Environmental Protection and Growth Management Department
BUILDING CODE SERVICES DIVISION
1 North University Drive, Box #302 • Plantation, Florida 33324 • 954-765-4400 • broward.org/building
(Rev. 08/19) PC201249002
FLORIDA
TEMPORARY CERTIFICATE OF OCCUPANCY/CERTIFICATE OF OCCUPANCY
Permit #: ___________________________ Date: ___________________________________
Folio#: ____________________________
This Certificate of Occupancy is requested for:
Change of Occupancy: Yes · No
General Contractor Name: ___________________________________________________________________________
Property Owner(s) Name: ____________________________________________________________________________
Property Address: __________________________________________________________________________________
City: ______________________________ State: ___________ Zip Code: _______________________________
Phone #: _______________ Cell #: _____________________ E-mail: _________________________________
Necessary Documents (Check all that apply.
This package must be submitted to BCSD
Building Permitting office prior to the Final
Building Inspection)
Highway Construction & Engineering
Division
Soil Treatment Certificate (initial/final)
Special/Threshold Inspector Certificate
FEMA (Final Survey and Elevation
Certificate)
Development Review Procedure Form
(if conditional please verify with EMED)
Energy Performance Level (EDL)
Display Card
Residential Air Leakage (Blower Door)
Test
Fire Penetration Affidavit
Water Purveyor Certificate of System
Release