Fillable APPLICATION FOR USE PERMIT (Orange County Government Florida)

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APPLICATION FOR USE PERMIT (Orange County Government Florida)

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_______________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________
DIVISION OF BUILDING SAFETY
201 South Rosalind Avenue, 1
st
Floor
Reply To: Post Office Box 2687 ▪ Orlando, Florida 32802-2687
407-836-5760 ▪ Fax 407-836-5510
www.ocfl.net/building
APPLICATION FOR USE PERMIT
Permit Number: B_____________________________
Project Address: __________________________________________________________ ______________ Suite/Unit:
City: ____________________________ State: Zip:______________ ______________ Lien: NA
What will the commercial space be
used for: __________________________________________________________
What was the previous use of space: ________________________________________________________________
Tenant/Occupant Name: _____________________________________________ Email:______________________
Telephone: (_____) ___________________________ Facsimile: (_____) ___________________________________
Address: ____________________________________ City: __________________ State: ______ Zip: _____________
Name of Business: _________________________________________________________________________
Property Owner: ___________________________________Email: __________________________________________
Telephone: (_____) ___________________________ Facsimile: (_____) ___________________________________
Address: ____________________________________ City: __________________ State: ______ Zip: _____________
I hereby make application for permit as outlined above, and if same is granted I agree to conform to all Division
of Building Safety regulations and County Ordinances with the provision to utilize this building in as is
condition. This permit does not grant permission to alter the structure in any way. The issuance of this permit
does not grant permission to violate any applicable Orange County and/or State of Florida codes and/or
ordinances. A finance hold will be placed on all Use Permits and the Certificate of Occupancy until all
applicable fees are pai d. For questions regarding finance holds and impact fees please call the Concurrency
Management Office at 407-836-5691.
Printed name:
____________________________________ Date: ____________________________________
Signature: ___________________________________
BUILDING DIVISION
USE ONLY
Per
mit Type: B Work Type: 30 Occupancy
Type: _____ License Type: HMO
Tax I.D. #: Sec:
_____ Twp: _____ Rng: Sub: B&L: _____ ________ _________ Zoning Class: ____________
Work Category: E
Construction Type: __________ Nature of
Work:
Use Permit
Shell Permit
#: ____________
Occupancy
Group: __________ Plan Format:
A or R
Total Square Footage: _____________ C/O Required:
Y
Special Considerations:
____________________________________________________________________
Date Issued:
By:
Reviewer / Permit Analyst
_____________ ________/________
Customer will call for inspection:
Initials
Inspection scheduled for:
Date
Customer Initials:
_____ ___/____/____ _____
Rev.10/01/13
click to sign
signature
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---------------------------------------------------------------------------------------------------------------------------------------------------
This building is a:
House
Office
Strip Retail Center
Warehouse Building
Other:
__________________________________________________________
Business Type:
Assisted Living: __________________________________________________
Auto Sales:
A
uto Service:
____________________________________________________
Church
Daycare
H
air and/or Nail Salon
Professional Office:
_______________________________________________
Restaurant
School
Store:
Warehouse:
Other:
__________________________________________________________
_____________________________________________________
__________________________________________________________
FISCAL SECTION USE ONLY
Law Impact Fee: __________ __________ _____________
__________ __________ _____________
__________ __________ _____________
__________ __________
_____________
__________ __________ __ _____________
__________ __________ __ _____________
__________ __________ _____________
_______________ _____________
_____________ _____________
___________________________________
____________ ____________
Rate$ X sq. ft./1000 sq. ft. 01
Rate$ X units
Fire Impact Fee: Rate$ X sq. ft./1000 sq. ft. 01
Rate$
X units
Road Impact Fee:
RETAIL O NLY:
Rate$ X
sq. ft./1000 sq. ft.
OR
ALL OTHERS: Rate$ X sq. ft./1000 sq. ft.
Rate$
X
units
Total Fees: $ Zone: Consistent: Yes No
Fiscal Analyst: Date:
Concurrency Approval: Yes
No If yes, File #:
Initials: Date:
Rev. 3/13/13
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APPLICATION FOR USE PERMIT (Orange County Government Florida)

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Completed 4 April 2022

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