Texas Health files $43.9M Fort Worth women's tower expansion

Texas Health Resources filed a commercial building permit on Sept. 8, 2026 to add four floors to the Jane and John Justin Tower at its Fort Worth campus, 801 5th Ave. The permit, PB26-12708, carries a declared value of $43,855,065 and names the project the Justin Tower Women’s Services Expansion.

Why it matters

This is a second Texas Health filing in Fort Worth. The $150M patient tower permit reported Oct. 6 is a separate permit, PB26-13455, at a different site, 6100 Harris Pkwy. Counting each permit once, the two filings total $193,855,065 ($43,855,065 plus $150,000,000).

The record describes a vertical extension of the existing tower, with the new floors set aside for women’s services “future use.” For general contractors and specialty trades in Dallas-Fort Worth, a vertical add on an operating hospital tower is a different scope from ground-up work, since the new floors go on top of an operating hospital.

The numbers

• Declared value: $43,855,065.
• Size on the permit: 169,983 sq ft. That works out to about $258 per sq ft.
• Scope: four new floors above the existing tower.
• Permit type: Commercial Building Permit, Addition. Filed Sept. 8, 2026, which is 29 days before this edition.
• Owner of record: Texas Health Resources. Site: HARRIS HOSPITAL SUBDIVISION Block 1 Lot 3RB1.
• Status: Awaiting Client Reply.

What’s next

The permit is filed, not approved. “Awaiting Client Reply” means the city is waiting on a response from the applicant, so review is not complete and no start date appears on the record. The record does not name a contractor or an architect.

Watch the Fort Worth permit system for a status change to issued, which would be the first sign of a construction start. The records do not say whether the two Texas Health projects are phased together.