OFFICE USE ONLY

City of Houston
Houston Public Works PROJECT NO. 21020093
Building Code Enforcement Branch Address Verified
1002 Washington Ave. 1st Fl. Houston, TX 77002 Flood Review  Yes  No
Phone: 832.394.8899 / Email: permits_office@[Link] Permit Fee $

BUILDING PERMIT APPLICATION

FLOOD DEVELOPMENT PERMIT APPLICATION ONLY Commercial Residential
Date Applicant Name Email
APPLICANT

06/23/21 Arturo Padron [Link]@[Link]

Relationship to Project Contact Phone No.
 Owner  Contractor  Architect/Designer  Agent  Other: __________________________ ( 8321) 748-2279

Owner, Tenant or Business Name Project Address Bldg. No. Unit/Ste. No.
Fuller , Dustin & Judith 1810 Wakefield dr
INFORMATION
PROPERTY

City Zip Code County Key Map # No. of Stories

Houston 77018 Harris 1
Subdivision (Only for New Construction) Block/Lot (Only for New Construction) Tract (Only for New Construction)

Project Manager Address City Zip Code

RESPONSIBLE PARTIES

Arturo Padron 7515 De Priest st Houston 77088

Email Phone Number
(as applicable)

[Link]@[Link] ( 832 ) 7482-279

General Contractor Address City Zip Code
Arturo Padron 7515 De Priest st Houston 77088
Email Phone Number
[Link]@[Link] ( 832 ) 748-2279
Residential Commercial
 Single Residence  Swimming Pool  Retail  Parking Garage  Apartments
STRUCTURE
TYPE OF

 Duplex  Fence  Office  Swimming Pool ______Apt. Units in the bldg.

 Carport  Storage Shed  Warehouse  Fence  Other: _________________
 Garage  Other: _____________  School

Scope of Project Total Cost of Improvements Square Footage (added)

 New Construction $ 4800
NOTE: Application and plans for new s. f. residences must Proposed Occupancy (If different)
Present Occupancy
be submitted electronically. Visit [Link]
PROJECT INFORMATION

for instructions.
 Addition  Foundation Construction Type Fire Rating
 Remodel  Demolition
 Repair  Other: _____________
________________________
 Conversion ________________________ - Commercial Projects Only -
MDI Project  Yes MDI Reg #  Yes Percentage __________ Type ______________________
Sprinklers
Green Building Type (If applicable)  No
 LEED  GBI  GHBA/GBGC TDLR TDLR Project No. ___________________________  EXEMPT

Other Remarks: _________________________________________________________________________________

Warning: The applicable deed restriction unsworn declaration must accompany this application when required. Any false statement thereon may result in criminal
prosecution. The City will rely upon the representations in the declaration in issuing the permit. The issuance of a permit does not authorize construction on, or use of,
any property in violation of deed restrictions. Any misrepresentations on this application or the declaration will render the permit void.

Signature of Applicant Date 06/23/21

Deed restriction unsworn declarations are located online at [Link] Form No: CE-1263 rev 05/27/2021