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Infrastructure
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Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
Step One
Contractor Information
Company Name
*
Qualifier/License Holder Name
*
State License Number
*
Telephone Number
*
Property Owner Information
Property Owners First Name
*
Property Owners Last Name
*
Property Owner's Address 1
*
Address 2
City
*
State
*
Zip
*
Property Owner's Telephone Number
*
Applicant First Name
*
Applicant Last Name
*
Applicant Telephone Number
*
Applicant Email Address
*
Address of Proposed Work
*
Type of Property
*
Residential
Commercial
Check All That Apply
*
Water/Sewer/Stormwater
Erosion Control Measures
Excavation/ Cut-Fill Operations
Dumpster Enclosure
Parking Lot
Landscaping
Landscape Irrigation
Site Signage
Site Lighting
Site Fencing
Retaining Wall(s)
Other (Describe Below)
Estimated Cost of Work
*
Square Footage of Affected Area
*
Detailed Description of Work
*
Continue
Step Two
PERMIT APPLICATION (Chapter 713.135(6) Florida Statutes)
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, FIRE ALARM SYSTEMS,FIRE SPRINKLER SYSTEMS,ETC.
Applicant Initials
*
NOTICE OF COMMENCEMENT (Chapter 713.135(1)(d) & 713.135(1)(a) Florida Statutes)
For any direct contract valued greater than $2,500 ($7,500 to repair or replace an existing heating or cooling system) a recorded NOTICE OF COMMENCEMENT is required prior to the first inspection. “WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.”
Applicant Initials
*
HOMEOWNER’S PROTECTION GUIDE (Chapter 713.135(1)(c) Florida Statutes)
Each applicant must promise in good faith to provide to the owner of the real property upon which improvements are to be constructed a printed statement stating that the right, title, and interest of the person who has contracted for the improvement may be subject to attachment under the Construction Lien Law.
Applicant Initials
*
NOTICE OF DEED RESTRICTIONS
This permit may be subject to “deed” restrictions which may be more restrictive than the City regulations. The applicant assumes responsibility for compliance with applicable deed restrictions.
Applicant Initials
*
WORK COMMENCING BEFORE PERMIT ISSUANCE (CHAPTER 8-28 (f) (2) City Code)
In the event that any work for which a permit is required is commenced or is in process prior to the issuance of a permit by the building department, the building official may impose a penalty fee. The fee for work commenced without a permit shall be assessed per discipline (building, electrical, mechanical, plumbing, etc.) according to the most recently adopted permit fee schedule.
Applicant Initials
*
ADDITIONAL PERMITS REQUIRED (Florida Building Code 105.3.3)
“NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other govern- mental entities such as water management districts, state agencies, or federal agencies.”
Applicant Initials
*
CONDITIONS OF THE PERMIT (Florida Building Code 105.4.1)
A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter or set aside any of the provisions of technical codes, nor shall issuance of a permit prevent the building official from thereafter requiring a correction of errors in plans, construction or violations of this code.
Applicant Initials
*
Signature of Applicant:
UNDER PENALTY OF PERJURY, I DECLARE THAT ALL THE INFORMATION CONTAINED IN THIS BUILDING PERMIT APPLICATION IS TRUE AND CORRECT AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH FLORIDA BUILDING CODE SIXTH EDITION (2017) AND ALL OTHER APPLICABLE LAWS REGULATING CONSTRUCTION, ZONING AND LAND DEVELOPMENT WHETHER OR NOT SHOWN OR INDICATED IN PLANS AND SPECIFICATIONS OF THIS PERMIT.
Signature of Applicant
*
Date:
*
Date:
Electronic Signature of Applicant
*
By checking this box, I acknowledge that I am electronically signing this form and that the information above is true and correct to the best of my knowledge.
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