RESIDENTIAL DEVELOPMENT GUIDE - 2001
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CITY OF CLEARWATER
POST OFFICE Box 4748, CLEARWATER, FLORIDA 33758-4748
Ow HALL, 112 SOUTH OSCEOLA AVENUE, CLEARWATER, FLORIDA 33756
TELEPHONE (727) 562-4040 FAX (727) 562-4052
Ow MANAGER
Jl:1Jy 11, 2001
Welcome to the City of Clearwater Development Services Department. The
D@Partment is responsible for the review of all construction related projects
in/the city.
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TQ$nks to the diligent work of the wonderful people here in the Development
Services Department, we have put together two development guides that we
J~el will help you in the review process for your upcoming construction
p(1)jects.
;Tp'~ Residential Development Guide has been created for our residential
. c~~tomers involved in the development of projects involving one or two
family residential dwellings. The other guide is the Commercial
Development Guide, for construction projects consisting of more than two
family residential dwellings and all other commercial developments.
We have also included directions for obtaining an occupational license and
sign permits.
We: look forward to making this process as easy as possible for you. If you
;,have any questions at any time during the planning or construction phase$'
,qfyour project, please feel free to contact us at Development Services,;
t~lephone number (727) 562-4567.
:~.
-.., ~
, ,..'. ...'.,.. :JJ:
,f Hli~m-8. Horne, II
: City Manager
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BRIAN J AUNGST, MAYOR-COMMISSIONER
ED HART, VICE MAYOR-COMMISSIONER WHITNEY GRAY, COMMISSIONER
HoY!' HAMInON, COMMISSIONER * BILL]ONSON, COMMISSIONER
"EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER"
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CITY OF CLEARWATER
DEVELOPMENT SERVICES DEPARTMENT
Residential Development Guide
The Development Services Department is responsible for overseeing the
City of Clearwater's permit related construction activities.
Development Services provides a unified service approach to permitting.
This includes a concurrent review of building plans, site plans, issues
related to storm water, transportation, landscaping and zoning. Permit
services include the issuance of electrical, mechanical, plumbing and
building permits, and subsequent inspections. Other services such as
utilities (gas, sewer and water hook-ups) and solid waste are coordinated
with the issuance of permits.
National codes such as the National Electrical Code and the Southern
Building Code Congress Codes are used for the purpose of establishing
minimum construction standards for the erection, construction, alteration,
removal, demolition, moving, use, occupancy and maintenance of all
buildings and structures.
This development guide is intended to help the residential permit
applicant become familiar with the residential plan review and permit
process for single family residences and duplexes. It will also assist the
residential applicant in identifying special permit conditions. Special permit
conditions exist for properties located in flood zones and warrant specific
design requirements. Checklists and submittal requirements for the more
common types of residential projects are detailed in this document.
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Residential Development Guide
Table of Contents
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Section 1 .........General Permit Information for Residential Construction
What Type of Work Requires a Permit? ............................... Page 4
When Is a Permit Not Required? .......................................... Page 4
Notice of Commencement Requirement............................... Page 5
Contractors................................ ........................... ................. Page 6
Homeowners Exemption From Licensing ............................. Page 7
Section 2 ................................. Permit Application Checklist (Residential)
Section 3 ......................................... Permit Types and Plan Requirements
Demolition ........................................................................... Page 12
Dock Construction............................................................... Page 13
Elevation Submittal............................................................. Page 14
Erosion Control.................................................................... Page 15
FEMA - Special Flood Zone Area Requirements ................ Page 16
Fences and Walls................................................................ Page 18
Finished Floor Elevation Requirements.............................. Page 19
First Floor Framing Plan Submittal Requirements .............. Page 20
Floor, Ceiling and Roof Framing Layouts............................ Page 21
Floor Plan Submittal Requirements .................................... Page 22
Foundation Plan Submittal Requirements........................... Page 23
Lintel and Header Schedule Requirements ........................ Page 24
Moving a Building................................................................ Page 25
Paving, Driveways and Nonstructural Slabs ....................... Page 26
Retaining Walls and Culvert Requirements ........................ Page 27
Site Preparation Requirements for Site ClearinglTrees...... Page 28
Stormwater .................................. ........................................ Page 31
Structural Details (includes Garage Door Mounting)........... Page 32
Swimming Pools/Spas........................................................ Page 34
Tie-In Detail for Additions.................................................... Page 35
Wall Section Submittal Requirements................................. Page 36
Section 4 ..... .......... ............. ........ .......... ...... ........... ... ............. ......1 nspections
Section 5 .......................................Planning Department Site Plan Review
Section 6 ................... Utilities - Water, Solid Waste, Sanitary Sewer, Gas
Section 7 ........................................................... Signs in Residential Areas
Section 8 ..... ............ .................... ..................... .... ..... ..... Home Occupations
Af)pEtncti)( A............................................................................................ F=EtEtS
Append ix B.. ........................ .... ................... ............Applications and Forms
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Section 1
General Permit Information
for Residential Construction
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Type of Work That Requires A Permit:
Any building or other structure that is proposed to be constructed, moved,
added to, or structurally altered on any property located within the corporate
limits of the City of Clearwater shall require a building permit. The City
Code of Ordinances, Chapter 47, defines when permits are required.
The most common types of projects for which residential permits are
issued are listed below:
· Accessory structures such as sheds or gazebos
· Air conditioning/heating
· Awnings and canopy
. Carports
· Decks (wood or concrete)
. Docks
· Driveways
. Fences
· Garage doors
· Minor repairs, remodeling, and alterations
· New single family or duplex
· One and two story additions
· Rehabilitation of existing structures
. Roofs
· Screen porches, patios, or enclosures
· Site grading, re-grading
· Swimming pools and spas
. Tree removal
· Walls
· Water heaters, new water softeners
A Permit is not required for the following:
· Carpet, vinyl, or tile flooring installation
· Hurricane shutters - manually operated only
· Painting, paneling over existing walls or wallpapering
· Repair/Replacement of:
- Doors and/or windows of same size (must meet minimum wind load)
- Kitchen cabinets without plumbing or electrical work
- Siding including stucco
- Soffit and/or fascia material (parts of the roof overhang)
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Notice Of Commencement
Section 713 of the Florida Statutes requires that any improvement by an e
owner or contractor for which the contract price is greater than $2,500.00*
must comply with the Construction Lien Law regarding the filing of a Notice
of Commencement (see Appendix).
Before the owner or contractor performs any work, a Notice of
Commencement must be recorded with the Clerk of the Circuit Court.
Failure to record a Notice of Commencement may result in paying twice for
improvements to your property. If you intend to obtain financing, consult
with your lender or attorney before recording your Notice of
Commencement.
At the completion of work, require the contractor to give you a sworn
notarized statement (Release of Lien) indicating all bills for labor and
materials that have been paid and a list naming those supplying labor and
materials that have not been paid. Ask for an affidavit before making the
last payment.
For further information on the Florida Construction Lien Law, you may refer e
to Chapter 713 of the Florida Statutes, contact your local consumer agency,
contact the Florida Department of Agriculture and Consumer Services, or
consult an attorney.
*Repair or change-out of existing heating or air conditioning less then
$5,000.00 does not require a Notice of Commencement. e
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Licensed/Unlicensed Contractors
It is the responsibility of the contractor to obtain required permits. The
contractor's signature on the permit application indicates he or she is
responsible for the work. If the work is not performed according to code, the
City of Clearwater can require corrective action by the party who obtained
the permit.
If you hire a contractor who is not licensed, you can be in violation of
state law. Chapter 455.228 of the Florida Statutes allows the Florida
Department of Business and Professional Regulation (DBPR) to request the
Circuit Court to impose a civil penalty of $500.00 to $5,000.00 on individuals
who aid and abet unlicensed contractors. They may also be liable for court
cost, AIDING AND ABETTING IS DEFINED BY THE STATUTE AS
ANYONE WHO EMPLOYS AN UNLICENSED CONTRACTOR OR
COMPANY.
No person shall engage in the business or act in the capacity of a contractor
without being duly registered or certified. Any person who violates this
provision is guilty of a misdemeanor of the first degree, and may be
punished by a prison term not exceeding one (1) year and/or a fine not to
exceed $1,000.00. (Section 489.127, Florida Statutes).
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Homeowner Exemption From Licensing
The State of Florida requires all construction to be done by licensed _
contractors. One exemption to the law allows an owner of property to act as .
his or her own contractor with certain restrictions.
The Owner/Builder of a single-family dwelling is exempt from the regulations
as set forth in Florida Statute 489 when building for his/her own use and
occupancy.
The sale or lease, or offering for sale or lease, of said structure for a period
of one (1) year after construction is a criminal violation punishable as a
misdemeanor of the 2nd degree.
The Owner/Builder becomes liable and responsible for the employees he
hires to assist in the construction project. The law may require the
Owner/Builder to be responsible for the following:
a. Worker's compensation (for workers injured on the job).
b. Social Security Tax (must be deducted from the employee's wages and
matched with the owner's funds).
c. Unemployment compensation (mayor may not be required). fa
d. Liability Coverage
e. Federal Withholding Tax
The applicant for a homeowner permit will be required to sign an affidavit as
acknowledgement of State of Florida requirements (see appendix for
Owner/Builder form).
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Section 2
Permit Application Checklist
(Residential)
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Residential Construction
A building permit is required for the construction of a new single-family
house, a two unit family structure (duplex), and any other related
construction work (such as demolition). The checklist on the following page
is used by Development Services to determine if an application and
associated plans are complete for review and acceptance prior to the
issuance of a building permit.
Copies of application and forms can be found in the Appendix B section of
this guide.
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PERMIT APPLICATION CHECKLIST
(Residential)
Only complete permit submittals will be accepted. A completed
application form and the following as applicable to your project are required:
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Legal description/Parcel Number
One copy of your recorded NOTICE OF COMMENCEMENT
Plans review fee
3 sets of signed and sealed drawings for interior work. Drawings to
show entire scope of work - Floor plans, electrical, mechanical,
plumbing, structural, elevations, wall sections, details, etc.
3 sets of signed and sealed drawings for exterior/site work. Drawings
to include items listed above plus drawings showing scope of site
work, and the following:
o Engineered site plans shall include parking layout and lot survey
o Tree survey (including 4" trees and their drip lines on site and
within 25' of the adjacent site
o Landscape plans
If a Site Plan is required, then the Development Order issued by the
Director of Planning must accompany the submittal (see section 5).
Clearing & Grubbing permit
Tree permit application or "No Tree" verification form
Energy calculations as required by State Energy Code
FEMA information for flood zone properties, as follows:
New Construction
o Proposed elevation of new construction
o Sealed grade elevation survey (NGVD)
o Plans shall be signed and sealed by architect or engineer
Additions and remodels
o Two cost estimates for construction, or signed contract. Building
Official may ask for additional estimates
o Photos of existing structure
o Floor plans of existing structures
o Elevation Certificate showing lowest floor elevation
Completed Owner-Builder forms, for owner permit following contractor
exemption noted in Florida Statute, with proof of residency/occupancy
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Note: Site and buildina drawinas must be submitted toaether in a packaae.
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Section 3
Permit Types
And Plan Requirements
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Demolition
A permit is required for the demolition and associated debris removal of
any existing structure.
SUBMISSION REQUIREMENTS (Use the general permit application form
and fee schedule - found in the Appendix):
D Complete application form and submit with application fee.
D The demolition of a structure usually requires existing water, sewer
and/or gas lines to be cut and capped. Approval by Clearwater
Customer Service (Utilities) will be required prior to the issuance of the
permit for demolition. Please contact Clearwater Customer Service at
(727) 562-4600 for coordination of this matter.
D Letter of authorization from property owner.
D Clearing and Grubbing, Tree/No Tree Removal Forms as per the Land
Resource Specialist, Planning Department, at (727) 562-4741.
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Dock Construction
Construction of docks for residential use at single family and two family e
properties require building permits from the City and Pinellas County Water
and Navigational Control Authority. The following are the submittal
requirements for docks:
o Application and approval from Pinellas County Water & Navigational
Control Authority (727) 464-3464, located at the Pinellas County
Courthouse, 315 Court St., Clearwater, Florida.
o Approval, for navigation only, from the City of Clearwater
Harbormaster (727) 462-6954, located at the Clearwater Marina, 25
Causeway Blvd., Clearwater, Florida.
o City Zoning approval (for view setbacks, length of dock, etc.).
o Verification of any applicable homeowners association deed
restrictions regarding dock construction for any additional
requirements.
o All docks require final building inspection and final electric and/or
plumbing, if these trades are involved, from Pinellas County and City
of Clearwater, when applicable.
Note: Pinellas County Water and Navigational Control Authority Regulations e
(about 40 pages) are available at the Pinellas County Water and
Navigational Control Authority, call for details: (727) 464-3464.
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Elevation Submittal
A building elevation is a view looking directly at a house from the front, rear,
and each side. They are required to describe the exterior of a house.
Elevations are prepared from the dimensions shown on the floor plan and
wall section, which are used to locate all doors, windows, porches and other
similar exterior details.
Please provide the following information:
o Provide the location and height of the roof ridge, height and distance
from chimney, finish floor line, finish grade, and any other exterior
features such as balcony guardrail heights and spacing of balusters.
o Indicate on the drawings all exterior material finishes such as siding,
stucco, brick veneer, or painted concrete block.
o Dimension all roof overhangs and indicate your roof slope (roof
overhangs may not project into City easements).
Coordinate your elevations with other required drawings and check for
accuracy of dimensions.
o Show all hydrostatic flow through openings for construction below
flood plain elevation, crawl space, and ventilation openings for raised
wood floor systems.
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Erosion Control
The City of Clearwater's Land Development Code Section 3-702 requires e
erosion control on all land development projects. The prime contractor is
responsible for minimizing the amount of soil erosion from their site into the
City's streets, storm sewers, adjacent properties and waterways. The
construction of a new residence or duplex and/or major remodeling of an
existing site creates many instances whereby soil erosion can occur. These
instances are usually the result of contractors and subcontractors accessing
the property with equipment and/or construction materials. S,ubsequent
rainstorms redistribute the eroded soil into the adjacent streets, storm
systems, adjacent properties and waterways.
Erosion control must be in place and maintained throughout the job. Failure
to do so may result in additional costs and time delays to the permit holder.
When erosion takes place, the Land Resource Specialist in the Planning
Department or a Public Works inspector will place a correction notice at the
site. The procedure will be as follows:
. 1 st Occurrence - Warning
. 2nd Occurrence - $32.00 reinspection fee
. 3rd Occurrence - $80.00 reinspection fee
. 4th Occurrence - Stop work order
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Contact the Planning Department at telephone number 727-562-4741 with
specific questions.
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Federal Emergency Management Association (FEMA)
Special Flood Zone Area Requirements
The City of Clearwater participates in the National Flood Insurance Program
(NFIP). The Clearwater Community is eligible for federal flood insurance
due to the City's adoption of a floodplain management ordinance. During
the permit review process, projects that are determined to be in FEMA
Special Flood Hazard Areas are reviewed for compliance with the City of
Clearwater's Flood Damage Control Ordinance (City of Clearwater Code of
Ordinances, Chapter 51 ).
New Construction Requirements
All new structures, alterations, re-constructions and re-habilitations of post-
FIRM structure must comply with the requirements for new construction.
This applies to structures for which the start of construction commenced on
or after December 31,1974.
Substantial Improvements
e Improvements to existing structures determined to be substantial
improvements (greater than or equal to 50% of the market value of the
existing structure before the start of construction or improvement), must
comply with new construction requirements.
General Residential Standards
· New construction or substantial improvements of any residential structure
shall have the lowest floor elevation no lower than the base flood
elevation in "AE" zones. Residential structures in "V" zones must be on
pilings and raised so the lowest 1 st Floor support is at, or above, the base
flood elevation.
· Residential construction may not be flood proofed in lieu of elevation in
order to prevent floodwater intrusion.
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· All foundation walls and other exterior walls below the base flood
elevation shall be designed to preclude finished living space and
designed to have openings to allow the unimpeded movement of flood
water.
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. At a minimum, there shall be two openings with a total area of not less
than one (1) square inch for each square foot of floor area subject to
flooding.
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. The bottom of these openings shall be no higher than one (1) foot above
grade and can be covered with louvers or screens provided they allow
entry and exit of floodwater.
. Lowest floor for an A zone - The top surface of an enclosed area of a
building shall be no lower than the base flood elevation.
. Lowest floor for V Zones - The bottom of the lowest supporting horizontal
member (excluding pilings or columns) shall be located no lower than the
base flood elevation. There shall be no fill used as structural support
below the base flood elevation.
. Existing structures below base flood elevation may do work in the amount
of 50% of the value of the structure. Value of structure obtained from
County tax records or may use recent depreciated appraisal.
Please refer to the Flood Damage Control Ordinance for specific flood zone e
requirements. The requirements for the Special Flood Hazard Areas are
very complex. It is important for the homeowner and contractor to
understand these requirements prior to project design and construction. A
Plans Examiner can provide guidance and recommendations during the
initial planning stages. For information, please call (727) 562-4567.
All flood zone projects working on existing structures must complete the
Application for Substantial Damage/Improvement Review, which includes
affidavits from project architect, contractor, and owner. See Appendix for
Substantial Damage/Improvement Review sheet.
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Fences and Walls
e A permit is required for the construction of fences and masonry walls.
All fences and walls are required to be oriented so that the finished side of
the fence or wall is facing or viewable from a street right-of-way or an
adjoining property. All support posts and stringers shall face inward toward
the property upon which the fence or wall is located.
There are setback and height requirements for fences and walls. For
specific requirements please contact Zoning at telephone number (727)
562-4567, ext. 2622.
SUBMISSION REQUIREMENTS:
o Complete application form.
Submit the following plans:
o
Engineered structural plan of the wall section - showing footing detail
and reinforcement, types of materials, and method of attachment.
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o Site survey, showing existing conditions and structures
o Single line drawing - drawn to scale, showing location of proposed
wall, location of existing structures on the lot, and distances to front,
rear, and sides of the property line.
o All lot and structure dimensions including height, location, size, and
species of all trees.
o Legal description of the property.
o A Tree Removal Permit or No Tree Removal form may be required.
The proposed fence or wall is subject to City Engineering approval to make
sure that the fence or wall structure is not in an easement or City right-of-
way or too close to wetlands areas.
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Finished Floor Elevation Requirements
OLDER SUBDIVISIONS: For lots in subdivisions platted prior to 1985, the a
finished floor elevation on these lots must be a minimum of 1 foot above the .,
crown of the adjacent road (if in a flood zone, the flood zone requirements
would take priority).
NEWER SUBDIVISIONS: For lots in subdivisions platted since 1985, the
finished floor elevation is required to be set by a professional engineer. This
information is provided to the homebuilder on the subdivision lot grading
atlas in the City's Engineering Department.
For assistance, you may wish to contact a City Engineering CAD
(Computer Assisted Drafting) technician at (727) 562-4750.
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First Floor Framing Plan Submittal Requirements
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A floor-framing layout shows how a raised wood floor system is constructed.
Most raised floor systems are commonly constructed on top of either piers
or columns. The following must be submitted for review:
o Outline of the proposed floor-framing plan with dimensions of overall
structure, any offsets, interior load bearing walls, and anchorage to all
piers or columns that support the structure above.
o All beams and beam sizes that sit on the piers or columns that
supports the weight of the floor above.
o Size and direction of floor joists, noting the average center-to-center
distances between these floor joists.
o Specify all required hangers, connectors, and fasteners of structural
members.
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Note: Coordinate your foundation and/or floor framing plans with other
required drawings and check for accuracy in dimensions. Foundation and/or
floor framing plans must meet all Local, State, Federal and Standard
Building Codes for compliance.
STRUCTURAL NOTES REQUIREMENTS
o Structural notes shall consist of all information pertaining to the
structural integrity of the building. For example, this would include
species of lumber.
o Nailing schedule - Drawings submitted must be designed and signed
and sealed by a professional Florida licensed architect and/or
engineer.
STRUCTURAL DESIGN CRITERIA REQUIREMENTS
o
The structural design criteria must be shown on the plans and in
keeping with section 1606 of the Standard Building Code, the loads
used in the design of the various structural systems and elements of
the building are separated into: wind speed, basic wind pressure, roof
live/dead loads and floor live/dead loads.
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Floor, Ceiling And Roof Framing Layouts
Framing layouts consist of the following plans: all floor framing, ceiling _
framing, and roof framing. These plans show all framing members, size and
spacing along with their location and supports. Individual layouts are
required to be shown whether conventionally framed or pre-manufactured
trusses. (Signed and sealed truss layouts are acceptable). The following
must be submitted for review:
o Show all proposed walls below found on the floor plan.
o Show all floor joist, ceiling and roof-framing layout. Note the center-to-
center spacing and all sizes of lumber used.
o If removing supporting walls due to remodeling, show method of
temporary and new support.
o Note the size of the support beam to be used over all openings.
o
Specify all connectors and attachments from your exterior wall or top
plate to the second floor framing, ceiling and roof layouts.
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o Show all ridge beam(s) and collar ties for rafter supports. Indicate the
size and spacing of each.
o Dimension the lengths of all sides of the building for each individual
layout including any offsets of the building, roof overhangs, and
bearing beams supporting the second floor or roof structure above.
NOTE: Coordinate your second floor, ceiling, and roof framing layouts with
other required drawings and check for accuracy in dimensions.
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Floor Plan Submittal Requirements
A floor plan showing all sizes, arrangements and functions of all rooms is
required. Details of the following must be submitted with your plans for
review:
o Electric
o Smoke detectors
o Plumbing fixtures
o Window and door layout
o Minimum one (1) egress window per sleeping room (window that
opens outward)
o Closets
o Cabinetry
o Room Use
o Dimensions
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Foundation Plan Submittal Requirements
The foundation is the major part of the structure that is responsible for _
supporting the weight of the proposed building and provides the anchorage .,
for all wind uplift loads of the structure. The following must be provided for
review:
o Lot Survey.
o Outline of the proposed footing, slab size, offsets, and load bearing
wall locations, with dimensions.
o Footing/Foundation sizes and location of concrete piers/pads and
columns with all vertical & horizontal reinforcements.
o Slab thickness, vapor barrier, wire mesh, and soil treatments, over
clean compacted fill or undisturbed soil.
o Vertical re-bar locations in concrete filled cells.
o Anchor bolt sizes and locations.
o
Interior load bearing foundation locations.
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o Crawl space size and access locations.
Note: A Tie-In survey will be required to be submitted before construction
may proceed for additions to existing buildings. This survey is to be
submitted to the building inspector assigned to your project. See the page
on "Tie-In Details for Additions."
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Lintel And Header Schedule Requirements
A lintel or header schedule is required to be submitted to provide the size of
the beam or lintel that is spanning the distance over any or all wall openings.
The following must be submitted for review:
o Precast concrete lintel details indicating the size and location.
o Specifications of header sizes over all bearing conditions.
o The drawing must be signed and sealed by a professional Florida
licensed architect and/or engineer.
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Moving A Building
A building permit is required for all projects involving the transporting or tit
placement of an existing structure over City of Clearwater streets and rights-
of-way.
SUBMISSION REQUIREMENTS:
o Attach verification of address.
o Complete the application form (see appendix for permit application).
o Submit plans showing exact route. The move will also be subject to a
separate right-of-way permit to be obtained from City Traffic
Engineering.
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The existing structure must past City inspections prior to relocation to
a City site. The new site must meet zoning restrictions for setbacks
and other dimensional and numerical requirements. The new location
is also subject to other permit related Engineering reviews for utility
availability, impact fees, etc.
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Submit two (2) site plans with two (2) sets of building plans for any new
construction, containing the following:
o Floor plan - two (2) identical plans showing size, arrangement, and
function of rooms and spaces.
o Foundation plan - two (2) identical plans showing size and location of
perimeter and other footings, reinforcements, dowels, and details.
o Site Construction plans and documents -- See Residential
Construction.
Note: As per Sec. 47.082, City Code of Ordinances, when moving a
building onto a lot within the city, the applicant must provide a list of names
and addresses of all property owners within 250 feet of the proposed site of
the building. No permit for the moving of any building onto a site within the
city limits shall be issued by the building official until the written application
has been on file for a minimum of 7 days so written notification to all ..
property owners within 250 feet can be given. -
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Paving, Driveways And
Nonstructural Slabs
Paving and Driveway Permits are required for the installation of a new
driveway. The driveway entrance in the right-of-way will be subject to
approval by Engineering.
SUBMISSION REQUIREMENTS:
o Complete application form.
o Clearing and Grubbing Permit.
o Tree Removal Permit or No Tree Verification form.
Submit two (2) lot survey drawings, drawn to scale, containing the following:
o Property lines with dimensions, location of existing and proposed
improvements on subject property, distances to property line, and
legal description.
o
Sidewalks (if applicable), the edge of pavement, the angle and size of
the flares on the driveway, and swales, culverts, or ditches along the
right-of-way.
o Location, size, and species of all trees.
o Indicate the proposed p.s.i. for concrete, the thickness and method of
reinforcing (welded wire fabric or fibermesh)
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Retaining Walls And Culvert Requirements
Retaining walls are sometimes needed to retain the land on one side of the e
wall due to a difference in elevation of the land. A Florida registered
engineer must design the walls. Prior to acceptance by the City, the
engineer of record must certify, in writing, that the construction was
performed in accordance with the approved plans.
Culverts, which are structures similar to bridges, constructed to support
driveways over ditches and swales, are subject to City Engineering review.
New residential permit applications will be reviewed for right-of-way or
culvert requirements. Adequate survey data and culvert design shall be
provided on the plans.
Survey data needed for culvert design and evaluation varies depending on
the ditch condition at the site as well as upstream and downstream
conditions.
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Site Preparation Instructions For Site Clearing
A site typically requires some clearing of underbrush, plants, and trees or
palms, with leveling of the ground for preparation to construct a structure
and/or pavement. A Land Clearing and Grubbing Permit is required in order
to clear or grub any land in the city. Tree Removal Permits, No Tree
Verification or No Tree Removal Permits are required prior to removal or
relocation of any trees or palms, commencement of construction on a site
and/or any alteration of a site.
Clearing and Grubbing Permits
o A completed application, including required photos and/or drawings
and fee must be submitted for consideration of a Clearing and
Grubbing Permit.
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Applicants must work with the City's Land Resource Specialists in the
Planning Department in preparation for any clearing or grubbing of
land. Staff will evaluate the impact of land alteration, development,
and construction activities on stormwater and surface water systems;
maintenance of the hydrologic balance of watersheds and
watercourses; protection of public health, safety and welfare; and
conservation of wildlife and aquatic habitats (see also, Erosion Control
page).
Tree Removal Permits, No Tree Verification, No Tree Removal Permits
o A completed application, including required photos and/or drawings of
all trees and palms on the site, and fee must be submitted for
consideration of a Tree Removal Permit, No Tree Verification or No
Tree Removal Permit.
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Certain trees are "protected trees". A protected tree is a non-
hazardous tree (i.e., it doesn't present a hazard), of four inches or
greater diameter at breast height (DBH) - measured at four and one
half feet above the ground, and which is not considered to be a
"prohibited tree". Protected trees require permits before removal
and/or relocation. Further, no permit will be granted for the removal of
a "specimen tree" or "historic tree", a tree in which the city determines
to be of a high value to the community because of its type, size, age,
exceptional quality, or other professional criteria. If city staff
determines that a tree has special qualities, they will recommend that
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the tree needs to be preserved on the site or moved to another
location. On occasion, due to site constraints and/or the specifics of a
particular proposal, it may be necessary to remove or destroy a
protected tree. The replacement of protected trees and palms is
required. This may be done by planting other acceptable trees for the
equivalent replacement value/size or by payment of a fee in lieu of
replacement to the city tree bank. Staff will work with the applicant to
determine the appropriate conditions of approval.
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o Certain trees called "prohibited trees" do not require a permit for
removal and should not be relocated in the city. The trees which are
prohibited in the city currently include: Punk (cajeput) - Melaleuca
quinquenervia or Melaleuca leucodendron; Brazilian pepper - Schinus
terebinthifolius; Australian Pine - Casuarina equisetifolia; and Chinese
Tallow - Sapium sebiferum.
o A barrier is required to be placed around all protected trees and palms
prior to land preparation or construction activities. The Land Resource
Specialists will work with the contractor to determine the specifications
required to adequately barricade existing trees for protection and
preservation.
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Contact the Planning Department at telephone number 727-562-4741 with
specific questions.
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Recommended Trees
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East Palatka Holly Live Oak Pignut Hickory Southern Red
Florida Elm Loblolly Pine Red Bay Cedar
Goldenrain Tree Longleaf Pine Shumard Oak Sweetgum
Laurel Oak Pecan Slash Pine Weeping Elm
Winged Elm
SHADE TREES - Low Water Use
Bald Cypress Red Maple Sugarberry Sycamore
Green Ash Southern Magnolia
SHADE TREES - Moderate Water Use
- HI<< ater Use
Blackgum Coastal Plain Willow Loblolly Bay Pond Cypress
SHADE TREES . h W
Chickasaw Plum Florida Privet Sea Grape Yaupon Holly
Crape Myrtle Groundsel Wax Myrtle
ACCENT TREES - Low Water Use
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Chaste Tree
Fringe Tree
Gloss Privet
ACCENT TREES - Moderate Water Use
Parsley Hawthorne Upright Bottlebrush Yellow Anise
Simpson Stopper Walter's Viburnum
S arkleber Wee in Bottlebrush
- Ig ater se
Buttonbush Carolina (Pop) Ash Dahoon Holly Elderberry
ACCENT TREES H' h W U
Cabbage Palm European Fan Palm Saw Palmetto Windmill Palm
Canary Island Date Palm Needle Palm Senegal Date Palm
Chinese Fan Palm Queen Palm Washington Palm
PALM TREES - Low Water Use
Note: For more information on recommended trees, plants and ground cover, you may wish to
obtain a copy of the Southwest Florida Water Management District Plant Guide.
Southwest Florida Water Management District
Telephone (352) 796-7211
or toll free at 1-800-423-1476
or www.watermatters.org.
