Orange Form 23 14 PDF Details

Ensuring that all plumbing installations adhere to the highest standards of safety and compliance is a priority for property owners and contractors alike. The Orange County Division of Building Safety, located at 201 South Rosalind Avenue in Orlando, Florida, offers a comprehensive solution through its Application for Plumbing Permit, known formally as the Orange 23 14 form. This form serves as a crucial step for individuals seeking to undertake plumbing work, encompassing installations ranging from residential to commercial, and new constructions to repairs. Filled with vital details, it requires applicants to provide information about the property owner, the job site address, and the specific type of plumbing job—be it a new system, an addition, alteration, or a repair. The form equally emphasizes the importance of a Notice of Commencement which must be recorded and prominently displayed at the job site before the first inspection, to safeguard against potential issues such as double payments for improvements. Method of payment options are versatile, catering to the applicant's convenience. The form also meticulously lists various fixtures and systems, asking for detailed input on the number and fee, ensuring a comprehensive understanding of the scope and cost of the project. By certifying the accuracy of the provided information and understanding the stipulations of Orange County and the State of Florida’s building regulations, the applicant agrees to conform to all standards with the submission of this form, highlighting a mutual commitment to quality, safety, and compliance in plumbing installations.

QuestionAnswer
Form NameOrange Form 23 14
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesVALUATION, Dishwashers, regulating, Florida

Form Preview Example

Orange County Division of Building Safety

201 SOUTH ROSALIND AVENUE

Reply To: Post Ofice Box 2687 • Orlando, Florida 32802-2687 DATE

Phone 407-836-5550Fax 407-836-2852Inspections ONLY: 407-836-2825

Building Permit Number

APPLICATION FOR PLUMBING PERMIT

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 RECORDING YOUR NOTICE OF COMMENCEMENT.”

PLEASE PRINT

The undersigned hereby applies for a permit to make plumbing installations as indicated below on property. Owned by:

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

Zip Code

 

 

 

 

Phone No.

 

 

-

 

-

 

 

 

Method of Payment: Cash r

 

Check r

 

Escrow r

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job Information: Lot No.

 

 

 

 

 

 

 

 

 

Block

 

 

 

 

 

 

 

 

Subdivision Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax Identiication Number: Section

 

 

 

 

Township

 

 

 

 

Range

 

 

Subdivision

 

 

 

 

Lot

 

 

 

 

 

 

 

 

 

(15 Digit Number:)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

City

 

 

 

 

STATE

 

Zip Code

 

 

 

 

Phone No.

 

 

-

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class of Building: OLD r

 

New r

Type of Building: Residential (028) r

 

Commercial (029) r

 

 

Mobile Home (006) R

Type of Work: New (001) r Addition (004) r Alteration (003) r Repair (002) r Type of System: Sewer r Septic r Re-pipe r

Date First Inspection Desired:

 

 

 

 

or will call r VALUATION OF JOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Valuation of all materials, labor, & ixtures installed)

FIXTURES

 

 

 

 

NUMBER

 

 

 

 

FEE

 

FIXTURES

 

 

 

NUMBER

 

 

FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dishwashers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Closets ( Toilet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bathtubs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Laundry Tubs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Urinals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Floor Drains

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disposals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grease Traps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Washing Machines

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trailer Connections

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Heaters

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sewer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Solar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Catch Basins/Sumps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pool Piping

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Sink

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Irrigation:

(No. Systems

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. Heads)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lavatory (Bathroom Sink)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Water Softener

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Showers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Re-pipe

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Miscellaneous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sinks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Fees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Fees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify that the above is true and correct to the best of my knowledge.

 

 

 

 

Grand Total Fees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE PRINT

Name of Active Certiicate Holder (Master Plumber)

State Registration or Certificate Number (Master Plumber)

I hereby make Application for Permit as outlined above, and if same is granted I agree to conform to all Division of Building Safety Regulations and County Ordinances regulating same and in accordance with plans submitted. The issuance of this permit does not grant permission to violate any applicable Orange County and/or State of Florida codes and/or ordinances.

Authorized Signature (License Holder or Agent)

 

 

 

 

Street Address

 

 

 

 

 

City

STATE

Zip Code

Phone Number

-

-

NOTE: The Building Permit Number is required if the Plumbing Installation is associated with any construction or alteration where a Building Permit has been issued.

THIS APPLICATION WAS TRANSMITTED BY FACSIMILE ON

 

 

.

 

(Date/Time)

 

23-14 (REV. 2/10)

Plumbing Permit Number