Application Form For Mechanical Permits Automated Inspection Request Line Form

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City of Fort Worth – Planning & Development Department – Customer Service Division
Application Form For Mechanical Permits
Automated Inspection Request Line – 817-392-6370
Is This a Remodel:
New Construction:
New Addition:____
If there is a Building Permit attached to the project please supply permit number.
Building Permit Number PB
Please Check One Below:
Job Site Contact:
Ph. Number:
RD
Is This Residential:
Commercial:
3
Party:
Third Party Name:
Permit Contact Name:
Contractor’s Name
FW Reg. # W/RM/M
Contact Phone#:
Fax:
Job Address:
Floor/Suite/Bldg.#
Mechanical Bid Value: $ _________
Heaters
Gas Htg 0-100MBTU_____
Rooftop Cooling
RTAC
0-3 Ton____
Boilers
Gas-APL/MB
Forced air, Unit,
101-400MBTU_____
Only
3.5-5 Ton____
or
___Total BTU per 1000
Wall, Floor, etc.
Elec Htg
0-20KW_____
Combination
5.5-7.5 Ton____
Large
APL/HP
21-40KW_____
8-10 Ton____
Heaters
___Total Horsepower
ELEC/APL/KW
___Total KW’s
Condensing Units,
A/C
0-2 Ton______
Rooftop Heat/Cool
HC-RTAC 0-3 Ton___
Coils
0-8 Tons___
or Chillers
2.5-3 Ton______
Combination
3.5-5 Ton___
>8 Tons___ Total Tons
3.5-5 Ton______
5.5-7.5 Ton___
5.5-7.5 Ton______
8-10 Ton___
8-10 Ton______
Condensing Units,
A/C
11-30 Ton______
Rooftop Cooling
C-RTAC >10 Ton
Fan
0-8 Tons___
or Chillers
31-100 Ton______
Only
____ Total Tons
Coils
>8 Tons___ Total Tons
101-320 Ton______
Heat/Cool
HC-RTAC>10 Ton
321-520 Ton______
____ Total Tons
>520Ton____Total
Ducts
Res Hood Duct_____
Commercial Kitchen
Hood
Duct
Fan
Make
Thru Wall Unit _____
Duct Additions_____
Exhaust
Type I ___
Type I ___
Type I ____
Up Air
Vav Box Air
_____
Vent Fan/Duct Sys
Type II ___
Type II ___
Type II ____
______
Vav Box Fan _____
Addition
Toilet Fan_____
Fireplace____
Flue Listed UL_____
Smoke –Extr_____
Mechanical
Dryer Vent-Res ___
Cir Pump ____
Flue Stack Com_____
Incinerator/M_____ Total BTU’s
Equipment (in
French Drain____
Evap Cooler____
Com Dryer Vent_____
Incinerator-Mod_____
units)
Gas Ext Test____
Industrial Hood____
Humidifier______
Misc. Equipment______
Smoke Shut Off____
Mech-Vent ____
Solar System_____
Type of Equipment_____________________________
WARNING: EMAILING MORE THAN ONE REQUEST FOR A SINGLE PERMIT MAY RESULT IN DUPLICATE PERMITS & NON REFUNDABLE FEES.
We Will Attempt To Issue All Permits Received Before 3:30 P.M. & Notify You Of Your Permit Number That Same Day Or By 5:00 PM The Following Business-
Day. In the event that you do not hear from us you may call our office @ 817-392-2222 the next working day.
*For your protection, we do not accept credit card information by email.
Please provide a valid contact number for credit card payment.
You May Also Submit Your Application ONLINE!
Processed by: __________________
Permit Number: _________________
Fee: ______________
Revised May 2016

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