Building permits are an important part of the home-building process. This form is used to document that the construction or remodeling of a building complies with all applicable codes and regulations. It's important to have this form filled out correctly, so that your project can be completed smoothly and without any delays. In this blog post, we'll provide a guide on how to fill out a building permit form correctly. We'll also discuss some common mistakes that people make when filling out this form.
You can find information about the type of form you would like to fill out in the table. It will show you how long it will take to fill out building permit form, what fields you will have to fill in and some further specific facts.
| Question | Answer |
|---|---|
| Form Name | Building Permit Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | palm beach county permit application, universal permit application, pbc permit application, palm beach county building permit application |
PALM BEACH
This application form is approved for use throughout
Palm Beach County & the Municipalities by the
Building Officials Association of Palm Beach County & The Building Code Advisory Board of Palm Beach County
FOR OFFICE USE ONLY
APP’N #:
________________________
DATE:
________________________
1
KIND of PERMIT (CHECK ONE):
□PRIMARY PERMIT
□
Primary Permit, complete boxes 1, 3, 6, & 8 only to apply. If not covered under a Primary Permit, complete the entire application to apply.
2
OWNER:___________________________________________
ADD: ________________________________STE:_________
CITY: _____________________________________________
ST: _________ ZIP:_____________ CNTRY:_______________
3
TRADE (CHECK ONE):
□ STRCT’L □ ROOF’G □ ELECT’L □ MECH’L □ PLMB’G
□OTHER: ________________________________________
PRIMARY PERMIT #: ______________________________
4
PROJECT: __________________________________________
PCN: __ __- __ __- __ __- __ __- __ __- __ __ __- __ __ __ __
ADD: _______________________________STE:___________
CITY: _____________________________________________
5
FURTHER WORK DESCRIPTION: ____________________________________________________________________________
______________________________________________________________________________________________________
_____________________________VALUE: _____________ |
QTY: ____________ |
NET S.F for SFD’s : ____________ |
(SEE FEE SCHEDULE) |
(AS APPLIES) |
(AS APPLIES) |
6
□OWNER BUILDER PER FL. ST. 489 (AS NAMED ABOVE - PROVIDE CONTACT INFO BELOW, INCL. PHONE/FAX/EMAIL)
□CONTRACTOR (CERT. HOLDER): ______________________________________ License #: ________________________
DBA (COMPANY NAME): ___________________________________ Contact Person: ____________________________
ADD: ___________________________________STE:_______ CITY: ___________________________ ST: ___________
PHONE: _________________ FAX: ___________________ EMAIL: _____________________________________________
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 standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
OWNER’S AFFIDAVIT: I ertify that all the foregoi g i for atio is a urate a d that all work will e do e i o plia e with all applicable laws regulating construction and zoning.
7 |
8 |
_________________________________________________ |
__________________________________________________ |
(Signature of Owner or Agent) (including contractor) |
(Signature of Contractor) |
Print Name: _______________________________________ |
Print Name: ________________________________________ |
NOTARY REQUIRED IF $ 2,500 OR MORE, OR FOR ALL OWNER/BUILDERS |
NOTARY REQUIRED IF $ 2,500 OR MORE, OR FOR ALL OWNER / BUILDERS |
REGARDLESS OF $ VALUE |
REGARDLESS OF $ VALUE |
STATE OF FLORIDA |
STATE OF FLORIDA |
COUNTY OF _______________________________________ |
COUNTY OF ________________________________________ |
Sworn to (or affirmed) and subscribed before me this |
Sworn to (or affirmed) and subscribed before me this |
_______ day of __________, (year) , by |
_______ day of __________, (year) , by |
_________________________________________________ |
__________________________________________________ |
(Name of person making statement). |
(Name of person making statement). |
_________________________________________________ |
__________________________________________________ |
(Signature of Notary Public - State of Florida) (Print, Type, or Stamp |
(Signature of Notary Public - State of Florida) (Print, Type, or Stamp |
Commissioned Name of Notary Public) |
Commissioned Name of Notary Public) |
Personally Known ____ OR Produced Identification ______ |
Personally Known ____ OR Produced Identification _______ |
Type of Identification Produced_______________________ |
Type of Identification Produced________________________ |
FEE SIMPLE TITLEHOLDER, BONDING COMPANY, ARCHITECT/ENGINEER AND MORTGAGE LENDER INFO IS REQUIRED WHEN THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS & NOT JUST WORK AUTHORIZED BY THE INDIVIDUAL PERMIT) IS $2,500 OR MORE (EXCEPT HVAC REPAIR /REPLACEMENT < $7500). PLEASE ADDRESS ALL ITEMS.
