Homestead Homeowner'S Affidavit Plumbing - Town Of Prosper
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1Homestead Homeowner’s Affidavit: Plumbing
Existing Permit #:
Date:
409 E. First Street, Prosper, TX 75078
Phone 972-346-3502
Property Address:
Plumbing Permit Number:
Homeowner’s Name:
This is to certify that I am homestead of the above mentioned premises and that the plumbing work
that will be conducted under the above mentioned permit number will be done by me, as the property
owner, in a building I own and occupy as my home. I do hereby swear that I shall install all of the
piping, fixtures, and appliances for supply of water, gas or disposal of sewage myself. All work and
materials will meet the requirements of the currently adopted International Residential Code, all
federal, state and locally adopted Town of Prosper amendments. I also certify that I will make any
required corrections necessary to conform to the requirements as set forth by the plumbing code and
as determined by the Town of Prosper Building Inspection staff by the completion of the work. If
required, I will remove work installed and re-install within the time frame specified by the Building
Inspection staff. The Town of Prosper reserves the right to revoke the homeowners permit if violations
are reported and not corrected.
Homeowner’s Signature:
_______________________________________________________________________________
THE STATE OF TEXAS
§
§
COUNTY OF _______________
§
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally
appeared [homeowner’s name] ________________________________
, known to me to be the
person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed
same for the purposes and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this the _____ _ day of__
________, 20______.
.
______________________________
Notary Public in and for the State of Texas
Commission expiration date:
Revised 10/2015
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