City of Jacksboro Texas Online Form Center

2. 
3. CITY OF JACKSBORO

   112 W. Belknap Street
   Jacksboro, TX  76458
   940-567-6321

4. MECHANICAL PERMIT APPLICATION
6. PROPERTY TYPE*
   -- Select One --ResidentialCommercial
7. LOCAL DISASTER - MARCH 2022 TORNADO*
   -- Select One --YesNo

   Is this application necessary due to the March 2022 Tornado Local Disaster?

9. JOB ADDRESS*
11. Business Name*
12. Contractor Name*
14. State License #*
15. Expiration Date*
    Expiration Date
17. Contractor Address*
19. Address2
21. City*
22. State*
23. Zip*
25. Contractor Email Address*
26. Contractor Phone Number*
28. PROPERTY OWNER INFORMATION
30. Property Owner First Name*
31. Property Owner Last Name*
33. Property Owner Company Name (if applicable)
35. Property Owner Address*
37. Property Owner Address2
39. City*
40. State*
41. Zip*
43. Property Owner Email address
44. Property Owner Phone Number*
46. Description of Work*
50. NOTICES

    I.B.C. Sec. 105.5 EXPIRATION. – [A]. Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 180 days after the time the work is commenced. The building official is authorized to grant, in writing, one or more extensions of time, for periods not more than 1 80 days each. The extension shall be requested in writing and justifiable cause demonstrated. 

    If a home is built prior to 1978, you are required by law to be a U.S. EPA certified RRP renovators. Call 214-655-7577 for questions re: the RRP Rule.

    I realize that the information that I have stated hereon forms a basis for the issuance of the Building Permit herein applied for and approved of any plans in connection therewith shall not be construed to permit any construction upon said premises or use thereof in violation of any provision of the Jacksboro City Code or any other ordinance or to excuse the owner or his successors from complying therewith. I hereby certify that I am the owner at this address or that, for the purpose of obtaining this approval. I am acting on behalf of the owner. All contract work on this project will be done by a contractor holding a valid privilege tax license and contractor’s license issued by the State of Texas and the City of Jacksboro.

    The City of Jacksboro shall never be liable for any damage or loss by reason of the issuance hereof.  Each holder and other persons acting under authority of this permit are personally responsible for compliance with all the State and Local provisions, whether or not specified herein, and assume the entire risks incidental to the work being permitted. 

    I understand construction debris cannot be dumped within the city limits nor at the city’s transfer station.  I understand it is my responsibility to make arrangements for the dumping/discarding of construction debris.

52. NOTICES ACKNOWLEDGEMENT*

    1. I understand and agree
54. DOUBLE FEES:

    All fees shall apply; except that if any person shall make an application for a permit as provided in this division, after the work has been started or after the work has been partially completed or concealed, such persons shall pay double the fee or fees which would ordinarily be required.

56. Acknowledgement of fees*

    1. I understand and agree
58. NOTICE FOR INSPECTIONS

    24 HOURS NOTICE REQUIRED ON ALL INSPECTIONS

    TO REQUEST INSPECTIONS, PLEASE CALL JACKSBORO CITY HALL 940-567-6321   8 AM – 5 PM

    MAKE ALL CHECKS PAYABLE TO “CITY OF JACKSBORO”

    THANK YOU FOR YOUR BUSINESS!

60. Submit

    By submitting this document I am stating that I am the Property Owner or Authorized Property Owner Representative.  As a Property Owner Representative I have uploaded or will provide proof of legal representation.

    Also, I understand this application will not be accepted if all required documentation and application fees are not recieved within 5 business days of submitting the application.

Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

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