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 01/2020
WHO CAN APPLY (A or
B)
A. Licensed Contractors: Permit can be issued to Licensed Contractors whose licenses are limited to the category and
scope of work as per F.S. 489. Contractors shall provide all required applications properly signed and notarized. Also,
Contractor shall ensure that updated licenses and insurances are registered in the Building Division.
ATTENTION HOMEOWNER APPLICANTS – READ CAREFULLY
B. Homeowner/Builder for Residential Only. Permit can be issued to homeowner/builder if the address of the proposed
work matches the address on picture ID (Driver License, ID card) and Proof of ownership (Recorded warranty deed, tax
statement, settlement statement).
Note: If a contractor is hired, then the contractor must pull the permit.
ATTENTION APPLICANTS - ENERGY DEVICES BASED ON RENEWABLE RESOURCES
REQUIRED DOC
U
MENTS
All required applications shall be completed based on the scope of work (Plumbing and/or Electrical).
Attention homeowner/builder applicants, please read carefully the note in section B above.
Job contract signed by both parties (Homeowner & Contractor). Job value shall include labor & materials.
Owner Notification of Roof Mounted Equipment (See attached) Completed & signed by Homeowner
One (1) set of plans signed & sealed by Professional Engineer or Registered Architect. Plans shall indicate
location and attachment of equipment. The submitted plans for this purpose should not exceed the page size
of 11” X 17”, along with corresponding equipment specifications. If submitted plans exceed 11” X 17” then
two (2) sets of plans and specifications are required.
Special Inspector Form for Roof Mounted Connection System (Discretionary inspection required by the
Building Official. See attached).
Owner-Builder Disclosure Statement (Required only if applicant is homeowner/builder).
Attention Applicant: As per Florida Statutes 713.13, a Recorded Notice of Commencement is required when
construction, renovation, alterations values exceed $2,500. This subsection does not apply to a direct contract
to repair or replace an existing heating or air-conditioning system in an amount less than $7,500. Construction
cost (Including labor & material) will be based on contract signed by both parties (owner & contractor) and/or as
determined by the Building Official (FBC 109.3). Notice of commencement can be recorded at the office of
Broward County Government Center / Records Division 115 S. Andrews Ave. Fort Lauderdale, FL 33301.
Solar System Application
Package
Florida Statute 163.04(2): A deed restriction, covenant, declaration, or similar binding agreement may not prohibit or have the
effect of prohibiting solar collectors, clotheslines, or other energy devices based on renewable resources from being installed on
buildings erected on the lots or parcels covered by the deed restriction, covenant, declaration, or binding agreement. A property
owner may not be denied permission to install solar collectors or other energy devices by any entity granted the power or right in
any deed restriction, covenant, declaration, or similar binding agreement to approve, forbid, control, or direct alteration of property
with respect to residential dwellings and within the boundaries of a condominium unit. Such entity may determine the specific
location where solar collectors may be installed on the roof within an orientation to the south or within 45° east or west of due south
if such determination does not impair the effective operation of the solar collectors.
INSPECTIONS REQUIRED:
A.) FINAL ELECTRICAL (B910) B.) FINAL BUILDING (B999) SPECIAL INSPECTOR LETTER OF APPROVAL FOR ROOF ANCHORAGE
SHALL BE AVAILABLE @ FINAL BUILDING
APPENDIX A
Broward County Board of Rules and Appeals
~Effective June 30, 2015
5
th
Edition (2014) FBCBuilding
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
Owners Address: City: State: Zip:
Contracting Co.: Phone:
Email:
3
Company Address: City: State: Zip:
Qualifiers Name: Owner-Builder:
License Number:
Architect/Engineers Name: Phone: Email:
Architect/Engineers 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 Lenders Name:
Mortgage Lenders 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.
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 4/2016
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 Homeowners Association
.
ATTENTION APPLICANT. READ CAREFULLY
For homeowner/Builder applicants, this affidavit shall be notarized by Permit Clerk at the Building
Division. Homeowner shall 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 Homeowners Association
I acknowledge that my property is not located in a Homeowners’ Association.
