Blank Building Permit PDF Details

Initiating construction projects in Daytona Beach Shores, Florida, requires attention to essential regulatory processes, one of the most important being securing a Building Permit. This process is initiated through a comprehensive Building Permit Application provided by the city’s Building Department. Applicants are required to supply detailed information encompassing property and owner identification, including the business name or property owner's last name, construction address, and parcel number. Additionally, it necessitates the inclusion of contractor information, with specifics about the business name, contact details, and Florida license number, ensuring that all parties involved are recognized and validated. Architects or engineers involved must also be specified, alongside their credentials. The form delves into the nature of the work being undertaken—whether it's a new construction, addition, repair, alteration, or replacement—and specifies the current and intended use of the structure. Cost estimations for the project are crucial, segmented into building, electric, plumbing, mechanical, and other expenditures, culminating in the total cost. The application underscores the necessity of adherence to local construction laws and the warning against the repercussions of not recording a notice of commencement. It culminates with an affidavit from the owner guaranteeing the accuracy of the information and compliance with all relevant laws, alongside required signatures from both the owner and the contractor, solidifying the commitment to adhere to legal and regulatory standards.

QuestionAnswer
Form NameBlank Building Permit
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesflorida daytona shore permit online, daytona shore building permit, daytona shore permit, fl daytona shore permit online

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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 daytona beach building department

Write down the requested information in the section TYPE OF WORK BEING PERFORMED NEW, CURRENT USE OF STRUCTURE, IS THIS A CHANGE OF USE NO YES, COST OF JOB, BUILDING ELECTRIC PLUMBING, TOTAL COST, GENERAL DESCRIPTION OF WORK TO BE, and Please see reverse side.

stage 2 to entering details in daytona beach building department

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 AFTERTHEFACT PERMIT, I understand that a separate, BOILERS HEATERS TANKS AIR, OWNERS 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, OWNERAGENT SIGNATURE, OWNERAGENTS NAME PRINTED, and STATE OF.

part 3 to completing daytona beach building department

In box Sworn to and subscribed before me, who is personally known to me or, and who did did not take an oath, Notary Public, My Commission Expires, CONTRACTORS SIGNATURE, CONTRACTORS NAME PRINTED, STATE OF, COUNTY OF, Sworn to and subscribed before me, who is personally known to me or, and who did did not take an oath, Notary Public, and My Commission Expires, state the rights and responsibilities.

daytona beach building department Sworn to and subscribed before me, who is personally known to me or, and who did did not take an oath, Notary Public, My Commission Expires, CONTRACTORS SIGNATURE, CONTRACTORS NAME PRINTED, STATE OF, COUNTY OF, Sworn to and subscribed before me, who is personally known to me or, and who did did not take an oath, Notary Public, and My Commission Expires blanks to fill

Fill out the document by looking at these sections: SURETY TYPE For office use only, Current Volusia County Listing, Proof of Liability insurance with, Proof of Workers Compensation, Copy of local Business Tax, and Please see reverse side.

daytona beach building department SURETY TYPE For office use only, Current Volusia County Listing, Proof of Liability insurance with, Proof of Workers Compensation, Copy of local Business Tax, and Please see reverse side fields to fill out

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