Building Code in Effect: 2023 (Eighth Edition) Florida Building Code

Permit Number: ___

Important!

Yes □ No □ (Check one) I am filling and /or excavating the property. If yes, provide the Finish Floor Elevation (FFE), lot corner elevations and drainage plan for the site. Depending on the type of development, not all information will be required. Note: Failure to respond correctly will make you personally liable for future damages.

  • OWNER OR LESSEE EMAIL ADDRESS FAX NO.
  • NAME TELEPHONE NO.
  • MAILING ADDRESS CITY STATE ZIP CODE
  • BONDING/MORTGAGE NAMES

Fee Simple Titleholder, Bonding Company, Mortgage Lender and Design Professional information is required when the aggregate value (total cost of all improvements and not just work authorized by the individual permit) is $2,500 or more (except HVAC repair/replacement > $7,500).

NAME ADDRESS CITY, STATE & ZIP TELEPHONE NO.

FEE SIMPLE TITLEHOLDERS (IF OTHER THAN OWNER) ☐ SAME AS OWNER

BONDING COMPANY ☐ NOT APPLICABLE

MORTGAGE LENDERS ☐ NOT APPLICABLE

DESIGN PROFESSIONAL LICENSE #

PRIMARY CONTACT EMAIL ADDRESS PRIMARY CONTACT CELL PHONE NO.

Permit Application Form - Dec 2023