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City of Oldsmar Application for Building Permit

Steps

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

    1. ______________________________

      Permit #

    2. ___________________________

      Permit Fees Due

    3. ___________________________

      Receipt #

    4. ____________________

      Date

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

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

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

    8. (in sq. ft)

    9. 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

    10. 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.

    11. 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.

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

    13. Check One

    14. ________________________________________________________

      Signature

    15. Date:_____________________________