Plumbing/Gas Permit Application
*For digital plans review, please email this application to firstname.lastname@example.org
Projects utilizing Private Provider require submittal and application via our Private Provider application service page.
Related Building Permit # (if applicable):
Job Site Address, Parcel ID # or Legal Description:
Owner Name, Address, Phone:
, Address: Lic#:
Contractor Company Name
Current license and insurance information must be registered with Permitting Services or provided with this application.
Digital Plans Applicant Name:
Primary Contact: Job/Project Name:
For Contractor and Primary Contact, do we have current Phone #, FAX # and email address?
Type of Work (subtype - select one):
Gas Piping Irrigation
Sewer Connection Accessory Structure
Abandon Grease Traps/Interceptor
Backflow prevention device is required for Irrigation.
Plan Review Type:
Residential 1 or 2 Unit Residential 3 or More Units
Not Applicable Reclaimed Well Lake
# New Sewer Connections: # Plumbing Fixtures:
Related to Code Enforcement Action? (Y/N) Estimated Construction Cost: $
Note: Owner furnished equipment and materials must be included in Estimated Construction Cost. If the estimated
cost of this job is greater than $2,500 and not related to a Building Permit, a certified copy of the recorded Notice
of Commencement must be filed in the Office of Permitting Services prior to scheduling your first inspection. FS
ECONOMIC DEVELOPMENT • PERMITTING SERVICES
400 South Orange Avenue · First Floor PO Box 4990 · Orlando, FL
407.246.2204· F 407.246.3420 · Orlando.gov/permits
Type of Gas:
(indicate State Certification # in work description above)
# of Gas Outlets:
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