Form Aa 279 PDF Details

In the realm of urban development and construction, the completion and submission of permit applications stand as critical initial steps for both individual property owners and contractors. The Aa 279 form, used by the City of Fort Lauderdale, exemplifies such a document required to obtain authorization for a wide range of construction projects, from residential modifications to commercial overhauls. This comprehensive form necessitates detailed information about the property owner, contractor, the scope of work, and specifics about the project type, such as new constructions, alterations, or demolitions. Moreover, it includes sections dedicated to the legal aspects surrounding the project, like the affidavit of the owner and the acknowledgment of obligations to secure additional permits for specific parts of the project, such as electrical or plumbing work. The form also addresses important warnings to the property owner regarding the recording of a notice of commencement to avert potential financial duplications. In essence, the Aa 279 form encapsulates the city's regulatory measures designed to ensure that construction activities comply with local standards for safety, zoning, and overall community welfare.

QuestionAnswer
Form NameForm Aa 279
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfort lauderdale building department forms, permit search city of fort lauderdale, fort lauderdale permit application, city of fort lauderdale permit application forms

Form Preview Example

CITY OF FORT LAUDERDALEPERMIT APPLICATION

CITY OF

700 NW 19th Avenue, Fort Lauderdale FL 33311

F O RT L AU D E R D A L E

7 0 0 N . W. 1 9 T H AV E N U E , F O RT L A U D E R D A L E , F L O R I D A 3 3 3 1 1

Permit Type: ________________________ Master Permit # ___________________________ Sub Permit #___________________________

฀ AFFORDABLE HOUSING

฀ HOUSING AUTHORITY

฀ HABITAT FOR HUMANITY

COMPLETE FORM IN BLACK INK - ONLY SIGNATURES MAY BE IN STANDARD BLUE INK

Owner’s Name _________________________________________________________ Phone # __________________________

Owner’s Street Address ____________________________________________________________________________________

City ________________________________ State ______ Zip Code _________ Owner’s Email _________________________

Fee Simple Titleholder’s Name (if other than owner) __________________________________________________________

Fee Simple Titleholder’s Address ____________________________ City ____________________ State ______ Zip________

Contractor’s Company Name _____________________________________________ Phone # _______________________

Contractor’s Business Address _______________________________ City ____________________ State _____ Zip _______

Contractor’s E-mail Address __________________________________________ Alternate Phone # ___________________

Qualifier’s Name _______________________________________________ State Certificate # _________________________

Broward County Certificate of Competency # ______________________ State Registration # ____________________

Job Address __________________________________________________ City ________________________________________

Legal Description: Subdivision ____________________________________ Lot _______ Block _______ Building # _______

Type of Property: Single family Duplex/Two-family Multi-Family Condominium Commercial

Description of Work to be Done _____________________________________________________________________________

Type of Work:

฀ New

 

฀ Addition

฀ Alteration

฀ Demolition

 

฀ Repair

฀ Revision

฀ Other

Square Feet ______________

Linear Feet ___________

# Windows/Doors ___________

# Shutter Openings __________

Total# GallonsJob Cost:

$_

Max Cap # Gallons ____ PresentMax CapUse___________

Present Use ________________________________

TotalElectricJob Cost:

$_______________

Building

 

$$

 

Engineering

$________________

FireElectricSprinkler

$_______________

Rooff

 

$_______________

Fence/Wall

$________________

Mechanical

$_______________

Pool/Spa

 

$_______________

Sign

 

$________________

Plumbing

$_______________

Paving/deck

$_______________

Landscapinge

$$_______________

For Office Use Only: Occupancy Type ________ Construction Type _______Lowest Floor Elevation ________ Flood Zone _______

Architect/Engineer _______________________________________ Reg. # _______________________ Phone #______________________

Architect/Engineer Address__________________________________ City _____________________________ State _____ Zip __________

Bonding Company _______________________________________ Address _____________________________________________________

Mortgage Lender ________________________________________ Address _____________________________________________________

Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no installation or work 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 the City of Fort Lauderdale, OR I acknowledge that this is an application for an After the Fact permit. I understand that a separate permit must be secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, DRIVEWAYS, ROOFS, 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. Furthermore, I authorize the above-named contractor to do the work stated.

WARNING TO OWNER: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult your lender or an attorney before recording your notice of commencement. The notice of commencement must be recorded at the Broward County Clerk of the Courts, Room 114, 115 S Andrews Ave, Fort Lauderdale FL 33301.

