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On-Line Perming User Declaraon
Hillsborough County Development Services- Building Services Division requires that the license qualier read the
following legal declaraons. The qualier will need to complete all required informaon, sign the form and email it to
perming@hcgov.net.
On-Line Perming (a.k.a. VelocityHall) is an oponal internet service provided by Accela, Inc. and Hillsborough County,
Florida. The use of this service is at my discreon. This internet service is provided without addional convenience fees or
merchant account fees charged by Accela or the Hillsborough County to me. The permit fees associated with the issuance of
a permit are the same that would be assessed if I obtained the permit directly from the Hillsborough County Development
Services - Building Services Division. Should a refund be required, Hillsborough County will issue a check in the name of the
qualier listed below or the Business name as registered with the Building Services Division. A charge back to the users credit
card is not available.
General Condions:
On-Line Perming permits are available for those permits that do not require any discreonary approvals or plan review by
Building Services. If, subsequent to the issuance of an On-Line permit, the Building Ocial determines that plans or other
reviews are required for the work undertaken, the Building Ocial may revoke the permit or suspend the permit unl such
me as proper reviews and approvals are obtained. As the Applicant, I understand I will be informed of any such revocaon
or suspension.
I understand that the issuance of an On-Line permit shall not serve to legalize any other unpermied construcon not properly
idened within the permit applicaon, improper or unauthorized land uses not otherwise legally established. All On-Line
Permits are subject to review and approval by Hillsborough County Development Services - Building Services Division.
All work authorized by an On-Line permit must comply with all applicable state and local statutes, ordinances, rules,
regulaons, and codes. All work authorized by a permit shall be inspected. Inspecons can be requested online or by calling
the Hillsborough County Interacve Voice Response System (IVRS). Inspecon scheduling numbers are as follows: (813)272-
5613, (813)272-5618, or (813)272-5639.
Access must be provided for inspecon purposes.
Permits shall automacally EXPIRE and become void if work is not commenced within 180 days following the date of
issuance, or if work is suspended or an inspecon is not approved within 180 days from the date of issuance.
By applying for a permit, I arm that at the me of making applicaon and unl nal inspecon and closure of permit, that I
have and will maintain a Cercate of Workers Compensaon Insurance or Workers Compensaon Exempon, a Cercate
of General Liability Insurance, a valid and current Cercate of Competency license issued by either the State of Florida or
Hillsborough County, as required by state and local laws, and the provisions of Chapter 489 of Florida Statute; and any and all
other applicable licenses.
I cerfy that I have read the informaon and condions of my receiving and issuance of permits using the On-Line Perming
system. I agree to comply with all applicable state and local statues, ordinance, rules, regulaons, and codes relang to
construcon, and authorize representaves of Hillsborough County Building Services Division, to enter upon the property for
inspecons of the permits for which I have obtained.
________________________________________________ ______________________________________
Print name as listed on license License #(s)
________________________________________________ _________________________________________ ____________________________________
Print qualiers name Mailing address City, State, ZIP
________________________________________________ _________________________________________ ____________________________________
Signature of qualier E-mail address Phone number
click to sign
signature
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