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)
Finals
Date
Highway Construction & Engineering
Division
Building
Final Survey
Electric
Soil Treatment Certificate (initial/final)
Mechanical
Insulation Certificate
Plumbing
Special/Threshold Inspector Certificate
Zoning/Landscape
FEMA (Final Survey and Elevation
Certificate)
Fire
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
SWM License Release
(Rev. 08/19) PC201249081
Check Development Order for all
Conditional Approvals and Holds
Environmental Review Procedure
Form.
For Office Use Only
NOTES: __________________________________________________________________________________________
_________________________________________________________________________________________________
TCO/CO Issued by: __________________________ Date Issued: ____________________________________
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