Name: _________________________________________________________________________________
Homeowner - Print Name
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
Affidavit
of Awareness
of Homeowner’s
Association Regulations
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
Owner Name: ____________________________________________________________________________________
Address: Miramar, FL, Zip Code: ______________________
LOT: BLOCK: SUBDIVISION: ___________________________________________
I am submitting an application for a Building Permit as an Owner-Builder in accordance with the exemption set forth in
Florida Statute 489.103. Florida law requires construction to be done by a licensed contractor. It’s a requirement by law
you read and sign the following statements, and hence you can understand your responsibilities as an owner-builder. By
signing the following statements, you attest that:
DISCLOSURE STATEMENT
(Read and Initial to the left of each statement)
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an
owner-builder permit under an exemption from the law. The exemption specifies that I, as the owner of the
property listed, may act as my own contractor with certain restrictions even though I do not have a license.
2. I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
3. I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I may
protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her
name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to
list his or her license numbers on permits and contracts.
4. I understand that I may build or improve a one-family or two-family residence or a farm outbuilding. I may also
build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my
own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I
have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law
will presume that I built or substantially improved it for sale or lease, which violates the exemption.
5. I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction.
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working
on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses
required by law and by county or municipal ordinance.
7. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner-
builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as
an owner-builder, may be held liable and subjected to serious financial risk for any injuries sustained by an
unlicensed person or his or her employees while working on my property. My homeowner’s insurance may not
provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
8. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on my building who is not licensed must work under
my direct supervision and must be employed by me, which means that I must comply with laws requiring the
withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act
(FICA) and must provide workers’ compensation for the employee. I understand that my failure to follow these laws
may subject me to serious financial risk.
9. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by
all applicable laws and requirements that govern owner-builders as well as employers. I also understand that the
construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Owner/Builder
Disclosure
Statement
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
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and
the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing
Board at (telephone number) or (Internet website address) for more information about licensed contractors.
11. I am aware of, and consent to, an owner-builder building permit applied for in my name and understand that I
am the party legally and financially responsible for the proposed construction activity at the address listed above.
12. I agree to notify (issuer of disclosure statements) immediately of any additions, deletions, or changes to any
of the information that I have provided on this disclosure.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not
have a license, the Construction Industry Licensing Board and Department of Business and Professional Regulation may
be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an
unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner-builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the
contractor is properly licensed and the status of the contractor’s workers’ compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner
and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner’s driver
license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting
agency is required when the permit is issued.
I have read the foregoing instructions and I am aware of my responsibilities.
___________________________________________ _____________________________
Owner Signature Date Signed
STATE OF FLORIDA, COUNTY OF BROWARD. Sworn to and subscribed before me this _day of _, 20 .
Notary Public
F.S 489.103. 3(c). If any person violates the requirements of this subsection, the local permitting agency shall
withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the
owner and any person performing work that requires licensure under the permit issued.
Owner/Builder
Disclosure
Statement
(Continuation)
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 04/2016
Broward County Board of Rules and Appeals Policy #09-02. Section F, recommend that Building
Departments include an Owner notification on all
solar
thermal or solar electric permit
applications, for existing structures. Read carefully, and proceed to attest the acknowledgement of
this requirement.
"Installation of roof mounted
photovoltaic
or solar support systems typically require roof
system penetrations to allow attachment to the structure, which may create additional
long-term roof system maintenance requirements and/or jeopardize roof system
manufacturer’s warranties
.
Roof mounted solar systems generally require removal and
reinstallation of solar
panels/arrays
in order to perform routine roof
system
maintenance
,
repair
or replacement."
