Fla. Stat. § 713.135
(1) When any person applies for a building permit, the authority issuing such permit shall:
(5) In addition to any other information required by the authority issuing the permit, each building permit application must contain:
(6) In addition to any other information required by the authority issuing the permit, the building permit application must be in substantially the following form:
Tax Folio No.__________
BUILDING PERMIT APPLICATION Owner's Name Owner's Address Fee Simple Titleholder's Name (If other than owner) Fee Simple Titleholder's Address (If other than owner) City State_______________ Zip_______________ Contractor's Name Contractor's Address City State_______________ Zip_______________ Job Name Job Address City____________________
County_______________
Legal Description Bonding Company Bonding Company Address City____________________ State_______________ Architect/Engineer's Name Architect/Engineer's Address Mortgage Lender's Name Mortgage Lender's Address
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 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.
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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent)
(including contractor)
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
(Signature of Contractor)
STATE OF FLORIDA COUNTY OF _____
Sworn to (or affirmed) and subscribed before me this _____ day of _____, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known _____ OR Produced Identification _____
Type of Identification Produced_______________
(Certificate of Competency Holder) Contractor's State Certification or Registration No._____ Contractor's Certificate of Competency No.__________ APPLICATION APPROVED BY ____________________Permit Officer
History.--ss. 1, 2, 3, ch. 67-185; s. 2, ch. 78-397; s. 1, ch. 84-26; s. 1, ch. 86-247; s. 4, ch. 87-74; s. 8, ch. 90-109; s. 3, ch. 91-102; s. 2, ch. 93-99; s. 230, ch. 94-218; s. 5, ch. 96-383; s. 4, ch. 97-219; s. 15, ch. 98-246; s. 71, ch. 99-5; s. 5, ch. 99-386.