Boca Raton Building Permits Form PDF Details

Boca Raton Building Permits Form is an official document that records all construction taking place in the city. It is typically filled out by a contractor or developer and provides detailed information on the project such as its address, purpose, owner, contractor, and more. Having a building permit in order is crucial for ensuring your construction project is up to code and passes all inspections. For more information on Boca Raton Building Permits Form, contact the City of Boca Raton today.

QuestionAnswer
Form NameBoca Raton Building Permits Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namescity of boca raton building department forms, boca raton building department forms, boca raton permit application, boca raton permits

Form Preview Example

Bldg

Is this a subpermit application?

City of Boca Raton

----------------<>----------------

Building Permit

Application

YES No

Permit No. _____________________

Application Date ________________

Permit Type ____________________

Contract Amount $ _____________________

Description of Work: ______________________________________________________________________

Contractor’s Name: ___________________________Phone: ________________ Fax: _________________

Job Name/Address: _______________________________________________________________________

Contractor’s Address: _____________________________________________________________________

State Certification No. _______________________Certificate of Competency No.______________________

Tax Folio Number: ________________________________________________________________________

Owner’s Name: _______________________________Phone:________________ Fax: _________________

Owner’s Address: ________________________________________________________________________

Fee Simple Titleholder’s Name (if other than Owner): ____________________________________________

Fee Simple Titleholder’s Address: ____________________________________________________________

Bonding Company Name and Address:________________________________________________________

Architect/Engineer’s Name: _________________________Phone:______________ Fax: _______________

Architect/Engineer’s Address:_______________________________________________________________

Mortgage Lender’s Name and Address: _______________________________________________________

Application is hereby made to obtain a permit to do the work and installations as herein indicated. I certify that no work or installation has been affected prior to the issuance of said permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits must be obtained for electrical, plumbing, air conditioning, roofing, paving, signs, pools, fences, etc.

WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.

IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.

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.

_______________________________________

(Signature of Owner or Agent)

STATE OF FLORIDA COUNTY OF PALM BEACH

Sworn to (or affirmed) and subscribed before me this ____day of

______, (month)______, (year), by _________________________

______________________________________

(Signature of Notary Public)

_____________________________________________________

(Print, Type or Stamp Commissioned Name of Notary Public) Personally Known______or Produced Identification

Type of Identification Produced__________________________

CONTRACTOR’S AFFIDAVIT: I certify that I have the authority to make the foregoing application, that the application is true and correct and the contract amount for the work is listed above.

______________________________________

(Signature of Contractor or Agent)

STATE OF FLORIDA COUNTY OF PALM BEACH

Sworn to (or affirmed) and subscribed before me this ____day of

______, (month)______, (year), by ________________________

____________________________________

(Signature of Notary Public)

____________________________________________________

(Print, Type or Stamp Commissioned Name of Notary Public) Personally Known______or Produced Identification

Type of Identification Produced_______________________

Revised 7/15/09

Bldg

City of Boca Raton

----------------<>----------------

Building Permit

Application

Permit No. _____________________

Application Date ________________

Permit Type ____________________

Fee Worksheet

 

 

Official Use Only

 

Description

Quantity

Fee

Amount

Subtotal

Emergency Mitigation

 

 

 

 

 

 

Hurricane Shutters

x

 

25.00

=

 

______________________

Impact Windows/Doors

x

 

25.00

=

 

______________________

Reinforcing Gable Ends

x

 

25.00

=

 

______________________

Plan-Check

x

 

 

50.00

=

 

______________________

Total Emergency Mitigation Fee (Re-application fee is based on total contract cost)

= ______________________

_____________________________________________________________________________________________________________________________________________________________________

New Construction: Total Contract Cost: _____________

 

 

 

 

First $500

 

x

 

 

79.00

=

_______________________

$501 and up of the remaining total construction cost

x

1.75%

= _______________________

Additions/Alterations: Total Contract Cost: _____________

 

 

 

First $500

 

x

 

 

79.00

=

_______________________

$501 and up of the remaining total construction cost

x

1.75%

= _______________________

Paving/ Resurfacing s.f.:

 

___________(driveways and parking lots)

 

frst 1000 sf.

x

 

 

51.00

 

 

each add’l 1000 sf. or fraction

 

x

7.00

 

= _______________________

Painting or Sandblasting

 

___________ (number of stories)

 

 

first story

 

x

 

 

37.00

 

 

per additional story

 

 

x

16.80

 

= _______________________

Deck and Patios s.f.

