Temporary Construction - Project Address Online Application

* indicates a required field

2. Date*
   Date
4. First Name*
5. Last Name*
7. Phone Number*
9. Email Address
11. Commercial Use ?*
    -- Select One --YESNO
12. Are you the property owner?*
    -- Select One --YesI have documentation from owner allowing me to apply
14. How Many proposed buildings? (including existing and new construction)*

    Example: (1 existing building 2 new buildings) (0 existing buildings 1 new building)

     

    
    

16. How many proposed total units?

    Example: (4 units within 1 building)

18. Kaufman County Appraisal District Parcel ID(s)*
19. Road to access Property:*
21. Platting Authority*

    Jurisdiction for Platting (Unicorporated Kaufman County or Within a City's ETJ)

23. Required with application form:

    1) Recorded deed to show property ownership.

    2) General site plan to show location of buildings and access from road. 

    3) Property survey and civil site plan if available.

    4) Permission from property owner to apply for address (if you are not the property owner)

25. FIle upload
26. File upload
27. File upload
29. File upload
31. Keep in Mind:

    Temporary:  The address will expire and must be removed from our system 1 year from issuance.

    Finalized: Address should be finalized once the design is approved. 

    Address must be finalized before a certificate of occupancy or completion can be issued.

    Each building and each unit will be required to have its own unique address. 

    
    

33. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
35. Electronic Signature*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit