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.
| Question | Answer |
|---|---|
| Form Name | Blank Building Permit |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | daytona shore building permit, florida daytona shore permit online, daytona beach building department, beach shore permit application |
City of Daytona Beach Shores
BUILDING DEPARTMENT
2990 S. Atlantic Avenue
Daytona Beach Shores, FL 32118
Phone (386)
BUILDING PERMIT APPLICATION
DATE: ___________________
PROPERTY IDENTIFICATION
BUSINESS NAME OR PROPERTY OWNER’S LAST NAME: ______________________________________________________
CONSTRUCTION ADDRESS: _____________________________________ PARCEL #: _________________________________
PROPERTY OWNER INFORMATION |
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NAME: |
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ADDRESS: |
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PHONE #: |
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CITY, STATE, ZIP: |
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CONTRACTOR INFORMATION
BUSINESS NAME: ________________________________________________ PHONE #: _________________________________
CONTACT NAME: ________________________________________________ CELL #: ___________________________________
ADDRESS: |
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FAX #: ____________________________________ |
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CITY, STATE, ZIP: |
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LICENSE HOLDER’S NAME: ______________________________________ FL LICENSE #: _____________________________ |
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ARCHITECT/ENGINEER INFORMATION (if applicable) |
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NAME: __________________________________________________________ PHONE #: _____ |
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ADDRESS: _______________________________________________________ FAX #: |
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CITY, STATE, ZIP: ________________________________________________ FL LICENSE #: ____________________________
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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 |
$ |
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ELECTRIC |
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PLUMBING |
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MECHANICAL |
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OTHER |
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TOTAL COST |
$ |
GENERAL DESCRIPTION OF WORK TO BE DONE: ___________________________________________________________
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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
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 ________________________________________________ |
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OWNER/AGENT’S NAME (PRINTED) _____________________________________________________________ |
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STATE OF ________________________ |
COUNTY OF _________________ |
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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.
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My Commission Expires: |
Notary Public |
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CONTRACTOR’S SIGNATURE ______________________________________________ |
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CONTRACTOR’S NAME (PRINTED) __________________________________________ |
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STATE OF ___________________________ |
COUNTY OF ______________________ |
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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.
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My Commission Expires: |
Notary Public |
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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
______ 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