Oldsmar, FL - Official Website

City of Oldsmar Application for Roofing Permit (draft)

Steps

1. General Information This section is complete This section is incomplete
2. Step Two This section is complete This section is incomplete

General Information

FLORIDA BUILDING AND ACCESSIBILITY CODE, 6th EDITION (2017) APPLIES
Property Owner Name*
Phone
Email Address:
Property Owner's Address*
Business Name*
Business Address*
Contractor's/Qualifier's Name*
Email Address:*
Phone*
Contractor’s State Registration No.
PCCLB No.
Job Address*
Job Description*
Area of improvement
(in sq ft)
Valuation*
Legal Description
Bonding Company
Address
Architect/Engineer’s Name
Address
Product Approval Specifications Sheet
Upload Product Approval Specifications Sheet*
Product approval sheet must be completed fully for permit to be processed.
Contract/Proposal *
Contract/Proposal must display total job valuation listed on application.
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
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Step Two

ROOFING MUST BE SECURED WITH SIX (6) NAILS PER SHINGLE
LOOSE LAID BALLASTED ROOF PERMITTED ONLY UPON RECEIPT OF REGISTERED ENGINEER CERTIFICATION THAT IT MEETS REQUIREMENTS OF FLORIDA BUILDING CODE CHAPTER 15. ALL ROOF COVERINGS NOT COVERED IN ROOFING CODE SHALL HAVE BUILDING DEPARTMENT APPROVAL PRIOR TO INSTALLATION. NOTICE OF COMMENCEMENT REQUIRED FOR CONTRACTORS ON JOBS OVER $2500.
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 WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, KITCHEN HOODS, FIRE SPRINKLERS, ALARM SYSTEMS, AND SHEDS, ETC.
OWNER’S AFFIDAVIT: I certify that all of 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 STATEMENT: Under penalty of perjury, I declare that all the information contained in this roofing permit application is true and correct.
Building Permit Applications shall be submitted on paper and PDF format / CD, for review and contain all the items listed in the Residential or Commercial Application Packet. The construction permit fee is based on a $40.00 Base Fee, plus an additional $4.00 per thousand of valuation or fraction thereof. Application is valid for 180 days. Permit is extended for 6 months after each successful inspection. Permit expires after 1 year. Permit fee is nonrefundable. Contractors must maintain, State License, PCCLB License, General Liability and Workman’s Compensation Insurance.
Print Name
Check the one that applies to you
1. Owner
2. Authorized Agent
3. Contractor
_________________________________________
Signature:
Inspection Affidavit
Inspection Affidavit
Required to be completed and onsite for final roof inspection.
APPLICATION APPROVED BY:
Permit Specialist / Building Official
Date
Permit No.

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City of Oldsmar Application for Roofing Permit (draft)

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