 

___________

 

 

 

 

first 100 sf.

x

 

 

83.00

 

 

over 100 sf. per s.f.

 

 

x

0.05

 

= ________________________

Seawalls l.f.

_

 

__________

 

 

 

 

first 50 l.f.

 

 

x

95.00

 

 

over 50 ft. per l.f.

 

 

x

2.80

 

= ________________________

Docks l.f.

_

 

__________

 

 

 

 

first 20 l.f.

 

 

x

95.00

 

 

over 20 l.f. per foot

 

 

x

2.80

 

= ________________________

Boat Lift per lift assembly

 

___________

x

95.00

 

= ________________________

Dolphins ea.

__

 

_________

 

 

 

 

Single piling, per dolphin

x

95.00

 

 

cluster dolphin

x

 

95.00

=

_________________________

Finger Piers l.f. _

 

__________

 

 

 

first 20 l.f.

 

x

95.00

 

 

over 20 ft. per l.f.

 

x

2.80

 

= _________________________

Fences and Walls l.f.

 

___________

 

 

 

first 100 l.f.

 

x

51.00

 

 

over 100 l.f. per l.f.

 

x

0.27

 

= ________________________

___________________________________________________________________________________________________________________________

 

Total Permit Fee (Minimum $79.00)

= ______________________

 

Plan Check Fee = Permit Fee x .50 (Minimum $79.00)

=

______________________

To

tal Fee

=

______________________

_____________________________________________

______________________________________________

(Signature of Zoning/CAB Reviewer)

Date

(Signature of Building Permit Reviewer)

Date

Revised 7/15/09

N:\Building Official\Permit Forms\NewBldgWorksheet.doc

Bldg

City of Boca Raton

----------------<>----------------

Building Permit

Application

Permit No. _____________________

Application Date ________________

Permit Type ____________________

Additional Fees --------------------------------------------------------------

 

This Page Official Use Only---------------

Parks and Recreation Impact Fee (based on fee schedule)

_______________________

Water Impact Fee (based on meter size)

_

______________________

Sewer Impact Fee (based on meter size)

 

_______________________

Building Code Administration Fund (PBC surcharge)

_______________________

Radon Trust Fund (PBC surcharge)

_

______________________

Palm Beach County Impact Fees (based on PBC Impact Fee Schedule)

 

Residential Road Impact Fee

_

______________________

Parks Fee

_

 

______________________

Public Buildings Fee

_

 

______________________

Schools Fee

_

 

______________________

To

 

tal Additional Fee

_______________________

Construction Data – CO/CC Verification ----------------------------------------------------------------

Effective Code Year:

________________

 

 

 

 

Ad

 

jacent Occupancies

 

 

Occupancy Type(s):

________________

Checked for Fire Separation? Yes________ No_________

Construction Type:

________________

HTE structure corrected?

Yes________No_________

Flood Zone:

________________

Flood vents required?

Yes______

No_________

Total Cubic Ft:

_________________

Special Inspector?

Yes______

No________

Air Conditioned Sq Ft:

_________________

# Floors

_________

 

 

Total Sq. Ft.

_________________

# Baths

_________

 

 

Maximum Occupancy for Each Assembly Area to be Posted:

 

Assembly Area 1 ___________

Assembly Area 2 ____________

Assembly Area 3 ____________

Building Final Date

________________

 

Zoning Final Date

________________ (if required)

 

Misc Permit Check

_______________________________________

__________

 

(Signature of Building Permit Reviewer)

Date

CO/CC Check ___________________________________________

__________

(Signature of Building Permit Reviewer)

Date

Revised 7/15/09

N:\Building Official\Permit Forms\NewBldgWorksheet.doc