Fillable Form BCAD 101 - REV 050818: DEMOLITION PERMIT (Broward College)

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Form BCAD 101 - REV 050818: DEMOLITION PERMIT (Broward College)

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Building Code Administration
Form BCAD 101 - REV 050818
6950 Cypress Rd. Suite 106, Plantation, FL 33317 • (954) 635-2130 • Fax: (954) 206-7227 • CA9224
Page 1 of 1
DEMOLITION PERMIT APPLICATION
PERMIT TYPE (check one): BUILDING MECHANICAL ELECTRICAL PLUMBING
FOR OFFICE USE ONLY
INSTRUCTIONS: Application must be typed or printed in ink. Submit
original application signed and notarized. Attach (2) two sets of
hardcopy plans, specs, product approvals, calcs and asbestos
abatement report (REQUIRED). For assistance call (954) 635-2130.
Permit No.
File No.
1. BC Proj. Mgr.:
Mobile:
Email:
2. BC Project No.:
Asbestos Abatement report attached: Y N
Qualifier Name:
License No.:
Phone:
This 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, ROOFS, FURNACES, BOILERS,
HEATERS, TANKS, AND AIR CONDITIONERS, etc…
OWNER/CONTRACTOR 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.
“NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies or federal agencies.”
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
OF COMMENCEMENT.
8. Owner (or BC Project Manager):
Print Name of Owner (or PM)
Contractor Qualifier:
Print Name of Contractor
Date:
Date:
________________________________
Owner or Program Manager Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
________________________________
Owner or Program Manager Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
Building Code Administration Use Only
BCAD Approval Signatures:
Application Approved by: _____________________________Date: _______________
BUILDING DEMO APPLICATION
✔
Fort Lauderdale Office · 1800 Eller Drive · Suite 600 · Fort Lauderdale, FL 33316 | O:954.766.2717 |·CA514
954.766.2717
REV 010419
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Form BCAD 101 - REV 050818: DEMOLITION PERMIT (Broward College)

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Completed 18 August 2020

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