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City of Oldsmar Application for Building Permit

Steps

  1. 1. General Information
  2. 2. Asbestos Notification Statement

  • General Information

    2. ______________________________

      Permit #

    3. ___________________________

      Permit Fees Due

    4. ___________________________

      Receipt #

    5. ____________________

      Date

    7. FLORIDA BUILDING AND ACCESSIBILITY CODE, 6TH EDITION (2017) APPLIES

    9. Fee Simple Titleholder’s Name (If other than owner)

    11. Must provide complete address including city, state and zip code

    15. Must provide complete address including city, state and zip code

    26. (in sq. ft)

    35. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
      Notice of Commencement Form

      Must provide a duly recorded notice of commencement for construction projects valued in excess of $2,500.00

    37. AN ELECTRONIC VERSION OF ALL DOCUMENTS BEING SUBMITTED SHALL BE PROVIDED WITH THE PACKET ON A CD IN .PDF FORMAT PLANS ARE LARGER THAN 11 X 17

      Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no 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 fro ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, KITCHEN HOODS, FIRE SPRINKLERS, ALARM SYSTEM, AND SHEDS, ETC

    39. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.

      OWNER'S ELECTRONIC SUBMISSION OF STATEMENT: Under penalty of perjury, I declare that all of the information contained in this building permit application is true and correct.

    41. Building Permit Applications shall be submitted on paper and PDF format, for review and contain all the items listed in the Residential or Commercial Application Packet. For manufactured homes copies of plot plan, pier and base diagram plus tie down diagram with manufacturers name and model number must accompany application. In addition, plumbing, electrical, mechanical and environmental plans shall be submitted to secure these permits, when applicable. The construction permit fee is based on a $40.00 fee, plus additional fees according to value per thousand of valuation or fraction thereof. A form board tie-in survey shall be required at the slab inspection.

      Application is valid for 180 days.Permit is extended for 6 months after each successful inspection. Permit expires after 1 year. Permit fee is non-refundable.

    43. Contractors must maintain, State License, PCCLB License, General Liability and Workman's Compensation Insurance.

    46. Check One

    48. ________________________________________________________

      Signature

    49. Date:_____________________________