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Stormwater
Water from storms is controlled in the City by different means including City
approved storm water systems under the streets which carries the extra
water away from an area so that flooding does not occur.
--
Special Conditions:
Special requirements apply if the project is located within these areas:
. Red Line Areas - Properties that have restrictions due to the need
for an easement, an illegal fill, or periodic flooding.
. Equivalent Storage Areas - Areas have been delineated on the
City Drainage Atlas that are subject to severe flooding. The storage
of flood waters may not be reduced in these areas.
. Development in Existing Low Lots - Lots that are lower than the
street and receive runoff from the road are subject to special
fill/storage requirements.
-
For the above three cases, Hold Harmless Agreements or Easements
to be dedicated to the City may be required. Please contact
Engineering for answers to questions about stormwater requirements
at telephone (727) 562-4750.
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Structural Details
Structural details are essential in providing additional information required
for the drawings mentioned. These details may vary depending on the
"Type of Construction" being used as per the Southern Building Code
Congress International (SBCCI) requirements. The following are required
on the detail drawings:
Gable End detail cross section:
D All sheathing, lateral bracing, nailing schedules for sheathing and
connection/anchorage to wall below.
D Gable: Diaphragm installation, and method of horizontal bracing at
wall/gable joint.
D Connections for uplift and lateral loads.
Second Floor Connection Details:
D
Show connectors between any/or all floors between wall-to-wall and
f1oor-to-f1oor.
Interior Load Bearing Wall Section:
D A detailed cross section showing all connectors/anchorage from the
foundation through the roof structure and all components in between.
Stair Section
D Show exact tread and riser dimensions
D Handrail size and height
D Size and spacing of balusters
Door and window attachment detail:
D Indicate the spacing of the anchorage for the attachment of the frame.
D
Indicate the attachment of materials to be used to anchor the
window/door.
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Nailing Schedule Requirements:
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A nailing schedule is required to be submitted to provide the size nails
and the spacing of those nails for all sheathing and structural
elements. Chapter 23 of the Standard Building Code has 3 pages of
nailing requirements. The nails and spacing are based on the type
and thickness of material, and, also, whether it is on the floor, walls or
roof.
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NOTES:
Please coordinate your floor plans with other required drawings and check
for accuracy in dimensions.
Floor plans must meet all Local, State, Federal and Standard Building
Codes for compliance.
Fireplace chimney detail:
o
Complete wall section from the foundation through the roof to the top
of the chimney
Show all materials such as: sheathing thickness, bracing, nailing
schedule, brick veneer, etc.
Specify all anchorage/connections to the roof structure and
manufacturer's installation requirements.
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Garage door mounting detail:
o Indicate how your garage door is attached or provide manufacturer's
specifications.
o Indicate allowable design wind load for roll up garage doors. Must
meet minimum wind load for the ~ity of Clearwater (102 mph for
Mainland and Island Estates; 110 mph for Clearwater Beach and Sand
Key).
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Swimming Pools/Spas
A building permit is required for projects involving the construction,
alteration, or repair of all pools and spas.
SUBMISSION REQUIREMENTS:
o Completed permit application form
o Site survey showing location of pool
o Submit two (2) sets of signed and sealed structural plans-type of
construction: gunite, poured concrete, or pre-fabricated; dimensions:
length, width, and depth; cross-sections: reinforcements & thickness
o Florida Power "no conflict" letter (approving location of pool relative to
power lines)
o Above ground pools must be installed per manufacturer's
specifications.
o Signed affidavit of compliance with State Statute requirements on
child safety (See Appendix for Swimming Pools and Spas - Notice of
Requirements)
LOCATION:
o Swimming pools shall meet the setback requirements per the
assigned zoning districts and the zoning district impervious surface
ratio (open space) requirements. The Countywide seawall setback
requirement is 18 feet.
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Tie-In Detail For Additions
A Tie-In Detail is a drawing that shows the method of attaching a new _
structural addition to an existing building. The Tie-In Detail includes the
following:
o Type of attachment used to tie the roof structure and beam to the new
wall. Poured and filled bond beam for masonry wall, double top plate
for wood frame walls
o Size and spacing of horizontal re-enforcement (dowels), depth of
drilled holes, grouting material at wall
o Size and spacing of vertical re-enforcement (dowels/rebar), drilled and
attached to the existing foundation/floor system for masonry walls,
connections attached to sole plate bolted to the existing foundation for
wood frame walls
o Retrofit filled cell at new masonry wall
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Wall Section Submittal Requirements
e A wall section is a detailed cross section plan that shows the construction of
the foundation, floor, walls, roof components and the type of materials used
for the total load path of the structure. The following must be included:
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FOUNDATION AND FOOTING
o A wall section should indicate the type of footing that will be used to
support your building
o Indicate the width and thickness of the footing and the depth of the
bottom of the footing, below finish grade
o For concrete slab construction: indicate slab thickness, wire mesh,
vapor barrier, soil treatment, and clean compacted fill or undisturbed
soil
o For raised wood floor system: indicate anchorage, size, species, and
grade of floor joists, floor sheathing, type, thickness, and fastening
schedule
WALL TYPES
o
A wall section should indicate all structural components supporting the
roof structure
Indicate all interior and exterior finish materials, insulation, drywall,
stucco, siding, sheathing, and fastening schedule, lintels, wood
header sizes, etc.
Indicate all finished floor to finished ceiling heights
Indicate all bottom plate and anchor bolt sizes, if using masonry
indicate vertical rebar size and lap splice
Specify all connectors and attachments to sole plate at second floor
connection
Indicate a complete tie down system from foundation to roof
o
o
o
o
o
ROOF AREA
o
Indicate all sizes and materials to be used in constructing the roof
structure
Indicate the roof pitch on plans
Indicate the roofing materials to be used, thickness and or type of
sheathing, nailing pattern, roof slope, rafters, and joists or pre-
engineered roof trusses
o
o
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o Specify all connectors and attachments from your roof structure to
your exterior wall or top plate
NOTES:
. The wall section should be coordinated with other required drawings and
check for accuracy
. If construction types are mixed, a wall section for each type is required.
Separate wall sections are required for accessory structures and
components such as lanai, porch, carport, etc.
. Roof covering manufacturer specifications must be on job site for
inspection
. All roof designs and construction will be reviewed and inspected for
compliance to Chapter 15, SBCCI1997 Standard Building Code
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.
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Section 4
Inspections
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Inspections
All construction work must be inspected. Do not cover any construction
work until having it inspected. A Placard must be displayed at the site
throughout construction and remain until the job is completed and final
inspection has been passed. The inspector will sign the placard when the
inspection is passed.
Electricity is available upon completion of all work and passing of all
inspections.
Inspections can be arranged up until midnight for the next working day
by dialing (727) 562-4580. You will need your permit number and know
what type of inspection you are requesting.
Occupancy of the building is available after completion of all work and
inspections including site items. A certificate of occupancy may only be
issued upon completion of all inspections.
Refer to Appendix B for information on the 24 Hour Inspection Request
Line.
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Section 5
Planning Department
Site Plan Review
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Site Plan Review
Planning Department
Many projects in the City of Clearwater require site plan review by the
Planning Department, Development Review Division, prior to the
issuance of building permits.
The City's Community Development Code establishes specific dimensional
requirements and performance standards for all projects, depending on the
zoning assigned to each property. Many projects can be designed to meet
the minimum requirements. These projects may qualify for plans to be
submitted directly to the Development Services Department for review for
building permits.
A project applicant may request flexibility in the minimum dimensions and
site plan conditions by submitting for site plan review. The City's
professional planning staff conducts the site plan review. A project may also
trigger a review and approval by the Community Development Board in a
public hearing due to the intensity of the use or site plan proposal. PRIOR
TO SUBMITTING FOR A BUILDING PERMIT, PLEASE CONFIRM THE
ZONING AND SITE PLAN REVIEW PROCESS WITH THE PLANNING
DEPARTMENT, DEVELOPMENT REVIEW DIVISION, PHONE NUMBER
(727) 562-4567, EXTENSIONS 2563 OR 2667.
Should a project require site plan review for a flexible standard or flexible
use, the application forms, instructions and checklists are posted on the
Planning Department Web site. In addition, these forms may be obtained
from the Development Review Division of the Planning Department, at the
Municipal Services Building, 100 South Myrtle Avenue, Second Floor,
downtown Clearwater.
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Section 6
Utilities -
Water, Solid Waste
Sanitary Sewer
Gas
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Clearwater Customer Service - Utilities
Clearwater Customer Service (CCS) is responsible for providing centralized
customer service functions to customers of the seven (7) City of Clearwater
utilities:
. Water/Sewer
. Solid Waste/Recycling
. Reclaimed Water - Available in selected areas.
. Stormwater
. Clearwater Gas - Clearwater Gas System provides Natural Gas and
Propane (LP) gas service within the City of Clearwater, 16 other
Suncoast municipalities, and unincorporated areas of Pinellas and Pasco
counties. Clearwater Gas also sells a complete line of gas appliances
and has a full service department for repair.
Services for these utilities are provided upon request, following all necessary
plan approvals and payment of required fees.
To Contact Clearwater Customer Service
· Hours of Operation - Clearwater Customer Service representatives are
available via telephone or in person Monday through Friday, from 8:00
a.m. to 5 p.m.
. Telephone - Customers may contact Clearwater Customer Service by
calling (727) 562-4600. After regular business hours, an answering
service is available for touch-tone phone users to leave requests, which
will be responded to the next business day.
· In Person - Clearwater Customer Service is located on the first floor of
the Municipal Services Building at 100 S. Myrtle Avenue. Services
provided include: Utility bill payment, requests for connection or
disconnection of utility services, and information. A drive-in facility is
available for utility bill payments. A night deposit box is available for after
hours payments (Please do not put cash in the night deposit box).
. Fax - Customers may fax requests to Clearwater Customer Service at
(727) 562-4629.
. Mail- Customers may write to Clearwater Customer Service at P.O. Box
4748, Clearwater, FL 33758-4748.
Emergency Service
To report an emergency situation such as a gas leak or a water main break
that occurs outside of scheduled hours, please call (727) 462-6633.
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Clearwater Customer Service - Utilities
General Information e
Utility accounts are billed monthly for services already rendered. Utility billS'
are due upon receipt. After 21 days from the statement date, the payment
becomes past due. A late charge for the past due amount is calculated as
$3.00 or 20.10 of the past due amount, whichever is greater (maximum $250).
Utility Deposit Information
. In general, payment of a security deposit equal to two (2) times the
average monthly bill is required at the time utility service is requested.
. For temporary construction containers (roll-off type), a deposit of $400 is
required at the time of requested services.
. The security deposit is applied against any outstanding balance when the
utility account is closed.
. Interest on cash deposits is credited to accounts annually at the
prevailing interest rate.
. Deposits for residential utility service may be refunded after twelve (12)
months of service, provided that a good payment record has been
established.
. Applicants for residential utility service may satisfy the deposit
requirement by producing a letter of referral from another utility that e
confirms that the customer has established a good payment record. In
general, such referral letters should be received prior the date when
service is requested to begin.
. Applicants for non-residential utility service must place a cash deposit
before utility service will be connected.
. Alternatives to a cash deposit for non-residential accounts include a
Surety Bond (obtained through an insurance company) and an
Irrevocable Bank Letter of Credit. Such alternatives are subject to
acceptance by the City of Clearwater. Detailed information regarding
these alternatives is available upon request.
Utility Service Requests
Clearwater Customer Service attempts to accommodate requests for
service connection/disconnection during normal business hours. In order to
allow efficient scheduling of resources, customers are requested to provide
at least one business day notice for service connects and disconnects.
For utility information, please contact Clearwater Customer Service at a
(727) 562-4600. .,
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Section 7
Signs In Residential Areas
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Signs in Residential Areas
A permit is required to construct a sign. A sign permit application is located
in Appendix B of this guide.
The following signs are allowed with a permit within residential zoning
districts (applicable to single family and duplex residential uses):
D Freestanding subdivision development entry signs, for each entrance
into a platted subdivision, of no more than 24 square feet of total sign
face per sign, the height of the sign not to exceed 6 feet.
The following signs are allowed without a permit:
D
One address sign of no more than two square feet of total sign face
area for each parcel of land used for residential purposes.
Artwork and/or architectural detail.
Holiday decorations.
One construction sign located on a parcel proposed for development
during the period a building permit is in force or one year, whichever is
less, which sign shall not exceed 16 square feet of total sign face area
for parcels of land used or proposed to be used for residential
purposes.
One flag per detached dwelling unit.
One garage and yard sale sign of no more than 4 square feet of total
sign face area located on the property where the garage or yard sale
is to be conducted only on the date(s) on which the garage or yard
sale is conducted. In addition, no more than two directional signs of
no more than 4 square feet of total sign face area per sign related to a
garage or yard sale which are located on privately owned parcels of
land other than the property where the garage or yard sale is to be
conducted only on the date or dates on which the garage or yard sale
is conducted.
One temporary yard sign for each road frontage for the property
provided that such signs are displayed no more than three times a
year for a total of 90 days during a one year period, and provided that
the total sign face area of each sign does not exceed 6 square feet of
total sign face area on the property designated or used for residential
purposes.
One freestanding real estate sign indicating that the property is for
sale, for lease or otherwise available for conveyance, provided that
such sign does not exceed 6 square feet of total sign face area.
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D
D
D
D
D
D
D
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Section 8
Home Occupations
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Home Occupations
The City of Clearwater permits home occupations. A home occupation is
defined as an occupation, craft, or profession to be conducted entirely within
a dwelling unit or conducted from a motor vehicle based at a dwelling unit
such that the use is incidental to the residential use of the dwelling unit and
does not change the residential character of the dwelling unit.
An occupational license is required with an associated fee, based on the
particular type of use (see fee schedule in appendix). Occupational licenses
are issued in the Development Services Department.
Home Occupation Standards (3-1102):
o
No sale or trading in merchandise that involves on-premise visits by
customers shall be carried on from the property where the home
occupation is located.
No persons other than family members residing within the dwelling
unit shall be engaged in the occupation, unless the occupation is a
service conducted away from the premises of the applicant, in which
case additional employees may be engaged in the occupation
provided such employees meet at the site where the service is
conducted and not at the home where the occupation is licensed.
No internal change in the structural form of the building shall be
necessary to accommodate the home occupation. The floor area
used by the home occupation shall not exceed 25 percent of the gross
floor area of the dwelling; all material, equipment or facilities shall be
kept therein, except that materials, equipment or supplies used in the
home occupation other than on the premises may be stored in a totally
enclosed motor vehicle which complies with the terms of Article 3,
Division 14.
No occupation shall be conducted outside the dwelling unit or in any
accessory building except as such occupation may be conducted from
or dependent upon the utilization of a motor vehicle. If a motor vehicle
is used in conjunction with the home occupation, it shall be parked or
stored consistent with all terms contained in Article 3, Division 14.
Traffic generated by the home occupation shall be no greater in
volume than would normally be expected at a similar residence where
no home occupation is conducted.
The occupation shall not involve the use of a commercial vehicle for
delivery of materials to or from the premises except for travel from the
o
o
o
o
o
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o
home occupation-site to a job location and to return, such trips not to
exceed on the average more than two trips per day.
No marked vehicle or equipment used in conjunction with the home
occupation shall be parked on the property or contiguous to the street
right-of-way so as to identify, advertise, or otherwise attract attention
to the occupation.
No occupation shall be conducted or equipment or equipment or
process associated with such occupation used which creates noise,
vibration, glare, fumes, odors, dust, smoke, or electrical interference
detectable to the normal senses at the lot line or beyond the lot line of
the occupation is conducted in a detached dwelling, or beyond the
exterior or any common walls in an attached dwelling. In the case of
electrical interference, no equipment or process shall be used which
creates visual or audible interference in any radio or television
receivers off the premises or causes fluctuations in line voltage off the
premises.
No display for products, operations, signs, or nameplates shall be
visible from outside the dwelling.
No home occupation shall involve the provision of day care services to
more than four children at anyone time.
The use shall be an occupation regulated by this Code (City Code of
Ordinances) and will otherwise comply therewith.
o
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Note: If your company name is different than your given legal name, a form
for registering a fictitious business name must be filed with the State of
Florida. See form in Appendix B or simply visit them on the web at
www.sunbiz.org.
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CITY OF CLEARWATER
DEVELOPMENT SERVICES DEPARTMENT
Residential Development Guide
Revisions
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06-13-01 - pages 4, 23,28,29, 30, 32, 34, Sign Application, Tent Application
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Appendix A
Fees
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Fees Directory
Building Permit Fees
Impact Fees:
- Development Impact Fees
- Water Impact Fees
- Sewer Impact Fees
- Open Space and Recreation Impact Fees
- Applicability of Parks and Recreation Impact Fees
Occupational License Fees
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FEES
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Summary of Applicable fees which may be due at the time of:
I.
Plan Submittal -
o Plan Examination
II. Permit Issuance -
o Water and Sewer Connection
o Water and Sewer Impact Fee
o Development Impact Fee
o Permit Fee
o Radon Fee
o Recreation Facility Fee
o Open Space & Recreation Land Fee (contact Parks and
Recreation for fees and information)
o Certificate of Occupancy Fee
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o Inspections - fees due only for required re-inspections
o Plan Amendment Fee
o Permit Time Extension Fee
IV. Issuance of Certificate of Occupancy -
o Transportation Impact Fee
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
SCHEDULE OF FEES, RATES AND CHARGES
EFFECTIVE FEBRUARY 3, 2000
BUILDING REGULATIONS
Permit fees and charges
(1) Permit fees and charges, in general; exceptions:
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(a) Permits are generally not required for carpeting, painting, wallpapering, paneling over existing
walls, and tile nor where the valuation of labor, materials, and all other items not exceeding
$500.00 and the work or operation is of casual, minor, inconsequential nature, and does not
violate any city codes or ordinances, or is exempt pursuant to Chapter 75-489, Laws of Florida
(Special Acts), Section 25.
(b) Valuation for all construction shall be based on the contract value. The current Southern
Building Code Congress International's valuation tables may be used if no contract is submitted
with the permit application.
(c)
Where no permit fee is stated, the same shall not be interpreted as an intention to waive any
requirement for a permit or fees for a permit that may be stated elsewhere in the city's Code of
Ordinances.
(d) Prior to starting any electrical, gas, plumbing, mechanical, roofing, or other work under a
combination permit, the contractor or the subcontractor engaged to do the work shall file with
Development Services a form showing the name and certification number of the subcontractor,
the subcontractor's occupational license number, the combination permit number, the job
address and other related information as may be required by Development Services. Failure to
file such form or provide such information shall be cause for the refusal of inspection services,
and the issuance of a correction notice with the appropriate fee.
(2) Fee schedule. In the case of reviews, inspections and similar activities associated with building and
related codes requiring a permit, the following schedule of fees shall apply:
(a)
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(b)
Fee Schedule. doc
Plans examination fee:
1. Multifamily and commercial, based on construction valuation of:
a. $100,000.00 or less..................,. .......................... ................................................... .40.00
Plus, per $1,000.00 or value or fraction thereof ......................................................... 3.50
b. Greater than 100,000.00 but not exceeding 500,000.00.........................................340.00
Plus, per $1,000.00 of value or fraction thereof...................... ............ ....................... 2.50
c. Greater than 500,000.00 but not exceeding 1,000,000.00.............................,.......1140.00
Plus, per $1,000.00 of value or fraction thereof ......................................................... 2.00
d. Greater than 1,000,000.00................................................................................... .1890.00
PI us, per $1 000.00 of val ue or fraction thereof.......................................................... 1.50
2. One or two-family residential projects:.......................................................................... ..16.00
Plus, per $1,000.00 of value or fraction thereof ............................................................... 1.00
Plan amendments; Residential, multifamily and commercial projects:
1. Change to permitted plans, per hour ..............................................................................53.00
2. Duplicate permit placards, each.................................................................... ................ .16.00
3. Change of contractor, per contractor .......................................... ....................................26.00
4. Review replacement plans, per hour....................... ........... ...........................;..... .......... .53.0.
5. Field reviewed plan amendment................................................... .............. ................... .26.0.
(c) Certificates of occupancy:
1. One- or two-family dwelling, per unit ..............................................................................11.00
2. Multifamily and commercial, per application ...................................................................26.00
3. Conditional certificate of occupancy, per condition .........................................................32.00
4. Replacement or additional copy
a. One or two-family dwelling, per unit....................................,......................................11.00
b. Multifamily and commercial............. ........................................................ ................. .26.00
(d) Special Inspections:
1. Change of use or certificate of occupancy inspection per trade......................................37.00
Maximum fee.................................................................................................................. 74.00
2. After hours or weekends, per hour, per inspection .........................................................53.00
Minimum fee, per inspection................. ............... .......... .............................. .................100.00
(e) Refunds:
1. Permits under $40.00, unless issued in error by city............................................... No refund
2. Work has commenced, or permit is over 90 days old ..............................................No refund
3. All other permits ..................................................................... Refund of fee paid, less $40.00
(f) Permit fees:
1. Per structure, based on construction valuation of:
a. $100,000.00 or less....................... .................. ......... ...... ...... .............................. .... ..30.00
Plus, per $1,000.00 or value or fraction thereof ......................................................... 6.50
b. Greater than 100,000.00 but not exceeding 500,000.00.........................................630.00
Plus, per $1,000.00 of value or fraction thereof .........................................................5.50
c. Greater than 500,000.00 but not exceeding 1,000,000.00....................................2630.0_
Plus, per $1,000.00 of value or fraction thereof.................................... ..................... 3.5W
d. Greater than 1,000,000.00................. ............... ............................................... .....4130.00
Plus, per $1,000.00 of value or fraction thereof ......................................................... 1.50
2. This fee applies to all types of permits, with additional costs of $30.00 per trade
or permit type for combination permits. Exception: No additional fees for swimming pools.
(g) Miscellaneous permits:
1. Mobile home, mobile office, construction trailer, sales trailer, etc.
a. Building permit (tie-down and site placement) ..........................................................37.00
b. Electric pe rmit........................................................................................................... 37.00
c. Gas permit...................... ....... ................ ............ ................................. .;.... ......... ...... .37.00
d. Plumbing permit.......... ... .................................... ......... ........ .... ............ ......................37.00
e. Mechanical permit............. ......... .......... ............. ........... ................ ........ .............. .......37.00
2. Temporary power pole, not in conjunction with combination permit................................37.00
3. Tent permit (may require electric) up to 20 ft x 40 ft .......................................................40.00
Tent permit (may require electric) greater than 20 ft x 40 ft............................................50.00
4. Demolition permit................ ........................... ............... ...... .......................................... .53.00
Plus, per square foot in excess of 1,000 square feet....................................................... 0.10
5. House move:
a. Application"",....,................................................................................ ......................53.00
b. Pre-inspection.,......,...,..................................................................................:.......... .53.00
Plus, per mile outside city .......................................................................................... 0.30
c. Remodeling permit, for setting house on lot, see sub paragraph (2) (f) permit fees
6. Swimming pool permit, aboveground pool (for all work involved) ...................................37.00
~: ~~~:;t ~:~i~iZ~~~~np~rt~~'u~~~~~t:~r~~.~~~d.~ight.h;~.~;.~ith;~t........................................11.0.
Commission approval.................................................................;................................ ..26.00
(h) Building Official may assess special fees per written policy for:
Fee Schedule. doc 2
(i)
1. Work not ready for inspection (reinspection fee):
a. First occurrence.................. ..................................................................................... .32.00
b. Second or subseq uent occurrence...........................................,.............................. .80, 00
2. Follow up on permit:
a. Failure to request inspections ...............................................................50% of permit fee
b. Minimum fee........................................................................................... .......... ........37.00
3. After-the-fact permit:
a. First occurrence. ................ ...................................................................... Triple permit fee
b. Second or subsequent occurrence by the same contractor, any job
site in city............................................................................................ 10 times permit fee
4. Filing service fee, for notice of commencement
(this is in addition to county clerk's charges) ..................................................................10.00
Permit extensions:
1. Permit expired:
A. Less than 30 days.................... ................... ................................................... No fee
B. More than 30 days, but less than 90 days ........................................................30.00
C. More than 90 days (fee based in value of work to be completed)......New permit fee
2. Exception, if only finals are needed .................................................................................30.00
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(3) As used in this fee schedule, "combination permit" means a permit for construction privileges,
conditions and restrictions for two or more trades or permit types, for which proper approval has been
granted by the city and for which proper fees have been paid.
Filing fees for appeals:
(1) Appeal to the construction/flood board of adjustment and appeals ......................................................130.00
(2) Appeal to the city manager......................... .................... ........................................................... ............55.00
tt) Appeal to the city commission..................... ................. ....... ................................................. ........... ..... ..55.00
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Fee Schedule. doc
3
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City of Clearwater
Development Services Department
100 South Myrtle Ave, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
Development Impact Fee - Fee Schedule
For all new buildings and structures, including commercial and multi-family additions, the
applicant shall at the time the building permit is issued, pay a Development Impact Fee as
follows:
RESIDENTIAL:
1. Single family unit......................................................................... ................................. $250
2. Multi-family unit, per unit.............................................................................................. $250
3. Mobile Home unit................................. ........ .............. ............. ..................................... $250
4. Hotel/Motel, per unit.................................................... ................................................. $250
COMMERCIAL: (New structures and additions)
1. Each two thousand five hundred (2,500) square feet or fraction thereof...................... $250
2. Hotel, motel, condominium, apartments, commercial area other than
living units; each two thousand five hundred (2,500) square feet or
fraction thereof............................................................................................................ $250
INDUSTRIAL: (New structures and additions)
1. Each five thousand (5,000) square feet or fraction thereof .......................................... $250
Purpose: The funds derived from these fees are deposited in a special account to be used
exclusively for the construction of roads, public transit facilities, and storm drainage in the City,
including actual construction costs, acquisition of rights-of-way, the construction of sidewalks,
curbs, drainage structures, and signal installations.
Water & Sewer Impact Fees - Fee Schedule
Purpose: To cover current costs of system improvements caused by new development and
provide a more equitable system of determination of impact caused by non-residential
development.
Note: New Construction, check with Public Works/Engineering Department to see. if an
assessment for sanitary sewer is owed before issuance of a building permit.
Impact Fees.doc
Revised 6/1/01
Water Impact Fee - Fee Schedule
Water impact fees are payable at the Building Division upon application for a plumbing or
building permit. Fees are as follows:
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RESIDENTIAL:
1. Single family unit..... ......... ................................. ................ ........................................... $480
2. Mobile home space......... ............................... ......................... ..................................... $480
3. Condominium, apartment, townhouse, per unit............................................................ $480
COMMERCIAL:
1. Commercial, industrial, motels, hotels, commercial areas of apartments and condominiums -
fee is based on size of water meter required to serve the structure.
Domestic:
5/8" ........................................... $480
1" ............ ............................... $1,200
1~" .................................... .... $2,400
2" ........................................... $3,840
3" Compound......... ................ $7,200
4" Compound.. ................ ..... $12,000
6" Compound ....................... $24,000
3" Turbo................................. $8,400
4" Turbo............................... $24,000
6" Turbo............................... $48,000
1.0 Elu
2.3 Elu
5.0 Elu
8.0 Elu
15.0 Elu
25.0 Elu
50.0 Elu
17.5 Elu
50.0 Elu
100.0 Elu
Irrigation: (RESIDENTIAL &
COMMERCIAL)
5/8" ............................................. $70
1"..... ........ ..... ................... ......... $175
1~"................................. .......... $350
2" .. . . . . .. . .. . . . .. . . . . . . . . .. .. . . . .. . . . . . .. .. .... $ 56 0
2-1" Mani...... ...... ....... ....... ........ $350
2-2" Mani ............................... $1 ,050
3" Compound ........................ $1 ,050
4" Compound ........................ $1 ,750
6" Compound ........................ $3,500
3" Turbo ................................ $1 ,225
The above fee is in addition to the water meter fee. For water meter fee information, please ..
contact Utilities Department, 100 S. Myrtle Ave., Clearwater, Florida 33756 - (727) 562-4600. .,
RESIDENTIAL:
Sewer Impact Fees - Fee Schedule
1. Single-family, condominium, apartment; per unit ......................................................... $900
2. Mobile home space: each mobile home unit ............................................................... $900
Commercial area other than units, as outlined for commercial structures below:
COMMERCIAL:
Fee for commercial structures will be based on water meter size.
5/8" ......... ......... ........................... ............... ................. $900.................................... .......... 1.0 Elu
1" ...... .................................. ..................................... $2,250.. ........... .................................2.5 Elu
1 ~ " ... ......... ......... ............ ........................................ $4,500.................................. ............ 5.0 Elu
2" . ......................................................... ................... $7,200.. ....................... .....................8.0 Elu
3" Compound................................................ ......... $13,500........................ ......... ........... 15.0 Elu
4" Compound......................................................... $22,500..... .......................................25.0 Elu
6" Compound.... ..................................................... $45,000....................................... .....50.0 Elu
3" Turbo................................................................. $15,750................... .................. ....... 17.5 Elu
4" Turbo......................................... ..... ................... $45,000.......................... ..................50.0 Elu
6" Turbo................................................................. $90,000 e
Impact Fees.doc
2
Revised 6/1/01
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Open Space and Recreation Impact Fees
IMPORTANT: Assessments on developments requiring payment of Open Space/Recreation
impact fees or land could be substantial and applicants are encouraged to contact the Parks
and Recreation Department at (727) 562-4800 as early in the application process as possible.
Please refer to the attached chart titled Applicability of Parks and Recreation Impact Fees.
Open Space and Recreation Land impact fees are paid to the Parks and Recreation
Department and Recreation Facility fees are paid to the Planning and Development Services
Department.
RESIDENTIAL:
The three types of Parks and Recreation impact assessments that may apply to
residential developments include Open Space, Recreation Land and Recreation Facility.
See the attached chart to determine applicability to your development.
