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City of City of Miramar | Building Division (The City of Miramar)

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City of City of Miramar | Building Division
Community & Economic Development Department
2200 Civic Center Place | Miramar, Florida 33025
Tel: 954.602.3200 | Fax: 954.602.3635
www.miramarfl.gov
REV 01/2019
Who Can Apply
(
A
)
A. Licensed
Mechanical Contractors:
Permit can be issued to Licensed Contractors properly
reg
i
stered
i
n
the Community
Development
- Building Division. Contractors shall provide all required applications
properly signed and notarized. Also, Contract signed by both parties
(Contractor
&
Homeowner)
shall
be provided indicating contract value per every applicable discipline.
ATTENTION
APPLICANT
Disclaimer: The information shown below does not necessarily reflect all requirements needed
for permit
application and inspections. This information is intended only for minimum guidelines
about how to proceed with the application for a permit and the required inspections. As per
Florida Building Code, construction documents shall be of sufficient clarity to indicate the
location, nature and extent of the work proposed and show in detail that it will conform to the
provisions of this Code and relevant laws, ordinances, rules and regulations, as determined by the
Building Official.
Required D
o
c
u
m
ents
Permit application describing scope of work. If ductworks are included in the scope of work, then
additional information is required (i.e. plans, ductwork sizing, etc.) If Electrical works are included in the
scope of work, then an Electrical
application
and plans are required.
Affidavit of Awareness for HOA Association. This “Affidavit” is required as per City’s ordinance, and it’s
mandatory affidavit which is required even if your property is not located in a Homeowner’s Association.
Contract signed by both parties (Contractor & Homeowner) including labor and materials.
Notice of Commencement (F.S 713.135 d), if job value is more than $7,500 as per value in a contract
signed by both parties (Contractor & Homeowner) or as determined by Building Official. Notice of
commencement must be filed at the Broward County Government Center / Records Division 115 S.
Andrews Ave. Fort
Lauderdale,
FL 33301.
One (1) sets of A/C
Replacement
sheet (See attached)
One (1) set of AHRI Sheet
Current Manufacturer’s T
ie-down Product Approval or an Original E
ngineered
tie-down detail
signed & sealed by Professional
Engineer.
Note: If unit is a roof mounted or gable wall mounted, then provide two (2) sets tie-down original
engineered
details signed & sealed by
Professional
Engineer.
● Mechanical
Application Reviewed by →
● Electrical (If Electrical work is included in the scope of work, then an
Electrical application form is required )
Required Inspection → Final Inspection : Locking refrigerant caps as per FBC (M) 1101.10)
Locking access port
caps. Refrigerant circuit access ports located outdoors shall be fitted with locking-type tamper-
resistant caps or
shall be otherwise secured to prevent unauthorized access.
A/C CHANGE OUT
APPENDIX A
Broward County Board of Rules and Appeals
~Effective June 30, 2015
5
th
Edition (2014) FBC — Building
Broward County Administrative Provisions
BROWARD COUNTY UNIFORM BUILDING PERMIT APPLICATION
Select Trade: Building Electrical Plumbing Mechanical Other __
Application Number: Application Date:
Job Address: Unit: City:
Tax Folio No.: Flood Zone: BFE: Floor Area: Job Value:
Building Use: Construction Type: Occupancy Group:
1
Present Use: Proposed Used:
Description of Work:
New Addition Repair Alteration Demolition Revision Other:
Legal Description:
Attachment
Property Owner: Phone: Email:
2
Owner’s Address: City: State: Zip:
Contracting Co.: Phone:
Email:
3
Company Address: City: State: Zip:
Qualifier’s Name: Owner-Builder:
License Number:
Architect/Engineer’s Name: Phone: Email:
Architect/Engineer’s Address: City: State: Zip:
Bonding Company:
4
Bonding Company Address: City: State: Zip:
Fee Simple Titleholder’s name (if other than owner):
Fee Simple Titleholder’s Address (If other than owner): City: State: Zip:
Mortgage Lender’s Name:
Mortgage Lender’s Address: City: State: Zip:
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, 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR 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.
X
Signature of Property Owner or Agent
STATE OF FLORIDA
COUNTY OF
X
Signature of Qualifier
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me this
, 20_ by
day of
Sworn to (or affirmed) and subscribed before me this
, 20_ by
day of
(Type / Print Property Owner or Agent Name)
(Type / Print Qualifier’s Name)
NOTARY’S SIGNATURE as to Owner or Agent’s Signature
Notary Name
(Print, Type or Stamp Notary’s Name)
Personally Known or Produced Identification
Type of Identification Produced
NOTARY’S SIGNATURE as to Qualifier’s Signature
Notary Name
(Print, Type or Stamp Notary’s Name)
Personally Known or Produced Identification
Type of Identification Produced
APPROVED BY: Permit Officer Issue Date:
Code in Effect:
A jurisdiction may use a supplemental page requesting additional information and citing other conditions, please inquire.
Note: If any development work as described in FS 380.04 Sec. 2 a-g is to be performed, a development permit must be obtained prior to the issuance
of a
building permit.
Miramar | Building Division
Community & Economic Development Department
2200 Civic Center Place | Miramar, Florida 33025
Tel: 954.602.3200 | Fax: 954.602.3635
www.miramarfl.gov
Affidavit
of
Aw
a
reness
of
H
o
me
o
wner’s
Association
Reg
ulation
s
The following “Affidavit” is required as per City’s ordinance. This is a mandatory affidavit which is required
even if your property is not located in a Homeowner’s Association.