I ___________________________________________________________________ acknowledge that
(Print Name)
I read the above Owner Notification about the installation of a roof mounted solar system in my property
located at __________________________________________________________________________
Miramar, Florida, Zip _________________________
Owner Signature Date
Owner Notification for
Roof Mounted System
In the STATE OF ________________________________________________
Sworn to and affirmed before me this day of , 20
(Print Owner Name)
Personally known or Produced Identification ____________________________________________
Commission Number:
(Print Notary’s name)
__________________________________ ____________________________________________
(Notary Signature) (Notary Seal)
Broward County Board of Rules and Appeals Effective: June 30, 2015
One North University Drive, 3500-B Telephone: 954.765.4500
Fort Lauderdale, Florida 33324 Facsimile: 954.765.4504
FORM FOR “SPECIAL BUILDING INSPECTOR”
SECTION 110.10 – BROWARD COUNTY ADMINISTRATIVE
CODE
AND THE FLORIDA BUILDING CODE, 6
th
Edition
(2017)
NOTICE TO PROPERTY OWNER:
You are hereby directed in accordance with Section 110.10.1 or 110.10.2 of the Broward County Administrative Code and the Florida
Building Code to retain a Special Structural Inspector (A Florida Registered Architect or Licensed Engineer) to perform the following
mandatory or discretionary inspections, as outlined in Section 110.10 of the Florida Building Code and submit progress reports,
inspections reports, and a Certificate of Compliance to the Building Official as per Sections 110.10.6 and 110.10.7 of the Florida
Building Code.
Note: The Building Official determines which discretionary inspections are to be delegated.
DATE:
IDENTI
FICATION, CONTROL OR BUILDING
PERMI
T
#
PROJECT
NAME:
JOB ADDRESS
ZIP
LEGAL DESCRIPTION: FOLIO
#
A. MANDATORY INSPECTIONS TYPE BY CODE:
1) Precast Concrete Units – Section 110.10.2.1 ........................................................................................................................................................................ Yes
No
2) Reinforced Unit Masonry – Section 110.10.2.2 (per ACI 530.1-13-Level B Quality Assurance) *
*unless noted otherwise on pl
a
n................................................................................................................................................................................................ Yes
No
3) Connections 110.10.2.3 .......................................................................................................................................................................................................... Yes No
4) Metal System Buildings – Section 110.10.2.4.......................................................................................................................................................................... Yes No
5) Smoke Control Systems – Section 110.10.2.5........................................................................................................................................................................ Yes
No
B. DISCRETIONARY INSPECTION TYPE BY BUILDING OFFICIAL:
1) Building Structures or part thereof of Unusual Size, Height, Design or Method of Construction and
Critical Structural Connections – Section 110.10.1.1 ........................................................................................................................................................... YesNo
2) Windows, Glass Doors and Curtain Walls on buildings over two (2) stories – Section 110.10.1.1 ........................................................................ Yes No
3) Pile Driving Only – Section 110.10.1.1 .................................................................................................................................................................................... Yes No
4) Precast Concrete Units – Section 110.10.2.1 ......................................................................................................................................................................... Yes
No
5) Reinforced Unit masonry – Sections 110.10.2.2 .................................................................................................................................................................... Yes
No
6) Othe
r
............................................................................................................................................................................................................................................... Yes No
C. MANDATORY DOCUMENTATION
1) Inspection schedule stating the specific inspection that will be made and at what phase of construction must be submitted with this application.
2) Progress Report/Inspection reports during construction in accordance with Section 110.10.6.
3) Certificate of Compliance must be submitted prior to the scheduling of the final building inspection,
Section 110.10.7.
ACKNOWLEDGMENT
Owner’s Signature: Permit Holder’s Signature:
Printed Name:
Printed Name:
License # (if applicable)
SPEC
IAL
BUILDING
IN
SPEC
TO
R:
Registered Architect and/or Licensed Engineer
Signature
of
Special Building Inspector, Embossed
Seal and
Date
Printed Name of Special Building Inspector
Address
of
Special Building
Inspector
State
of
Florida
Registration
#
Fax
#
Telephone
#
Date:
Building Official (or designated representative)
***BE ADVISED THIS DOES NOT PRECLUDE YOU FROM OTHER MANDATORY INSPECTIONS IN THE CODE***