Open Space and Recreation Land
Dependent upon development ...................... To be determined by Parks and Recreation
Recreation Facilitv
Each residential dwelling unit... .......... ............................................................. ...... $200
Each hotel/motel guest room.................. ...................... ...................... ....... ............ $ 50
COMMERCIAL/NON-RESIDENTIAL:
The Parks and Recreation impact assessment that may apply to commercial or non-
residential developments is Open Space. See the attached chart to determine
applicability to your development.
Purpose: Open Space and Recreation assessments (fees and/or land) are to be used to
maintain the public open space and recreation needs of the City as identified in the Recreation
and Open Space Study and the Parks and Recreation Element of the Clearwater
Comprehensive Plan.
Please contact the Parks and Recreation Department. 100 S. Myrtle Avenue, Clearwater, FL
33756 (phone 727-562-4800) for further information.
Impact Fees.doc
3
Revised 6/1/01
~i~learwater
li~
~
Parks and Recreation
APPLICABILITY OF PARKS AND RECREATION IMP ACT FEES (Revised 04/20/01)
.iii.................,., ............ii ......... ......i........ qp~~~P1\.gJf.LAND ~C.,I.t\Nl:>iREC.FAC.
~~'/ ',: . . ... ~ *L;>,~~T /'l%NET 150 SEIIil)'IlT. $~Oo.~:t
~NE~'TI(Z)N: .... ... ............. ii ii'i.. ........ '.. .... ......................... .............. .'. . ................. ...i .... ............. ............. ........... ..... ....i. ...< ..............i....mi.
Vacant Land No No No No
Residential < 8 Units* No No No No
Residential > = 8 U nits'~
Non-Residential Annexation < 1 Acre
Non-Residential Annexation> = 1 Acre
No*'~
No
No
No
No
Yes
No
No
Yes
No
No
No'~'~
............. ...i........... ... ..' ..:...;i'..i
.............. ..... .... .'.
New Construction/Expansion/Redevelopment
w/ Net Increase < 8 Units'~
Any Floor Area
New Construction/Expansion
w/ Net Increase> = 8 Units*
Any Floor Area
Redevelopment of Existing Residential
w/ Net Increase> = 8 Units*
Any Floor Area
Redevelopment of Existing Non-Residential
w/ Net Increase> = 8 Units*
New Floor Area < 50% of Current Floor Area
i:deVelopment of Existing Non-Residential
/ Net Increase> = 8 Units*
1 ew Floor Area > = 50% of Current Floor Area and <
Redevelopment of Existing Non-Residential
w/ Net Increase> = 8 Units*
New Floor Area> = 100% of Current Floor Area
.........
..
RESIDENTIAL:.
. ."Ii .... '.ii..
'.' ..........i.ii;.....ii............................... .......;
aC1Al;/N0N-RESIDEN'TIAL:
No No No Yes
Yes No Yes Yes
Yes No Yes Yes
No No Yes Yes
100% No Yes Yes Yes
Yes No Yes Yes
......... I...................... .... ..... .... ... ... ............ I....i .'. .i'i. . i... ii
...... > .... ii
New Construction/Expansion/Redevelopment
Any Floor Area No No No No
Property Area < 1 Acre
New Construction
Any Floor Area Yes No No No
Property Area > = 1 Acre
Expansion/Redevelopment
New Floor Area < 50% of Current Floor Area No No No No
Property Area > = 1 Acre
Expansion/Redevelopment
New Floor Area> = 50% of Current Floor Area and < 100% No Yes No No
Property Area > = 1 Acre
Expansion/Redevelopment
New Floor Area> = 100% of Current Floor Area Yes No No No
Property Area > = 1 Acre
'~Includes Hotels/Motels. 4 Hotel/Motel Guest Rooms = 1 Dwelling Unit.
*'~Open space fees will apply to new construction commenced after the filing of a petition for annexation.
Note: There are properties (referenced on department map) that are "Exempt" from impact fees as referenced in Code of
.nances, Chapter 54, Recreation and Open Space Land Dedication, including properties located in the Community
velopment Area.
S:\Parks\Impact Fees\ Table - Impact Fees-Revised.doc- 5/15/01
To verify the applicability and computation of Open Space/Recreation Impact Fees,
contact the Parks and Recreation Department directly at 727-562-4800
. ; Clearwater
o~
~
Category No.
001.000
002.000
003.000
003.010
003.020
003.030
003.040
003.050
003.070
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003.080
003.090
004.000
005.000
005.010
005.020
005.030
005.040
005.050
005.060
005.070
005.080
005.090
006.000
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006.010
006.020
006.030
006.040
006.050
006.060
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
Occupational License Fees
Category
Fee
ABSTRACT OR TITLE COMPANIES ........................................ 220.50
ADMINISTRATIVE OFFICE................ ................. ...... ..... ...... ........ 82.50
ADVERTISING OR MARKETING
Agency, general ..... ...................... .................... ................ ......... 60.50
Coupon book publisher or distributor (See note B) ................... 110.00
Directory or guidebook publisher.............................................. 110.00
Handbill or sample distributor ..................................................... 60.50
Soliciting for publication not listed in city.................................... 49.50
Outdoor signs, advertising for other than
the business on the premises........................................................ 60.50
Welcome or greeting service ....................................................... 55.00
Trade inducement business, NOC.............................................. 121.25
ADULT ENTERTAINMENT ESTABLISHMENT (See note B;
See Chapter 41, Article V)............................................................ 1102.50
AGENT OR AGENCY (See also brokers):
Book or I1lagazine ..................................................... .................. 49.50
Claim or collection (see note B) ................................................ 121.25
Credit reporting and mercantile................................................... 71.50
Employment.. ............ ...... ....... ................. ................................... 71.50
Manufacturers/sales representative, NOC .................................... 49.50
Private detective or company (See note B)................................ 121.25
Property management or leasing.................................................. 60.50
Talent (see note D) ..................................................................... 71.50
Travel (see note D) ..................................................................... 82.50
AIRCRAFT (See note B; requires Engineering Dept. approval):
Charter or rental ................................................................. ...... 121.25
Flying instruction ........ .................. ................................. ........... 121.25
Passenger service ........................................... ........................... 121.25
Sales, new or used .................................................................... 121.25
Servicing................................................................................... 121.25
Storage, field or hangar ..... ............... ............. ....................... ..... 121.25
007.000
008.000
009.000
010.000
010.010
010.030
011.000
012.000
013.000
014.000
014.010
015.000
016.000
016.010
016.020
016.030
016.031
016.040
016.050
016.051
016.052
016.053
016.060
016.061
016.062
016.070
016.080
016.090
017.000
018.000
019.000
AIRPORT (see note B).. ................ ............... ............. ............ .... ..... 248.00
-
ALARM SYSTEM BUSINESS, FIRE, BURGLARY, MEDICAL
MONITORING (see note B) ............................................................ 60.50
AMBULANCE SERVICE (See article III of chapter 25).................. 60.50
Plus per vehicle.. ..... ...................... ...... ..... ........... ........ ......... ....... 22.00
ANIMALS
Kennel.............................. .......................................................... 60.50
Groomer..................................................................................... 49.50
APPRAISER (See note D for Real Estate)........................................ 71.50
ARMORED CAR SERVICE (See note B) ....................................... 60.50
Plus per vehicle ............................. ..... ....... .......................... ........ 22.00
ARTIST.................................................................. ......................... 82.50
AUCTIONEER (see notes B and D)............................................... 242.50
Auction gallery (See notes B and D) ......................................... 744.00
AUDITOR ..... ........................ ......................... ............................ ..... 77.00
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AUTOMOTIVE:
Dealership - Sale of new and used vehicles................................ 441.00
Dealer - Sale of only used motor vehicles.................................. 330.75
Garage - General repairs or replacements
(See note D), for 10 bays or less............................................ 82.50
For each additional bay......................................................... 11.00
Rental- Autos, trucks, recreational vehicles.............................. 165.25
Parking lot, permanent or temporary
1-10 spaces.......................... ................................................. 27.50
11-50 spaces............................................. ................... ......... 38.50
Over 50 spaces................... ... ...... ............................. ............. 82.50
Storage
1-50 Spaces ...... ... .................................................... ............. 60.50
Over 50 spaces...................... ............................. ................. 121.25
Washing and polishing ... ...... ............................................ ........... 27.50
Wrecker or towing service .......................................................... 49.50
Service station, per fuel pump ..................................................... 27.50
BAIT DEALER................................................................................ 38.50
BAKERY GOODS, RETAIL ........................................................... 60.50
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BANKS (including savings and loan associations)
for each bank location main or branch............................................. 275.50
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019.010
020.000
021.000
021.010
022.000
022.010
023.000
023.010
023.020
023.030
023.040
023.041
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024.000
024.010
024.020
024.030
024.040
024.050
024.060
025.000
026.000
027.000
027.010
027.020
027.030
027.040
027.050
028.000
029.000
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030.000
031.000
Auto.matic teller .machines ......................................................... 110.25
BARTENDER, FREE LANCE................... ............ ........... .......... ..... 55.00
BATllliOUSE (see chapter 9 division III)........................................ 27.50
Technician.................................................................................. 60.50
BEAUTY SALONffiARBER SHOP
NAIL SALON, TANNING SALON................................................. 44.00
Plus, for each chair or booth (see note D) ................................... 11.00
Manicurist (see note D)............................................................... 27.50
BOATS AND BOAT TRAILERS:
Dealer....................................................................................... 110.25
Repairs and service ............. ........................... ................ ..... ........ 66.00
Rental (needs Harbonnaster approval) ........................................ 38.50
Storage....................................................................................... 82.50
Washing and Polishing ............... ............... ............ ............... ....... 27.50
BOATS, PASSENGER: (needs Harbormaster approval)
1-15 passengers .............. ........ .......... .......... ........ ................ ........ 44.00
16-25 passengers .................... .................................................... 60.50
26-50 passengers ................................ ................ ...... ...... ............ 71.50
51-100 passengers ........... .................... ................................ ....... 82.50
101-300 passengers.... .......... ........ ................... ......... ....... .......... 110.25
Over 300 passengers ................... ................ ......... ............ ......... 220.50
BOOKKEEPING SERVICE ............................................................ 60.50
BROADCASTING, RADIO AND TELEVISION STATION
OR STUDIO ......... ...... .............. ............................ ......... .......... ...... 121.25
BROKER, each
Broker, mortgage (see note D).................................................... 60.50
Broker, merchandise .................................... ..................... .......... 60.50
Broker, stocks, bonds, etc., dealer............................................. 181.75
Broker, stocks, bonds, etc., individual....................................... 121.25
Broker, real estate (see note D)................................................... 60.50
Plus for each additional salesperson.......................................... 27.50
BUSINESS ADVISORY SERVICES, NOC .................................. 121.25
(Reserved)
BUYERS CLUB .. ........... ................................. .................... .......... 110.25
CATERER....................................................................................... 60.50
032.000
033.000
033.010
033.020
033.030
033.040
034.000
035.000
035.010
035.020
035.030
035.040
035.050
035.060
035.070
035.080
035.081
036.000
037.000
037.010
037.020
037.030
038.000
038.010
038.020
038.021
038.022
038.030
038.040
038.050
038.060
038.070
038.080
038.090
038.100
038.110
038.120
038.130
CEMETERY/CREMATORIUM. ................ ........... ................... ..... 220.50
CLEANING, PRESSING AND DYEING
Plant ......................................................................................... 192.75
Branch/collection, each ........... ............ ...... ................ ... ........... .... 60.50
Self service or hand laundry ........................................................ 71.50
Plus, per machine ....................................................................... 1.00
Carpet cleaning on-site ...................................................... .......... 60.50
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COIN AND/OR STAMP DEALER (see note B) .............................. 60.50
COMMERCIAL RECREATION/ENTERTAINMENT, NOC........ 441.00
Dealer or lessor of amusement machines ................................... 121.25
Miniature golf.......... ................................................................... 60.50
Per game/machine/ride (excluding dealer) ................................... 38.50
Entertainer (each) ........................ ........................... .................... 60.50
Skating rink, shuftleboard, archery range or golf course ............121.25
Billiard parlor.............................................................................. 77.00
Per additional table .................................................................. 11.00
(Reserved)
Theaters, with up to 150 seats................................................... 275.50
Theaters, with 150 or more seats............................................... 606.25
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CONSULTANT, NOC .......... ........................................................... 82.50
CONTRACTORS, GENERAL CONSTRUCTION:
Class "A" general (see note D) .................................................. 275.50
Class "B" building (see note D)................................................. 192.75
Class "C" residential (see note D).............................................. 110.25
CONTRACTORS OR SUBCONTRACTORS (NOT GENERAL)
Acoustics....................................................... ................................... 60.50
Air conditioning contractor, Class A (See note D)..................... 165.25
Air conditioning contractor, Class B (See note D)..................... 110.25
Air conditioning contractor, Class C (See note D)....................... 77.00
Alarm systems specialty (See note D).......................................... 60.50
Aluminum (See note D) .............................................................. 60.50
Awning, shades and blinds .......................................................... 49.50
Boiler ..................................................... .................................... 60.50
Carpentry (See note D) ............................................................... 60.50
Cabinetry and millwork.................................... ........................... 60.50
Communication systems specialty (See note D) .......................... 60.50
Demolition, building (See note D) ............................................... 60.50
Dredging.................................... ............ ..................................... 60.50
Drywall (See note D) .................................................................. 60.50
Electrical (see note D)............................................................... 165.25
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e 038.140
038.150
038.160
038.170
038.180
038.190
038.200
038.210
038.220
038.230
038.240
038.250
038.260
038.270
038.280
038.290
038.300
038.310
038.320
038.330
038.340
038.350
e 038.360
038.370
038.380
038.390
038.400
038.410
038.420
038.430
038.440
038.450
038.460
038.470
038.480
038.490
038.500
038.510
038.520
038.530
038.540
038.550
038.560
038.570
e 038.580
038.590
038.600
038.610
E .. I d' filling din d land I . 60 50
xcavatmg, mc u mg , gra g, an c earmg............... ~
Elevator (See note D) ................................................................. 60.50
Exterminator (See note D) .......................................................... 60.50
Fence erection (See note D) ........................................................ 60.50
Fire sprinkler system. building (See note D) ................................ 60.50
Flat work masonry specialty (See note D) ................................... 60.50
FI . la' d' finishin 60 50
oor covermg, ymg, san mg, g..................................... ~
Gas, natural (See note D) ............................................................ 60.50
Gas, liquid petroleum (See note D) ............................................. 60.50
Garage door and operator installation (See note D) ..................... 60.50
Glass and glazing (See note D).................................................... 60.50
Gunite and sandblasting ............ ........... ........ ............. .......... ........ 60.50
H ulin t kin . 60 50
a g, ruc g or movmg .......................................................-=--
HOllSe-IIlOving (FDOT) .. .................... .................. ............ ........... 60.50
Installation, NOC ............ ................ .......................... .................. 60.50
Insulation.................................................................................... 60.50
Irrigation systems specialty (See note D) ..................................... 60.50
Janitorial service ............. ............. ............... ..... ........ ...... ............. 60.50
Landscaping/tree surgery ....................... ....... ................ .......... .... 60.50
Lawn, yard and garden care ........................................................ 38.50
Low voltage systems specialty (See note D)................................ 60.50
Maintenance work (NOC).. ...... ..................... ................ ......... ..... 60.50
Marble setting includes tile (See note D) ..................................... 60.50
Marine specialty (See note D) ..................................................... 60.50
Mechanical contractor (See note D) .......................................... 165.25
Mobile home setup specialty (See note D)................................... 60.50
Ornarnental iron work ........ ..... .............................. ................ ...... 60.50
Painting - including paperhanging (See note D) ........................... 60.50
Paper-hanging (only) ...... ....................... ............................. ......... 60.50
Partitions, movable .................. ....................... .............. .............. 60.50
Paving (See note D) .......................................... ......... ................. 60.50
Pile driving (See note D) ............................................................. 60.50
Pipeline (See note D) .................................................................. 60.50
Plaster and stucco specialty (see note D) ..................................... 60.50
Plumbing (See note D) ......................... ..................................... 165.25
Pollutant storage systems; gasoline, oil. etc (See note D)............. 60.50
Pressure cleaning ............. .................... ........ .......................... ..... 60.50
Pre-stressed precast concrete specialty (See note D) ................... 60.50
Refrigeration, commercial and industrial (See note D) ................. 60.50
Reinforcing steel specialty (See note D) ...................................... 60.50
Roofing (See note D) ............................... ................................... 60.50
Septic tank! sewer cleaning .......................................................... 60.50
Sheet metal (See note D) ............................................................ 60.50
Shutter and opening protectives (See note D).............................. 60.50
Signs - electrical (See note D) ..................................................... 60.50
Signs - nonelectrical (See note D) ............................................... 60.50
Solar (See note D) ...................................................................... 60.50
Steel reinforcing (See note D) ..................................................... 60.50
038.620
038.630
038.640
038.641
038.642
038.650
038.660
038.670
038.680
038.690
038.700
038.710
038.720
039.000
040.000
040.010
041.000
042.000
043.000
044.000
045.000
046.000
047.000
048.000
049.000
049.010
050.000
051.000
052.000
053.000
053.010
Structural masonry speciahy (See note D)................................... 60.50
Structural steel (See note D) ....................................................... 60.50
Swimming pool, residential (See note D)..................................... 60.50
Swimming pool, commercial (See note D)................................... 60.50
Swimming pool, service and maintenance (See note D) ............... 60.50
Tile and marble specialty (See note D) ........................................ 60.50
Underground utility (See note D) ................................................ 60.50
Veneer specialty (See note D) .................................................... 60.50
Water softener installation and service......................................... 60.50
Welding (requires certification) .... .................... .................. ......... 60.50
Well drilling (Requires certification from SWFWMD) ................. 60.50
Window cleaning ................................................. ....................... 38.50
Wrecking and dismantling (other than building)........................... 60.50
-
COSTUME OR CLOTlllNG RENTAL........................................... 49.50
DATA PROCESSING CONSULTANT/PROGRAMMER............... 82.50
Data processing software ........................ .... ........... ............ ......... 60.50
DATING/ROOMMATESERVICE (See note B) ........................... 121.25
DECORATOR, INTERIOR ............................................................. 60.50
DELIVERY&1ESSENGER SERVICE (includes first vehicle).......... 60.50
Plus, per each additional vehicle .................................................. 22.00
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DESIGNER, INDUSTRIAL (See note D) ........................................ 60.50
DISC JOCKEY, FREE LANCE ....................................................... 60.50
DIVER............................................................................................. 55.00
DRAFTSMAN' .................................................,............................... 82.50
ELECTRIC POWER COMPANy.................................................. 165.25
EQUIPMENT RENTAL, small tools or appliances........................... 60.50
Equipment rental, large, heavy duty .......................................... 121.25
FLORIST .. ... ...... ......... .........;.. ..... ... .............. .................... ............... 60.50
FREE SERVICE BUREAU ............................................................. 77.00
FURNITURE REFINISH, REUPHOLSTER, CLEAN
AND REPAIR........... ........................... ................... ................. ....... .60.50
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GROUP CARE FACILITIES
Congregate care (21 or more clients) ........................................ 165.25
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053.020
053.030
053.040
053.050
053.060
054.000
055.000
056.000
057.000
058.000
058.010
058.020
058.030
058.031
058.040
058.050
-
059.000
059.010
060.000
061. 000
062.000
063.000
064.000
065.000
066.000
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067.000
068.000
068.010
Convalescent/nursing home....................................................... 165.25
Family care home (1--6 clients) ................................................... 38.50
Group care, level I (7--14 clients) ............................................... 49.50
Group care, level II (15--20 clients) ............................................ 77.00
Group care, level III (1--20 - special treatment) .......................... 93.50
GUNS (See note B; requires federal firearms license), dealer,
includes repair .. .............. ......... .......................... .......... ............ ....... 121.25
HEARING AID, AGENT OR DEALER .......................................... 71.50
HOSPITAL ........... ..... .......... ............. ............... ........ ........... ........... 242.50
INCOME TAX PREP ARER ............................................................ 60.50
INSURANCE
Per each company, class, and type of insurance ........................... 82.50
Adjuster ...... ....... .......... ............... ................ ....... ................. ........ 71.50
Agency (includes 1 principal, owner, manager or agent) .............. 60.50
Plus, per agent .......... .................. ............... ................... ....... ....... 27.50
(Reserved)
Agent, independent ............................... ...... ......... ............... ........ 82.50
ITINERANT OR PERMANENT, KNIFE TOOL SHARPENER ..... 27.50
Itinerant, agriculture peddler ....................................................... 38.50
KINDERGARTEN, NURSERY OR
DAY CARE (See notes B and D) ..................................................... 49.50
LABORATORY (includes dental, medical, research, analytical, photo,
chemical testing, etc.) ........ .... ...... .............. .................... ....... ............ 88.00
Plus, per elllployee ........ ..................... ......... ................... ............. 22.00
LAND DEVELOPERS .................................................................. 121.25
LECTURER AND INSTRUCTOR, ................................................. 77.00
LOAN, FINANCE OR
CONSUMER DISCOUNT COMPANY (See note D) .................. 275.50
LOCKSMITH (See note B) .......................................................... 49.50
MAIL ORDER ESTABLISHMENT ........................................... 60.50
MAILING, PACKAGING, ADDRESSING, FAXING ................
MANUFACTURING, FABRICATING,
PROCESSING, COMPOUNDING
1 elllployee (including owner) ................................................
60.50
49.50
068.020
068.030
068.040
068.050
068.060
068.070
068.080
069.000
069.010
070.000
070.010
070.020
070.030
070.040
070.050
070.060
070.070
070.080
070.090
070.100
070.11 0
070.120
071. 000
071.010
071.020
071.030
072.000
072.010
073.000
074.000
074.010
074.020
075.000
075.010
MERCHANT OR MERCHANDISING:
(See note B for sale of used merchandise)
Inventory value $1,000.00 or less...........................................
Over $1,000.00 but less than $2,000.00 .................................
Over $2,000.00 but less than $3,000.00 .................................
$3,000.00 and over ........... ........ .................. ..... ......................
Plus, per $1,000.00 or any fraction thereof over $3,000 ......
Mobile tool sales....................................................................
Antiques, used merchandise (See note B) .......................,.......
Merchant, temporary permanent/location ...............................
Merchant, itinerant, permanent/location .................................
Merchant, show or flea market, per exhibitor, includes
food vendors, per event/show................................................ 8.90
Downtown convention/exhibition center ................................. 3307.00
Hardware Store or Lumber Yard with an inventory value less than
$100,000.00................................... ..... .................... ........ ........ 210.00
Merchant, ice cream truck (See notes Band D)------------------- 50.00
2--4 employees (including owner) ..........................................
5--10 employees (including owner) ........................................
11--25 employees (including owner)......................................
26--50 employees (including owner) ......................................
51--100 employees (including owner) .....................................
101--500 employees (including owner)...................................
Over 500 employees (including owner) ..................................
MASSAGE establishment (See note D and Chapter 9).................
Massage therapist, each (See note D and Chapter 9) ...............
Mobile homes
Dealer (new or used) sales and service ....................................
Park, rental......................... ....................................................
Plus per space over 25 .........................................................
Transport service (if independent of city licensed dealer or
manufacturer) ........................................................................
MOTORCYCLE, dealer...............................................................
Motorcycle, scooter or bicycle rental............................................
MOVING, TRANSFER COMPANY (See note B) .......................
MUSIC MACIDNES/JUKE-BOX,
COIN OPERATED: (not amusement or vending machines)
Dealer or lessor........ ........ .... ...... ............ ................. ......... .......
Operator or lessee, each machine ............................................
71.50
99.00
121.25
181.75
242.50
275.50
452.00
.
66.00
38.50
38.50
49.50
60.50
60.50
4.70
121.25
60.50
55.00
165.25
.
121.25
77.00
3.60
71.50
88.00
60.50
99.00
121.25
38.50
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NEWSPAPER, PERIODICAL OR NEWSLETTER:
Less than 6 issues per week..................................................... 82.50
- 075.020
075.030
076.000
077.000
077.010
077.020
078.000
079.000
079.010
080.000
081.000
082.000
083.000
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084.000
084.010
084.020
084.030
084.040
084.041
084.050
084.060
084.070
084.090
084.100
084.110
084.120
084.130
084.140
084.150
084.160
084.170
084.180
084.190
084.200
084.210
084.220
084.230
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6 Or more issues per week ...................................................... 242.50
Agency or bureau... ........... ...... .................... ................ ............ 121.25
NURSERY, PLANTS (See note D).............................................. 60.50
PATROL, NIGHT PATROLMAN, OR PRIVATE WATCHMAN:
Finn (See note B) ................................................................... 82.50
Individual (See note B) ........................................................... 38.50
PAWN BROKER (See note B)..................................................... 363.75
PETROLEUM PRODUCTS, wholesale ....................................... 242.50
Petroleum products, deliver/sale, includes LP .......................... 121.25
PHOTOGRAPHY (See note B).................................................... 60.50
PIANO TUNER.... .................... ............................ ............... ........ 27.50
PLATING OR ANODIZING, METAL ........................................ 60.50
PRINTING, PUBLISHING, ENGRAVING, LITHOGRAPHING AND
BINDING (includes blueprinting services) .......................................... 66.50
PROFESSION (per licensee and per location)
Accountant (See note D if CPA) ............................................. 110.25
Architect (See note D) ............................................................ 110.25
Attorney (See note D)............................................................. 110.25
Chiropractor (See note D)....................................................... 110.25
Counselor/social worker (See note D)..................................... 82.50
Court reporter........... ............ ................. ................ ........ ......... 82.50
Dental hygienist (See note D).................................................. 82.50
Dentist (See note D) ............................................................... 110.25
Designer, interior (See note D) ............................................... 110.25
Embalmer/funeral director/undertaker (See note D)................. 110.25
Engineer (See note D)............................................................. 110.25
Homeopathic physician ........................................................... 110.25
Occupational therapist (See note D)........................................ 110.25
(Reserved)
Optician, including sale oflenses and frames (See note D)....... 110.25
Optometrist (See note D) ........................................................ 110.25
Reserved
Physician (See note D) ............................................................ 110.25
Physiotherapist (See note D)................................................... 110.25
Profession, NOC .............. ........................................................ 110.25
Psychologist (See note D)........................................................ 110.25
Surveyor (See note D) ............................................................ 110.25
Veterinarian (See note D) ......... .............................................. 110.25
085.000
086.000
087.000
088.000
089.000
089.010
089.020
090.000
090.010
091. 000
092.000
093.000
093.010
093.020
093.030
093.040
093.050
093.060
093.070
093.080
093.090
093.100
093.110
094.000
PROMOTERlPROMOTIONS
(See note B)(Iftemporary, per event) ........................................... 220.50
RAILROAD................................................................................. 248.00
RECORDING STUDIO
60.50
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095.000 SECRETARIAL SERVICE (includes stenographers) ................... 60.50
096.000 SEWING (DRESSMAKER, SEAMSTRESS, TAILOR, etc.) ...... 49.50
097.000 SHOE REPAIR (OR BOOT BLACK STAND) ............................ 49.50 e
098.000 SITTING - HOUSE, PLANT, PET (See note B).......................... 55.00
REFUSE COLLECTION AND
DISPOSAL SERVICE (See note B and See 32.292 City Code)... 248.00
REFUSE MACHINE, COMPACTING AND/OR BINDING:
Owner or lessor. ......... ..... ...... ............... .......... .............. ......... 242.50
Operator or lessee ........................... ............................... ........ 110.25
RENTAL, NOC (See note B) ....................................................... 60.50
HaWfacility/property, nonresidential use (See note B) ............. 110.25
RENTAL, UNITS (2 or more) ...................................................... 27.50
Plus, per unit over 5.................................................................. 1.55
REPAIR AND SERVICE, NOC (includes handyman) .................... 49.50
Plus, for each employee (other than owner).............................. 11.00
RESTAURANT (See note D; and Note B for alcoholic beverage sales)
1--10 seats............................................................................... 38.50
11--25 seats............. .................................... ............................ 60.50
26--50 seats............... ................... ......... ............ ..... ................. 121.25
51--100 seats............................ ............ ................................... 181.75
101 or more seats .................................................................... 242.50
Snack bar, soda fountain .......................................................... 49.50
Concession stand/vendor, per location or unit .......................... 49.50
Canteen wagon or truck, per mobile unit.................................. 55.00
Drive-in or drive-through/take out or delivery .......................... 82.50
Nightclublbar/tavernlcabaret/lounge (See note B; see adult use
entertainment; see commercial recreation/entertainment,
entertainers) .................................. .......................................... 242.50
Dancing area.. ......... ................................................. ... ... .... ..... 49.50
SCHOOLS - TRADE, STUDIO AND INSTRUCTION (See note D; also
see note B for dancing or charm schools)...................................... 60.50
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098.500
099.000
099.010
099.020
100.000
101.000
102.000
103.000
103.010
103.020
103.030
103.040
103.050
104.000
105.000
105.010
105.020
106.000
107.000
108.000
109.000
110.000
110.010
110.020
111. 000
SPECIAL EVENTS - CITY SPONSORED,
Per day, per exlnbit ........ ................... ..................... ........ ......... ~
STORAGE/W AREHOUSING
Indoor, per 1,000 square feet (minimwn $50 fee) .................... 11.00
Outdoor, per 1 ,000 square feet (minimwn $50 fee) ................ 22.00
TATTOO PARLORS (See note D and Florida
State Statute 877.04) ................................................................... 110.25
TAXICAB COMPANY, includes first vehicle
(See notes-B and Chapter 25) ......................................................
Plus for each additional vehicle ..............................................
60.50
22.00
TAXIDERMIST......................................................................... .
49.50
TELEPHONE AND TELEGRAPH
Telephone, company.. ..... ................................... ............ .... ....
Each branch office..... ................... ................... ............... .......
Telephone, business, private {includes 900 service; see note B)
Telephone, solicitation (See notes B and D) ...........................
Telephone, answering service.................................................
248.00
33.00
60.50
60.50
60.50
TOILETS, PORTABLE SERVICE ............................................. 110.25
TRAILER, CARGO (for boat trailers, see boats)
Trailer, cargo, sales and service............................................... 60.50
Trailer, cargo, rental .................. .............. ....................... ........ 49.50
TRANSIT OR READY-MIX CEMENT AND CONCRETE........ 242.50
(This license required of any distributor making deliveries and/or sales within city
limits, regardless of location of plant.)
TRANSPORTATION SERVICES (bus station - interstate, chartered,
limousine, sightseeing) (See chapter 25; see note B) ........................... 231.50
VACUUM CLEANER SALES AND SERVICE .......................... 60.50
VALET PARKING ...................................................................... 55.00
VENDING MACHINES (excluding amusement, music machines, cigarette or
.......... .... ...................... ................................................ stamp machines)
Dealer or lessor. ............. ........ ..... ................................... ......... 60.50
Operator or lessee, per machine .............................................. 11.00
VIDEO OR FILM RENTALS ...................................................... 60.50
112.000
WRECKING YARD ................................................................... 242.50
--
113.000
UNCLASSIFIED, every business occupation, profession or exhibition, substantially
fixed or temporarily engaged in by any person within the city and for which no
license has been ordained and not herein specifically designated (See note B)
121.25
OTHER RELATED OCCUPATIONAL LICENSE FEES/CHARGES:
The DUPLICATE LICENSE FEE shall be $15.
The MINIMUM occupational tax shall be $25.00.
PENALTY, DELINQUENT AND ADMINISTRATIVE FEES:
The PENALTY FEE (operating prior to obtaining a license) shall be equal to 25 percent of the
established fee.
The DELINQUENT FEE shall be ten percent for the month of October plus five percent for each
monthof delinquency, not to exceed 25 percent ofthe established occupational license tax.
In addition to penalty fee, the administrative fee shall be two times the normal fee with a maximum .
$250.00 per license on accounts not paid by January 31 st following the renewal notice
The REGISTRATION FEE shall be $25.
A TRANSFER FEE shall be up to 10% of the annual license tax but not less than $3 or more than $25.
Notes:
A.
Requires approval by the city commission.
B.
Requires city police department recommendation. The applicant shall complete a
background information report, executed under oath, and shall submit to a
background investigation, photograph, and fingerprints. The recommendation shall
be based upon the criteria set forth in section 29.41 (6) and shall include a statement
of the facts upon which the recommendation is based.
C.
RESERVED
D.
Requires inspection, approval or license of state or county authority.
NOC - Not otherwise classified.
.
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Appendix B
Applications and Forms
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Applications and Forms Directory
Background:
- Police Background Check
- Addendum
Board of adjustment & appeals
Clearing and Grubbing
Contractor Affidavit
Contractor Licensing
Dealing with Contractors
Demolition
Elevation Certificate
Emergency Information
Energy Forms
Erosion Control
Fence Application
Fictitious Name Packet
Garage door requirements
Home Occupation Form
Marine Affidavit
New Business Information
Notice of Commencement
Notice to Waiver
Occupational License Application
- Video Rental Sales Addendum
Owner I Builder Form
Permit Application
Permit Extension
Permits by fax or mail
Roof Requirements
Sign Application
Site Plan Application
- Residential
- Non-Residential
Substantial Improvement
Swimming Pools and Spas:
- Above ground pool affidavit
- Notice of Requirements
Temporary Sales
Tent Application
Tree:
- No Tree Verification
- Tree Permit
24 Hour Inspections
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INSTRUCTIONS FOR THE COMPLETION OF THE BACKGROUND INFORMATION REPORT
1, THE APPLICANT REPORTS TO THE OCCUPATIONAL LICENSE DIVISION OR THE
ZONING DIVISION.
2. OCCUPATIONAL LICENSE INSPECTOR OR ZONING TECHNICIAN DETERMINES BY
CITY CODE IF SPECIFIC OCCUPATION REQUIRES THE USAGE OF THE
BACKGROUND INFORMATION REPORT.
3. IF CITY CODE REQUIRES THE USAGE OF THIS REPORT, THE INSPECTOR OR
TECHNICIAN FILLS OUT THE TOP PORTION.
4. THE APPLICANT RECEIVES THE BACKGROUND INFORMATION REPORT, AND
SPECIFIC SUPPLEMENTS AS DETERMINED BY THE OCCUPATION FOR WHICH
LICENSE IS REQUESTED,
5, THE APPLICANT TAKES THE BACKGROUND INFORMATION REPORT AND FILLS IN
ALL OF THE REQUESED INFORMATION, HAND-PRINTED OR TYPED. (THIS CAN BE
ACCOMPLISHED AT THE APPLICANT'S HOME.) ANY INFORMATION THAT
CANNOT BE PLACED IN THE APPROPRIATE SPACE PROVIDED WILL BE PLACED ON
THE BACK OF THE PAGE AND IDENTIFIED BY ITEM NUMBER,
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6, THE APPLICANT REPORTS TO THE CLEARWATER POLICE DEPARTMENT, (645
PIERCE STREET BETWEEN 8:00 A.M. AND 4:00 P,M.), FOR FINGERPRINTING AND
PHOTOGRAPHS AND PRESENTS THE COMPLETED BACKGROUND INFORMATION
REPORT.
THE BACKGROUND INFORMATION REPORT WILL BE EXAMINED TO INSURE ALL
APPROPRIATE INFORMATION HAS BEEN SUPPLIED BY THE APPLICANT AND THAT
ALL SPACES HAVE BEEN FILLED IN. IF THE FORM HAS NOT BEEN FILED OUT
COMPLETELY, IT WILL BE RETURNED TO THE APPLICANT AND NOT ACCEPTED
UNTIL IT HAS BEEN SATISFACTORILY COMPLETED,
7. THE BACKGROUND INFORMATION REPORT MUST BE NOTARIZED BEFORE
SUBMISSION.
8. THE POLICE DEPARTMENT WILL GIVE THE APPLICANT AN AUTHORIZATION TO
RECEIVE A LICENSE WHICH WILL BE PRESENTED TO THE OCCUPATIONAL LICENSE
DIVISION BY THE APPLICANT.
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BACKGROUND INFORMATION REPORT
CITY OF CLEARWATER
OCCUPATIONAL LICENSES/ZONING DIVISION - REFERRAL TO POLICE DEPARTMENT
DATE:
has made application at the City
Occupational Licenses/Zoninq Division for:
Type of License:
Name of Business:
Location of Business:
The above named person is required to fill out forms for a Police Department background
investigation, and to be fingerprinted and photographed, prior to the issuance of the license.
Occupational Licenses Division
NOTICE TO APPLICANT
The City of Clearwater, by law, has the authority to regulate certain occupational licenses.
Pursuant to that authority, the City conducts background investigations of the owners and
managers of these businesses, The Background Information Report provides basic information
about the applicant which is necessary for the investigation. All questions must be answered in
their entirety. Every answer you give will be checked for its truthfulness. A deliberate falsehood
will jeopardize the application, as such falsehood within itself constitutes evidence regarding the
reputation and character of the applicant.
The most important consideration in the answers made by you in the Background Information
Report is honestly.
I have read and I do understand the above statement.
Applicant's Signature
Date
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1, NAME
3, ALIASES
5. PLACE OF BIRTH
8, HEIGHT
11. EYE COLOR
TO BE TYPED OR PRINTED BY APPLICANT
(Do not use pencil, ink only)
9, WEIGHT
2. HOME TELEPHONE
4, DATE OF BIRTH
6, SEX
10, HAIR COLOR
7. RACE
12. SOCIAL SECURITY NUMBER
13, DRIVER'S LICENSE NUMBER
DRIVER'S LICENSE
REVOKED?
14, STATE OF ISSUE FOR
15, HAS YOUR DRIVER'S LICENSE EVER BEEN SUSPENDED OR
16. IF YES. STATE WHERE. WHEN. AND WHY
17. ARE YOU A NATURALIZED CITIZEN OF THE UNITED STATES?
IF YES, NATURALIZATION NUMBER
18, HOME ADDRESS
) YES
) NO
Street
City
State
Zip
19. PREVIOUS ADDRESS (If present address is for less than 5 years)
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20, CURRENT OCCUPATION
22, BUSINESS ADDRESS
21. EMPLOYER
Street
City
State
Zip
23. TELEPHONE
24. STARTING WITH CURRENT EMPLOYEMENT. LIST ALL FOR PAST THREE (3) YEARS:
NAME
ADDRESS
POSITION
FROM - TO
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(continued)
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25, LIST ALL REAL ESTATE OWNED BY YOU OR YOUR SPOUSE, OR ANY REAL ESTATE TO WHICH
EITHER HAS ANY INTREST, OR ANY BUSINESS:
STREET OR RURAL DESIGNATION CITY STATE
26, LIST ALL CIVIL ACTION INVOLVEMENT (INCLUDING NAME CHANGES) ALONG WITH NAMES AND
ADDRESSES OF LITIGANTS, DATES, PLACES, AND CAUSES OF ACTION:
27, MAIDEN NAME OF APPLICANT (IF APPLICABLE)
28. APPLICANT'S BRANCH OF MILITARY SERVICE (IF APPLICABLE)
29, TERM OF SERVICE 30. DATE OF SEPARATION OR DISCHARGE
31. WHERE
32. SERVICE NUMBER 33, LIST ALL PREVIOUS STATES RESIDED WITHIN
(INCLUDING MILITARY SERVICE)
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34. LIST BANK AND CREDIT REFERENCES OF APPLICANT
NAME ADDRESS TELEPHONE
TYPE OF ACCOUNT/NUMBER
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35. LIST THREE (3) PROFESSIONAL REFERENCES
NAME
ADDRESS
TELEPHONE
TIME KNOWN
36. LIST ALL ARRESTS AND CONVICTIONS INCLUDING TRAFFIC (USE ADDITIONAL PAPER IF NECESSARY)
LIST WHEN. WHERE. AND THE FINAL DISPOSITION
37. IF THE APPLICANT IS A CORPORATION. ANSWER THE FOLLOWING:
NAME
HOME ADDRESS
CITY
DATE OF BIRTH
(Month. Day. Year)
Pres,
V, Pres,
Treas,
See,
Mqr.
I HEREBY CERTIFY THAT THE FACTS CONTAINED WITHIN THE AFOREGOING BACKGROUND
INFORMATION REPORT ARE TRUE AND CORRECT AND I UNDERSTAND THAT ANY FALSIFICATION OF
MISREPRESENTATION MAY RESULT IN A REJECTION OF THIS APPLlCTION OR A REVOCATION OF SAID
LICENSE.
APPLICANT'S SIGNATURE
DATE
STATE OF FLORIDA,
COUNTY OF PINELLAS
SWORN BEFORE ME THIS
DAY OF
BY
Notary Public
My Commission Expires:
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ADDENDUM TO BACKGROUND INFORMATION REPORT
CITY OF CLEARWATER
You are hereby advised that it is a violation of City Code to engage in any activity
prohibited by ~ 6.43, Prohibited Acts, or ~ 21.13, Public Nudity. In order to lawfully
conduct business within the municipal limits of the City of Clearwater, you must fully
comply with, follow, and adhere to all state and federal laws, city ordinances, rules and
regulations, including without limitation, Clearwater City Code of Ordinances ~ 6.43,
Prohibited Acts, and ~ 21.13, Public Nudity. In the event that you have not so
complied, then the City will pursue all available remedies to ensure that the illegal
activities being conducted are discontinued.
ACKNOWLEDGMENT
Your signature below is an acknowledgment that you have in fact been advised of the
existence of these ordinances. Additionally, your signature will indicate that you have
also been provided a copy of both Clearwater Code of Ordinance ~ 6.43, Prohibited
Acts, and ~ 21.13, Public Nudity. Further, that by receipt of the same, hereby
acknowledges that he/she is on Notice of the provisions contained therein and that the
prohibitions therein shall be binding upon him/her.
Signature of Affiant
STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned authority, personally appeared
who is personally known to me or who has produced
as identification and who did take oath, and who being by me first duly sworn, deposes
and says that he/she is the person who executed the within document and that the
matters alleged therein are true and correct.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal of said County
and State, this day of
Notary Public
Typed or Printed Name of Notary
My Commission Expires:
SlForm. OCL Addendum Adult Use. 15-Dec-97 . 10410.0029
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ALCOHOLIC BEVERAGES
See. 6.43. Prohibited acts.
(1) It shall be unlawful Cor any person owning,
maintaining, operating or leasing an alcobolic bev.
erage establishment; his employee, agent, sere
vant, and any entertainer employed at the li.
censed premises or employed on a contractual
basis; and Cor any patron, customer or spectator to
appear on an alcoholic beverage establishment's
premises in such a manner or attire as to expose
to public view, or to employ any device or cov.
ering that is intended to give the appearance of,
any portion of the pubic area. anus, vulva or gen.
itals or, if such person is a Cemale, the area of the
breast directly or laterally below the top of the
areola.
(2) It shall be unlawful Cor any person owninr,
maintaining, operating or leasing an alcoholic bev.
erage establishment to pemut any violation oC sub-
section (1) of this section.
(3) It shall be unlawful for any person owning,
maintaining, operating or leasing an alcoholic bev.
erage establishment and his employee, agent, sere
vant, and any entertainer employed at the li.
censed premises or employed on a contractual basis
to engage in any activity commonly reCerred to as
lap dancing or private tableside dancing whereby
the person intentionally sits upon or rubs against
the clothed or unclothed genitals, vulva, anus or
buttock of any patron, customer or spectator
Supp. No. 1
I 6.4-4
therein in exchange for receiving a tip, donation,
gratuity or anything of value, including but not
limited to money. It shall be unlawful as well Cor
the patron, customer or spectator upon whose body
the lap dancer or private tableside dancer is com.
mitting the above prosc:ribed activity to permit
the activity to occur; however, this subsection does
not apply to acts done for bona fide medical pur.
poses.
(4) It shall unlawCul for any person owning,
maintaining, operating or leasing an alcoholic bev.
erage establishment to permit any violation of sub-
section (3) of this section.
(5) It shall be unlawful Cor any person owning,
maintaining, operating or leasing an alcoholic: bev.
erage establishment to permit the construction,
maintenance or use of areas completely or par.
tially partitioned, c:urtained or screened Cram
public view that are permitted to be used for the
activities proscribed in subsection (3) of this sec.
tion.
(Code 1980, f 82.03)
CD6:7
I 21.12
CLEARWATER CODE
Sec. 21.13. Public nudity.
(1) As used in this section:
(a) Adult ILSt establish1'Mnt means an estab-
lishment 81 defined in see. 41.505 of the
city code.
(b) Entity means any proprietorship, partner-
ship, corporation, association, business
trust, joint venture, joint stock company or
other for profit or not for profit organiza.
tion.
(e) Nude means the showing of:
1. Human male or female genitals or
pubic area with less than a Cully opaque
covering; or
2. Any portion of the anal cleft. or cleavage
of the male or female buttocks. Attire
that is insufIicient to comply with this
requirement includes, but is not lim-
ited to, G-strinp, T-backs, thonp and
any other clothing or covering that does
not completely and opaquely cover the
anal cleft or cleavage of the male or
female buttocks; or
3. The portion of the human Cemale breast
directly or laterally below a point im-
mediately above the top of the areola
with less than a fully opaque covering;
this dermition shall include the entire
lower portion of the human female
breast, but shall not include any por-
tion of the cleavage of the human Ce-
Supp. No.5
CD21:6
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It
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male breast exhibited by a dress,
blouse, shirt. leotard, bathing suit, or
other clothing, provided the areola is
not exposed; or
4. Human male genitals in a discernibly
turgid state, even iC completely and
opaquely covered.
(d) Person means any live human being ten
yean oC age or older. .
(e) Place prouitUd or.et apart for nudity means
enclosed single-su public restrooms; en.
dosed single-sex functional shower, locker
or dressing room facilities; enclosed motel
rooms and hotel rooms designed and in.
tended Cor sleeping accommodations;, areas
within doctor's offices, medical clinics, hos-
pitals, and other licensed medical health
care facilities designed and intended for the
U~'ft'li'lation oCpatients; and similar places
in which nudity is necessarily and custom.
arily expected outside of the home and the
sphere of privacy constitutionally protected
therein. This term shall not be deemed to
include places where a person's conduct of
being nude is used for his or her profit or
where being nude is used for the promotion
of business or is otherwise commercially ex.
ploited.
m Public place means any location frequented
by the public, or where the public is present
or likely to be present, or where a person
may reasonably be expected to be observed
by members of the public. The term iDe
dudes but 'is not limited to streets, side-
walks, parks, beaches, business and com.
mercial establishments (whether for profit
or not for profit, whether open to the public
at large, or whether entrance is limited by
a cover charge or membership requirement),
hotels, motels, restaurants, night clubs,
country dubs, cabarets, and meeting facil.
ities utilized by any religious, social, fra.
ternal or similar organization. Premises. or
portions thereof such as hotel rooms, used
solely as a private residence, whether per.
manent or temporary in nature, shall not
be deemed to be a public place.
(2) It shall be unlawful for any person to know.
ingly or intentionally appear, or cause another
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Supp. No.5
CD21:7
OFFENSES
t 21.15
person to appear, nude in a public place or in any
other place that is readily visible to the public,
except as provided in subsection (3) of this section.
It shall also be unlawful for any person or entity
maintaining, owning, or operating any public place
to operate and to knowingly or with reason to
know, permit or allow any person to appear nude
in such public place, except as provided in subsec.
tion (3) of this section.
(3) The following shall be exempt from the pro-
hibitions of subsection (2) of this section:
(a) When a person appears nude in a place pro-
vided or set apart for nudity, provided such
person is nude for the sole purpose of per.
fOrming the legal function that is custom.
arily intended to be performed within such
place and such person is not nude Cor the
purpose oC obtaining money or other finan.
cial gain for such person or for another
person or entity;
(b) When a mother is breast.feeding her baby
in compliance with F.S. f 383.015; or
(c) When the conduct of being nude cannot le-
gally be prohibited by this ordinance be.
cause it constitutes a part of a bona' fide
live communication, demonstration or per.
formance by a perIOn wherein such nudity
is expressive conduct protected by the
United States Constitution or the Florida
Constitution. Nude dancers perfOrming in
adult use establishments shall not be ex.
empt from the prohibitions of subsection (2)
of this section.
(d) When a person appears nude for legitimate
instructional purposes for authorized
courses at community colleges, state uni.
versities, or other public or private institu.
tiODl of hilher learning.
(4) This section shall not be deemed to address
photographs, movies, video presentations,
or any other non.live perfonnances.
(Ord. No. 5543-94, f 1, 2.17.94)
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax(727)562-4576
APPLICATION FOR BOARD OF ADJUSTMENT & APPEAL
Case BFBAA#
PROJECT ADDRESS
LOT BLOCKlTRACT
PARCEL NUMBER /
OWNER
ADDRESS
REPRESENTATIVE
ADDRESS
REQUEST: APPEAL OF BUILDING OFFICIAL'S
TO SECTION:
DESCRIPTION OF REQUEST:
SUBDIVISION
/
TELEPHONE
CITY STATE ZIP
TELEPHONE
CITY STATE ZIP
DECISION 0 VARIANCE 0
OF
e:ASON FOR REQUEST:
Evidence of ownership of propriety interest must be supplied with application. One (1) copy of this form
plus (one) 1 copy of substantiating plans or other data to be filed with the Building Official. If plans or other
data is larger then 8 ~ x 11, then six (6) copies are required with the application.
Print Name
Signature
Date
OFFICE USE
Meeting Date
LeQal Description:
Public Notice Statement:
cc: City Clerk
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APPLICATION FOR LAND CLEARING Be GRUBBING PERMIT
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CITY OF CLEARWATER
PLANNING &: DEVElOPMENT SERVICES
(727) 562-4741
DATE
RECEIPT NO.
A non-refundable filing fee of $10.00 is required. Permit applicable for 6 months from date of approval.
In accordance with the Community Development Code. I hereby apply for permit to land clear and/or grub the "U
property described below. ~
1 , Location of Property: :::;:
2. Project Name:
3. Purpose of clearing and/or grubbing: 0 New Construction 0 Demolition 0 Tank Removal 0 Other
4. General description of existing vegetation. topography, and surface water (including all existing and/or proposed
ditches. canals. and swales)
5, Proposed method of debris disposal
6. Date you plan to begin work
7, Proposed method of soil erosion control
8. 0 No-Tree Verification Required
o Tree Removal Permit Required
I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 52.08. CITY CODE OF ORDINANCES REGARDING
TREE PROTECTION DURING CONSTRUCTION AND ARTICLE 3. DIVISION 7 OF THE COMMUNITY DEVELOPMENT CODE
REGARDING EROSION AND SILTATION CONTROL.
--
Signature of Ovmer or Owners Representative
Address
Printed Name
City
State
Zip
Representatives' Firm
Telephone Fax
Applicant must include Aerial Photograph or Scaled Site Plan showing property boundaries and limits of work. This is
NOT a Tree Removal Permit.
DO NOT WRITE BELOW THIS LINE
Land Resource Comments:
Based on the above comments and information submitted. the above clearing & grubbing application is:
::J Approved As Submitted 0 Approved - Modified As Noted Above 0 Denied
~ed:
.. Manage- ":lr Designee
Date:
CLEARWATER
1362~2-GC
White - Applicant
Yellow - Planning & Development Services
8-99
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
CONTRACTOR AFFIDAVIT
I,
, of (company name)
, (license number)
, give
, authorization to sign for and pull any and all permits for me,
or for (specific address) only, I hereby
aCknowledge that I have read and understood the above affidavit on this day of
Contractor
&ATE OF FLORIDA,
COUNTY OF PINELLAS
Before me the undersigned, an officer duly commissioned by the laws of the State of Florida, on this
personally appeared
who having been first duly sworn deposes and says that he/she fully
understands the contents of the affidavit that he/she signed.
day of
Sworn to and subscribed before me this
day of
Notary Public
My Commission Expires:
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Contractor AffidaviLdoc
~ Clearwater
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City of Clearwater
Development Services Department
100 South Myrtle Avenue Clearwater, Fl 33756
Phone 727-562-4567 Fax 727-562-4576
Contractor Licensing and Permitting Requirements
Revised September 2000
A. State Licensed Contractors
1. State of Florida License
2. PCClS card - Pinellas County Construction Licensing Soard card (call 536-4720
for information about this card).
3. Occupational License - business license from the jurisdiction the business is
located (city or county).
4. Notarized letter of authorization signed by the license holder listing those people
allowed to obtain permits under their license.
B. Non-State Regulated Contractors
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1. PCClS card
2. Occupational license from jurisdiction where business is located if not licensed in
Clearwater.
3. Registration with the City of Clearwater - $25.00 fee.
4. Notarized letter of authorization as above.
C. Requesting Inspections
1. To insure an inspection on the business day you want, make your request the day
before, by midnight.
2. The inspectors are available during the following times: 7:30 a.m. - 8:00 a.m. and
3:00 p.m. - 4:00 p.m. The inspector will work with you to set up an inspection
window.
3. If you need an inspection on the next business day after the permit is issued,
submit your request at the time of permitting.
4. Inspections are made beginning at 8:00 a.m. and continue throughout the day.
The job must be ready to inspect at 8:00 a.m. Work not ready at the time of the
inspection may result in additional costs and delays.
D. Notice of Commencement (NOC)
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1. Required for any permit over $2,500.00 job valuation.
2. Requires owner's original signature (not a copy or a fax).
3. Can be recorded at Courthouse or City will record NOC for additional fee.
4. If NOC is to cover all work or trades at job site, please provide subs with copies of
NOC if they come in for separate permits.
5. Permit will NOT be issued if required NOC has not been submitted.
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.
INSPECTORS
Building
727 -562-4570..... .................. .......John Witkowski
727 -562-4571 ................................... Vern Packer
727 -562-4563....................................... Bob Scott
727 -562-4569.......................... Robbie Ackerman
PI umbing/Gas/Mechan ical
727 -562-4568..................................... Bill Phillips
727 -562-4566.................................. . Tom Carrick
Electrical
727 -562-4565....... .................. .......... Ralph Rowe
727 -562-4564....... ................... ..... Michael Hurley
Housing and Complaint Enforcement
727 -562-4573...................................... Bill Wright
727 -562-4572................................... Mike Coccia
Plans Review
727 -562-4593............................ . Tom Chaplinsky
727-562-4595............................. .Ken Steinke
727-562-4863.......... ............... ...Mark Matheny
727 -562-4558............................. ...Mark Parry
(Landscaping)
land Resources
727-562-4741.. ........... .... ...... ...... .Rick Albee
(Tree removal and Clearing and Grubbing)
727-562-4746....................... . Scott Kurleman
(Landscaping)
Engineering
727 -462-6126.. .. ............ . ..... .... .. ... . .... Field Office
(Driveways and Final Engineering Inspections)
Traffic Engineering
727 -562-4 775................................... .Mike Gust
(Parking Lots)
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, Fl 33756
Phone (727)-562-4567 Fax (727) 562-4576
DEALING WITH CONTRACTORS
CHOOSING A CONTRACTOR
Here are some suggestions to help you choose a contractor.
. Ask people you know for names of contractors they have used.
. Call the following for information on the type of contractor you need.
o Pinellas County Construction Licensing Board at 536-4720
o Office of Consumer Affairs at 530-6200
o Better Business Bureau at 535-5522
o City of Clearwater Chamber of Commerce at 461-0011
. Once you have a list of contractors, ask for references.
. Make sure you are comfortable with the contractor and that good lines of communication
exist.
_ . Check the contractor license, by calling the Pinellas County Construction Licensing Soard
- (PCClS) at 536-4720. They can tell you what type of license the person has, and if any
complaints are filed on the contractor.
. Check the contractor's insurance coverage. The contractor should carry comprehensive
policies to protect his business and your home, including public liability, property damage
protection, and workers' compensation. May want an original from the insurance
company, listing your name.
. Ask for written quotes with all details from more than one contractor. It is advisable to
get at least three contractors to provide bids. Remember - the lowest price is not always
the best one. It could mean a misunderstanding of the project.
THE CONTRACT
Regardless of the relationship you develop with your contractor, the details and agreements
of the job should be in writing. Here are some tips:
. Include the building plans and/or work specifications in the contract.
. Specify start and finish dates in the contract to protect your interests. You need to realize
that bad weather; unavailable materials or other problems may change these dates.
. Include pay schedules for the work and itemized prices for the work.
. You may want to have a lawyer review all contracts and related documents before you
sign.
.
Dealing with Contractors,doc
. Don't make a large first payment. You may want to consider not paying for the project in _
full until you have a completed project and an approved final inspection. .,
. Have any warranties or guarantees of the work clearly stated in writing and signed by the
contractor and/or manufacturer. They should include all terms and conditions.
. Make sure you and the contractor both sign the agreement, with each of you keeping
original copies.
. ASK THE CONTRACTOR FOR THE PERMIT BEFORE WORK BEGINS.
. ASK ABOUT THE NOTICE OF COMMENCEMENT.
SOURCES FOR RETROFITTING INFORMATION
. Local architects and engineers
. Protecting Manufactured Homes from High Winds - FEMA Doc. TR-75
. Flood Emergency & Residential Repair Handbook - FEMA Doc. FIA-13
. Retrofitting Flood-prone Residential Structures - FEMA-114
. Manufactured Home Installation in Flood Hazard Areas - FEMA-85
. Design Guidelines for Flood Damage Reduction - FEMA-15
. Elevated Residential Structures - FEMA-54
. Coastal Construction Manual - FEMA-55
. Repairing Your Flooded Home - FEMA-234
. Hurricane Resistant Construction - Southern Building Code Congress International
(SBCCI)
. Standard for Hurricane Resistant Residential Construction SSTD 10-93 - SBCCI
. Construction Standard for Residential Structures RCS-94. The Contractors and Builders
Association of Pinellas County, Inc.
-
NOTE:
Some of these publications are available at the Clearwater Library.
All FEMA documents are available from:
Publications Department
Federal Emergency Management Agency
P.O. Box 70274
Washington, DC 20024
or call 1-800-480-2520
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Dealing with Contractors.doc
; Clearwater
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DEMOLITION
START DATE:
TO:
o David Sickler - Water Cut and Cap - Fax: 562-4961
Email: Sickler, Dave
o Barbara Hagen - Gas Cut and Cap - Fax: 562-4903 or 562-4904
Email: Hagen, Barbara
FROM:
Development Services,
(DRT name)
SUBJECT: Demolition
Property Address:
DATE:
The applicant requests the following:
I,
, (Owner, Contractor, Agent) request the City of Clearwater
Utilities Deoartment to:
Remove any gas meters and cap line. (Property to be rebuilt.)
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Remove any gas meters and cut and cap at main. (Property not to be rebuilt.)
Remove the water meter and cap line. (Property to be rebuilt.)
Remove the water meter, cut and cap at main. (Property not to be rebuilt.)
Cut and cap fire main.
I AM FULLY AWARE OF AND UNDERSTAND THAT I AM RESPONSIBLE FOR THE COST OF
REPAIR OR REPLACEMENT OF THE WATER METER IF IT IS LEFT ON THE PREMISES.
Signed:
Print name:
Date:
ACCOUNT #
Date Serviced
Service Man
METER#
READING
SIZE
GAS
WATER
Fax completed form to Development Services Department - (Fax) 562-4576
Demolition Form.doc
Revised: 5/31/2001
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City of Clearwater
Development Services
100 South Myrtle Ave, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
ELEVATION CERTIFICATE INFORMATION
Using information from Elevation Certificates
When using information from Elevation Certificates for properties within the boundaries
of the City of Clearwater, please be advised of the following:
. The date entered in Section "B", item 4, DATE OF FIRM INDEX should read
as follows:
8/18/92 - for all forms completed since 8/18/92
8/19/91 - for all forms completed between 8/18/91 and 8/19/92
6/01/83 - for all forms completed prior to 8/19/91
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· The information supplied on the attached elevation certificate has been
verified by a City of Clearwater construction inspector prior to issuance of the
Certificate of Occupancy (CO). CO's are on file in Development Services
Department to verify that this information is correct.
