Casselberry, FL - Official Site

Building Permit Application

For questions, contact the Building Department at (407) 262-7700 Ext. 1103 or by email at building@casselberry.org.
Date of Application
Permit Number
Project Address
Project Name (if applicable)
Property Owner
Phone Number
Property Owner's Mailing Address
City
State
Zip
Parcel Identification Number
To obtain the parcel identification number, please visit https://www.scpafl.org.
Valuation of Project
Class of Building
1. New
2. Exisiting
Type of Building
1. Commercial
2. Residential
3. Other_______________
Type of Work
1. New
2. Modification
3. Addition
4. Relocate
5. Demo
Trade
1. Structural
2. Roofing
3. Electrical
4. Mechanical
5. Plumbing
6. Gas
7. Other
Description of Work
Square Footage
Type of Construction
NOTE: A copy of the executed contract with the property owner is required with each application.
SUBCONTRACTORS: Licenses, insurance and a power of attorney are required for each company.
Electrical Company Name
Phone Number
License Holder's Name
License Number
Mechanical Company Name
Phone Number
License Holder's Name
License Number
Plumbing Company Name
Phone Number
License Holder's Name
License Number
Gas Company Name
Phone Number
License Holder's Name
License Number
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Application for Permit

I hereby certify that the previous is true and correct.
I hereby make Application for Permit as outlined above, and if same is granted I agree to conform to all Florida Building Code Regulations and City Ordinances regulating the same and in accordance with plans submitted. The issuance of this permit does not grant permission to violate any applicable City and/or State of Florida codes and/or ordinances.
Contractor Signature
License Number
Contractor Printed Name
Company Name
Contractor's Address
City
State
Zip
Email Address
Phone Number
Notice to Contractor: For a direct contract greater than $2,500.00 (except for HVAC system repair or replacement less than $7,500.00), Florida Statutes require the applicant to file with the issuing authority, prior to the first inspection, either a certified copy of the recorded (by owner) Notice of Commencement or a notarized statement (by owner) that the Notice of Commencement has been filed for recording, along with a copy thereof. In the absence of a certified copy of the required Notice of Commencement, no subsequent inspections can be performed until the applicant files such certified copy with the issuing authority. The certified copy of the Notice of Commencement must contain the name and address of the owner, the name and address of the contractor, and the location or address of the property to be improved.
State of ________________
County of _______________
The foregoing instrument was acknowledged before me this _____/_____/_____(date) by__________________________________(name of person acknowledging), who is either personally known to me or has produced___________________(type of identification) as identification.
Notary Seal
Signature of Notary Public
Printed Name
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Step Three

I hereby certify that the previous is true and correct.
I hereby make Application for Permit as outlined above, and if same is granted I agree to conform to all Florida Building Code Regulations and City Ordinances regulating same and in accordance with plans submitted. The issuance of this permit does not grant permission to violate any applicable City and/or State of Florida codes and/or ordinances.
Property Owner Signature
Date
Property Owner Printed Name
Phone Number
Property Owner Address
City
State
Zip
Email Adress
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. If you intend to obtain financing, consult with your lender or an attorney before recording your Notice of Commencement.
State of _______________
County of______________
The foregoing instrument was acknowledged before me this _____/_____/_____(date) by__________________________________(name of person acknowledging), who is either personally known to me or has produced___________________(type of identification) as identification.
Notary Seal
Signature of Notary Public
Name of Notary Typed, Printed or Stamped
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