ATTENTION APPLICANT. READ CAREFULLY
•
For homeowner/Builder applicants, this affidavit can be notarized by Permit Clerk at the Building
Division. Homeowner should appear in person with required picture I.D. (i.e. Driver License)
and proof of ownership (i.e. Recorded Warranty, County Tax Statement). The physical address on
I.D. shall match the address on the proof of ownership (i.e. Recorded Warranty Deed).
•
For Licensed Contractor applicants, this affidavit can be notarized outside the Building Division by any
Notary Public.
Homeowner or Condominium Association Affidavit requirement. Miramar - City Code Sec. 22-29.(c)(1) As
part of the application process for a building permit in accordance with this chapter and with Section 713.20
of the Land Development Code, each applicant shall sign an affidavit (the "affidavit of awareness")
indicating that the applicant is aware that, if the subject property is located in a Homeowners'
Association or Condominium Association, as defined in this section, the applicant's property may be
subject to additional regulations despite the issuance of a building permit by the city.
This serves to notify such homeowner that the issuance of a Building, Landscaping, or other permits by the
City of Miramar, Florida does not exempt he/she from any and all other regulations imposed by the
Homeowner’s Association (HOA) in which his/her property is located. Be aware that despite the issuance
of a building permit by the city, the applicant’s property may result in additional regulations or denial
to perform the work in your property located at HOA community.
Read and Initial to the left of the applicable statement
I acknowledge that I am the owner of property located in the following Homeowner’s Association:
Print Name of Homeowner’s Association
I acknowledge that my property is not located in a Homeowners’ Association.
Name:
Homeowner - Print
N
a
me
J
ob
A
ddr
ess:
Miramar, Flo
r
ida Zip Cod
e
:
Signa
ture:
Homeowner - Signature
STATE OF FLORIDA. Sworn to and subscribed before me this day of , 20
Notary Public
REV 1/2019
Rev 12/2017
Ground
Roof Mounted
Gable Wall
Mounte Mounte
Miramar | Building Division
Community & Economic Development Department
2200 Civic Center Place | Miramar, Florida 33025
Tel: 954.602.3200 | Fax: 954.602.3635
www.miramarfl.gov
Contractor__________________________________________ Permit #____________________
Job Address__________________________________________ Miramar, FL ________________
NEW EQUIPMENT
Manufacturer (Make)
Condenser Model #
Min. Circuit Ampacity
Max. Circuit Ampacity
AHU Model #
Heatstrip KW
Min. Circuit Ampacity
Max. Circuit Ampacity
Package Unit Model #
Heatstrip KW
Min. Circuit Ampacity
Max. Circuit Ampacity
S.E.E.R :
Package Unit or Condenser Location
Wire Size
Type
(TW, THW, THWN)
Size of Disconnect, Circuit Breaker or fuse
New 2017 Code Requirements for A/C Change Out Application/Permit
1. AHRI Sheet.
2. FBC (M) 1101.10: Locking refrigerant caps
3. Current Product Approval Manufacturer’s tie-down or signed & sealed engineered details tie-
down method.
4. Heater Kit must be marked on the air handler before Final Inspection. Failure to comply with
this requirement will result in a failed inspection.
Attention
This replacement sheet must be completely filled out as a requirement for permit approval.
A/C REPLACEMENT
SHEET
Disclaimer: Because of proposed projects vary widely respect to different scope of works, the information shown above does not
necessarily reflect all requirements needed for the permitting process. As per Florida Building Code construction and/or
permitting documents shall be of sufficient clarity to indicate the location, nature and extent of the work proposed and show in
detail that it will conform to the provisions of this Code and relevant laws, ordinances, rules and regulations, as determine d by
the Building Official. Therefore, the Building Official or duly designated plans reviewer may require additional information to
verify compliance with the Florida Building Code.
AFTER RECORDING – RETURN TO:
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain
real property, and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement.
1. DESCRIPTION OF PROPERTY (Legal description & street address, if available) TAX FOLIO NO.: _______________________________
SUBDIVISION
_______________________________BLOCK_________TRACT_________LOT________BLDG_______UNIT_______
__________________________________________________________________________________________________________
2. GENERAL DESCRIPTION OF IMPROVEMENT:
__________________________________________________________________________________________________________
3. OWNER INFORMATION: a. Name________________________________________________________________________________________________
b. Address________________________________________________________________________________ c. Interest in property____________________
_____
d. Name and address of fee simple titleholder (if other than Owner) __________________________________________________________________
____________
4. CONTRACTOR’S NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
5. SURETY’S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
____________________________________________________________________________________________________________________________________
6. LENDER’S NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
____________________________________________________________________________________________________________________________________
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor’s Notice as provided in Section
713.13 (1) (b), Florida Statutes
:
NAME, ADDRESS AND PHONE NUMBER
:
____________________________________________________________________________________________________________________________________
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified):________________ ______, 20____
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR 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.
________________________________________________ ____________________________________________________
Signature of Owner or Print Name and Provide Signatory’s Title/Office
Owner’s Authorized Officer/Director/Partner/Manager
State of Florida
County of Broward
The foregoing instrument was acknowledged before me this __________ day of _______________, 20________
By ___________________________________________________, as ________________________________________________
(name of person)
(type of authority,…e.g. officer, trustee, attorney in fact)
For __________________________________________________.
(name of party on behalf of whom instrument was executed)
_____ Personally known or _____ produced the following type of identification: __________________________________________
Notary ___________________________________________
(Signature of Notary Public)
Under Penalties of perjury, I declare that I have read the foregoing and that the facts
in it are true to the best of my knowledge and
belief (Section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)’ Authorized Officer/ Director / Partner/Manager who signed above:
By __________________________________________________ By _______________________________________________
Rev .08-09-07 (S.Recording)
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Completed 19 January 2021

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