Completion of Elevation Certificates
Please be advised of the following procedures when completing Elevation Certificates
for the Federal Emergency Management Agency (FEMA):
. All Elevation Certificates submitted should be based on "actual construction".
Certificates based on "construction drawings" are not accepted by FEMA or
the Community Rating System (CRS). Section C, item #5, page #1. (Only
certificates submitted with item #5 completed as required will be accepted by
the City of Clearwater.
. The date entered in Section B, item #4 - "DATE OF FIRM INDEX" should be
taken from the most recent "Map Index". The "Panel Date" is not acceptable
for FEMA and CRS guidelines.
The current "Map Index" for the City of Clearwater is August 18, 1992.
(Panel dates may be different).
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If you have any questions on interpreting information from the Elevation Certificate or
completion of the Elevation Certificate, please contact Development Services at 727-
562-4567.
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
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ELEVATION CERTIFICATE
AND
INSTRUCTIONS
NEW EDITION
.
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
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PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for the Elevation Certificate is estimated to average 2.25 hours per response. Burden means the
time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to
the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information
unless a valid OMB control number is displayed in the upper right comer of each form. You may send comments
regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections
Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction
Project (3067-0077). Do not send completed formes) to the above address. To obtain or retain benefits under the National
Flood Insurance Program (NFIP), you must respond to this collection of information.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be
used to provide elevation information necessary to ensure compliance with community floodplain management
ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or
Revision (LOMA or LOMR-F).
The Elevation Certificate is required in order to properly rate post~FIRM buildings, which are buildings constructed after,
publication of the Flood Insurance Rate Map (FIRM), for flood insurance Zones AI-A30, AE, AH, A (with BFE), VB,e
VI-V30, V (with BFE), AR, ARIA, ARlAE, ARlAI-A30, ARlAH, and ARlAO. The Elevation Certificate is not required
for pre-FIRM buildings unless the building is being rated under the optional post-FIRM flood insurance rules.
As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt
a floodplain management ordinance that specifies minimmn requirements for reducing flood losses. One such requirement
is that the community obtain the elevation of the lowest floor (including basement) of all new and substantially improved
buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to
comply with this requirement.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F
from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a
lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring
flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a
LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be
required if the certificate is used to support a LOMA or LOMR-F request.
This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the
NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed
building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the
community an exception for residential floodproofed basements. The community must adopt standards for design and
construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-
residential buildings and residential floodproofed basements in communities that have been granted an exception by
FEMA, a floodproofing certificate is required.
.
INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE
8be Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify
Wlevation information when elevation information is required for Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with
BFE), AR ARIA, AR/AE, AR/AI-A30, ARlAH, or AR/AO. Community officials who are authorized by law or ordinance to
provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community
official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are
intended for use in supporting a LOMA or LOMR-F. Certified elevations must be included if the purpose of completing the
Elevation Certificate is to obtain a LOMA or LOMR-F.
In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters.
SECTION A - PROPERTY OWNER INFORMATION
This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the building's
complete street address, and the lot and block number. If the building's address is different from the owner's address, enter the
address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot and block
numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from
a fixed point of reference. For the purposes of this certificate, "building" means both a building and a manufactured (mobile)
home.
A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed
community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the
building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building
use, indicate whether the building is residential, non-residential, an addition to an existing residential or non-residential
building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of Section F if needed.
If latitude and longitude data are available, enter them in degrees, minutes, and seconds, or in decimal degrees, taken at the
center of the front of the building. Enter arc seconds to two decimal places. Indicate the horizontal datum and the source of
ee measurement data (for example, taken with GPS, scaled from a USGS Quad Map, etc.).
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Complete the Elevation Certificate on the basis of the FIRM in effect at the time ofthe certification.
The information for Section B is obtained by reviewing the FIRM panel that includes the building's location. Information
about the current FIRM and a pamphlet titled "Guide to Flood Maps" are available from the Federal Emergency Management
Agency (FEMA) website at http://www.fema.gov or by calling 1-800-427-4661. If a Letter of Map Amendment (LOMA) or
Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments
area of Section D or Section G, as appropriate.
Item Bl. NFIP Community Name & Community Number. Enter the complete name of the community in which the building
is located and the associated 6-digit community number. For a building that is in an area that has been annexed by one
community but is shown on another community's FIRM, enter the community name and 6-digit number of the annexing
community. For a newly incorporated community, use the name and 6-digit number of the new community. Under the NFIP,
a "community" is any State or area or political subdivision thereof, or any Indian tribe or authorized native organization, that
has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To detennine the
current community number, see the NFIP Community Status Book, available on FEMA's website at http://www.fema.gov or by
calling 1-800-427-4661.
Item B2. County Name. Enter the name of the COWlty or cOWlties in which the community is located. For an unincorporated
area of a county, enter "unincorporated area." For an independent city, enter "independent city."
Item B3. State. Enter the 2-letter state abbreviation (for example, VA, TX, CA).
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Instructions - Page 1
CITY
STATE
ZIP CODE
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P,O, ROUTE AND BOX NO,
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner.
COMMENTS
L_I Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONEAO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1. through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
E 1. Building Diagram Number ____ (Select the building diagram most similar to the building for which this certificate is being completed -
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1_1_1 ft.(m) 1_1__lin.(cm) L-I above or I_I below
(check one) the highest adjacent grade. (Use natural grade, if available.)
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
L-L-I ft.(m) I-_I-_Iin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front ofform.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? I_I Yes LJ No 1-_1 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A
(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, S, C, and E are correct to
the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
SIGNATURE
DATE
STATE ZIP CODE
TELEPHONE e
ADDRESS
CITY
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
G1.1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. LJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO.
G3. I_I The following information (Items G4-G9) is provided for community floodplain management purposes.
G4, PERMIT NUMBER G5, DATE PERMIT ISSU D GS. DATE CERTIFICAT OF COMPLIANCE/OCCUPANCY
ISSUED
G7. This permit has been issued for: 1--1 New Construction 1--1 Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building is: _______ ' ___ ft.(m) Datum: ____________
G9. BFE or (in Zone AO) depth of flooding at the building site is: ______ . ___ ft.(m) Datum: ____________
LOCAL OFFICIAL'S NAME TITLE
I_I Check here if attachments
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS
LJ Check here if attachmentse
~FMA ~nrm R1_~1 ,1111 nn
RFPI Ar.F~ AI I PRF\lI('lIl~ FnITlnN~
Item B4. Map and Panel Number. Enter the 10-digit number shown on the FIRM panel where the building or manufactured
(mobile) home is located. The first six digits will not match the NFIP community number: I) when the sixth digit is a "C," in
ehiCh case the FIRM panel is in a countywide format; or 2) when one community has armexed land from another community
ut the FIRM panel has not been updated to reflect this armexation. If the sixth digit is a "C," it is followed by a four-digit map
number. For maps not in countywide format, enter the "community panel number" shown on the FIRM.
Item B5. Suffix. Enter the suffix letter shown on the FIRM panel that includes the building's location.
Item B6. FIRM Index Date. Enter the effective date or map revised date shown on the FIRM Index.
Item B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM
panel. This will be the latest of all' dates shown on the map. The current FIRM panel effective date can be detennined by
calling 1-800-427-4661.
Item B8. Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the
letter "A" or "Y>' are considered Special Flood Hazard Areas. The flood zones are A, AE, AI-A30, V, VE, VI-V30, AH, AO,
AR, ARiA, ARlAE, ARiAI-A30, ARiAH, and ARiAO. Each flood zone is defined in the legend of the FIRM panel on which
it appears.
Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Flood Elevation Table, or
FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more
than one flood zone in Item B8., list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones
AI-A30, AE, AH, VI-V30, VE, AR, ARiA, ARiAE, ARiAI-A30, ARlAH, and ARiAO; flood depth numbers are shown for
Zone AO. Use the AR BFE if the building is located in any of Zones ARIA, ARlAE, ARlAl-A30, ARiAH, or ARlAO. In A
or V zones where BFEs are not provided on the FIRM, the community may have established BFEs or obtained BFE data from
other sources. For subdivisions and other developments of more than 50 lots or 5 acres, establishment of BFEs is required by
the community's floodplain management ordinance. If the BFE is obtained from another source, enter the BFE in Item B9.
Item BlO. Indicate the source of the BFE that you entered in Item B9.
_em Bll. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced.
Item Bl2. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected
Area (OPA). Federal flood insurance is prohibited in designated CBRS areas for buildings or manufactured (mobile) homes
built or substantially improved after the date of the CBRS designation. An information sheet explaining CBRS areas may be
obtained on FEMA's website at http://www.fema.gov or by calling 1-800-427-4661.
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REOUIRED)
Complete Section C if the building is located in any of Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE),
AR, ARIA, ARJAE, ARlAl-A30, ARlAH, or ARlAO, or if this certificate is being used to support a LOMA or LOMR-F. If
the building is located in Zone AO or Zone A (without BFE), complete Section E instead,
Item Cl. Indicate whether the elevations to be entered in this section are based on construction drawings, a building under
construction, or finished construction. For either of the first two choices, a post-construction Elevation Certificate will be
required when construction is complete. Select "finished construction" only when all machinery and/or equipment such as
furnaces, hot water heaters, heat pumps, air conditioners, and elevators and their associated equipment have been installed and
the grading around the building is completed.
Item C2. Select the diagram on pages 6 and 7 that best represents the building. Then enter the diagram number and use the
diagram to identify and determine the appropriate elevations requested in Items C3.a-g. If you are unsure of the correct
diagram, select the diagram that most closely resembles the building being certified, or provide a sketch or photograph of the
building and enter all elevations in Items C3.a-g.
Item C3. Indicate whether the elevation reference mark (benchmark) used during the field survey is an elevation mark on the
eIRM' If it is not, indicate the source and datum for the elevation, Vertical control benchmarks other than those shown on the
Instructions - Page 2
FIRM are acceptable for elevation detenninations. Show the conversion from the field survey datum used to the datum used
for the BFE(s) entered in Item B9. All elevations for the certificate must be referenced to the datum on which the BFE is
based. Show the datum conversion, if applicable, in this section or in the Comments area of Section D. For proPertA
experiencing ground subsidence, the most recently adjusted reference mark elevations must be used for determining buildin"
elevations. However, when subsidence is involved, the BFE should not be adjusted. Enter elevations in Items C3.a-g to the
nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico).
Items C3.a-d. Enter the building elevations (excluding the attached garage) indicated by the selected building diagram (Item
C2.) in Items C3.a-c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C3.d. (Because
elevation for top of attached garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the
building is located in a V zone on the FIRM, complete Item C3.c. If the flood zone cannot be determined, enter elevations for
all ofItems C3.a-g. For buildings in A zones, elevations a, b, d, and e should be measured at the top of the floor. For buildings
in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor (see drawing
below). .if any item does not apply to the building, enter "N/A "for not applicable.
~UILUINU UN
SLAB
~UILUINU UN "'IL~S.
PIERS. OR COLUMNS
V LUN~S
~A:;~ ~LUUU
ELEVATION
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Item C3.e. Enter the lowest elevation of machinery and/or equipment such as furnaces, hot water heaters, heat pumps, air
conditioners, and elevators and their associated equipment in an attached garage or enclosure or on an open utility platform that
provides utility services for the building. If the machinery and/or equipment is mounted to a wall, pile, etc., enter the platform
elevation of the machinery and/or equipment. Indicate machinery/equipment type in the Comments area of Section G or
Section D, as appropriate. .if this item does not apply to the building, enter "N/A "for not applicable.
Items C3.f-g. Adjacent grade is defined as the elevation of the ground, sidewalk, patio slab, or deck support immediately next
to the building. For Zone AO, use the natural grade elevation, if available. This measurement must be to the nearest tenth of a
foot (nearest tenth of a meter, in Puerto Rico) if this certificate is being used to support a request for a LOMA or LOMR-F.
Items C3.h-i. Enter the number of permanent openings (flood vents) in the walls supporting the building that are no higher
than 1.0 foot above the adjacent grade. Determine the total area of all such openings in square inches (square em, in Puerto
Rico), and enter the total in Item C3.i. If the building has no permanent openings (flood vents) within 1.0 foot above adjacent
grade, enter "0" (zero) for each ofItems C3.h and C3.i.
SECTION D - SURVEYOR., ENGINEER, OR ARCHITECT CERTIFICATION
Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect
who is authorized by law to certify elevation information. Place embossed seal and signature in the box next to elevations in
Section C. A flat stamp is acceptable only in states that do not authorize use of an embossed seal over the signature of a
professional. You are certifying that the information in Sections A, B, and C on this certificate represents your best efforts to
interpret the data available and that you understand that any false statement may be punishable by fine or imprisonment under
18 U.S. Code, Section 1001. Use the Comments area of Section D, on the back of the certificate, to provide datum, elevation,
or other relevant information not specified on the front.
Instructions - Page 3
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SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO
& ZONE A (WITHOUT BFE)
~omPlete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead.
Item El. Select the diagram on pages 6 and 7 that best represents the building; then enter the diagram number. If you are
unsure of the correct diagram, select the diagram that most closely resembles the building, or provide a sketch or photograph.
Item E2. Enter the height in feet and inches (meters and centimeters, in Puerto Rico) of the top of the bottom floor (as
indicated in the applicable diagram) above or below the highest adjacent grade (HAG). For post-FIRM buildings in Zone AO,
the community's floodplain management ordinance requires that this value equal or exceed the base flood depth on the
FIRM. Buildings in Zone A (without BPE) may qualify for a lower insurance rate if an engineered BPE is developed at the
site.
Item E3. For Building Diagrams 6-8 with "proper openings" (see page 7), enter the height in feet and inches (meters and
centimeters, in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above the highest
adjacent grade (HAG). Be sure that you have completed Items C3.h and C3.i on the front of the form to show the number of
permanent, proper openings (flood vents) within 1 foot above adjacent grade and the total area of the openings.
Item E4. For those communities where this base flood depth is not available, the community will need to determine whether
the top ofthe bottom floor is elevated in accordance with the community's floodplain management ordinance.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
Complete as indicated. This section is provided for certification of measurements taken by a property owner or property
owner's representative when responding to Sections A, B, C (Items C3.h and C3.i only), and E. The address entered in this
section must be the actual mailing address of the property owner or property owner's representative who provided the
information on the certificate.
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SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Complete as indicated. The community official who is authorized by law or ordinance to administer the community's
floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Ifthe authorized
community official completes Sections C, E, or G, complete the appropriate item(s) and sign this section.
Check Item Gl. if Section C is completed with elevation data from other documentation, including elevations obtained from
the Community Rating System Elevation Software, that has been signed and embossed by a licensed surveyor, engineer, or
architect who is authorized by law to certify elevation information. Indicate the source of the elevation data and the date
obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or
architect authorized by law to certify elevation information, and you performed the actual survey for a building in Zones A l-
A30, AE, AH, A (with BPE), VB, Vl-V30, V (with BFE), AR, ARIA, ARlA1-A30, ARlAE, ARlAH, or ARlAO, you must
also complete Section D.
Check Item G2. if information is entered in Section E by the community for a building in Zone A (without a PEMA-issued or
community-issued BFE) or Zone AO.
Check Item G3. if the information in Items G4.-G9. has been completed for community floodplain management purposes to
document the as-built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of
various building components but does not determine the lowest floor of the building or whether the building, as constructed,
complies with the community's floodplain management ordinance. This must be done by the community. Items G4.-G9.
provide a way to document these determinations.
Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the pennit issued for
the building.
Item G5. Date Pennit Issued. Enter the date the pennit was issued for the building.
e
Instructions - Page 4
Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar
written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work
authorized by the floodplain development permit has been completed in accordance with the community's floodplaia
management laws or ordinances. _
Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any
reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds SO percent
of the market value of the building before the start of construction of the improvement. The term includes buildings that
have incurred substantial damage, regardless of the actual repair work performed.
Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction
of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the
permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum
used.
Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BPE (or base
flood depth) of the building site. Indicate the elevation datum used.
Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate
blanks.
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Instructions - Page 5
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BUILDING DIAGRAMS
The following eight diagrams illustrate various types of buildings. Compare the features of the building being
certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram
number in Item C2. and the elevations in Items C3.a-C3.g.
In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor
elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for
Section C).
DIAGRAM 1
All slab-on-grade single- and multiple-floor buildings
(other than split-level) and high-rise buildings, either
detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature - The bottom floor is at or above ground level
(grede) on at least one side.'
NEXT HIGHER ~ 8
FLOOR 1-
!
~
!
DIAGRAM 2
All single- and multiple-floor buildings with basement
(other than split-level) and high-rise buildings with
basement, either detached or row type (e.g.,
townhouses); with or without attached garage.
Distinguishing Feature - The bottom floor (basement or underground
garage) is below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram. .
NEXT HIGHER
FLOOR
~ (determined by existing grade)
DIAGRAM 4
All split-level buildings (other than slab-on-grade),
either detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature - The bottom floor (basement or underground
garage) is below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram. .
~ (determined by existing grade)
.. * A floor that is below ground level (grade) on all sides is considered a basement even if the floor is used for living pwposes, or as an office,
_ garage, workshop, etc.
Instructions - Page 6
.~
t
,
I
I
I
!
BOTTOM FLOOR
by existing grade)
DIAGRAM 3
All split-level buildings that are slab-on-grade, either
detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature - The bottom floor (excluding garage) is at or
above ground level (grade) on at least one side.'
I ,
I~ I I
. I
HIGHER 1p
"'" FLOORS
NEXT HIGHER
IGRADE FLOOR .I
~TTOM
\ LooR
;.~
~ (determined by existing grade)
DIAGRAM 5
All buildings elevated on piers, posts, piles, columns,
or parallel shear walls. No obstructions below the
elevated floor.
Distinguishing Feature - For all zones. the area below the elevated floor Is
open, with no obstruction to flow of flood waters (open lattice work andlor
readily removable insect screening is permissible).
o
NEXT HIGHER
FLOOR
ELEVATED
FLOOR
GRADE
(determined by existing grade)
(For V zones only)
DIAGRAM 7
All buildings elevated on full-story foundation walls
with a partially or fully enclosed area below the
elevated floor. This includes walkout levels, where at
least one side is at or above grade. The principal use
of this building is located in the elevated floors of the
building.
Distinguishing Feature - For all zones, the area below the elevated floor Is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings" present in the
walls of the enclosure. Indicate information about openings in Section C,
Building Elevation Information (Survey Required).
N~X I HIUH~~
FLOOR
WALKOUT LEVEL
DIAGRAM 6
e
All buildings elevated on piers, posts, piles, columns,
or parallel shear walls with full or partial enclosure
below the elevated floor.
Distinguishing Feature - For all zones, the area below the elevated floor is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings" present in the
walls of the enclosure. Indicate information about openings in Section C,
Building Elevation Information (Survey Required).
:".
,
"
NEXT HIGHER
FLOOR
"
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:~
G)
ELEVATED
FLOOR
GRADE
(determined by
existing grade)
DIAGRAM 8
All buildings elevated on a crawl space with the floor of
the crawl space at or above grade on at least one side,
with or without an attached garage.
e
Distinguishing Feature - For all zones, the area below the first floor Is
enclosed by solid or partial perimeter walls. in all A zones, the crawl space
is with or without openings" present in the walls of the crawl space.
Indicate information about the openings in Section C, Building Elevation
Information (Survey Required).
.
I,
I.'
I'
NEXT HIGHER
FLOOR
.0
/
.. An "opening" (flood vent) is defIDed as a permanent opening in a wall that allows for the free passage of water automatically in both directions
without human inteIVention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not
less than one square inch for every square foot of area enclosed. Each opening must be on different sides of the enclosed area. If a building has
more than one enclosed area, each area must have openings on exterior walls to allow floodwater to directly enter. The bottom of the openings
must be no higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered
professional engineer or architect that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A
window, a door, or a garage door is not considered an opening.
Instructions - Page 7
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M.RARWATER POLICE DEPARTMENT
EMERGENCY NOTIFICATION INFORMATION
BUSINESS NAME
ADDRESS
PHONE NUMBER
ALARM PERMIT NUMBER
ALARM COMPANY NAME
PHONE
Please list personnel to call for after-hours problems in the
order you would like them notified:
#1
PHONE
#2
PHONE
#3
PHONE
#4
PHONE
PAGER
PAGER
PAGER
PAGER
If changes are made to the personnel list please advise the
Police Communications Division at 462-6262.
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
CHAPTER 4 - Commercial Building Compliance Methods
Administered by the Department of Community Affairs
Form 400C-94
Limited end Speciel Use Buildings ALL CLIMATE ZONES
Project Name: Zone:
Address: Building Classification:
City, Zip Code: Building Permit No.:
Builder: Permitting Office:
Owner: Jurisdiction No.:
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (CBS) Under Attic Slab-on-arade Wood SiliOie, wall
Wood frame Sinale Assembly Raised Wood Metal Double, wall
Metal frame Other: Raised Concrete Insulated Sinale, roof
Insulation R.value Insulation R-value Insulation R-value Other Double roof
SYSTEMS INFORMATION
AIR CONDmONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUIH TYPE
Unitary & Heat Pump Central & Heat Pump Electric
<65,000 Btulh - SEER - <65,000 Btulh - HSPF - Resistance 0
~5.0oo Btulh - EER - IPLV - ~5,000 Btuth - COP - Dedicated Heat Pump 0
Water cooled - EER - IPLV - Water cooled - COP - Gas
Evaporatively cooled - EER - Evaporatively cooled _COP - Natural 0
PTAC - EER - Electric Resistance - COP - LPG 0
Chiller - COP - IPLV - Gas/Oil (cirlce one) HRU 0
Other: - - - <225,000/300,000 Btulh _AFUE - Other: 0
~5,ooo/3OO,ooo Btulh E.
UGHTlNG Total Lighting Wattage I SIZING CALCULATION D I DUCTS R-value
- = Watts/s".ft.
Total Conditioned Floor Area Attached
.omDonents PRESCRIPTIVE MEASURES (Must be met or exceeded bv ell bulldinas.)
Section Reauirements Check
Windows 406.1 Maximum 01 .37 elm oer linear foot 01 ooerable sash crack.
Doors 406.1 Maximum 011.25 elm oer Slluare foot 01 door area.
Joints/Cracks 406.1 To be caulked, aasketed, weatherstriooed or otherwise sealed.
Reheat 407.1 Electric resistance reheat orohibited.
Ventilation 409.1 Suoolied with readilv accessible switch for shut-aff and/or volume reduction when ventilation is not re"uired.
HVAC Efficiencv 407.1,408.1 Minimum efficiencies - Heatin,,: Tables 4-7, 4-8 4-9. CooIino: Tables 4-3 4-4,4-5 4-6.
Transport Energy 410.1 Minimum 01 8.0.
Balancina 410.1 HVAC distribution svstemCsltested and balanced.
HVAC Controls 407.1 Seoarate readilv accessible manual or automatic thermostat lor each svstem.
HVAC Ducts 410.1 Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated
and installed in accordance with the criteria 01 section 410.1.
Ocerations Manual 102.1 Ooerations manual will be orovided to owner.
Piping insulation 411.1 In accordance with Table 4-11.
Water heaters 412.1 Automatic electric storage water heaters :5120 gallons and gas & oil fired storage water heaters g5,ooo Btuth shall
meet performance requirements in Table 4-12. Electric >120 gallons: standby loss :5.30+27NT' Gas> 75,000,
Oil >105,000: Et.78, Standby 10ss:5 1.30+114NT Gas, Oil >155,000: Et .78, Standby 10ss:5 1.30+95NT'
Swimming Pools 412.1 Spas & heated pools must have covers. Non-commercial pools must have pump timer. Gas spa & pool heaters must
& Spas have a minimum thermal efficiency 01 78%.
Hot Water Pipe 412.1 Piping heat loss is limited to the levels in Table 4-11 for circulating systems and the first 8' 01 pipe from a storage
Insulation tank.
Water Fixtures 412.1 Shower head water flow restricted to maximum 01 2.5 gpm at 80 psi. Toilets maximum 3.5 gallonlllush. Public lavatory
fixture maximum flow 01 .5 gpm; or il self-closing valve, .25 gallon circulating, .5 gallon non-circulating.
Liahtina 415.1 Ballast Efficacv Factors CBEFI shall meet the levels in Table 4-15.
If required by Florida law, I hereby certify that the system design is in compliance with the Florida Energy Code.
ARCHITECT:
ELECTRICAL SYSTEM DESIGNER:
LIGHTING SYSTEM DESIGNER:
MECHANICAL SYSTEM DESIGNER:
PLUMBING SYSTEM DESIGNER:
Registration No.
Com liance with Chapter 4 was demonstratedoa Prescriptive Measures methodology:
Detached commerical buildings Skyboxes or sports stadium buildings
less than 100 square leet that are used seasonally
D Traffic salety
control towers
D Supermarkets .
I hereby certify that the plans and specifications covered by the calculation are in
compliance with the Florida Energy Code.
PREPARED BY: DATE:
I hereby certify that this building is in compliance with the Florida Energy Code
OWNER AGENT: DATE:
Review 01 plans and specilications covered by this calculation indicates compliance
with the Florida Energy Code. Belore construction is completed, this building will be
inspected lor compliance in accordance with Section 553.908, F.S.
BUILDING OFFICIAL:
DATE:
PRESCRIPTIVE REQUIREMENTS L1ST*
FORM 400C-94
METHOD C CHECK
Detached Commercial Buildings Less than 100 sq.ft.
Glass Area: No limit.
Overhang: Minimum 1 foot if not under another structure; or
No overhang with a glazing Shading Coefficient of 0.55 or less.
Walls: Minimum insulation level
Frame walls - R-11.
Masonry walls - R-5,
Roofs/Ceilings: Minimum insulation level- R-19.
Floors: Minimum insulation level - None.
Cooling System: Code minimums as per section 407.1.ABC.3.
Heating System: Code minimums as per section 40B.1.ABC.3.
Skyboxes or Sports Stadiums
Glass: No limit with glazing Shading Coefficient of 0.55 or less.
Overhang: None required.
Walls: Minimum insulation level
Frame walls - R.11.
Masonry walls - R.5. ,
Roofs/Ceilings: Minimum insulation level- R.19.
Floors: Minimum insulation level
Frame floor- R-19.
Concrete floor - None.
Cooling System: Minimum equipment efficiency requirements
Air cooled - 10.0 EER or 10.5 SEER.
Water cooled - 11.0 EER.
Heating System: Code minimums as per section 40B.1.ABC.3.
Air Distribution A programmable setback shall be installed for in-season use;
System: At least one humidistat control per zone shall be installed for off-season use.
EXCEPTION: Installation of a central energy management system.
Lighting: Total connected wattage shall not exceed .4 watts per square foot of conditioned space,
Traffic Safety Control Towers
Glass: No limit.
Overhang: Minimum 1 foot if not under another structure; or
No overhang with a glazing Shading Coefficient of 0.55 or less.
Walls: Minimum insulation level
Frame walls - R-11.
Masonry walls - R-5.
Roofs/Ceilings: Minimum insulation level- R-19.
Floors: Minimum insulation level - None.
Cooling System: Code minimums as per section 407.1.ABC.3.
Heating System: Code minimums as per section 40B.1.ABC.3.
Lighting: Total connected wattage shall not exceed 2.1 watts per square foot of conditioned space.
Supermarkets
Glass: No limit.
Overhang: None required.
Walls: Minimum insulation level - R-5.
Roofs/Ceilings: Minimum insulation level - R-1 O.
Floors: Minimum insulation level
Raised floors - R-3.
Slab-on-grade floors - None.
Cooling System: Air cooled - 10.0 EER
Water cooled - 11.0 EER.
Heating System: Code minimums as per section 40B.1.ABC.3.
Lighting: Total connected wattage shall not exceed 2.3 watts per square foot of conditioned space.
*AII Basic Prescriptive Requirements, designated in the Code by 1.1.ABC" and
summarized on the front of this form, must also be met.
.
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600B-97 Residential Component Prescriptive Method B CENTRAL 4 5 6
Department of Community Affairs
mpliance with Method 8 Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6008-97 for single and munnamily residences of 3 stories or less in height, and
dttions to existing residential buildings. To comply, a building must meet or exceed all of the energy efficiency prescriptives In any mm of the prescriptive component packages llIlII comply with the
prescriptive measures listed in Table 68-1 of this form. An ahemative method Is provided for additions of 600 square feet or less by use of Form 600C-97. " a building does not comply with this method,
it may still comDlv uncler other sections in ChaDler 6 of the Code.
PROJECT NAME: BUILDER:
AND ADDRESS: PERMITTING CLIMATE 405060
OFFICE: ZONE:
OWNER: PERMlTNO.CD:IIIIJ] JURISDlcnoNNO.: ~
GENERAL DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: steel stud walls, single assembly rool/ceiling
construction, or skylights or other non-vertical roof glass.
2. Choose one of the component packages "A" through"P from Table 68-1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the 'To Be Installed' column on Table 68-1 with the infonnation requested. All "To Be Installed" values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the "To Be Installed" column infonnation.
5. Read "Minimum Requirements for All Packages", Table 68-2 and check each box to indicate your intent to comply with all applicable items.
6. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the fonn.
Please Print CK
1. Compliance package chosen (A-F)
2. New construction or addition
3. Single family detached or Multifamily attached
4. If Multifamily-No. of units covered by this submission
5. Is this a worst case? (yes I no)
6. Conditioned floor area (sq. ft.)
7. Predominant eave overhang (ft.)
8. Glass type and area:
a. Clear glass
b. Tint, film or solar screen
e Percentage of glass to floor area
10. Floor type, area or perimeter, and insulation:
a. Slab on grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
11. Wall type, area and insulation:
a. Exterior: 1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent: 1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
12. Ceiling type, area and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
13. Air Distribution System: Duct insulation, location
14. Cooling system
(Types: central, room unit, package terminal A.C., gas, none)
15. Heating system:
(Types: heat pump, elee. strip, nat. gas, L.P. gas. gas h.p., room or PTAC, none)
16. Hot water system:
(Types: elec., nat. gas, L.P. gas, solar, heat rec., ded. heat pump, other, none)
I hereby certify that the plans and specifications covered by the calculation are In compliance with the
Florida Energy Code.
