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WARNING TO OWNER: 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.
Date of Application
Permit Number
The undersigned hereby applies for a permit to make electrical installations as indicated below.
Project Address
Property Owner
Property Owner Mailing Address
Phone Number
City
State
Zip
Parcel Identification Number
To obtain this information, please visit http://scpafl.org.
Class of Building
1. New
2. Existing
Type of Building
1. Commercial
2. Other
Type of Work
1. New
2. Modification
3. Addition
4. Relocate
5. Demo
Description of Work
Number of Units
Square Footage
Job Valuation
Please check all items included with permit package:
_____ 2 Copies of a floor plan showing placement of all devices
_____ 2 Copies of a schematic riser/wiring diagram showing IDC/SLC Arrangement
_____ 2 Copies of a bill of material, with specification sheets, for all equipment and wire
_____ 2 Copies of the sequence of operations
_____ 2 Copies of the scope of work
_____ 2 Copies of battery and line loss calculations
Fire alarm/detection documents for any new building or addition with a job value over $5,000.00 shall be designed, prepared, signed, and sealed by a Florida Registered Design Professional.
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I hereby certify that the previous is true and correct.
I hereby make Application for Permit as outlined above, and if the same is granted I agree to conform to all Florida Fire Prevention 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.
Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.
Contractor Signature
Contractor Printed Name
State Certificate or Comp Card
License Number
Company Name
Address
City
State
Zip
Email Address
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I hereby certify that the previous is true and correct.
I hereby make Application for Permit as outlined above, and if the same is granted I agree to conform to all Florida Fire Prevention 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.
Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.
Property Owner Signature
Date
Property Owner Printed Name
Phone Number
Property Owner Address
City
State
Zip
Email
Application may be submitted by email to building@casselberry.org

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