9 |
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|
10 |
Fee Si |
ple Titleholder’s Na e (IF OTHER THAN OWNER): ____________ |
Bonding Company: __________________________________ |
|
__________________________________________________________________ |
__________________________________________________ |
||
Fee Si |
ple Titleholder’s Address (IF OTHER THAN OWNER): _______ |
Bonding Company Address: ___________________________ |
|
________________________________________________ |
__________________________________________________ |
||
City: ___________________ State:_____ ZIP: __________ |
City: _____________________ State:_____ ZIP: __________ |
||
□ Same as Owner |
|
□ Not Applicable |
|
11 |
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|
12 |
Ar hite t/E gi eer’s Na |
e: ________________________ |
Mortgage Le der’s Na e: ____________________________ |
|
________________________________________________ |
__________________________________________________ |
||
Ar hite t/E gi eer’s Na |
e Address: _________________ |
Mortgage Le der’s Address: __________________________ |
|
________________________________________________ |
__________________________________________________ |
||
City: ___________________ State:_____ ZIP: __________ |
City: _____________________ State:_____ ZIP: __________ |
||
□ Not Applicable |
|
□ Not Applicable |
|
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.
NOTICE TO CONTRACTOR: FOR A DIRECT CONTRACT GREATER THAN $2,500 (EXCEPT FOR HVAC SYSTEM REPAIR OR REPLACEMENT LESS THAN $7500), FLORIDA STATUTES REQUIRE THE APPLICANT TO FILE WITH THE ISSUING AUTHORITY, PRIOR TO THE FIRST INSPECTION, EITHER A CERTIFIED COPY OF THE RECORDED (BY OWNER) NOTICE OF COMMENCEMENT OR A NOTARIZED STATEMENT (BY OWNER) THAT THE NOTICE OF COMMENCEMENT HAS BEEN FILED FOR RECORDING, ALONG WITH A COPY THEREOF. IN THE ABSENCE OF A CERTIFIED COPY OF THE RECORDED NOTICE OF COMMENCEMENT, NO SUBSEQUENT INSPECTIONS CAN BE PERFORMED UNTIL THE APPLICANT FILES SUCH CERTIFIED COPY WITH THE ISSUING AUTHORITY. THE CERTIFIED COPY OF THE NOTICE OF COMMENCEMENT MUST CONTAIN THE NAME AND ADDRESS OF THE OWNER, THE NAME AND ADDRESS OF THE CONTRACTOR, AND THE LOCATION OR ADDRESS OF THE PROPERTY BEING IMPROVED.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
OFFICE USE ONLY BELOW THIS LINE
13
LEGAL DESCRIPTION/NOTES: _________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
15
PERMIT NUMBER: ______________________________
14 |
|
|
USE (CHECK ONE): |
|
|
□ 1 & 2 FAMILY |
□ TOWNHOUSE |
□ CONDOMINIUM |
□ |
□ COMMERCIAL |
□ INDUSTRIAL |
□ AGRICULTURAL - BLDG CD EXEMPT |
□ OTHER: _______ |
|
_________________________________________________
□USE CHANGE: ___________________________________
________________________________________________
16
PRIMARY PERMIT: _____________________________
17
CODE EDITION/NOTES: __________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
18