PREPARED BY: DATE:
I hereby certify that this building, as designed, is in compliance with the Florida Energy Code.
OWNER AGENT:
DATE:
-1-
1.
2.
3.
4.
5.
6.
7.
Single Pane Double Pane
8a. sq. ft. sq. ft.
8b. sq. ft. sq. ft.
9. %
10a. R= lin. ft.
10b. R= sq. ft.
1Oc. R= sq. ft.
10d. R= sq. ft.
10e. R= sq. ft.
11a-1 R= sq. ft.
11a-2 R= sq. ft.
11b-1 R= sq. ft.
11 b-2 R= sq. ft.
12a. R= sq. ft.
12b. R= sq. ft.
13. R=
14a. Type:
14b. SEERlEER:
14c. Capacity:
15a. Type:
15b. HSPF/COP/AFUE:
15c. Capacity:
16a. Type:
16b. EF:
Review of plans and specifications covered by this calculation indicates compliance
with the Florida Energy Code. Before construction is completed, this building wili be
inspected for compliance in aceotdance with Section 553.908, F.S.
BUILDING OFFICIAL:
DATE:
Revised 1998
TABLE 6B-1
MINIMUM REQUIREMENTS
COMPONENTS PACKAGES FOR NEW CONSTRUCTION
A B C 0 E F
Max. %of glass to Floor Area 15% 15% 20% 20% 25% 25%
en Type Double Clear (DC) Single Tint (ST) louble Clear (DC) Single Tint (ST) Double Tint (DT) Double Tint (DT)
~
C!l Overhang 2' 1'4' 2" 2" 2" 2'
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5
en COMMON MASONRY WALLS R-3 EACH SIDE.
...J
...J
~ Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME
Frame WALLS R.11
CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R.11.
(NO SINGLE ASSEMBLY CEILINGS ALLOWED)
en Slab-On.Grade R-O
a:
0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED EXCEPT PACKAGE D)
9
u. Raised Concrete R-5
DUCTS R-6 R-6 R-6 R-6 R-6 R-6
SPACE COOLING (SEER) 12.0 10.0' 10.0' 12.0 10.0' 10.9
!;( Elect. STRIP 6.S' 6.S' 7.4 6.S' 7.6
w Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .7S (Central)
J:
a: Electric EF .90 EF .90 EF .90 NOT ALLOWEO NOT ALLOWED EF .90
w:!: Resistance** (SEE BELOW) (SEE BELOW)
!;(w
3:ti Gas & Oil ** MINIMUM EF OF .54 NATURAL GAS ONLY
1->- (SEE BELOW)
Oen
J: Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Climate Zones 4 5 6
TO BE INSTALLED
%
DC: 0
DT: 0
FEET
EXT: R =
ADJ: R =
COM: R =
EXT: R =
ADJ: R =
COM: R =
UNDER ATTIC: R = _
COMMON: R =
R=
R=
R=
R=
SEER =
COP=
AFUE =
EF=
EF=
DHP:
HRU: D
SOLAR:
CONDo D
EF=
EF=
Single package units minimum SEER=9.7, HSPF = 6.6.
Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6-12 for minimum Code efficiencies for 011 water heaters and other sizes.
e
DESCRIPTION OF BUILDING COMPONENTS USTED
Pen:ent of GIIu to Floor Area: This percentage is calculated by dividing the total 01 all glass areas by the total conditioned floor area.
Overhang: The ovemang is the distance lIle roof or soffit projects out horizontally from the lace of the glass. All glass areas shall be under an overhang of at least the PlllSCribed length with the following exceptions: 1) glass
on lIle gabled ends of a house and 2) lIle glass in lIle lower stories of a multi.story house.
Wall, Ceiling and Floor Insulation Valuea: The R-values indicated represent the minimum acceptable insulation level added to the structural components 01 the wall, cening or floor. The R-value of lIle stnJctural building
materials shall not be included in lIlis calculation. 'Common' components are those separating conditioned tenancies in a multifamily building. 'Adjacenr components separate conditioned space from unconditioned but
enclosed space. .Exterior' components separate conditioned space from unconditioned and unenclosed space.
Floor: Slatron.grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stam walls wllIl insuation placed on the stem wall or under the floor except Package D.
Ducta: 'CONO' indicates lIlatllle ducts must be installed within the conditioned space; lIlat is, the ductwork shall be located on lIle conditioned side olllle insulation. Ducts in conditioned space are acceptable for any
prescriptive package.
Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) lor central units or Energy Efficiency Ratio (EER) for room units or PT AC's equal to or greater lIlan the prescribed value.
Electric Space Healing Optlon: Heat pump systems shall be rated wllIl a Heating Seasonal Pertormance Factor (HSPF) aqua/to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups
meeting the criteria of section 608.1.ABC.3.2.1.2. No electric resistance space heat is allowed lor Ihese packages.
Electric Resistance Hot Water Option: For packages designated 'Not Allowed', an electric resistance hot water system may be installed only in conjlJlction with one of the 'Other Hot Waler Systam Options'. See below.
Other Hot Water System Options: Any dedicated heat pIIIlp, heat recovery unll, or solar hot water system may be installed. Solar systems must hava an EF 011.5 or higher. Bectric resistance systems having an EF of .88
or greater, or natural gas systems wllIl EF .54 or greater may be used in conjunction with Ihese systems.
TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints &.Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed.
Exterior Windows & Doors 606.1 Max .3 cfmIsq.f1. window area; .5 cfmIsq.f1. door area.
Sole & Top Plates 606.1 Sole plates and penetrationsthrouah top plates of exterior walls must be sealed.
Recessed Lighting 606.1 Type IC rated with no penetrations (two altematives allowed).
Multi-story Houses 606.1 Air barrier on perimeter of floor cavity between floors.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion
devices with integral exhaust ductwork.
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric)
or cutoff (ass) must be provided. Extemal or built-in heat trap reauired.
Swimming 612.1 Spss & heated pools must have covers (except solar heated). Non-commercial pools must have a
Pools & Spas DumD timer. Gas spa & pool heaters must have minimum thermal efficiency of 7S%.
Hot Water Pipes 612.1 Insulation is required for hot water circulatina systems (including heat recovery units).
Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at SO PSIG.
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation & Installation insulated to a minimum of R-6.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
-2-
FLORIDA ENERGY EFRCIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-97 Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6
Small Additions, Renovations & Building Systems Department of Community Affairs
Compiance with Method C of Chapter 6 of the Florida Energy Eflicjency Code may be demonstrated by the use d Form 6llOC-97 for additions of 600 square feet or less. site- instaBed components
uIacIured homes, and Il!flOVItions to single and mullifamily residences. Alternative methods are provided for additions by use of Form 6008-97 or 6QOA-97.
ROJECT NAME: BUILDER:
AND ADDRESS: PERMITTING CUMATE D D D
OFFICE: ZONE: 4 5 6
OWNER: PERMITNO.CI:J:IIT[J] JURISDICTION NO.: o:JIIJ:J
SMALL ADDmONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-l, 6C.2 and 6C-3 apply only to the
components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or Is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum Insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value 01 the building)..
Prescriptive requirements in Tables 6C.l and 6C-2. apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site-
Insl8Ied componenlS and fseIIns lIRI covered by this form. BUILDING SYSTEMS Comply when complete new system is inslaIIed. Plea_ Print CK
1. Renovation, Addition, New System or Manufactured Home
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft.)
6. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
7. Percentage of glass to floor area
8. Floor type and insulation:
a. Slab-on-grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
a d. Concrete, raised (R-value)
.. e. Concrete, common (R-value)
9. Wan type and insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
c. Marriage Walls of Multiple Units. (YesINo)
10. Ceiling type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
11. Cooling system.
(Types: central, room unit, package terminal A.C., gas, existing, none)
12. Heating system.: (Types: heat pump, elee. strip, natural gas, LP. gas,
gas h.p., room or PTAC, existing. none)
13. Air Distribution System.:
a. Backflow damper or single package systems. (Yes/No)
b. Ducts on marriage walls adequately sealed. (Yes/No)
14. Hot water system:
(Types: e1ec., natural gas, other, existing, none)
rns to manufactured homes with site installed components.
1.
2.
3.
4.
5.
Single Pane Double Pane
6a. sq. ft. sq. ft.
6b. sq. ft. sq. ft.
7. %
8a. R= lin. ft.
8b. R= sq. ft.
8c. R= sq. ft.
8d. R= sq. ft.
ee. R= sq. ft.
9a-1 R= sq. ft.
9a-2 R= sq. ft.
9b-1 R= sq. ft.
9b-2 R= sq. ft.
9c
10a. R= sq. ft.
10b. R= sq. ft.
11. Type:
SEERlEER:
12. Type:
HSPF/COP/AFUE:
13a.
13b.
14. Type:
EF:
I hereby certify that the plans and specifications covered by the calculation are in
compliance with the Florida Energy COde.
PREPARED BY: DATE:
I hereby certify that this building is in compliance with the Florida Energy Code.
OWNER AGENT: DATE:
Review of plans and specilicalions covered by this caladalion indicates ~iance
with lhe FlOrida Energy Code. Before ccnstruclion is completed, this bt.iIci wi! be
inspected for compiIJloB in accordance with SecIion 553.908, F .5. ng
BUIUIING 0FFlCW.:
DATE:
_1_
Revised 1998
Climate .Lones '+ ;) 0
TABLE 6C-l: PRESCRIP11VE REQUIREMENTS FOR SMALL ADDmONS (600 Sq. FL and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF IlANUFACTURED HOlIES.
MINIMUM INSTALLED
EQUIPMENT EFRClENCY EFFICIENCY
Central AlC - Spl~ SEER = 10.0 SEER = -
c:l
z .Single Pkg. SEER = 9.7 SEER =
::i
0 Room unit or PT AC EER B.5. EER =
8 = -
Electric Resistance ANY
c:l Heat pump. Spin HSPF = 6.B HSPF = -
z - Single Pkg. HSPF = 6.6 HSPF =
~ -
:J: Room unit or PTHP COP = 2.r HSPFI = -
W COP
(.)
-<
a.. Gas, natural or propane AFUE = .78 AFUE =
tn -
Fuel Oil AFUE = .78 AFUE = -
a: Electric Resistance EF = .88 EF = -
I-W
01- Gas; Natural or LP. EF = .54 EF =
:J:~ -
Fuel Oil EF = .54 EF =
. See Table 6-3, 6-7
MINIMUM INSULATION
COMPONENT INSULATION INSTALLED
Concrete Block R-5
Cf) Frame, 2' x 4' R-ll
-l Frame, 2' x 6' R-19
-l
~ Common, Frame R-tl
Common, Masonry R.3
Under Attic R-30
Cf) Single Assembly; Enclosed
Cl Frame R-19
z
::i Metal Pans R-13
iii Single Assembly; Open R-l0
0 Common, Frame R-ll
Cf) Slab-on-grade No Minimum
a: Raised Wood R-ll
0
0 Raised Concrete R-5
-l Common, Frame R-ll
II..
I- In unconditioned space R-6
(.)
~ In conditioned space No minimum
c
TABLE &Co2' PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDmONS ONlY
Maximum percentage glass to Iloor area allowed is selected by type, overhang length, and shading coefficient. Maximum% = Installed % =
. GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Single Double Single Double Single Double Single Double
OH-se OH-Se OH-Se OH-SC OH-SC OH-Se OH-SC OH-SC
1'-1.0 0'-.90 2'.1.0 1'-.90 3' -1.0 2'-.90 4'-1.0 3'-.90
0'-.86 1'- .86 0'-.70 2'-.86 1'- .70 3'-.86 2'-.70
0'-.65 1'- .65 0'-.50 2'- .65 1'0.50
0'- .45 l' - .45 0'-.40
0'. .35
SHGe or se may be obtained from the manufacturer. Single clear SC = 1.0, double clear SC = ,90, and single tint SC = .86. SHGC + .87=SC
TABLE 6c-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS .- CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-striooed or otherwise sealed.
Exterior Windows & Doors 606.1 Max. 0.3 cfmIsq.ft. window area; .5 cfmIsq.ft. door area.
Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed.
Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed).
Multi-story Houses 606.1 Air barrier on perimeter of floor cavity between floors.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion
devices with integral exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air,
Heatina except for direct vent aooliances.
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or c1earfy marked circuit breaker (electric)
or cutoff (ass) must be Drovided. Extemal or built-in heat trao reauired.
Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pOOls must have a
Pools & Spas pump timer. Gas spa l pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units).
Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at BO PSIG.
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation & Installation insulated to a minimum of R-6.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
GENERAL. DIRECTIONS:
1. On Table 6C-1 i1dica1e lhe R-vaIue 01 the insutaIion being added to each CIlIlIJIOIlIlIl and \he elliciency levels 01 1he ~ent being inslalled. AI f1.vaJues and eIficiendes installed must meet or exceed lhe milinum values
isted. Components and equipment neither being added nor renovated may be IeII bIanIt
2. ADDmONS ONLY. Determine lhe percentage 01 new glass to condiIioned tIoor area in lhe addition as follows. TOIaIlhe areas 01 aI glass windows, sliding glass doors and glass door panels. OoI.tile lhe area 01 all non-
verticallllOI glass and add ft to lhe previous IOIal WIlen glass in existi1g exIBrior walls is being /llIlIOV8d or enclosed by lhe addition, an amounl..-to lhe tolaI area 0I11is glass may be sublraded llI1m \he lOlaI glass area.
Divide the acIPJsIed glass area lOlaI by lhe condlioned tIoor area oIlhe adliliOn. Multiply by 100 to get 1IIe percent FIIId lhe largest gass percentage IIlderwhich your c:aIcuIated peltlllllage IaIIs on Table 6C-2. Prescriplives
are given by lhe type 01 glass (Single or Double pane) and lhe oveItlang (OH) paired with a shading coellicienl (SC). For a given glass type and OV8Ihang, the minimum shading coeIIi:ient aIowed is specified. Adual ~
wildows and doors previously in lhe 8lllerior walls oIlhe house and being reinslalled in the addition do not have to comply with lhe overhang and shading coelficjent reqLirements on Table 6C-2. AD new glass in lhe ~
must meellhe reqlirementlor one 0I1IIe options in lhe glass pertentage category you indicated. The overhang (OH) cIsl.ance is mea5UlllCl perpendicularly IrDm lhe lace of 1IIe glass to a paint direclIy lIlcler lhe outennast.
of lhe overhang.
3. RENOVA nONS ONL. Y. Replacement glass needs to meet1lle loIIowing _1IIII8IlIS. Any glass type and shading coeIIicient may be usecltor glass areas which are under a11east a two loot oveII1iI1g and whose Iowesl
edge does not extend fullher Ihan 8teellrDm the overhang. Glass areas being renovated lI1al do not meellhis criteria must be either single-pane tinted, doubIe-pane dear or doubIe-pane linIed.
4. BUILDING SYSTEMS. Comply when new system is inslaIIed lor system inslaIed.
5. Complete 1IIe inlormalion requested on 1IIe lOp hall 01 page 1.
6. Read 'Minimum FlequiIements lor SmaD Additions and RenovalionS", Table 6C-3, and check II applicable items.
7. Read. sign and dale \he"OwnerlAgenl" cel1ification Slalement on page 1.
-2-
; Clearwater
eu
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone 727-562-4567 Fax 727-562-4576
Erosion Control
Revised September 2000
The PURPOSE of this notice is to inform the prime contractor that the City of Clearwater
will hold them responsible for soil erosion from their site.
The City of Clearwater Planning and Development Services Department has the
responsibility to minimize the amount of soil erosion into the City's streets, storm
sewers, adjacent properties and waterways. The construction of a new residence or
commercial sites and/or major remodeling of an existing site create many instances
whereby soil erosion can occur. These instances are usually the result of contractors
and subcontractors accessing the property with equipment and/or construction
materials. Subsequent rainstorms redistribute the eroded soil into the adjacent streets,
storm systems, adjacent properties and waterways.
When erosion takes place, the Land Resource Specialist inspector or a Public Works
inspector will place a correction notice at the site. The procedure will be as follows:
e
.:. 1 st Occurrence - Warning
.:. 2nd Occurrence - $32.00 reinspection fee
.:. 3rd Occurrence - $80.00 reinspection fee
.:. 4th Occurrence - Stop work order
Dependent on the severity of the erosion, the City's Public Works Department
may elect to rectify the erosion problem and charge the contractor accordingly.
The attached drawings and details are recommendations for the contractor to use as
means to support the site from eroding. The contractor may elect to shovel and sweep
the street daily or on an as needed basis. However, erosion must be held in check.
If the contractor would like to meet with the Land Resource Specialist inspector or
Public Works inspector on any particular site, please contact Ray Boler (Public Works)
at 727-462-6585 ext.265 or Rick Albee (Land Resources) at 727-562-4741.
Erosion Control Required
City of Clearwater's Land Development Code Section 3-702 requires erosion control on
all land development projects.
Erosion control must be in place and maintained throughout the job. Failure to do so
may result in additional costs and time delays to the permit holder.
e Contact the land Resources Specialist with specific questions at 727-562-4741.
Erosion Control.doc
e
e
.
~
,. SIngle row of Strawbalea or Slit Fence to be placed prior to the Bl<rt of
""''it' 9radin9.
2. MAINTENIWCE All ,,'os,an and sHn>tian lXInbal devlc.... sMaR be chllCked
P"lIgularly, llBpeclally after eocl1 n>n fall and will be cleaned aut and/or repalrlKl
QS ~Quin:d,
ADJACENT
HOME
~ LAKE/
~:"...'":. Taa,J::~
PROPOSED
FOOTPRINT
OF HO l.1E
ADJACENT
HOME
e.."t,. ~ ......
"'- _'_~
4-S Ii........
fUl ..dill ., R/W
(.....11 ' D IeolJ
/'" CllY STREET.-/
~
If'
~'\I
t
~
STRAM:lALE SILT BARRIER
~
-. ..J Sl~ 610,
~ ~ ~
RECOIolIolENDED
TOE-IN
PREASSEMBLED SILT FENCE
OTY OF CLEARWATER. R.DRlDA
PUBLIC WORKS AOMINIS1RA llCJII
ENGlNEE"ING
IN F Y
EROSION CONfROl. DETAIL
IolPORAR'1 SlRAMlALE
SEDIMENT BARRIER
PLANNING AND DEVELOPMENT SERVICES
100 S. Myrtle Avenue
Clearwater, Florida 33756
Phone (727) 562-4567 Fax (727) 562-4576
APPLICATION FOR FENCE/W ALL PERMIT
F AlLURE TO COMPLY WITH MECHANICS LIEN LAW
CAN RESULT IN THE PROPERTY OWNER PAYING
TWICE FOR BUILDING IMPROVEMENTS
m
;>:l
::::
PROJECT ADDRESS
LOT BLOCK/TRACT
PARCEL NUMBER
OWNER
ADDRESS
CONTRACTOR
ADDRESS
PCCLB NUMBER
TYPE OF MATERIAL
LINEAL FEET OF FENCE
/
TELEPHONE
STATE
TELEPHONE
STATE
z
c
::::
t::l
;:;l
SUBDIVISION
CITY
ZIP
CITY
LICENSE NUMBER
ZIP
VALUE $
HEIGHT OF FENCE
RESIDENTIAL/COMMERCIAL
WATERFRONT LOT/DOUBLE FRONTAGE LOT/CORNER LOT
.ONING
A plot plan attached to this application must indicate exact location offence and buildings on the property. Easements,
property lines, and right of ways must also be indicated.
I certify that the description of the proposed fence/wall together with the plans filed related to this application is a true
representation of all facts concerning same. The proposed~fence/wall does not violate any of the building or zoning
regulations of the City of Clearwater. I will erect the fence/wall so that the side of the fence/wall facing or viewaDIe from
a street right-of-way or an adjoining propertY is the finished side with all support posts and stringers facmg inward
toward the property upon whIch fence/wallIS located. If fence/wall is more than 30" in height and is locafed in a
structural setback area adjacent to a street right-of-way, I agree to setback fence/wall 3 feet Trom street and to provide
landscaping on right-of-way side of fence per code requirements.
EASEMENTS
ATLAS PAGE
Owner-Agent Contractor
Date
******************************************FOR OFFICIAL USE ONL y**************************************
APPROV ALS REOUIRED
Planning
Landscaping Yes _ No _
Public Works
Traffic Engineer
Building Department
FENCE MUST BE ERECTED WITHIN SIX (6) MONTHS FROM PERMIT ISSUE DATE
SIGNATURE
DATE
e
CLEARWATER
SlForm - Application for Fence/Wall Permit
1910-6(Rev.5/01)
! FLORIDA
.
PARTMENT OF STATE
e
FICTITIOUS
NAME
. REGISTRATION
PACKET
e
FLORIDA DEPARTMENT OF STATE
Katherine Harris
Secretary of State
e
This packet contains:
· General Information and Instructions for Application Completion
· Application for Registration of Fictitious Name
· Return Envelope
· Section 865.09, Florida Statutes
· Frequently Asked Questions
DIVISION OF CORPORATIONS
e
FLORIDA DEPARTMENT OF STATE
DNISION OF CORPORATIONS
FOREWORD
This packet contains the form and instructions to assist you in registering a
Fictitious Name with the Division of Corporations. An unofficial reprint of Chapter
865.09, Florida Statutes, known as the Fictitious Name Act, is also included.
The Division has recently opened access via the Internet to its entire database of
business registrations and lien filings. At the Web Site, you can search the database
of fictitious names, corporations, partnerships, limited liability companies, fit
trademarks, DCC and federal lien filings. You can also download forms and copies
of some filed documents. Fictitious Name online filing will be available July, 2000.
Please visit the Web Site soon and take advantage of these services. You will find it
online at <www.sunbiz.org>.
Division of Corporations
Mailing Address: Post Office Box 6327, Tallahassee, FL 32314
Street Address: 409 East Gaines Street, Tallahassee, FL 32399
;-,
WWW:?Unb/Z..org
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--
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GENERAL INFORMATION
Registration under the Fictitious Name Act is for public notice only and gives rise to no presumption of the
r~rant's rights to own or use the name registered nor does it affect trademark, service mark, or corporate
n_ rights previously acquired by others in the same or similar name. If a fictitious name registrant wants
a name which is not already in use, a separate search must be made prior to registration by calling (850)
488-9000 or mailing in a search request. Registration under this section does not reserve a fictitious name
against future use.
The Division of Corporations will not deny a registration for a duplicate name. Every fictitious name
application will be registered if statutory filing requirements are met. Applicants that are licensed
under other sections of statute should insure that a proposed name is acceptable under the
provisions of their respective regulating law prior to submission of an application under this part.
If a business fails to comply with this act, the business, its members, and those interested in participating in
such business may not maintain any action, suit, or proceeding in any court of this state until this section is
complied with. Any person who fails to comply with this act commits a misdemeanor of the second degree,
punishable as provided in s. 775.082 or s. 775.083, Florida Statutes.
Effective January 1, 1991, the filing responsibility for fictitious name registration is with the Department of
State, Division of Corporations.
A person may engage in business under a fictitious name by registering the name with the Division of Cor-
porations by completing the enclosed "Application for Registration of Fictitious Name." The fictitious name
must be advertised one time in a newspaper in the county where the applicant's principal place of business
will be located and proof of publication need not be submitted.
If iihange of ownership occurs, the owner(s) of record must file a cancellation and reregistration within 30
d.of the change.
Fictitious names are valid for 5 years and expire on December 31 st of the fifth year.
Each fictitious name registration must be renewed between July 1 and December 31 of the expiration year
to maintain registration under this act. The Division of Corporations will mail to the last reported mailing
address reflected in Section 1, at least 3 months prior to its expiration date, a statement of renewal. Please
keep your current address on file with the Division of Corporations.
Any request for a certificate of status or a certified copy of a fictitious name registration, if other than on the
initial registration, should be directed to the Division of Corporations, P.O. Box 6327, Tallahassee, FL 32314.
For information regarding fictitious names on file or to search the records call (850) 488-9000.
The nonrefundable processing fees for fictitious names are as follows:
Registration of Fictitious Name
Cancellation and Reregistration of Fictitious Name
Renewal of Fictitious Name Registration
Certified Copy of Fictitious Name Registration
Certificate of Status of Fictitious Name Registration
Photocopies of records on file with Department of State
Mailing Address for Registration:
$50
$50
$50
$30
$10
$1 per page
.
Fictitious Name Registration
PO Box 1300
Tallahassee, Florida 32302-1300
(850) 488-9000
HearingNoice Impaired may call (850) 487-6096 (TOO)
Internet Address:
http://www.sunbiz.org
STATUTORY CITATIONS
865.09, F.S. - Fictitious name registration.
(1) SHORT TITLE. - This section may be cited as the "Fictitious
.meAct."
(2) DEFINITIONS. -As used in this section:
la) "Fictitious name" means any name under which a person trans-
IS business in this state, other than the person's legal name.
!b) "Business" means any enterprise or venture in which a person
lis, buys, exchanges, barters, deals, or represents the dealing in any
ng or article of value, or renders services for compensation.
Ie) "Division" means the Division of Corporations of the Department
State.
(3) REGISTRATION. - A person may not engage in business
der a fictitious name unless the person first registers the name with
" division by filing a sworn statement listing:
(a) The name to be registered.
(b) The mailing address of the business.
(c) :rhe name and address of each owner and, if a corporation, its
jeral employer's identification number and Florida incorporation or
]istration number.
(d) Certification by the applicant that the intention to register such
titious name has been advertised at least once in a newspaper as
fined in chapter 50 in the county where the principal place of bus i-
ss of the applicant will be located.
te) Any other information the division may deem necessary to
equately inform other governmental agencies and the public as to
" persons so conducting business.
Such statement shall be accompanied by the applicable processing
? and any other taxes or penalties owed to .the state.
(4) CHANGE OF OWNERSHIP. -If the ownership of a business
]istered under this section changes, the owner of record with the
'ision shall file a cancellation and reregistration that meets the require-
"nts set forth in subsection (3) within 30 days after the occurrence of
ch change.
(5) TERM. - A fictitious name registered under this section shall be
lid for a period of 5 years and expires on December 31 of the 5th year.
(6) RENEWAL.-
(a) Renewal of a fictitious name registration shall occur on or after
nuary 1 and on or before December 31 of the expiration year. Upon
lely filing of a renewal statement, the effectiveness of the name
]Istration is continued for 5 years as provided in subsection (5).
(b) In the last year of the registration, the division shall mail to the
;1 reported mailing address or to the address of any registered owner
a name, a statement of renewal.
(e) If the owner of the name registration fails to file a renewal and
y the appropriate processing fees prior to December 31 of the year
expiration, the name registration expires. The division shall remove
y expired or canceled name registration from its records and may
rge such registrations. Failure to receive the statement of renewal
:wired by paragraph (b) shall not constitute grounds for appeal of a
]istration's expiration or removal from the division's records.
(7) EXEMPTIONS. - A business formed by an attorney licensed
practice law in this state, or by a person licensed by the Department
Business and Professional Regulation or the Department of Health,
the purpose of practicing his or her licensed profession need not be
:jistered under this section, notwithstanding that it transacts business
ciliary to the practice of such profession.
(8) EFFECT OF REGISTRATION. - Notwithstanding the provisions
any other law, registration under this section is for public notice only,
Id gives rise to no presumption of the registrant's rights to own or
e the name registered, nor does it affect trademark, service mark,
ide name, or corporate name rights previously acquired by others in
'" same or a similar name. Registration under this section does not
serve a fictitious name against future use.
(9) PENALTIES.-
(a) If a business fails to comply with this section, the business, its
members, and those interested in doing such business may not main-
tain any action, suit, or proceeding in any court of this state until this
section is complied with. An action, suit, or proceeding may not be
maintained in any court of this state by any successor or assignee of -
such business on any right, claim, or demand arising out of the trans- ,.,
action of business by such business in this state until section has been
complied with.
(b) The failure of a business to comply with this section does not
impair the validity of any contract, deed, mortgage, security interest.
lien, or act of such business and does not prevent such business from
defending any action, suit, or proceeding in any court of this state.
However, a party aggrieved by a noncomplying business may be
awarded reasonable attorney's fees and court costs necessitated by
the noncomplying business.
(c) Any person who fails to comply with this section commits a
misdemeanor of the second degree, punishable as provided in s.
775.082 or s. 775.083.
(10) POWERS OF DEPARTMENT. - The Department of State is
granted the power reasonably necessary to enable it to administer this
section efficiently, to perform the duties herein imposed upon it, and to
adopt reasonable rules necessary to carry out its duties and functions
under this section.
(11) FORMS. - Registration, cancellation, and renewal shall be
made on forms prescribed by the Department of State, which may
include the uniform business report, pursuant to s. 606.06, as a means
of satisfying the requirement of this part.
(12) PROCESSING FEES. - The Department of State shall charge
and collect nonrefundable processing fees as follows:
(a) For registration of a fictitious name, $50.
(b) For cancellation and reregistration of a fictitious name, $50.
(c) For renewal of a fictitious name, $50.
(d) For furnishing a certified copy of a fictitious name document, $3_.
(e) For furnishing a certificate of status, $10. .,
(13) DEPOSITS OF FUNDS. - All funds required to be paid to the
Department of State pursuant to this section shall be collected and
deposited into the Corporations Trust Fund.
(14) PROHIBITION. - A fictitious name registered as provided in
this section may not contain the words "Corporation" or "Incorporated,"
or the abbreviations "Corp." or "Inc.," unless the person or business for
which the name is registered is incorporated or has obtained a certifi-
cate of authority to transact business in this state pursuant to chapter
607 or chapter 617. However, a business incorporated or authorized
under chapter 607 or chapter 617 is not required to register the corpo-
rate name pursuant to this section unless the name that the corporation
intends to conduct business under differs from the corporation's name
as stated in its articles of incorporation.
COMMON QUESTIONS REGARDING
FICTITIOUS NAMES
1. What is a fictitious name? A fictitious name means any name
under which a person transacts business in this state, other than his
legal name. Business means any enterprise or venture in which a person
sells, buys, exchanges, barters, deals, or represents the dealing in
any thing or article of value, or renders services for compensation.
