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City of Oldsmar Application for Driveway/Concrete/Pavers or Sidewalks Permit

Steps

1. Step One This section is complete This section is incomplete
2. General Information This section is complete This section is incomplete
3. Asbestos Notification Statement This section is complete This section is incomplete

Step One

$70 FEE applies for all concrete projects
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General Information

The City of Oldsmar Land Development Code APPLIES
Municode
Property Owner's Name*
Fee Simple Titleholder’s Name (If other than owner)
Phone
Property Owner's Address
Must provide complete address including city, state and zip code
Contractor's Name *
Business Name
Business Address
Must provide complete address including city, state and zip code
Email Address:*
Phone
Contractor's State Registration No.*
PCCLB No.
Total Job Valuation
Job Address*
Legal Description (Parcel ID)
Area of Improvement
(in sq. ft)
Job Description *
Bonding Company
Address
Architect/Engineer's Name
Address
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Notice of Commencement Form
Must provide a duly recorded notice of commencement for construction projects valued in excess of $2,500.00
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.
OWNER'S ELECTRONIC SUBMISSION OF STATEMENT: Under penalty of perjury, I declare that all of the information contained in this building permit application is true and correct.
Building Permit Applications shall be submitted on paper and PDF format, for review and contain all the items listed in the Residential or Commercial Application Packet. For manufactured homes copies of plot plan, pier and base diagram plus tie down diagram with manufacturers name and model number must accompany application. In addition, plumbing, electrical, mechanical and environmental plans shall be submitted to secure these permits, when applicable. The construction permit fee is based on a $40.00 fee, plus additional fees according to value per thousand of valuation or fraction thereof. A form board tie-in survey shall be required at the slab inspection.
Application is valid for 180 days.Permit is extended for 6 months after each successful inspection. Permit expires after 1 year. Permit fee is non-refundable.
Contractors must maintain, State License, PCCLB License, General Liability and Workman's Compensation Insurance.
Signature of Applicant*
By typing your name here, you are signing this form electronically. You agree you are submitting this application for processing and is the legal equivalent of your manual signature on this form. You must be the legal property owner, qualifier or authorized agent which match our registration records. Note: A notarized Letter of Authorization is required for an agent to sign the application or any other correspondence that calls for an agent signature.
Print Name*
Check One *
1. Owner
2. Authroized Agent
3. Contractor
Date:*
Date:
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Asbestos Notification Statement

Pinellas County Asbestos Notification Statement
Click here for Pinellas County Asbestos Notification Statement which must be filled out and submitted to Pinellas County
By signing the "Application and Permit for Construction," you certify that you have complied, or will comply with all Federal State and County laws and regulations pertaining to asbestos. You further understand that any violations of these requirements can result in monetary penalties for failing to comply with asbestos rules may include criminal prosecution under federal law and contractor license forfeiture/suspension under State Law.
Asbestos regulations require asbestos to be identified prior to beginning any demolition or renovation activities. A State license asbestos consultant must perform the survey. If asbestos is identified in the survey, ad it is predicted that asbestos will be disturbed in any way, a State licensed asbestos contractor must remove it first. Additionally, for non-exempt buildings and Division ten working days prior to facility load supporting members either being moved or removed (demolitions) and prior to asbestos removal projects.
Licensing Exemption Note: the Following exemption exclusively applies to the owner of a single family residence, and not to any contractor or other hired individuals. You, as the owner and occupier of a single family residence, not for sale or lease, may undertake the moving, removal or disposal of asbestos-containing materials on your own residential building. To quality for the licensing exemption, (subject to the limitations provide below) an answer must personally appear and sign the building permit application.
You, as the owner and occupier of a single family residence, not for sale or lease, may undertake the moving, removal or disposal of asbestos-containing materials on your own residential building. To quality for the licensing exemption, (subject to the limitations provide below) an answer must personally appear and sign the building permit application. State law requires asbestos removal 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 removal contractor even though you do not have a license. You must supervise the construction yourself. You may move, remove, 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 licenses required by state law and by county or municipal licensing ordinances.
The statement included on this page are considered part of the City of Oldsmar Building Division Application and Permit for Construction
Pinellas County Air Quality Control
For additional information about asbestos:

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City of Oldsmar Application for Driveway/Concrete/Pavers or Sidewalks Permit

Steps

Step One

General Information

Asbestos Notification Statement

Mission Statement