City of Victoria Form Center

2. 
3. VICTORIA FIRE MARSHAL'S OFFICE

         9508 Zac Lentz Parkway                                                          Victoria, Texas 77904                                                                  361-485-3460

5. Construction Permit Application
7. Site Address
8. Business Name
10. Scope of Work
12. Occupancy Classification
13. Construction Type
14. Number of Stories
15. Building Area (sf)
17. Emergency Contact
18. Phone Number
20. Applicant
22. Applicant
23. Company
25. Address
27. City
28. State
29. Zip Code
31. Email
32. Phone Number
34. Applicant Signature
36. Quantities
38. Automatic Extinguishing System Quantity
40. Commercial Kitchen Hood System Quantity
42. Fire Alarm System Total Number of Devices
44. Underground Sprinkler System Lead-In
46. Sprinkler System Number of Heads
48. Fuel Dispenser Number of Dispensers
50. Tank Removal Number of Tanks
52. Tank Installation
54. Permit Type
56. New Installation

    1. New Installation
57. Modification

    1. Modification
59. Permits
61. This permit becomes null and void unless a fire inspection is performed within six months from the date of issuance. The granting of a permit does not presume to give authority to violate or cancel the provisions of any law or ordinances regulating construction. No inspection will be performed unless this permit is displayed on the jobsite and the City approved plans are available to the inspector on the jobsite at the time of inspection. The applicant is responsible for all work done under this permit, and must follow all applicable codes.
63. check

    1. BY CHECKING THIS BOX, I ACKNOWLEDGE AND UNDERSTAND THE REQUIREMENTS LISTED ABOVE.
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65. 1. Receive an email copy of this form.
66. Email address

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