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City of Oldsmar Application for Electrical Permit

  1. 2015 NATIONAL ELECTRICAL CODE APPLIES

  2. Permit # _________________________

  3. Permit Fees $____________________

  4. Date Received: ________________________

  5. ***TEMPORARY/FINAL POWER CANNOT BE RELEASED WITHOUT THIS NUMBER***

  6. Electrical Permit Fees
    Electrical Fees

  7. New Residential (including closets):

    Room Count _______________ x $15.00 = _____________________ + $50.00=__________________

  8. New Commercial or Industrial:

    # per/amp service _____________ x $1.00 = _____________________ + $50.00 = __________________

  9. Residential Alteration or Remodel:

    Fixture/outlet count _______________ x $2.50 = _____________________ + $50.00 = __________________

  10. Commercial Alteration or Remodel:

    Fixture/outlet count _____________ x $3.00 = _____________________ + $50.00 = __________________

  11. Low Voltage:

    Fixture/outlet count _____________ x $2.50 = _____________________ + $50.00 = __________________

  12. Commercial Low Voltage:

    Fixture/outlet count _____________ x $3.00 = _____________________ + $50.00 = __________________

  13. 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.

  14. AN ELECTRONIC VERSION OF ALL DOCUMENTS BEING SUBMITTED SHALL BE PROVIDED WITH THE PACKET IN .PDF FORMAT IF PLANS ARE LARGER THAN 11 X 17

    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 the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.

  15. I understand that a separate permit must be secured for BUILDING, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, KITCHEN HOODS, FIRE SPRINKLERS, ALARM SYSTEMS, AND SHEDS, ETC.

    OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with applicable laws regulating construction and zoning.

  16. OWNER'S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the information contained in this electrical 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 addition, building, plumbing, mechanical and environmental plans shall be submitted to secure this permit, when applicable. The construction permit fee is based on a $50.00 fee, plus additional fees according to the scale above.

  17. 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 and Workman Compensation Insurance.

  18. Select One

  19. Signature: _____________________________________________

  20. Date: _______________

  21. Approved by:_________________________________________________

  22. Date:________________

  23. Leave This Blank: