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Single Family Rental Permit Application

City of Saginaw
Permit Department 301 S. Saginaw Blvd. Phone: 817-230-0453 Fax: 817-232-8565 Email: permits@saginawtx.org
To be completed by City Staff:
Permit Date:_______________ Permit #:__________________ Total Fee:__________________ Receipt #:__________________
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Does this property utilize a property manager/company other than the owner?
1. Yes
1. No
Company Name:
Manager / Agent Name:
Address:
City:
State:
Zip Code:
Cell Phone:
Office Phone:
Email Address:
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I hereby certify that all information has been reviewed and is complete and correct. I hereby certify that the rental dwelling for which the application is submitted is equipped with properly working smoke detectors and carbon monoxide detectors in accordance with the current adopted editions of the International Property Maintenance Code. I hereby certify that the rental dwelling shall not be separated into separate rental units with restricted access to the common areas. I hereby agree to abide by the ordinances applicable to the single-family rental dwelling described in this application as a condition of being issued this permit. I understand this permit is valid for one year from date of issue and is not transferable to another person or entity. I understand it shall be the owner/agent/manager responsibility to notify a tenant of the impending inspection. I understand nothing shall be construed to prohibit an inspection at the request of a tenant.
I have read and acknowledge the information stated above.
1. Yes
1. No
Applicant Signature:
Today's Date:
Today's Date:

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