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
BUILDING PERMIT APPLICATION
Submit application to digitalpermits@cityoforlando.net
For efficient processing, please reference “New Permit” in the Subject Line
Date: ____________________ *Required Fields
*Job Site Address or Parcel ID #:
__________________________________________________________________________________________________________________________________
* D i g i t a l A p p l i c a n t / P r i m a r y C o n t a c t : _________________________________________________________* P h o n e : _______________________________
* E m a i l : ___________________________________________________________________________________________________________________________
*Job/Project Name: ______________________________________________________________________________________________________________
*Property Owner Name: __________________________________________________________________________________________________________
*Property Owner Email: ___________________________________________________________________________________________________________
*Address: ________________________________________________________________________________________________________________________
*Phone: __________________________________________________________________________________________________________________________
Business Owner Name: __________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________
*Phone: __________________________________________________________________________________________________________________________
Name: ___________________________________________________________________________________________________________________________
Address __________________________________________________________________________________________________________________________
Email: ___________________________________________________________________________________________________________________________
Company Name: _________________________________________________________________________________________________________________
Company Address: _______________________________________________________________________________________________________________
*Phone: __________________________________________________________________________________________________________________________
Architect/Engineer’s Name: ______________________________________________________________________________________________________
Email: ___________________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________________
*Phone: __________________________________________________________________________________________________________________________
Bonding Company Name& Address: ______________________________________________________________________________________________
Fee Simple Titleholder’s Name & Address (if other than owner): ____________________________________________________________________
Mortgage Lender’s Name & Address: _____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
Page 1 of 3
Rev 3/2021
PROPERTYPROFESSIONALSWORK DESCRIPTION
Will you be removing any trees on the property?
Yes
If yes, a tree removal permit is required. Have you already applied for one?
No
Yes
No
TREES
(SUBTYPE – SELECT ONE):
New
Addition
Alteration
1
Site Work
Fence
Roof
2
Accessory Structure
Tent
Repair/Replace
1
Sign
Billboard
Change of Use
Swimming Pool
Solar
Foundation Only
Dumpster Enclosure/Pad
LEED:
1
Requires separate scope of work
2
Requires Re-roofing Information form
*Total Sq. Ft of Tenant Space: _________________________________________ * E s t i m a t e d C o n s t r u c t i o n C o s t : $ __________________________
Related to Code Enforcement Action? Yes No
*Plan Review Type: Commercial Residential
1
(single family) Residential 2 (duplex)
Residential 3 or more units
a
Detached Structure (ex: garage/apt, etc) Please explain in work description.
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)
Building Frontage (Ft): ______________Primary ______________ Secondary ______________ Third ______________ Fourth
Sign Type
3
Electric? (Y/N) Test Lab # Sign Area (SqFt) Existing or Proposed?
________________________________ ________________ __________________________ _________________________ ________________________________
________________________________ ________________ __________________________ _________________________ ________________________________
________________________________ ________________ __________________________ _________________________ ________________________________
________________________________ ________________ __________________________ _________________________ ________________________________
3
Awning, Billboard, Construction, Ground/Pole, Marquee, Menu, Monument, Other, Political Campaign, Projecting, Real Estate, Trailer, Wall,
Window (identify existing and proposed signs)
D e c k A r e a ( S q F t ) : ____________________ F e n c e d ? ( Y / N ) _________ S c r e e n e d ? ( Y / N ) ________ O v e r h e a d P o w e r D i s t a n c e ( F t ) : _________________
L e n g t h ( F t ) : ____________ W i d t h ( F t ) : _____________ A r e a ( S q F t ) : _____________ I n U s e Fr o m : _____________ To : # o f Te n t s : __________________
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 3/2021
Certified
Silver
Gold
Platinum
Page 2 of 3
Note: Owner furnished equipment and materials must be included in Estimated Construction Cost.
SUBCONTRACTORSSIGN
POOLS
TENT
4
*WORK TYPE
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 r e _________________________________________________________________________ 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 3 of 3
Rev 3/2021
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 cityoforlando.net/
permits or please call “PROMPT” , our Interactive Voice Response system at 407.246.4444.
City Hall 400 South Orange Avenue First Floor • P.O. Box 4990 Orlando, Florida 32802-4990 • Phone 407.246.2271 • Fax 407.246.3420 •
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BUILDING PERMIT APPLICATION (City of Orlando)

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Completed 2 July 2021

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