Type
License #
Phone

Required Attachments

Site plan or sketch showing location of improvements.
Proof of septic approval from Palo Pinto County (if applicable).
Building plans or drawings (if applicable).
Contractor’s license or proof of insurance (if applicable).

Certification

I hereby certify that the information above is correct and agree to comply with all City ordinances and codes applicable to this construction. I understand that this permit shall become invalid if work is not commenced within 6 months or completed within 12 months of issuance.

Applicant Signature		Date

For City / Inspector Use Only

Permit #		Date Issued
Permit Fee		Receipt #
Approved By		Inspection Required
Final Inspection / Notes

↑ Return to Title X – Building and Construction | Code Index