Blank Building Permit PDF Details

A Blank Building Permit is a document that gives permission to construct or demolish a building on unoccupied land. It includes the plans of the proposed construction and all specifications for plumbing, electrical wiring, heating and air-conditioning systems as well as other requirements such as easements and setbacks. The permit also contains information concerning zoning restrictions and height limits. A blank building permit does not provide any rights to occupy the property on which it is issued.

You can find info about the type of form you need to submit in the table. It will tell you the span of time you will require to fill out blank building permit, what parts you need to fill in, etc.

QuestionAnswer
Form NameBlank Building Permit
Form Length2 pages
Fillable?Yes
Fillable fields87
Avg. time to fill out17 min 54 sec
Other namesdaytona shore permit online, daytona beach building department, daytona beach shore permit application, beach shore permit application

Form Preview Example

City of Daytona Beach Shores

BUILDING DEPARTMENT

2990 S. Atlantic Avenue

Daytona Beach Shores, FL 32118

Phone (386) 763-5377 Fax (386) 763-5370

BUILDING PERMIT APPLICATION

DATE: ___________________

PROPERTY IDENTIFICATION

BUSINESS NAME OR PROPERTY OWNER’S LAST NAME: ______________________________________________________

CONSTRUCTION ADDRESS: _____________________________________ PARCEL #: _________________________________

PROPERTY OWNER INFORMATION

 

 

 

 

NAME:

 

 

 

 

______

ADDRESS:

 

 

PHONE #:

______

CITY, STATE, ZIP:

 

_______ _ FAX #:

______

 

 

 

 

 

 

 

 

CONTRACTOR INFORMATION

BUSINESS NAME: ________________________________________________ PHONE #: _________________________________

CONTACT NAME: ________________________________________________ CELL #: ___________________________________

ADDRESS:

 

FAX #: ____________________________________

CITY, STATE, ZIP:

 

E-MAIL: ___________________________________

LICENSE HOLDER’S NAME: ______________________________________ FL LICENSE #: _____________________________

ARCHITECT/ENGINEER INFORMATION (if applicable)

 

 

 

 

NAME: __________________________________________________________ PHONE #: _____

______________

 

ADDRESS: _______________________________________________________ FAX #:

 

______

 

CITY, STATE, ZIP: ________________________________________________ FL LICENSE #: ____________________________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

TYPE OF WORK BEING PERFORMED: ___NEW ___ADDITION ___REPAIR ___ALTERATION ___REPLACEMENT

CURRENT USE OF STRUCTURE: ___RESIDENTIAL ___BUSINESS ___STORAGE ___ASSEMBLY

IS THIS A CHANGE OF USE? ___NO ___YES

COST OF JOB:

BUILDING

$

 

ELECTRIC

$

 

PLUMBING

$

 

MECHANICAL

$

 

OTHER

$

 

TOTAL COST

$

GENERAL DESCRIPTION OF WORK TO BE DONE: ___________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Please see reverse side

**BOTH OWNER AND CONTRACTOR MUST SIGN APPLICATION**

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 standard of all laws regulating construction in this jurisdiction.

OR ___ THIS IS AN AFTER-THE-FACT PERMIT (Additional permit fees will apply)

I understand that a separate permit may be required for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, EXTERIOR PAINTING, ETC.

OWNER’S 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.

WARNING TO OWNERS: 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.

Any person who prescribes a false statement to a Notary Public is guilty of perjury.

OWNER/AGENT SIGNATURE ________________________________________________

 

____

OWNER/AGENT’S NAME (PRINTED) _____________________________________________________________

STATE OF ________________________

COUNTY OF _________________

 

____

 

 

 

 

 

Sworn to and subscribed before me this ________ day of ___________________________ 20 _____, by

___________________________________________ who is personally known to me or has produced

_______________________________________ and who did (did not) take an oath.

_________________________________

My Commission Expires:

Notary Public

 

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

CONTRACTOR’S SIGNATURE ______________________________________________

 

 

_____

CONTRACTOR’S NAME (PRINTED) __________________________________________

 

 

__ __

STATE OF ___________________________

COUNTY OF ______________________

 

________

Sworn to and subscribed before me this ________ day of ___________________________ 20 _____, by

___________________________________________ who is personally known to me or has produced

_______________________________________ and who did (did not) take an oath.

____________________________________

My Commission Expires:

Notary Public

 

************************************************************************************************

SURETY TYPE (For office use only)

______ Current Volusia County Listing Card OR

______ Proof of Liability insurance with the City of Daytona Beach Shores listed as the certificate-holder

______ Proof of Workers’ Compensation Insurance or Exemption

______ Copy of local Business Tax Receipt (from the City the business is based in)

______ State license verified (when required)

Please see reverse side

How to Edit Blank Building Permit Online for Free

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step 1 to filling in florida daytona shore permit

Write down the requested information in the section NAME: PHONE #: , ADDRESS: FAX #:, CITY, TYPE OF WORK BEING PERFORMED: NEW, CURRENT USE OF STRUCTURE:, IS THIS A CHANGE OF USE, COST OF JOB:, BUILDING ELECTRIC PLUMBING, TOTAL COST, and GENERAL DESCRIPTION OF WORK TO BE.

stage 2 to entering details in florida daytona shore permit

You will need to insert some details in the field Application is hereby made to, prior to the issuance of a permit, OR THIS IS AN AFTER, THE, FACT I understand that a separate, BOILERS, OWNER, S AFFIDAVIT: I certify that, laws regulating construction and, WARNING TO OWNERS: YOUR FAILURE TO, PAYING TWICE FOR IMPROVEMENTS TO, CONSULT WITH YOUR LENDER OR AN, COMMENCEMENT, Any person who prescribes a false, COUNTY OF , who is personally known to me or, and and who did (did not) take an.

part 3 to completing florida daytona shore permit

In box and who did (did not) take an, My Commission Expires:, Notary Public * * * * * * * * * *, COUNTY OF , who is personally known to me or, and who did (did not) take an, Notary Public, My Commission Expires:, Current Volusia County Listing, and Proof of Liability insurance with, state the rights and responsibilities.

florida daytona shore permit  and who did (did not) take an, My Commission Expires:,  Notary Public * * * * * * * * * *, COUNTY OF ,  who is personally known to me or,  and who did (did not) take an,  Notary Public, My Commission Expires:,  Current Volusia County Listing, and  Proof of Liability insurance with blanks to fill

Fill out the document by looking at these sections: Proof of Workers’ Compensation, Copy of local Business Tax, State license verified (when, and Please see reverse side.

florida daytona shore permit  Proof of Workers’ Compensation,  Copy of local Business Tax,  State license verified (when, and Please see reverse side fields to fill out

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