Form 100 5 PDF Details

In the realm of construction and renovation, obtaining the correct permits is crucial to ensuring both legality and safety. Among these, the 100 5 form for a Building Permit Application, specifically for mechanical installations in Escambia County, FL, stands out for its comprehensive coverage of a wide range of mechanical equipment installations. This form is a gateway for contractors and property owners to legally commence their construction or renovation projects involving any mechanical aspect, be it a new installation, replacement, or modification. It meticulously outlines the necessity to provide details such as job address, contractor and owner information, type of building, cost of construction, and detailed descriptions of the mechanical equipment being installed or replaced including air condition units, furnaces, refrigeration units, and much more. Moreover, it underscores the significance of compliance with the local construction and zoning laws, alerting applicants about the requirement of other potentially necessary permits for electrical, plumbing, and other special systems. The form also highlights the importance of the owner's affidavit, a formal acknowledgment of accuracy in the details provided and a commitment to adhere to applicable laws. To further protect property owners, it includes a warning about the risks of not recording a notice of commencement, potentially leading to financial redundancies. Lastly, formalizing the application through signatures from the owner or the owner's agent and the contractor, duly notarized, the form acts as a contract binding the stated commitments. The detailed provisions within the 100 5 form encapsulate the rigorous process of legal verification and approval, emphasizing responsibility, safety, and legal adherence in mechanical installations within construction projects.

QuestionAnswer
Form NameForm 100 5
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesMechanicalPermi tApplication3 prince georges county mechanical permit application form

Form Preview Example

Building Permit

Application

MECHANICAL

Escambia County, FL

MECHANICAL PERMIT NO.:

BUILDING PERMIT NO.:

DATE:

 

Job Address:

 

 

 

 

 

 

 

 

Floor/Unit No.:

 

 

 

 

Contractor:

 

 

 

 

 

 

 

 

Phone No.:

 

 

 

 

Owner:

 

 

 

 

 

 

 

 

Phone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Building of Structure:

 

 

Existing

 

 

New

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial

 

 

Residential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Service

 

 

 

 

Replacement

 

 

New Installation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of Construction(Labor & Materials)

$

 

 

No. of Inspections Required.:

 

 

 

 

 

 

Equipment Type

UNIT#

Size of Units

 

 

 

Equipment Type

FIXTURE #

 

Size of Units

 

 

Air Condition Units

 

 

Tons

 

Unit Heaters

 

 

 

BTU

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Refrigeration Units

 

 

H.P.

 

Ventilation Fans

 

 

 

KFM

 

 

Forced Air Furnace

 

 

BTU

 

Cooling Tower

 

 

 

GPM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boilers

 

 

H.P.

 

Pumps

 

 

 

H.P.

 

 

Chillers

 

 

Tons

 

Air Cleaners

 

 

 

CFM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Air Handling Units

 

 

CPM

 

Duct System

 

 

 

CFM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evaporative Coolers

 

 

BTU

 

Other (Specify)

 

 

 

 

 

 

Equipment Type

 

No. of Units

 

 

Equipment Type

 

 

No. of Units

Equipment Type

# Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bathroom Fan

 

 

 

 

Walk In Coolers/Freezers

 

 

 

Cleaning Fluid Coolers

 

 

 

 

Dryer Vent

 

 

 

 

Refrigeration Units

 

 

 

Solar Collector System

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residential Range Hood

 

 

 

 

Ovens

 

 

 

Piping

 

 

 

 

Redidential Clothes Dryer

 

 

 

 

Incinerators

 

 

 

Medical Gas Equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gasoline Pumps

 

 

 

 

Electric Heating Equipment

 

 

 

Medical Gas Outlets Piping

 

 

 

Gasoline Tanks

 

 

 

 

Panel Heating Equipment

 

 

 

Dental Vaccuum System

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hydraulic Lifts

 

 

 

 

Gas Heating Equipment

 

 

 

Pneumatic Tube System

 

 

 

 

Air Comperssors

 

 

 

 

Pressure Vessels/Tanks

 

 

 

Chilled Water Piping

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Car Wash Equipment

 

 

 

 

Commercial Washers

 

 

 

Condenser Water Piping

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type I Hood

 

 

 

 

Commercial Dryers

 

 

 

Hot Water Piping

 

 

 

 

Type II Hood

 

 

 

 

Steam Boilers

 

 

 

Steam Piping

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kitchen Equipment

 

 

 

 

Steam Pressing Equipment

 

 

 

Refrigerant Piping

 

 

 

 

Trash Mashers

 

 

 

 

Extractors

 

 

 

Condensate Drain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Specify)

 

 

 

 

Pipe Insulation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVING DIRECTIONS:

Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work has been 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 may be required for all ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, HEATING, AND VENTILATING SYSTEMS ELEVATORS, ESCALATORS AND TRANSPORTING ASSEMBLINGS, GAS, SPRINKLER, ROOFING AND INSTALLATIONS, ETC. OWNER’S AFFIDAVIT: I certify that the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 AT THE ESCAMBIA COUNTY CLERK OF COURTS AND A CERTIFIED COPY FILED AT THE BUILDING INSPECTIONS DIVISION, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.

If you are not the owner of the property being permitted, by signing this application, you hereby certify that you are the authorized agent of the owner. Furthermore, you must, by law, promise to inform the owner that the property in question is being subjected to possible liens and/or attachment, and must deliver all forms and notices required by law to the owner.

Signature of Owner or Agent:

Date:

Signature of Contractor:

Date:

 

 

 

 

 

 

 

 

Notary as to Owner or Agent:

 

Notary as to Contractor:

 

STATE OF FLORIDA/COUNTY OF _________________

 

STATE OF FLORIDA/COUNTY OF _______________

 

 

Sworn to and subscribed before me this _____ day of _______________, 20_____.

Sworn to and subscribed before me this ______ day of _____________, 20____,

by___________________________________________________,

by__________________________________________, who is/is not personally

 

 

known to me or who has produced ____________________________________

who is/is not personally known to me and produced

 

as identification.

 

_____________________________________as identification.

__________________________________________

____________________________________

 

SIGNATURE OF NOTARY

SIGNATURE OF NOTARY

Printed Name of Notary:______________________________

Printed Name of Notary:_______________________________

Comm. Expires:

Comm. Expires:

 

 

 

Escrow Acct. No.

 

 

 

 

 

 

 

Form 100.5

Revised 7/2010

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1. While filling in the Form 100 5, ensure to complete all necessary fields in their relevant section. It will help to speed up the process, which allows your details to be handled without delay and properly.

How to prepare Form 100 5 step 1

2. The next step is usually to fill out the following blank fields: Hydraulic Lifts, Air Comperssors, Car Wash Equipment, Type I Hood, Type II Hood, Kitchen Equipment, Trash Mashers, Other Specify, DRIVING DIRECTIONS, Gas Heating Equipment, Pressure VesselsTanks, Commercial Washers, Commercial Dryers, Steam Boilers, and Steam Pressing Equipment.

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Many people frequently make errors when filling in Gas Heating Equipment in this area. Ensure that you revise whatever you enter right here.

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