Legal name means a person's given name, or an entity that has been
properly registered. Examples: trademarks, service marks, corporations,
limited partnerships.
2. What is the intent of the Fictitious Name Registration Act?
The intent of the Fictitious Name Act is for pUblic notice as to ownershi"
If the name(s) (first and last) ofthe owner(s) isfare included in the .,
business name, the intent of the Act is satisfied and no registration
would be required. The first name or last name in the title does not
satisfy the intent of the Act as ownership is not clear.
APPLICATION FOR REGISTRATION OF FICTITIOUS NAME
Note: Acknowledgements/certificates will be sent to the address in Section 1 only.
d
1.
e Fictitious Name to be Registered (see instructions if name includes "Corp' or "Inc")
Mailing Address of Business
City
State
Zip Code
3. Florida County of principal place of business:
4. FEI Number:
This space for office use only
A. Owner(s) of Fictitious Name If Individual(s): (Use an attachment If necessary):
1. 2.
First
M.1.
Last
First
M.1.
Last
Address
Address
City
State
Zip Code
City
State
Zip Code
SS#
(optional)
SS#
(optional)
B. Owner(s) of Fictitious Name If other than an individual: (Use attachment if necessary):
"!"
1. 2.
Entity Name Entity Name
e Address Address
City State Zip Code City State Zip Code
Florida Registration Number
FEI Number:
o Applied for
Florida Registration Number
FEI Number:
o Applied for
Signature 01 Owner
Date
Signature of Owner
Date
..
.
0;-
~
-
8
w
'It
a::
()
~
o Not Applicable
o Not Applicable
I (we) the undersigned, being the sole (all the) party(ies) owning interest in the above fictitious name, certify that the information indicated on
this form is true and accurate. I (we) further certify that the fictitious name shown in Section 1 of this form has been advertised at least once in
a newspaper as defined in chapter 50, Florida Statutes, in the county where the applicant's principal place of business is located. I (we) under-
stand that the signature(s) below shall have the same legal effect as if made under oath. (At Least One Signature Required)
Phone Number:
Phone Number:
FOR CANCELLATION COMPLETE SECTION 4 ONLY:
FOR FICTITIOUS NAME OR OWNERSHIP CHANGE COMPLETE SECTIONS 1 THROUGH 4:
I (we) the undersigned, hereby cancel the fictitious name
, which was registered on
and was assigned
.Iistration number
Signature of Owner
Date
Signature of Owner
Date
Mark the applicable boxes
o Certificate of Status - $10
FILING FEE: $50
o Certified Copy - $30
Section 1:
Section 2:
Section 3:
Section 4:
Instructions for Completing Application for Registration of Fictitious Name
Line 1: Enter the name as you wish it to be registered. A fictitious name may ll.Q1 contain the words
"Corporation" or "Incorporated," or the abbreviations "Corp." or "Inc.," unless the person or business
for which the name is registered is incorporated or has obtained a certificate of authority to trans.
business in this state pursuant to chapter 607 or chapter 617 Florida Statutes. Corporations are rl
required to file under their exact corporate name.
Line 2: Enter the mailing address of the business. This address does not have to be the principal
place of business and can be directed to anyone's attention. DO NOT USE AN ADDRESS THAT
IS NOT YET OCCUPIED. ALL FUTURE MAILINGS AND ANY CERTIFICATION REQUESTED ON
THIS REGISTRATION FORM WILL BE SENT TO THE ADDRESS IN SECTION 1. An address may
be changed at any future date with no charge by simply writing the Division.
Line 3: Enter the name of the county in Florida where the principal place of business of the fictitious
name is located. If there is more than one county, list all applicable counties or state "multiple".
Line 4: Enter the Federal Employer Identification (FEI) number if known or if applicable.
Part A: Complete if the owner(s) of the fictitious name are individuals. The individual's name and
address must be provided. The social security number is not mandatory. Information provided on
this application is a public record and, as such, will be made accessible to the public on the internet.
Part B: Complete if the owner(s) are not individuals. Examples are a corporation, limited partnership,
joint venture, general partnership, trusts, fictitious name, etc. Provide the name of the owner, their
address, their registration number as registered with the Division of Corporations, and the Federal
Employer Identification (FEI) number. An FEI number must be provided or the appropriate box must
be checked.
Owners listed in Part B must be registered with the Division of Corporations or provide documenta-
tion as to why they are not required to register. Examples would be Federally Chartered
Corporations, or Legislatively created entities. e
Additional owners may be listed on an attached page as long as all of the information requested in
Part A or Part B is provided.
Only one signature is required. It is preferred that a daytime phone number be provided in order to
contact the applicant if there are any questions about the application.
TO CANCEL A REGISTRATION ON FILE: Provide fictitious name, date filed, and registration
number of the fictitious name to be cancelled.
TO CHANGE OWNERSHIP OF A REGISTRATION: Complete section 4 to cancel the original
registration. Complete sections 1 through 3 to re-register the fictitious name listing the new owner(s).
An owner's signature is required in both sections 3 and 4.
TO CHANGE THE NAME OF A REGISTRATION: Complete section 4 to cancel the original
registration. Complete sections 1 through 3 to re-register the new fictitious name. An owner's
signature is required in both sections 3 and 4.
An acknowledgement letter will be mailed once the fictitious name registration has been filed.
If you wish to receive a certificate of status and/or certified copy at the time of filing of this registration, check the
appropriate box at the bottom of the form. PLEASE NOTE: Acknowledgments/certificates will be sent to the address in
Section 1. If a certificate of status is requested, an additional $10 is due. If a certified copy is requested, an additional
$30 is due.
The registration and reregistration will be in effect until December 31 of the fifth year.
Send completed application with appropriate fees in the enclosed envelope to:
Fictitious Name Registration
PO Box 1300
Tallahassee, FL 32302-1300
The fee for registering a fictitious name is $50. Please make a separate check for each filing payable to the Depart-
ment of State. Application must be typed or printed in ink and legible.
Internet Address:
http://www.sunbiz.org
e
COMMON QUESTIONS REGARDING FICTITIOUS NAMES (continued)
3. What Is the effect of registration? Notwithstanding the provisions
. other law, registration under the Fictitious Name Act, 865.09
. a Statutes, is for public notice only, and gives rise to no presump-
tion of the registrant's rights to own or use the name registered, nor does
it affect trademark, service mark, trade name, or corporate name rights
previously acquired by others in the name or a similar name. Registra-
tion under this Act does not reserve a fictitious name against future use
by another party.
4. Who Is exempt from filing? A business formed by an attorney
licensed to practice law in this state, or a person licensed by the
Department of Business and Professional Regulations or the Depart-
ment of Health, for the purpose of practicing his licensed profession
need not be registered under the Fictitious Name Act, notwithstanding
that it transacts business ancillary to the practice of such profession.
Note: The individual licensing board at the Department of Business
and Professional Regulations or the Department of Health should
be contacted to determine if the individual licensing board requires
registration regardless of the exemption stated in 865.09 F.S. The
Division of Corporations does not make this determination.
S; How do I register a fictitious name? Prior to registering the ficti-
tious name with the Division of Corporations, the name intended to be
registered must be advertised, at least once in a newspaper as defined
in Chapter 50, Florida Statutes, in the county where the principal place
of business of the applicant will be located. Once advertised, a fictitious
name is registered by completing the fictitious name registration applica-
tion form prescribed by the Division of Corporations. The form consists
of four sections. Sections one through three must be completed for the
registration of a fictitious name. Section four must be completed either
.there is a cancellation or a cancellation/reregistration. A cancella-
registration is filed when there is a change in ownership of the
fi I ous name.
6. When would the Division of Corporations not require the filing
of a fictitious name?
1) When the applicant is a licensed attorney forming a business for the
practice of law in the State of Florida.
2) When the applicant is registered with the Department of Business and
Professional Regulations and their licensing board has not imposed
requirements for the registration as a fictitious name.
3) When the applicant is a corporation, partnership or other legal entity
filed or registered and in good standing with the Division of Corporations
and is not transacting business under any other name.
4) When the applicant is a Federally chartered corporation and is not
transacting business under any other name.
5) If the name(s) (first and last) of the owner(s) islare included in the
business name.
Example: Susan Brown's Flower Shop is not required to register.
Susan's Flower Shop must register.
John Smith and Joe Brown Plumbing is not required to register. Smith
and Brown Plumbing must register.
6) Other exceptions may apply, they would have to be addressed on an
individual basis.
7. Are there any penalties for failure to file a Fictitious Name
_atratiOn? Failure to comply with the fictitious name registration
ions of section 865.09, Florida Statutes, is a misdemeanor of the
s .ond degree and punishable as provided in section 775.082 or section
775.083, Florida Statutes.
8. Willi need proof of my fictitious name registration? Yes, section
205.023, Florida Statutes states:
"Requirement to report status of fictitious name registration. - As a
prerequisite to receiving a local occupational license under this chapter
or transferring a business license under s. 205.033(2) or s. 205.043(2),
the applicant or new owner must present to the county or municipality
that has jurisdiction to issue or transfer the license either:
(1) A copy of the applicant's or new owner's current fictitious name
registration, issued by the Division of Corporations of the Department
of State; or
(2) A written statement, signed by the applicant or new owner,
which sets forth the reason that the applicant or new owner need not
comply with the Fictitious Name Act."
Also, banks and financial institutions may require proof of registration
before engaging in any transactions.
9. Is proof of advertisement in the newspaper required? No proof
of advertisement in the newspaper of the fictitious name is required. As
part of the signature block in Section 3, the applicant certifies that the
name has been advertised at least once in a newspaper as defined in
chapter 50, Florida Statutes.
10. What Is the fee to file? The fee to file the application for registra-
tion of a fictitious name is $50.00. The fee is a nonrefundable process-
ing fee.
11. How long is the Fictitious Name Registration valid? The ficti-
tious name registration is valid for a period of 5 years and expires on
December 31 of the 5th year. The Division of Corporations will mail a
renewal application to the last reported mailing address at least 3
months prior to its expiration.
All fictitious names registered must maintain a current mailing
address with the Division. Address changes must be made by letter or
other written communication to the Division of Corporations.
12. Is there any written acknowledgment sent to this business?
Upon registration the Division sends an acknowledgment letter stating
the name registered, its registration number, and date of registration.
For an additional $10.00 a Certificate of Status can be requested, or
an additional $30.00 a Certified Copy can be requested.
13. What Is the Division of Corporations responsibility? The Divi-
sion of Corporations is responsible for the administering of the Fictitious
Name Act. 865.09 Florida Statutes. It is the applicant's responsibility to
insure that they have complied with all other applicable statutes and
regulations, not administered by the Division of Corporations.
There may be instances where the Division will not deem a filing
necessary but another agency or institution will. The applicant in this
situation would need to file the fictitious name in order to comply with
all parties. Additionally the Division of Corporations is not responsible
for any name infringement which may occur in the use of a fictitious
name. Names are not screened against any other recorded information
It is the applicant's responsibility to insure that name infringement does
not occur.
The Division of Corporations is a filing agency and as such does
not render any legal, accounting, or tax advice. The professional advice
of your legal counsel to ascertain exact compliance with all statutory
requirements is strongly recommended.
14. "I want to register as a "partnership", do I register my part-
nership name as a fictitious name or do I register as 8 partnership
under the Revised Uniform Partnership Act? Effective January 1.
1996, partnerships can be filed with the Department of State under
Part IV of Chapter 620, Florida Statutes. Under this statute, filing is not
required but is "permissive". As a partnership you should file under
either the partnership act or as a fictitious name. You should review
both statutes to determine which better fits your needs.
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; Clearwater
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone 727-562-4567 Fax
o
727 -562-4576
Shutter and Garage Door Requirements
Revised July 1999
Permits are required for all new and replacement shutters and garage door installations.
A Notice of Commencement is required on all jobs having a value of $2,500.00 or more.
No permit is required for repairs to existing shutters or garage doors with a job value of
$500.00 or less.
REQUIREMENTS:
Two sets of plans showing the type of door or shutters and installation requirements.
This can be the manufacturers engineered drawings. Along with a permit application
and the required fees.
Contractors may file their master engineered set of plans for the various models of
doors or shutters. There is a $30.00 filing fee each time a new set is filed. When
applying for a permit, the contractor will then submit two project copies that show the
specific job conditions for this location. If this is done, then no additional plan review fee
is required at the time of permit. The permit placard and the permitted plans must be
posted at the job before inspections will be completed. Failure to have these
documents posted may result in a $32.00 reinspection fee. A reinspection will be done
once the document is posted and the fee paid. If plans are on file, contractor must have
copy of plans on job site.
Contractors may use our permit by FAX program, along with setting up of an escrow
account.
INSPECTIONS REQUIRED:
The minimum inspections required for shutters or garage door permits are as follows:
Replacement
. Final Building (110)
. Final Electric (204) if electric is included
Repair
. Final Building (110)
. Final Electric (204) if electric is included.
(If permit cost is less than $500.00, no permit is required)
ALL DOORS MUST MEET THE 100-MILE PER HOUR WIND LOAD FOR
SAND KEY, CLEARWATER BEACH AND ISLAND ESTATES. 102 A
MILES PER HOUR IN THE REST OF THE CITY. .,
WHO CAN INSTALL GARAGE DOORS?
1. A licensed general contractor.
2. A licensed residential contractor for residential installations.
3. A shutter opening/protective contractor, licensed with the Pinellas County
Construction Licensing Board (PCClB).
4. Homeowner with Owner/Builder affidavit form.
NOTE: The City of Clearwater requires the manufacturer's specifications to be on job
site at the time of inspection.
Contractors may complete a certification form in lieu of an inspection. This form must
also be signed by the customer.
Shutler and Garage Door Requirement .doc
e
e
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
e
Home Occupation Affidavit
Property Owner Business Owner/Property Address
Name Name
Street Street
City/State/Zip City/State/Zip
Telephone: Telephone:
( ) ( )
Proposed Name of Business:
Type of Business Proposed (Describe/Be Specific):
.
Home Occupation Regulations
No sale of or trading in merchandise which involves on-premise visits by customers shall be carried
out from the property where the home occupation is located.
2. No persons other than family members residing within the dwelling unit shall be engaged in the
occupation, unless the occupation is a service conducted away from the premises of the applicant, in
which case additional employees may be engaged in the occupation provided such employees meet
at the site where the service is conducted and not at the home where the occupation is
licensed.
3. No internal change in the structural form of the building shall be necessary to accommodate the
home occupation. The occupation shall be restricted to one room in the dwelling, and the floor area of
such room shall not exceed 25 percent of the gross floor area of the dwelling; all material, equipment
or facilities shall be kept therein, except that material, equipment or supplies used in the home
occupation, other than on the premises may be stored in a totally enclosed motor vehicle which
complies with the terms of Article 3, Division 14.
4. No occupation shall be conducted outside the dwelling unit or in any accessory building except as such
occupation may be conducted from or dependent upon the utilization of motor vehicle. If a motor
vehicle is used in conjunction with the home occupation, it shall be parked or stored consistent with all
terms of Article 3, Division 14.
5. Traffic generated by use shall be no greater in volume than would normally be expected at a
similar residence where no home occupation is conducted.
.
The occupation shall not involve the use of a commercial vehicle for delivery of materials to and from
the premises except for travel from the home occupation site to a job location and to return, such trips
not to exceed on the average of more than two trips per day.
7. No marked vehicles or equipment used in conjunction with the home occupation shall be parked on
the property or contiguous street right-of-way so as to identify, advertise, or otherwise attract attention
to the occupation.
8. No occupation shall be conducted or equipment or process associated with such occupation us.
which creates noise, vibration, glare, fumes, odors, dust, smoke or electrical interference detectable
the normal senses at the lot line or beyond the lot line if the occupation is conducted in a detached
single-family dwelling, or beyond the exterior of any common walls in a joined or multiple-family
dwelling. In the case of electrical interference, no equipment or process shall be used which creates
visual or audible interference in any radio or television receivers off the premises or causes fluctuation
in line voltage off the premises.
9. No display of products, operations, signs or nameplates shall be visible from outside the dwelling.
10. The use shall be an occupation regulated by this Code (City Code of Ordinances) and will
otherwise comply therewith.
11. No home occupation shall involve the provision of day care services to more than four (4) children at
anyone time.
Home Occupation Affidavit
I, the undersigned affiant, do hereby swear and affirm that I am a resident of Clearwater, Florida, that I am
the person responsible for the operation and conduct of the business named herein. I have read and
understand the foregoing "Home Occupation Regulations" and agree to comply with the requirements
contained therein. I understand that a violation of the Clearwater's occupational license ordinance or
related ordinance may result in the revocation of my occupational license.
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Signature of Affiant
State of Florida
County of Pinellas
Before me, the undersigned
personally appeared,
me and/or has produced
WITNESS MY HAND AND SEAL, this
occupant of the real property described in the foregoing instrument,
, who is personally known to
as identification.
day of
A.D.
Notary Public
My Commission Expires:
(SEAL)
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Home Occupation Affidavit.doc
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CITY OF CLEARW A TER
DEVELOPMENT SERVICES
100 South Myrtle Ave, Clearwater, Florida 33756
Phone: 727-562-4567 Fax: 727-562-4576
ATTENTION: MARINE CONTRACTORS
The City of Clearwater is starting a new program relating to electrical work on
docks and davits. The marine contractor's permit and inspection will not be held
up for electrical work not being completed if the following is true:
. The contractor provides us with an affidavit from the owner, using the
attached affidavit or one similar to it at time of permitting.
. No electrical work is done or required.
If you have any questions, please contact us at 562-4567.
. Marine Notice.doc
BUSINESS INFORMATION
~AME OF BUSINESS:
DBA NAME:
STREET ADDRESS:
BUILDING # SUITE OR UNIT #
BUSINESS PHONE #: ( )
ALARM: YES
IF YES, ALARM PERMIT #
ALARM CO NAME:
PHONE #: ( )
THIS INFORMATION MUST BE A TT ACHED TO YOUR APPLICATION
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INSTRUCTIONS FOR NOTICE OF COMMENCEMENT
Florida State Statute 713 requires an owner or his authorized agent to record a Notice of
Commencement in the County Clerk's Recording Office at anyone of the following locations:
North County
Mid County
South County
29582 NUS 19, Clearwater
315 Court Street, Clearwater (Main Courthouse)
541 1 III Avenue North, St. Peters burgh
The costs of filing a Notice of Commencement with Pinellas County are:
1 page filing fee
1 page certified copy fee
2 page filing fee
2 page certified copy fee
$6.00
$2.00
$10.50
$ 3.00
The parcel 1.0. number may be obtained from your property tax bill, or by contacting the Property
Appraiser's Office at (727) 464-3207.
Definitions:
Owner: A person who is the owner of any legal or equitable interest in real property, which interest can
be sold by legal process, and who enters into a contract for the improvement of the real property. The
term includes a condominium association pursuant to Chapter 718 as to improvement made to
association property or common elements. The term does not include any political subdivision, agency,
or department of the state, a municipality, or other governmental entity.
Construction Lien Law: Chapter 713, Florida Statutes. A method by which a contractor may claim a
lien on real property on which they have performed work or provided materials.
Improvement: Any building, structure, construction, demolition, excavation, landscaping, or any part
thereof existing, built, erected, placed, made, or done on land or other real property for its permanent
benefit.
Lienor: A person who is a contractor, or a subcontractor, or a laborer, or a supplier who contracts with
the owner, a contractor, a subcontractor, or a sub-subcontractor, or a professional lienor under S.
713.03; and who has a lien or prospective lien upon real property under this part, and includes his
successor in interest. No other person my have a lien under this part.
NOTICE OF COMMENCEMENT
Permit No.
peell.D. No.
State of Florida
County of Pinellas
THE UNDERSIGNED hereby give notice that the improvement will
Be made to certain real property in accordance with Chapter 713, Florida
Statues, the following information is provided in this notice of
commencement.
1. Description of property (legal description of property and address if available)
2. General description of improvements
3. Owner information
a) Name and address
b) Interest in property
c) Name and address of fee simple title holder (if other then owner)
4. Contractor (name and address)
5. Surety
a) Name and address
b) Amount of Bond
6eender (name and address)
7. Person within the State of Florida designated by owner upon who notices or other documents may be
served as provided by Section 713.13(1 )(a)(7), Florida Statutes.
Name and address
8. In addition to him or herself, owner designates
of to receive a copy of the Liener's Notice as provided in Section
713.12(1 )(b), Florida Statues.
9. Expiration date of notice of commencement (the expiration date is one year from the
date of recording unless a different date is specified).
STATE OF FLORIDA
COUNTY OF PINELLAS
Signature of Owner / Title
Printed Name
The following instrument was acknowledged before me this day of
by who is personally known to me or produced
as identification.
After recording, return to:
Name
.ss
Notary signature
Name printed
Title or rank
Serial number, if any
11/94
S:\Building Department\Forms\NOTICE OF COMMENCEMENT.doc
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DEPARTMENT OF COMMUNITY AFFAIRS
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.SAFETY fOI LIFE .nd PROPERTY.
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f'" 2740 CENTERVIEW DRIVE. TALLAHASSEE, FLORIDA 32399-2100 ~.
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NOTICE TO WAIVER APPLICANTS
Enclosed is a copy of the administrative rule governing the Board of Building
Codes and Standards procedures for reviewing requests for waivers from accessibility
requirements.. Please make certain you comply with the following:
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. The application MUST INCLUDE A REVIEW BY THE LOCAL BUILDING
DEPARTMENT. Merely signing the form is not sufficient and failure to include the
required review will result in the application being returned and not considered by the
Board. The Board members have strongly emphasized that they need to know why
the application has been submitted a well as a recommendation from the building
department of whether the waiver should be granted.
.
. You MUST sign the application and have your signature notarized. Should you fail to
do so,your.application will be returned.
.
. If a design professional (architect or engineer) has designed the project, his or her
comments MUST be included as a part of this application.
. Be as explicit as possible. The more information provided to the Board, the more
informed its decisions can be. If you are claiming financial hardship, please specify
why and to what degree.
. If at all possible, PLAN TO ATTEND THE MEETING. Often pertinent facts are
inadvertently omitted, or information presented is not clear. Your attendance at the
meeting will enhance the possibility of the waiver being approved, since the Board will
have received the most complete information. When we have received the completed
application, you will receive a notice of the time, date and place of both the
Accessibility Advisory Council and the Board.
. Please include 8 1/2" x II" transparencies of the floor plan, site plan and elevations, if
applicable.
If you have any questions or would like additional information, please call the
Codes and Standards Office at (904) 487-1824.
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REQUEST FOR WAIVER FROM ACCESSIBILITY
REQUIREMENTS
CHAPTER 553, PART V, FLORIDA STATUTES
1.
Name and address of project for which waiver is requested.
2.
Name of Applicant
Address
Telephone/Fax
3. Type of use or occupancy. Please be specific as to occupancy classification per
the accessibility code. If it is an existing .building, specify the previous occupancy
classification.
4. Type of construction: (New, Addition, Alteration etc.) Provide a description of
the project.
5. Value of Construction:
Value of Construction After Work Completed:
6. Project Progress: It is (a) Under design; (b) In plan review; (c) Under
construction; or (d) Completed.
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7. Requirement(s) requested to be waived. Please include reference to the
applicable section of the accessibility code.
(a)
(b)
(c)
Comments
8. Reason or Justification"for-Request: (please address in same sequence as #7
above).
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(a)
(b)
(c)
9. If attachments are included identify in sequence
detailed cost estimates for each item for which a waiver is requested.
(a)
(b)
(c)
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10. Where a design professional (Registered Architect of Professional) designed
the project his orher comments MUST be included and certified by signature and
affixing of his or her seal.
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. Signature
Printed Name
(SEAL)
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CERTIFICATION OF APPLICANT:
I hereby swear and affirm that plans in support of this Request for Waiver are attached for
review by the Florida Board of Building Codes a:1d Standards and that all statements made
in this application are to the best of my knowledge true and correct.
Dated this
day of
. 19
Signature
Printed Name
STATE OF
COUNTY OF
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Before me, an officer of the State of , qualified to administer oaths,
there appeared on this date , who produced State of Drivers'
License No. , as identification, who did take an oath, and who, after being
duly warned and cautioned of the penalties of perjury, swore to an subscribed the
infonnation in the foregoing Request for Waiver in my presence this
,19_
NOTARY PUBLIC
State of
Printed Name
My Commission Expires:
.
REVIEW BY LOCAL BUll..DlNG DEPARTMENT.
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COMMENTS: Please state why the issue is being referred to the Board as welI as a
recommendation for disposition. The Building Official or his designee must review the
application and indicate that to the best of hislher knowledge, all infonnation stipulated
herein is true and accurate. .
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Jurisdiction
Inspector/Plans Examiner
Signature
Printed Name
Address
~
TelephoneJF AX
.
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLEASE NOTE
1. This application MUST be accompanied by one full size floor and/or site plan and
one reduced and legible to fit 8 1/2" by II" paper.
2. The application MUST be signed as acknowledgment of review by either the local
plans examiner or building inspector.
3. The application MUST include comments by the project's Registered Architect or
Professional Engineer. The comments MUST include a reason why the waiver is
necessary and the need to submit it to the Board.
4. The application MUST include transparencies of the floor and/or site plans.
FAIT..URE TO INCLUDE THE FOUR ITEMS ABOVE WIT..L RESULT IN THE
APPLICATION'S BEING RETURNED. INCOMPLETE APPLICATIONS Wll..L
NOT BE PLACED ON THE AGENDA FOR THE BOARD'S CONSIDERATION.
Determination at any time that the information provided in the application is not
true and accurate or that the terms of a waiver have not been faithfully executed
shall result in immediate revocation of the waiver.
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NOTICE TO WAIVER APPLICANT
CHECKLIST
Enclosed is a copy of the administrative rule governing the Board of Building Codes and Standards
procedures for reviewing requests for waivers from the accessibility requirements. The following
checklist is to assist you in completing the waiver application. Incomplete waiver forms will be
returned.
1. Name and address of project location.
2. a. Insert full name of applicant.
b. Include the complete address of the applicant.
c. Telephone and fax number.
3. Be specific as to the occupancy classification per the building code.
4. Note type of construction.
5.
Note value of new construction. If an alteration note value before and after
improvements.
6. Write in the progress of the project. In the category that pertains to your project, state the
percentage complete in that area. Example, if under construction, construction is 40%
complete or in plan review, plans are in site plan review.
7. Write in the accessibility requirement(s) and code citation(s) that you are requesting to be
waived (example; Vertical Accessibility, Section 553.509, Florida Statutes).
8. You must state the reason/justification for y(;ur request to waive the accessibility
requirements, corresponding, in ""'Irder, to the items in number 7 (i.e.; financial, site
constraints). If you are claiming financial hardship explain and document why and to what
degree. In the case of disproportionate cost you must prove that the cost of providing
accessibility is more than 20% of the cost of the alteration to the primary function area.
9. Identify all supporting data for your request for waiver. Additional information
required; photographs (if existing facility), plans, equipment, literature, or any other
information that would support your claims to the Board. Equipment needed for
presentations; such as TVNC~ slide projectors, etc., is the responsibility of the
applicant (an overhead projector will be supplied).
REQUIRED INFORMATION:
One full size set of floor plans and/or site plan. Elevations and
cross sections should be supplied as applicable.
One reduced (8 1/2 x 11) and legible floor plan and/or site plan. Elevations
and cross sections as needed.
One set of overhead transparencies (8 1/2 x 11).
Support cost estimate by multiple quotes from vendors, contractors, or
catalog information.
Photographs (if building is existing).
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10. IMPORTANT: If you have a design professional involved in the project this or her
conunents are mandatory as well as his or her si~nature and seal.
CERTIFICATION OF APPLICANT: It is MANDATORY that the applicant sign here
and have his si~nature notarized.
REVIEW BY LOCAL BUILDING DEPARTMENT: This section must include a
recommendation from a building official - iust a si2'nature is not sufficient and will be
cause to have the waiver returned to the applicant. The building official must review the
form to insure the information on the application is correct.
OMISSION of any of the above information will result in the return of your application and a
delay of the Board's ruling.
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Your application will be reviewed by the Accessibility Advisory Council. You will have the
opportunity to answer questions and/or make a short presentation. The Council will give a
reconunendation to the Board of Building Codes and Standards. The Board will review the
application. You will have another chance to answer questions and/or give a short presentation.
The Board will consider all information and the Council's reconunendation before voting on the
waiver.
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RULES OF THE
DEPARTMENT OF COMl\fUNITY AFFAIRS
FLORIDA BOARD OF BUILDING CODES AND STANDARDS
CHAPTER 9B-7
9B-7.01 Purpose.
9B-7.02 Definition of Unnecessary or Extreme Hardship.
9B-7.03 Policy.
9B-7.04 Prerequisites for Consideration ofWaivet.
9B-7.05 Criteria for Granting of Waiver.
9B-7.06 Filing of Requests.
9B-7.01. PURPOSE. The purpose of this Chapter is to delineate the criteria to be utilized by
the Florida Board of Building Codes and Standards for granting individual modifications or exceptions
from the requirements of Chapter 553, Part V, F. S. upon a showing that compliance with provisions of
Part V of Chapter 553, F. S. would result in unnecessary or extreme hardship to the applicant
Specific Authority: Section 553.49, F. S.
Law Implemented: Chapter 553, Part VI, Section 553.49, F. S.
History: New.
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9B-7.02 DEFINITION OF UNNECESSARY OR EXTREME HARDSHIP. The term
"unnecessary or. extreme hardship" refers to a hardship unique to the situation of the applicant, which,
considering all relevant factors, including the constitutional and civil rights of the disabled and
handicapped citizens of Florida, is of such a degree of severity that its imposition would result in a
substantial and unreasonable injustice to the applicant of a degree not intended by the Legislature.
Specific Authority: .Section 553.49, F. S.
Law Implemented: Chapter 553, Part VI, Section 553.49, F. S.
History: New.