STATE OF ____________COUNTY OF ________________________________

STATE OF FLORIDA – COUNTY OF __________________________________

Signature _______________________________________________________

Signature ________________________________________________________

Circle one: Owner or Agent

Circle one: Contractor or Owner (with Owner Builder Affidavit)

Print Owner/Agent Name _______________________________________

Print Contractor/Owner Name ____________________________________

Sworn to (or affirmed) and subscribed before me this_________ day

Sworn to (or affirmed) and subscribed before me this __________ day

of ______________________________, 20__________.

of ______________________________, 20__________.

Signature______________________________________________________

Signature_________________________________________________________

NOTARY as to Owner/Agent

NOTARY as to Contractor/Owner

Print Notary Name _____________________________________________

Print Notary Name ________________________________________________

_______ Personally known or ______ Produced Identification

_______ Personally Known or _______ Produced Identification

Type of Identification Produced ________________________________

Type of Identification Produced ___________________________________

Notary Stamp:

Notary Stamp:

FORM AA-279 Revised 58/0220/113

visit us at www.fortlauderdale.gov

City of Fort Lauderdale

PERMIT INFORMATION

 

MECHANICAL

 

 

 

 

 

SIGN DATA

 

 

 

 

 

 

 

 

 

 

QUANTITY

 

QUANTITY

 

 

 

SQUARE FEET _________

ZONE ___________

_____

A/C Unit

_____ Piping Length Feet

 

 

 

 

 

 

____ Boiler

_____

Residential Hoods

 

 

 

TYPE

 

BUILDING TYPE ____

_____ Cooling Tower

_____ Spray Booth

 

 

 

__ Non-Illuminated

 

 

_____ Commercial Hood

_____ Smoke Detector

 

 

__ Electrical

 

 

PURPOSE

_____ Dampers

_____ Supply Fan

 

 

 

__ Single Pole

 

__ City

_____ Dryer Vent

_____ Trash/Linen Chute

 

 

__ Multiple Poles

__ Direction

_____ Duct Register

_____ VAV Box

 

 

 

__

Wall Flat

 

__ Identification

_____ Exhaust System

_____ Walk-in Cooler

 

 

__ Wall Painted

__ Real Estate

_____

Fireplace

_____

Other Misc. (list)

 

 

__

Single Face

 

__ Temp. Construction

_____

Fire Suppression

_____

Other Misc. (list)

 

 

__

Double Face

__ Other (list)

_____

Fuel Tank

______________________________

 

__

Other (list)

 

_____________________

_____ Heater

______________________________

 

___________________

 

_____________________

 

 

 

 

 

 

 

 

 

 

 

 

 

PLUMBING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUANTITY

 

 

QUANTITY

 

 

 

QUANTITY

_____ Air Lines

 

_____

Gas Outlet

 

 

_____

Service Sink

_____ Area Drain

 

_____ Grease Outlet

 

 

_____ Sewer tap

_____ Backflow

 

_____ Hand Sink

 

 

_____ Sewer Cap

_____ Bar Sink

 

_____ Hose Bib

 

 

_____ Shower

_____ Bath Tub

 

_____ Ice Maker

 

 

_____ Sump Pump

_____ Bidet

 

_____ Insta Hot

 

 

_____

Trench Drain

_____ Boiler

 

_____

Kitchen Sink

 

 

_____

Urinal

_____ Can Wash

 

_____ Laundry Tray

 

 

_____ Washer

_____ Coffee Urn

 

_____ Lavatory

 

 

_____ Water Closet

_____ Condensate

 

_____ Lawn Sprinkler

 

 

_____ Water Heater

_____ Dishwasher

 

_____ Pool Piping

 

 

_____ Water Meter

_____ Disposal

 

_____ Pool Heater

 

 

_____ Water Service

_____ Drainfield, Storm

 

_____ Pot Sink – 3 Comp.

 

_____ Water Softener

_____ Drinking Fountain

 

_____

Remodel – Repair

 

_____

Well, Irrig., Disposal

_____ Drywell

 

_____

Roof Drain

 

 

_____

Other (list)_________

_____ Dumpster Drain

 

_____ Safe Waste

 

 

_________________________

_____ Floor Drain

 

_____ Septic Tank Conversion

_________________________

 

 

 

 

 

 

 

 

 

 

 

FIRE

 

 

 

ELECTRICAL

 

 

 

 

 

 

 

 

 

 

 

 

QUANTITY

QUANTITY

 

QUANTITY

 

 

 

QUANTITY

___ Boat Dock Protection

___ A/C Heater

 

___ Panels ________ Amps

 

 

___ Track Lighting/

___ Chemical System (lbs)

___ Basic Receptacle

 

___ Panels ________ Amps

 

 

per foot

___ Double Detector

___ Burglar Alarm Device

___ Panels ________ Amps

 

 

___ TV Camera

___ Fire Main (size)

___ Burglar Alarm Panel

___ Plug/Mold/per foot

 

 

___ TV Monitor

___ Fire Pump (size)

___ Data Outlet

 

___ Pole/Site Lighting

 

 

___ TV Outlets

___ Hose Outlets

___ Dock Pedestal

 

___ Service _______ Amps

 

 

___ Other (list)

___ Siamese/FDC

___ Fire Alarm Device

 

___ Service _______ Amps

 

 

_________________

___ Smoke Control (sq ft)

___ Fire Alarm Panel

 

___ Service Repair

 

 

_________________

___ Sprinkler Heads (sq ft)

___ Fixture

 

___ Signs

 

 

 

 

_________________

___ Standpipe Risers

___ Generator ______KW

___ Special Purpose Receptacles

_________________

___ Other (list)

___ GFCI Receptacle

 

___ Swimming Pool

 

 

_________________

_____________________

___ Light/Outlet

 

___ Switches

 

 

 

_________________

____________________

___ Motors _____ HP

 

___ Telephone Outlet

 

 

_________________

_____________________

___ Motors _____ HP

 

___ Temporary Service Pole

 

 

 

 

___ Motors _____ HP

 

___ Transformers ______ KVA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of the county, and there may be additional permits required by other governmental entities such as water management districts, state agencies or federal agencies.

The issuance of this permit by the City of Fort Lauderdale does not in any way create any right on the part of an applicant to obtain a permit from a state or federal agency and does not create any liability on the part of the City for issuance of the permit if the applicant fails to obtain requisite approvals or fulfill the obligations imposed by a state or federal agency or undertakes actions that result in a violation of state or federal law.

The applicant must obtain all other applicable state or federal permits before commencement of the development.

FORM AB-279 (Back) Revised 8/20/13

How to Edit Form Aa 279 Online for Free

This PDF editor was made with the goal of allowing it to be as effortless and easy-to-use as possible. The next steps will make filling out the fort lauderdale city permit search easy and fast.

Step 1: On the following webpage, select the orange "Get form now" button.

Step 2: You will discover each of the actions you can undertake on the file when you have entered the fort lauderdale city permit search editing page.

For every single part, prepare the data required by the program.

filling in fort lauderdale permit application part 1

In the segment Type of Property Single family, DuplexTwofamily, Single family, MultiFamily Condominium, Description of Work to be Done, Other Type of Work Type of Work, Demolition, Alteration, Addition, Revision, Repair, New, Square Feet Linear Feet, Total Job Cost Gallons Max Cap, and Total Job Cost Electric type in the particulars the software asks you to do.

Completing fort lauderdale permit application step 2

You may be expected to type in the particulars to help the software fill out the area WARNING TO OWNER Your failure to, STATE OF COUNTY OF STATE OF, Signature Signature Circle one, Circle one Contractor or Owner, Print OwnerAgent Name Print, Sworn to or affirmed and, Signature Signature NOTARY as to, NOTARY as to ContractorOwner, Print Notary Name Print Notary, Personally known or Produced, Type of Identification Produced, Notary Stamp, Notary Stamp, FORM AA Revised, and visit us at wwwfortlauderdalegov.

stage 3 to completing fort lauderdale permit application

The MECHANICAL, SIGN DATA, QUANTITY, QUANTITY, SQUARE FEET ZONE, TYPE, Piping Length Feet Residential, AC Unit Boiler Cooling Tower, NonIlluminated cidcid Electrical, Other Misc list Other Misc list, PURPOSE, Wall Flat, Identification, Single Face Temp Construction, and Other list field will be the place to insert the rights and responsibilities of either side.

Entering details in fort lauderdale permit application stage 4

Finalize by looking at the following fields and filling them out accordingly: Air Lines Area Drain Backflow, Drywell, Dumpster Drain Floor Drain, Gas Outlet Grease Outlet Hand, Service Sink Sewer tap Sewer, FIRE, ELECTRICAL, QUANTITY, QUANTITY, QUANTITY, QUANTITY, Panels Amps Track Lighting, Boat Dock Protection AC Heater, PoleSite Lighting TV Outlets, and per foot.

stage 5 to finishing fort lauderdale permit application

Step 3: Choose the Done button to save your file. At this point it is offered for transfer to your device.

Step 4: Try to make as many duplicates of your document as you can to remain away from possible complications.

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