Palm Bay Building Permit Form PDF Details

In the bustling city of Palm Bay, Florida, the process of initiating any construction project, be it residential or commercial, begins with a critical step: obtaining the necessary building permit. Anchored by the efforts of the city's Building Division located at 120 Malabar Road, S.E., the Palm Bay Building Permit form emerges as a fundamental document in this procedure. This meticulously designed form, adhering to the 2010 Edition of the Florida Building Codes and the 2008 Edition of the National Electrical Code, serves not just as a mere application but as a comprehensive declaration of intent and compliance. Applicants are required to furnish detailed information spanning the scope of work, zoning specifics, property owner details, and contractor credentials. Moreover, this form accommodates details concerning various contractors including those specialized in electrical, plumbing, and HVAC works, thereby ensuring a holistic oversight over the project's execution. The form sternly reminds applicants that no work should commence before the permit's issuance, highlighting the importance of adherence to legal and safety standards. Through the provision for owner's and contractor's affidavits, it underscores the adherence to local construction and zoning laws, while subtly cautioning the property owner about the financial implications of failing to record a Notice of Commencement. Such thoroughness exemplified by the Palm Bay Building Permit form not only facilitates the city's governance over construction projects but also safeguards the interests of all parties involved, marking a classic example of regulatory prudence.

QuestionAnswer
Form NamePalm Bay Building Permit Form
Form Length2 pages
Fillable?Yes
Fillable fields88
Avg. time to fill out18 min 10 sec
Other namespalm bay permit search, building department palm bay, palm bay building permit, palm bay florida building department

Form Preview Example

ACCEPTED BY: ______________

DATE: ______________

APPROVED BY: ______________

DATE: ______________

BUILDING DIVISION

120 Malabar Road, S.E., Palm Bay, FL 32907

Phone: (321) 953-8924 ● Fax: (321) 953-8925

Construction Permit Application

“This application shall be completed in its entirety and shall not be altered in any way.”

Please visit our web site for forms at www.palmbayflorida.org

2010 EDITION OF THE FLORIDA BUILDING CODES AND THE 2008 EDITION OF THE NATIONAL ELECTRICAL CODE

Application Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VALUE:

$

 

 

 

 

 

 

ZONING:

 

 

 

 

 

 

Job Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK ONE:

 

 

 

RESIDENTIAL

 

 

 

 

 

 

 

 

COMMERCIAL

Job Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY :

 

 

 

 

COUNTY :

 

 

 

 

 

 

 

 

 

CONSTRUCTION TYPE:

CBS

 

 

 

 

FRAME

OTHER

LOT:

 

 

 

 

TWP:

 

 

 

 

 

 

 

 

 

COND. SQ. FT.:

 

 

 

 

 

 

FLD ZONE:

 

 

BLK/PAR :

 

 

 

 

 

 

RNG:

 

 

 

 

 

 

 

 

 

NON-COND. SQ. FT.:

 

 

 

ROOF PITCH:

 

 

 

 

 

 

 

 

SEC:

 

 

 

 

 

 

 

 

 

SUB# :

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL SQ. FT.:

 

 

 

 

 

 

# SQUARES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY OWNER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE:

 

 

 

 

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE:

 

 

 

 

 

 

 

 

 

 

ZIP:

 

 

 

 

 

 

PHONE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE:

(

)

 

-

 

 

FAX:

( )

 

-

 

FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-MAIL:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-MAIL:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MORTGAGE LENDER’S NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUALIFIER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR’S CERTIFICATION OF

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPETENCY NO.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BONDING COMPANY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR’S STATE CERTIFICATION

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR REGISTRATION NO. :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY:

 

 

 

 

STATE:

 

 

 

 

 

 

 

 

 

ELECTRICAL

 

 

 

SUB CONTRACTOR INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE SIMPLE TITLE HOLDER’S NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(IF OTHER THAN OWNER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE SIMPLE TITLE HOLDER’S ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE#:

 

 

 

 

 

 

 

 

 

 

CERT. #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(IF OTHER THAN OWNER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLUMBING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY:

STATE:

 

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE#:

 

 

 

 

 

 

 

 

 

 

CERT. #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARCHITECT/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HVAC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACTOR:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENGINEER’S NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE#:

 

 

 

 

 

 

 

 

 

 

CERT. #:

 

 

CITY:

STATE:

 

 

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

BUILDING_PERMIT_APPLICATION

 

 

 

 

 

 

03/12 Revision G

 

 

APPLICANT’S AFFIDAVITS

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, FENCES, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, etc.

“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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.”

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.

Signature of Owner or Agent

 

 

 

 

 

 

 

 

 

(including Contractor):

 

 

 

 

 

 

Date:

 

 

 

STATE OF FLORIDA

 

 

 

 

 

 

 

 

 

 

 

COUNTY OF ____________________

 

 

 

 

 

 

 

 

 

Sworn to (or affirmed) and subscribed before me this

 

day of

 

 

20

 

 

,by

 

Personally Known

 

 

OR Produced Identification

 

Type of Identification:

 

 

 

 

 

 

Signature of Notary Public, State of Florida

Print or Stamp Name

2

BUILDING_PERMIT_APPLICATION

03/12 Revision G

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