Window/ Door Change Out

Construction Type *

Commercial

Residential

Applicant Type: *

Contractor

Owner

Permit Type: *

Windows

Doors

Class of Work *

Single Story Structure

Two Story or More

Mobile Home

Contractor's License Number: *

Contractor Business Name: *

Contractor Name: *

Contractor Email: *

Contractor Address: *

Please include City, State, and Zip Code

Contractor Phone: *

Property Owner Name: *

Property Owner's Phone: *

Property Owner Address: *

Please include entire address including City, State, and Zip Code.

Project Address: *

Project Parcel ID: *

This information is readily available on the Zoning and Future Land Use Map.

Decription of Work: *

Job Cost: * $

Number of Doors: *

Doors Product Approval Number(s): *

If none input "NA"

Number of Windows: *

Windows Product Approval Number(s): *

If none input "NA"

Product Affidavit Approval *

Approved copy of the applicable manufacturer’s installation requirements shall be on the jobsite at time of inspection. Further, You as the contractor/owner/builder, attest that the work to be performed at will comply with the current Florida Building Code, as well as, established standards for performance of products and materials set forth by the product approval guidelines as required by Florida Statutes. You understand that information and approval numbers of the building components will be required to be available to the building inspector on the jobsite at time of inspection. Including but not limited to: 1. Sealed plans 2. The performance characteristics which the product was tested and certified to comply with 3. Copy of product approval information 4. Copy of the applicable manufacturer’s installation requirements Further, I understand that any installed products may have to be removed if approval cannot be demonstrated during inspection. The above information must be provided for the building components listed below: 1. Exterior Doors 2. Windows Note: FBC: Florida Building Code, Chapter 10, Section 1026.2 (If bedroom windows are to be replaced the city will inspect for emergency egress) a. Sill height shall not exceed 44 inches above the floor b. Minimum net clear opening shall be 5.7 square feet; exception – grade level windows may have a minimum clear opening of 5 square feet. c. Minimum net clear opening height shall be 24 inches d. Minimum net clear opening width shall be 20 inches 3. Roofing Products 4. Shutters 5. Skylights 6. Structure Components 7. New exterior Envelope product 8. H.V.A.C. Stand

Approved

Home Owner Affidavit *

1) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 2) I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 3) I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on permits and contracts 4) I understand that I may build or improve a one-family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. 5) I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction. 6) I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by county or municipal ordinance. 7) I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner-builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner’s insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 8) I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers’ compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. 9) I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner-builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10) I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 850-487-1395 or visit http://www.myfloridalicense.com/dbpr/pro/cilb/index.html for more information about licensed contractors. 11) I am aware of, and consent to, an owner-builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the following address listed below. 12) I agree to notify The City of Edgewater Building Department immediately of any additions, deletions, or changes to any of the information that I have agreed to on this disclosure statement.

Accepted

Home Owner Affidavit Statement *

Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner-builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor’s workers’ compensation coverage. OWNER ACTING AS ASBESTOS ABATEMENT CONTRACTOR per Florida Building Code 105.3.6 and Florida Statute Chapter 469. ASBESTOS ABATEMENT DISCLOSURE STATEMENT: State law requires asbestos abatement to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own asbestos abatement contractor even though you do not have a license. You must supervise the construction yourself. You may move, remove or dispose of asbestos-containing materials on a residential building where you occupy the building and the building is not for sale or lease, or the building is a farm outbuilding on your property. If you sell or lease such building within 1 year after the asbestos abatement is complete, the law will presume that you intended to sell or lease the property at the time the work was done, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your work must be done according to all local, state and federal laws and regulations which apply to asbestos abatement projects. It is your responsibility to make sure that people employed by you have licensed required by state law and by county or municipal licensing ordinances. TO QUALIFY FOR EXEMPTIONS UNDER FLORIDA STATUTE 489.103 AND FBC 105.3.6, THE PROPERTY OWNER MUST APPEAR PERSONALLY IN THE CITY OF EDGEWATER BUILDING DEPARTMENT TO SIGN THE ASSOCIATED BUILDING PERMIT APPLICATION AND THIS AFFIDAVIT.

Accepted

Building Permit Approval *

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. Applicant hereby consents and authorizes drone use for permit related inspection(s). 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. 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. I hereby affirm that I have complied with the provisions of Chapter 469 of the State Statutes, and I have notified the Dept of Environmental Protection of my intention to remove asbestos, if applicable. OWNER’S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the information contained in this building permit application is true and correct.

Accepted

Contact Information