Fillable BUILDING PERMIT APPLICATION (City of Orlando)

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BUILDING PERMIT APPLICATION (City of Orlando)

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U.S.A. forms for City of Orlando

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CONTRACTOR
Page 1 of 4
Rev 9/2021
PROPERTYPROFESSIONALSWORK DESCRIPTION
No
TREES
*Phone:
Phone:
Phone:
BUILDING PERMIT APPLICATION
Submit application to digitalpermits@orlando.gov
For efficient processing, please reference “New Permit” in the Subject Line
*Required Fields
Yes
Will you be removing any trees on the property?
If yes, a tree removal permit is required. Visit orlando.gov/treeremoval for more information.
Phone:
Phone:
Date: ____________________
*Job Site Address or Parcel ID #:
*Digital Applicant/Primary Contact:
*Email:
*Job/Project Name:
*Property Owner Name:
Property Owner Email:
*Address:
Business Owner Name:
Address:
Name:
Address:
Email:
Company Name:
Company Address:
Architect/Engineer's Name:
Email:
Address:
Bonding Company Name & Address:
Fee Simple Titleholder's Name & Address (if other than owner):
Mortgage Lender's Name & Address:
*Include description of proposed work, including detached structures (ex: garage/apt)
Silver
GoldGold
PlPlatinum
Certified
LEED:
*(SUBTYPE – SELECT ONE):
New
Addition
Alteration
1
Fence
Roof
2
Accessory Structure
Tent
Repair/Replace
1
Change of Use
Swimming Pool
Solar
Sign
1
Requires separate scope of work
2
Requires Re-roofing Information form
*Total Sq. Ft of Tenant Space: __
_
_
_
____________________________________ * Estimated C
onstruction C
ost: $
_
_________________________
Residential 3 or more units
Related to Code Enforcement Action?
*Plan Review Type: Commercial
Yes No
Residential
1
(single family) Residential 2 (duplex)
Company Name State of Florida Card Holders Name
License # Reg/Cert
Elect.______________________________________________ ________________________________________ ________________________________________
Mech. _____________________________________________ ________________________________________ ________________________________________
Plumb. ____________________________________________ ________________________________________ ________________________________________
Gas. _______________________________________________ ________________________________________ ________________________________________
Fire. _______________________________________________ ________________________________________ ________________________________________
(PLEASE FILL OUT THIS SECTION FOR SIGN PERMITS ONLY)
3
Awning, billboard, construction, ground/pole, marquee,
monument,other, political campaign projecting, real estate, trailer, wall, window (identify existing and proposed signs)
Building Frontage (Ft): ______________Primary ______________ Secondary ______________ Third ______________ Fourth
Sign Type
3
Electric? (Y/N) Sign Area (SqFt) Existing or Proposed?
Deck Area (SqFt): ____________________ Fenced? (Y/N) _________ Screened? (Y/N) ________ Overhead Power Distance (Ft):_________________
Length (Ft): ____________ Width (Ft):_____________ Area (SqFt): _____________ In Use From: _____________ To: # of Tents: __________________
4
Flame Retardant Certificate Required
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 the City of Orlando. I understand that a separate permit must be secured for MECHANICAL, ELECTRICAL, PLUMBING, SIGNS, WELLS,
POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, etc.
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.
Rev 9/2021
Note: Owner furnished equipment and materials must be included in Estimated Construction Cost.
SUBCONTRACTORSSIGN
POOLS
TENT
4
*WORK TYPE
ECONOMIC DEVELOPMENT • PERMITTING SERVICES
400 South Orange Avenue · First Floor PO Box 4990 · Orlando, FL
32802-4990
P 407.246.2271· F 407.246.3420 · Orlando.gov/permits
Dumpster Enclosure/Pad
Page
2
of 4
# of Units
ADDITIONAL FREE-STANDING STRUCTURES
FOR COMMERCIAL - RESIDENTIAL 2, 3 OR
MORE - MULTIFAMILY ONLY
To ensure appropriate fees and permits are assessed, please include all free-standing
structures associated with this project, including but not limited to, mail kiosk, trash
enclosure, gazebos, cabanas, etc.
Master Permit #:(if applicable) ________________________
Building# Structure Bldg
Type
Bldg
Value
Permit No. (if
applicable)
Notes
1 Example:
Building, K
II $50,000
-
Description if needed
**Estimated permit fees are subject to change based on comparison with
ICC Building Valuation**
ECONOMIC DEVELOPMENT • PERMITTING SERVICES
400 South Orange Avenue · First Floor PO Box 4990 · Orlando, FL
32802-4990
P 407.246.2271· F 407.246.3420 · Orlando.gov/permits
Page 3 of 4
Rev 9/2021
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT. IF THE ESTIMATED COST OF THIS JOB IS GREATER THAN $2,500 A CERTIFIED COPY OF THE RECORDED NOTICE OF
COMMENCEMENT MUST BE FILED WITH PERMITTING SERVICES PRIOR TO SCHEDULING YOUR FIRST INSPECTION.
If you are not the owner of the property being permitted, you must, by law (FS 713.135 (c)) promise to inform the fee simple titleholder
that the property in question is being subjected to possible liens and/or attachment.
P r o p e r t y A d d r e s s : __________________________________________________________________________ P h o n e : _________________________________
P e r m i t # : ______________________________________________________________________________________________________________ ( i f a p p l i c a b l e )
*Property Owner Signature ________________________________________________________________ D ate:_________________________________
Print Name _______________________________________________________________________________ (Owner)
STATE OF FLORIDA, COUNTY OF ____________________________________
SWORN to and subscribed freely and voluntarily for the purpose therein expressed before me by ___
_________________________________,
known to me to be the person described in and who executed the foregoing. He/she is personally known to me or has
produced ____________________________________ (type of identification) as identification.
WITNESS my hand and official seal in the County and State last aforesaid this _________ day of ______________________________ , 20______.
_______________________________________________________
Notary Public Signature
Print Name: __________________________________________________________ My Commission Expires: ____________________________________
* C o n t r a c t o r S i g n a t u re _________________________________________________________________________ D a t e : _________________________________
Print Name _______________________________________________________________________________ (Contractor)
STATE OF FLORIDA, COUNTY OF ____________________________________
SWORN to and subscribed freely and voluntarily for the purpose therein expressed before me by ___
_________________________________,
known to me to be the person described in and who executed the foregoing. He/she is personally known to me or has
produced ____________________________________ (type of identification) as identification.
WITNESS my hand and official seal in the County and State last aforesaid this _________ day of ______________________________ , 20______.
_______________________________________________________
Notary Public Signature
Print Name: __________________________________________________________ My Commission Expires: ____________________________________
CERTIFICATE OF COMPETENCY HOLDER
C o n t r a c t o r ’ s S t a t e C e r t i f i c a t i o n o r R e g i s t r a t i o n N o . ______________________________________________________
Contractor’s Certificate of Competency No._____________________________________________________________
WARNING TO OWNER
PROPERTY OWNER
CONTRACTOR
Page 4 of
4
Rev 9/2021
OWNER’S ELECTRONIC SUBMISSION STATEMENT:
Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.
For plan review status, inspection scheduling/results and other
permitting information, visit online at orlando.gov/permits,
or please call “PROMPT” , our Interactive Voice Response system at 407.246.4444.
ECONOMIC DEVELOPMENT • PERMITTING SERVICES
400 South Orange Avenue · First Floor PO Box 4990 · Orlando, FL
32802-4990
P 407.246.2271· F 407.246.3420 · Orlando.gov/permits
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BUILDING PERMIT APPLICATION (City of Orlando)

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Completed 25 January 2022

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