9B-7.03 POLICY. The following are established as the policy of the Board of Building Codes
and Standards relative to the granting of waivers under Section 553.49, F. S.
1. A waiver will only be applicable to a specific case and to the specific owner(s) and/or
individuals to whom it is granted. A 'waiver will be without prejudice and the granting of a waiver will
not establish precedent for any other owner(s) or individual(s) or any other apparently similar case.
2. The granting of a waiver will not preclude compliance with other applicable provisions of
state and/or federal law.
Specific Authority: Section 553.49, F. S.
Law Implemented: Chapter 553, Part VI, Section 553.49, F. S.
History: New.
9B-7.04 PREREQUISITES FOR CONSIDERATION OF WAIVER REQUESTS. Every
applicant shall file a request for waiver of the accessibility standards set forth in Chapter 553, Part V, F.
S. on the following form. Every applicant must furnish complete documentation, including plans,
specifications and, where appropriate, photographs, which address each of the criteria to be considered by
the Board.
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9B-7.05 CRITERIA FOR GRANTING OF WAIVER: The following factors represent the
criteria which must be adequately documented and established by an applicant prior to the granting of a
waiver.
1. That the hardship exists primarily as a result of the statute.
2. That unique circumstances, and not general conditions, cause the hardship.
3. That the hardship is based on an actual or proposed situation as documented by plans,
specifications and, where appropriate, photographs and a detailed cost estimate.
4. That substantial financial loss and/or investment, if any, will result if the waiver request is
denied.
5. That a good faith effort has been made to comply with the statute as evidenced by submittal of
documented proof of all feasible technical alternatives. .
Specific Authority: Section 553.49, F. S.
Law Implemented: Chapter 553, Pan VI, Section 553.49, F. S.
History: New.
9B-7.06 FILING OF REQUESTS. All waiver requests shall be filed with the Department of
Community Affairs, Codes and Standards Section, 2740 Centerview Drive, Tallahassee, Florida 32399-
2100.
Upon certification from an applicant that all information requested by these rules has been
furnished the request will be scheduled for consideration at the Board's next scheduled meeting provided
that at least 14 days notice can be given to the members of the Advisory Committee.
Specific Authority: Section 553.49, F. S.
Law Implemented: Chapter 553, Part VI, Section 553.49, F. S.
History: New.
-
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone(727)562-4567 Fax (727) 562-4576
APPLICATION FOR OCCUPATIONAL LICENSE
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Please Print or Type
Owner/Qualifier Name:
Date of Birth:
Mailing address:
Street Number
Street Name
Suite or Apt #
City
State
Zip Code
Business Name:
Complete Company Name
Business Address:
Street Number
Street Name
Suite or Apt #
City
Owner Home Phone:
State
Zip Code
Business Phone:
Date of Business Opening:
Area Code
Number
Area code
Number
Month/Day/Y ear
D 'ption of Business (please include number of and type of machines, the address and business name of machine(s) location):
Individual n
Partnershio n
Corooration n
Please list officers and titles:
Certification number (if reauired):
I certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this
application may result in denial of license and possible legal action. If granted a license, I agree to operate within the city and state laws, and to notify the
City licensing division if any of the information I have given changes. I also certify I am the business owner or owner's legal agent.
Signature and Title
Print Name
Date
Approval Yes No Date Inspector
Zoning
Traffic Engineering
Building
Police
Fire
Health
Harbormaster
.orp,
FOR CITY USE ONLY DO NOT WRITE BELOW THIS LINE
Category # Fee
Date Issued
Amt. Paid
Total
Owner
Group
Occupational License App.doc
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ADDENDUM TO APPLICATION FOR
OCCUPATIONAL LICENSE:
Video Rental/Sales Establishment
Will Video Rental/Sales business be an adult use establishment as defined
by Section 41.505 of Clearwater's Code of Ordinances?
DYes
o No
Signature of Applicant
If you have questions about Clearwater's Adult Use Ordinance,
Clearwater's Development Services staff has copies of the code available
for your review. Please be advised that the operation of an adult use in the
City of Clearwater without a Certificate of Compliance or a Provisional
Certificate of Compliance or without an Adult Use License are violations of
Section 41.601 of the City Code of Ordinances.
ADDENDUM - Adult Use oeL Addendum.doc
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
OWNER/BUILDER
Owner/Builder of a single-family dwelling are exempt from the regulations as set forth in Florida Statute 489 when building for
their own use and occupancy.
The sale or lease, or offering for sale or lease, of said structure for a period of one (1) year after construction is a criminal
violation punishable as a misdemeanor of the 2nd degree.
For your information, the Owner/Builder becomes liable and responsible for the employees he hires to assist in the
construction project. This responsibility may include the following when required by law:
A. Worker's compensation (for workers injured on the job).
B. Social Security Tax (must be deducted from the employee's wages and matched with the owner's funds).
C. Unemployment Compensation (mayor may not be required).
D. Liability Coverage
E. Federal Withholding Tax
OWNER/BUILDER AFFIDAVIT
I acknowledge that as an Owner/Builder, according to Florida Statutes Chapter 489, Part I, that I am obligated to actually,
physically, build the single-family dwelling which I have permitted.
I understand that if I am not physically doing the work or physically supervising free labor from friends or relatives, that I must
a-e licensed contractors, Le.. master electrician, master plumbing, master HVAC (heating, ventilation, & air conditioning). I
Wrther understand the violation of not physically doing the work, and the use of unlicensed contractors at the construction
site, will cause the project to be shut down by the inspection staff of the City of Clearwater, Planning & Development
Services Administration. I also understand if this violation does occur, in order for the job to proceed, I will have a licensed
contractor come in and sign on the permit as taking the job over. I understand if I hire sub-contractors under a contract price,
they must be licensed to work in the City of Clearwater, Le., masonry, drywall, carpentry. (All contractors licensed by the
Pinellas County Construction Licensing Board have bond and liability coverage and are registered with the State of Florida).
I will assume full responsibility as an Owner/Builder contractor, and will personally supervise all work on such single-family
dwelling located at
I hereby acknowledge I have read and understood the above affidavit on this
day of
A.D.,
Owner/Builder Signature
STATE OF FLORIDA,
COUNTY OF PINELLAS
Before me the undersigned, an officer duly commissioned by the laws of the State of Florida, on this day of
personally appeared who having been first duly sworn
deposes and says that he/she fully understands the contents of the affidavit that he/she signed.
Notary Public
My Commission Expires:
.
Owner-Builder Affidavil.doc
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
PERMIT APPLICATION
PARCEL NUMBER
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PROJECT
LOCATION
PROJECT/JOB NAME
PROJECT ADDRESS
ZIP CODE
BUSINESS NAME
PHONE
LEGAL DESCRIPTION
LOT
BLOCK/TRACT
SUBDIVISION
NAME (last name, first):
PHONE
OWNER
ADDRESS
CITY
STATE ZIP CODE
PHONE
FAX #
STATE ZIP CODE s:
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L1C. HOLDER PHONE
FAX #
STATE ZIP CODE
OCCUPATIONAL LICENSE #
CITY ISSUED BY
NAME
~CHITECT/
~GINEER
ADDRESS
CITY
STATE REGISTRATION NUMBER
CO. NAME
CONTRACTOR
ADDRESS
CITY
STATE LICENSE #
PCCLB #
WHAT IS EXISTING BUILDING USE
(Single family residence, office, retail)
GENERAL
INFORMATION
(Single family residence, office, retail)
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WHAT IS PROPOSED BUILDING USE
NUMBER OF LIVING/BUSINESS UNITS
NUMBER OF STORIES
BUILDING HEIGHT
CONST. TYPE: 111111 IV V VI; P or U
SQUARE FOOTAGE:
LIVING
COMMERCIAL
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GARAGE/CARPORT
OTHER
TOTAL
PROJECT
DESCRIPTION
IF FAX PERMIT PLEASE ENTER PROPERTY ADDRESS
NATURE OF BUILDING D ELECTRIC 0 PLUMBING D MECHANICAL D GAS D FIRE D ROOFING 0
WORK
(Check all that ENGINEERING 0 LAND RESOURCES D LANDSCAPING 0 TRAFFIC ENGINEERING D
apply)
.
UTILITIES 0 OTHER 0
TYPE OF WORK NEW 0
VALUATION $
ADDITION D
REMODEL D
OTHER 0
DEMOLITION 0
ORC
COB
NOT-APPLICABLE 0
NOT-APPLICABLE 0
CASE # FL or FLS
APPROVEDD
DENIED D
(circle one)
DATE:
. Anyone planning to do excavation work, must notify the one-call "CALL SUNSHINE" Notification Center at 1-800-432-4770 prior to any,
excavation work being done, in order to prevent underground damage. Federal D.O.T. Regulation Part 192, Sections 192.614 and 192.707.
Application is hereby made to obtain a permit to do the work and installation 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.
CERTIFICATION
I HAVE COMPLIED WITH ALL THE FEDERAL, STATE AND LOCAL ASBESTOS REGULATIONS CONCERNING NOTIFICATION OF THE
PROPER AUTHORITIES OF THE PROPOSED DEMOLITION AND RENOVATION PROJECTS.
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 ATTORNEY BEFORE RECORDING YOUR NOTICE nA
COMMENCEMENT. --
I am aware of Florida and Federal Accessibility Codes, and I certify that I have met the requirements of both.
I certify that, this application together with any plans submitted is accurate and represents all work being done at this time. All work will be
done in compliance with all applicable laws regulating construction and zoning and if not I realize I am responsible for the removal of any
construction in violation of these laws or regulations. Any deviation from information submitted, unless approved by the Building Official will
render this permit null and void.
Signature of license holder
Print name
Date
OFFICE USE ONLY
ZONING
FRONT SETBACK:
ATLAS PAGE
LAND USE
SIDE SETBACK
BUILDING HEIGHT
REAR SETBACK
TRANSPORTATION IMPACT FEE (Calculation by the City)
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Permit Application.doc
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
APPLICATION FOR PERMIT EXTENSION
PROJECT ADDRESS:
PERMIT #
PARKING LOT?
DOES THIS PROJECT HAVE AN APPROVED SITE PLAN?
CASE # FL or FLS
(circle one)
REASON FOR DELAY:
PROPOSED STARTING DATE:
PROPOSED COMPLETION DATE:
PREVIOUS EXTENSION GRANTED?
DATE (S):
NAME OF APPLICANT:
MAILING ADDRESS:
.TE:
SIGNATURE:
REVIEW AND COMMENTS:
BUILDING
ZONING
ENGINEERING
TRAFFIC
LAND RESOURCES
LANDSCAPING
APPROVED:
DENIED:
BUILDING OFFICIAL'S SIGNATURE:
EXTENDED TO:
.
DATE GRANTED:
Application for Permit Extension.doc
~.Clearwater
-~
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, Fl 33756
Phone 727-562-4567 Fax 727-562-4576
Building Permits by Fax or Mail
Contractors may request the following permits by fax or mail:
Building
New siding, new soffit and fascia, reroofs and roof repairs, electric shutters, and any
other work that does not require plans.
Electric
All electric work under 600 amps, including security alarms, where plans are not
required.
Plumbing
Replacement of sewer and water lines, water heaters, solar water heaters, sewer cap-
offs, and lawn sprinklers. (If adding a new or upgrading an existing water meter, there
are impact fees to be paid in addition to the permit fees.) Any other work where plans
are not required.
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Mechanical
Any type of heating, air conditioning and ventilation work except new installations of
equipment onto the roof of a structure and walk-in coolers. Any other work where plans
are not required.
Gas
Any type of L.P. or natural gas work.
Procedure by Fax
1. Fax a completed permit application to Development Services (Fax 727-562-4576).
The license holder, or their approved, authorized agent on file with the City, must
sign the application. If you are not required to have a PCClS card, then you must
provide proof of insurance.
2. Within 24 hours we will enter the application information into our computer and FAX
you a permit with the fee. You may start working once you receive the faxed copy of
the permit. In case of emergency work, such as replacing a non-working water
heater, work may begin before you receive the temporary permit.
3. You need to return the following to us within ten (10) days from receiving the permit:
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1. The original application.
2. Check, payable to the City of Clearwater, for the permit fee.
4. You may request an inspection once all fees are paid and the permit is activated.
5. Temporary permits not paid within the 10 days are subject to triple or ten times fees
5. Temporary permits not paid within the 10 days are subject to triple or ten times fees
Procedure by Mail
1. Submit a completed permit application to Development Services, City of Clearwater,
P.O. Box 4748, Clearwater, Fl 33758-4748. The license holder, or their approved,
authorized agent on file with the City, must sign the application. If you are not
required to have a PCClB card, then you must provide proof of workers'
compensation.
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2. A check, payable to the City of Clearwater, for the fee must accompany the
application. You may obtain a copy of the fee schedule from this office. It is
advisable to have a separate check for each application. This will allow us to
process the applications more efficiently.
3. A stamped, self-addressed, legal size envelope or larger, to return the permit
documents, must accompany the application.
4. Work may start when you receive the permit documents, or you may call 727-562-
4567 to get the permit number for your field crew, You shall post the permit
document or have the permit number readily available on the job site. If not, the
inspector may issue a correction notice. Additionally, jobs more than $2,500.00 in
value shall have a copy of the recorded Notice of Commencement from the Pinellas
County Clerk of the Circuit Court on file with Development Services prior to the
issuance of the permit.
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5. Development Services will have the permits in the mail 24 hours after receipt. Direct
your questions or suggestions to Development Services at 727-562-4567.
PERMITS NOT REQUIRED
1. Replacing or repairing siding, including stucco on a detached one or two family
dwelling, or maximum floor area of 2,000 square feet.
2. Replacing of soffit and fascia material on a detached one or two family dwelling.
3. Replacing of windows and doors, size for size, on a detached one or two family
dwelling.
4. The installation of manually operated shutters on detached one or two family
dwelling.
5. Permits are generally not required for carpeting, painting, wallpapering, paneling
over existing walls, and tile nor where the valuation of labor, materials, and all other
items does not exceed $500.00 and the work or operation is of casual, minor,
inconsequential nature, and does not violate any city codes or ordinances, or is
exempt pursuant to Chapter 75-489, laws of Florida ( Special Acts), Section 25.
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Building Permits by Fax or Mail ,doc
Revised 7/99
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()
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
. Phone (727) 562-4567 Fax (727) 562-4576
~ .Glearwater
Roofing Permit and Inspection Requirements
Revised December 2000
Permits are required for all jobs more than $500.00.
Required Information
1. Manufacturer's specifications:
A. This may include information for:
a) Asphalt, fiberglass, or mineral shingles.
b) Concrete or clay tile.
c) Modified membrane including glass base sheet.
d) The insulation boards and underlayments.
e) Any covering not listed above.
B. Contractor to provide all installation specifications for any and all materials used on the job.
2. Clearly mark the specifications that pertain to the job.
3. Obtain all permits before you start work, except in an emergency. In case of an emergency follow
these procedures:
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A. Notify Development Services in a timely manner, this can be by FAX (562-4576).
B. Apply for an after the fact permit (no penalty fee if done within three work days).
C. Supply the following:
a) The emergency; such as leaky roof.
b) Materials and methods.
c) Photographs clearly showing all phases of the job, with something showing a recognizable
feature of the job site.
4. Fax permits are a service provided to contractors for simple permits. For complete information see
"Permits by Fax or Mail".
A. Post the temporary permit on the job site while working, except in cases of an emergency.
B. A next workday partial inspection will be scheduled, unless told otherwise.
5. Post all plans, specifications and permits in a noticeable location, before starting any work and until
final inspection is passed. Protect all documents from the weather, and make available for the
inspector.
Required Inspections
6. All roof inspection requests will be an in progress (917), or a completed roof (901).
e 7. Request an in-proaress (917) each dav YOU plan to work on the roof. (Iaraer than 20 squares ).
8. A final inspection is required upon passing all in-progress inspections and the roof is completed. This
is Mandatorv! Failure to request a final inspection may result in a penalty.
Requesting Inspections
9. To insure an inspection the business day you want it, make your request the day before, by midnight.
A. An exception would be in cases of an emergency.
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10. The inspectors are available during the following times: 7:30 a.m. - 8:00 a.m. and 3:00 p.m. - 4:00
p.m. The inspector will work with you to set up an inspection window.
Weekend Work
11. The roofing contractor needs to contact the inspector prior to weekend work. Inform the inspector of
the planned work and set up an inspection for the next work day:
A. Provide the following information, and leave at the job site for the next work day inspection:
a) Materials, specifications, and methods used.
b) Provide photographs clearly showing all phases of the job, and some recognizable feature
of the job site.
12, Non-compliance with these procedures can result in a correction notice or a stop work order, and
penalty fees.
Common Correction Notice Items
13. Thirty pound felt not woven in valleys, on tile roof installations.
14. Covering of the roof without approval.
15. Dry-in not done per code or manufacturer's specifications.
16. Improperly labeled materials used on tile roofs. (Underlayments not ASTM labeled as per code e
requirements.)
17. The base sheet is improperly nailed.
18. Mortar on tile roof is not type "m", or not enough mortar is used.
19. The permit or the manufacturer's specifications are not on job site.
20. Not requesting an in-progress.
21. Rake shingles not nailed per manufacturer's specifications (too far from edge).
22. Replacement wood sheathing does not span at least three framing members, and is installed in the
wrong direction.
23. Ridge vent installed with incorrect fasteners.
24. Shingles not installed per manufacturer's specifications. Nailed place too high.
25. Shingles and/or tile on flat deck tie-in not cemented.
26. Valleys not "bulled" or cemented two inches from the centerline.
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Roofing Permit and Inspection Requirements .doc
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax (727) 562-4576
SIGN PERMIT APPLICATION
PLANS AND SPECIFICATIONS FOR ANY PROPOSED SIGN SHALL BE SUBMITTED IN DUPLICATE, DRAWN TO SCALE
AND INCLUDE THE FOLLOWING:
(a) Site Plan.
(b) Dimensions and elevations (including the message) of the sign.
(c) Lot frontage on all street rights-of-way.
(d) Maximum and minimum height of the sign, as measured from finished grade.
(e) Location of the sign in relation to property lines, public rights-of-way, easements, buildings, and other signs on the property.
(Pole signs must be a minimum of five (5) feet from property line.)
(f) Dimensions of the sign's supporting members.
(g) For illuminated signs, the type, placement, intensity and hours of illumination. (Not more than five (5) foot-candles of light
intensity for commercial signs.)
(h) Construction and electrical specifications, for the purpose of enabling determination that the sign meets all applicable
structural and electrical requirements of the Building and National Electric Codes. (Indicate if UL rated.)
(i) Inventory of all existina sians on the same property and/or building on which the sign is to be located, indicating the
number, type, use e.g. property identification, business identification, etc.) location and surface area. (If "none", so
indicate.)
*AII applications for signs shall include detail drawings showing how the sign is to be constructed and secured. All signs greater
than 32 square feet in size shall have structural drawing signed and sealed by licensed Florida engineer or architect.
ALSO, please note that wind load requirements should conform to the 1991 edition of the Southern Standard Building Code,
IJECT ADDRESS
BLOCKlTRACT
SUBDIVISION
PARCEL NUMBER
OWNER
ADDRESS
LESSEE (OF PROPERTY OR BUILDING)
BUSINESS NAME
ADDRESS
TELEPHONE
CITY
STATE
ZIP
CITY/STATE/ZIP CODE
TELEPHONE
DESIGN
REVIEW
BOARD
REQUIRED 0
NOT-APPLICABLE 0
DISTRICT: DOWNTOWN 0 STATUS:
APPROVED 0
DENIED 0
DATE:
CONTRACTOR
TELEPHONE
ADDRESS
STATE NO.
CITY
STATE
ZIP
CLEARWATER LICENSE NO.
_OF
SIGN:
POLE
PROJECTING
WINDOW
CANOPY, AWNING OR MARQUEE
OTHER
ELECTRICAL PERMIT NEEDED?
WALL
GROUND
PORTABLE
SURFACE AREA IN SQ. FT.
VALUE OF SIGN
FOR SIGNS LOCATED WITHIN THE CITY EASEMENT ALONG US 19, ESTIMATED REMOVAL COST
-over-
Statement of Authorization - Any application form which is signed by an individual other than the property owner shall be
accompanied by a notarized statement of authorization consenting to the sign placement or, if the property or building upon
which the sign is to be located is leased, a copy of the executed lease shall accompany the application form. In the event.
building or property is leased and the application form is signed by an individual other than the lessor, the application shal
accompanied by a notarized statement of authorization signed by the lessor consenting to the sign placement and a copy of
the executed lease. (Not required for portable signs/face changes or signs approved by variances.)
CERTIFICATION
I certify that all information submitted on this application and attachments thereto are true and correct to the best of my
knowledge and belief. I understand that any inaccurate information may result in revocation of the sign permit and removal of
any sign erected pursuant to such permit. I will be responsible for the installation of the subject sign in accordance with the
sign regulations of the City of Clearwater.
I acknowledge that all nonconforming signs are subject to the amortization provisions contained in Section 44.55 of the City of
Clearwater Code of Ordinances and must be brought into compliance before October 13, 1992. Furthermore, I understand
that any investment made in or to a nonconforming sign during the amortization period, including but not limited to message
changes, shall not constitute grounds for noncompliance or compliance later than October 13, 1992.
Property Owner's Signature (or authorized representative)
Print Property Owner (or representative) Name
(FOR OFFICE USE ONLY)
Atlas Paoe
Zoning
Signage Permitted
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Zoning Approval
Date
Traffic Eng. Approval
Building Approval
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Sign Permll Appllcatlon.doc
CITY OF CLEARWATER
PLANNING & DEVELOPMENT SERVICES
MUNICIPAL SERVICES BUILDING 100 SOUTH MYRTLE AVENUE, 2nd FLOOR
PHONE (727)-562-4567 FAX (727) 562-4576
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SUPPLEMENTAL INFORMATION REQUIRED FOR ALL SIGN APPLICATIONS
ALL SIGN APPLICATIONS SHALL BE ACCOMPANIED BY THE FOLLOWING INFORMATION:
LEGAL DESCRIPTION OF THE PROPERTY WHERE THE SIGN IS PROPOSED TO BE LOCATED.
NAME, ADDRESS AND TELEPHONE NUMBER OF:
The owner of the property.
The lessor, if applicable.
The sign erector.
SITE PlAN SHOWING:
lot frontage on all street rights-of-way.
Location of the proposed sign in relation to:
Property Lines;
Easements;
Existing and proposed buildings;
Other signs on the property;
Access drives.
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ELEVATION DRAWING SHOWING:
Dimensions of the proposed sign;
Surface area of the proposed sign;
Maximum and minimum height of the proposed sign;
Dimensions of the sign's supporting structures;
Wording and/or message of the proposed sign;
Colors of the proposed sign.
THE TYPE OF PROPOSED SIGN.
VALUE OF THE PROPOSED SIGN.
CONSTRUCTION AND ELECTRICAL SPECIFICATIONS.
FOR IllUMINATED SIGNS INCLUDES:
The type of illumination;
Placement of illumination;
Intensity of illumination.
_ INVENTORY OF ALL EXISTING SIGNS INDICATING THE NUMBER, TYPE, LOCATION AND SQUARE
FOOTAGE OF EACH SIGN.
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SITE PLANS
For Site Plan Application Forms, Fees and Information, please
contact Planning Department at (727) 562-4567x2622.
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
APPLICATION FOR
SUBSTANTIAL DAMAGE/IMPROVEMENT REVIEW
Parcel Number:
Property Address:
Owner's Name:
Co-Owner's Name:
Owner's Mailing Address:
Owner Phone Number:
FIRM Panel:
Flood Zone:
BFE:
Lowest Floor Elevation (excluding garage):
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I am attaching an appraisal report of my property, or
I am not submitting an appraisal report of my property
I accept the County's Estimated Market Value.
Initials
Initials
Initials
I accept the attached estimated cost of construction as a fair cost of repair or improvement for my home.
Initials
SIGNATURES
Owner:
Date:
Co-Owner:
Date:
Contractor:
Date:
.lication for Substantiai Damage-Improvement Review.doc
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SUBSTANTIAL IMPROVEMENT/DAMAGE
NOTICE TO PROPERTY OWNERS
Rebuilding your home after the storm?
Adding on, renovating or remodeling your home?
Here is information YOU need to know about the 50% Rule.
If your home or business is below the 100-year flood elevation, Clearwater has flood damage prevention
regulations that may affect how you remodel, renovate, or add on to your building. If your home or business
sustained structural and or interior damage, these regulations may affect how you rebuild. These laws are
required by the National Flood Insurance Program to protect your lives and investment from future flood
damages. Your community must adopt and enforce these laws in order for federally-backed flood insurance
to be make available to community residents and property owners.
Inform yourself and save time, aggravation, and money. Please read the following information.
Substantial Damaae means damage of the origin sustained by a structure whereby the cost of restoring the
structure to its before damaged condition would equal or exceed 50 percent of the market value or
replacement cost of the structure before the damage occurred. (Note: the cost of the repairs must include all costs necessary
to fully repair the structure to its before-damage condition.)
Substantial ImDrovement means any reconstruction, rehabilitation, addition, or other improvement of a
structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start
of construction" of the improvement.
If a building is "substantially damaged" or "substantially improved", it must be brought into compliance with
Clearwater's flood damage prevention regulations, including elevating the building to or above the 100-year
flood elevation.
Clearwater, following National Flood Insurance Program requirements, has the responsibility to determine
"substantial damage" and "substantial improvement" and has implemented the following procedure to do so:
1. Planning & Development Services will estimate Market Value by using the tax assessment value of
your structure (excluding the land).
If you disagree with this estimate of Market Value, you may hire a state licensed appraiser and
submit a comparable property appraisal for the depreciated value of the structure.
2. You must submit to Planning & Development Services a detailed and complete cost estimate for
the addition, remodeling, reconstruction, or repair of all damages sustained by your home,
prepared and signed by a licensed general contractor. The contractor and you must sign separate
reconstruction or improvement affidavits indicating that the costs estimate submitted includes all
damaaes or all imDrovements to your home, not just structural.
Planning & Development Services will evaluate the cost of improvements or repairs and determine
if they are fair and reasonable. For damage repairs, pre-storm prices and rates will be utilized.
The cost of improvements or repairs does not include items not considered a permanent part of the
structure. (I.e., Plans, surveys, permits, sidewalks, pools, screens, gazebos, fences, etc.) (See attached copy.)
DAMAGE IMPROVEMENT REVIEW
PAGE 2
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3. If your home is in the designated flood zone, then an Elevation Certificate must be submitted to
determine the lowest flood elevation. Garages and carports are not considered the "lowest floor".
4. Substantially damaged or substantially improved structures with the lowest floor below the 100-year
flood elevations are required to be elevated to or above that level. Likewise, all electrical and
mechanical equipment (heating and cooling, etc.), bathrooms, and laundry rooms must be elevated
to or above the 100-year flood level. Only parking, building access, and limited, incidental storage
is allowed below the flood level. Non-residential buildings may be "flood-proofed" instead of being
elevated.
If the lowest floor, electrical and mechanical, equipment, laundry and bathroom are already above
the 100-year flood elevation, the building can be repaired and reconstructed without further
modifications.
5. Building plans must be prepared to show how the building is to be elevated. These plans must be
prepared and certified by a registered professional engineer or architect. Certificates for this
purpose are available from the Building Official.
6. Following a Presidential disaster declaration, the Small Business Administration may make loans
available for both homes and businesses for purposes of elevating the structure to or above the
100-year flood elevation. Proof of "substantial damage" from Clearwater Planning & Development
Services is required.
ITEMS TO BE INCLUDED
All structural elements including:
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Spread or continuous foundation footings and pilings
Monolithic or other types of concrete slabs
Bearing walls, tie beams and trusses
Wood or reinforced concrete decking or roofing
Floors and ceilings
Attached decks and porches
Interior partition walls
Exterior wall finishes (e.g., brick, stucco, or siding) including painting and decorative moldings.
Windows and doors
Re-shingling or re-tiling a roof
Hardware
All interior finish elements, including:
Tiling, linoleum, stone, or carpet over sub-flooring
Bathroom tiling and fixtures
Wall finishes, e.g., drywall, painting, stucco, plaster, paneling, marble, or other decorative finishes.
Kitchen, utility, and bathroom cabinets
Built-in bookcases, cabinets, and furniture
Hardware
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.
DAMAGE IMPROVEMENT REVIEW
PAGE 3
All utility and service equipment, including:
HV AC equipment
Repair or reconstruction of plumbing and electrical services
Light fixtures and ceiling fans
Security systems
Built-in kitchen appliances
Central vacuum system
Water filtration, conditioning or re-circulation systems
ALSO:
Labor and other costs associated with demolishing, removing or altering building components
Overhead and profit
ITEMS TO BE EXCLUDED
Plans and specifications
Survey costs
Permit fees
Debris removal (e.g., removal of debris from building or lot, dumpster rental, transport fees to landfill
and landfill tipping fees), and clean-up (e.g., dirt and mud removal, building dry out, etc.).
Items not considered real property such as: throw rugs (carpeting over finished floors), furniture,
refrigerators, stove not built-in, etc.
Outside improvements, including:
Landscaping
Sidewalks
Fences
Yard lights
Swimming pools
Screened pool enclosures
Sheds
Gazebos
Detached structures ( including garages)
Landscaping irrigation systems
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ITEMS REQUIRED TO DETERMINE
SUBSTANTIAL DAMAGE:
APPLICANTS MUST SUBMIT THE FOllOWING (Make sure you have extra copies for your files)
1. Completed application
2. Detailed cost of improvement/reconstruction estimate and affidavit, signed by a general contractor
and a copy of his license certificate.
3. Elevation certificate
4. Current photos, or photos before and after the storm (if available)
5. Existing floor plan drawing (if available)
6. Owner's reconstruction improvement affidavit signed and dated.
7. Contractor's reconstruction improvement affidavit signed and dated.
GUIDELINES TO COMPLETE THE ATTACHED
RECONSTRUCTION IMPROVEMENT COST ESTIMATE
Reconstruction/Repair = Percentage of item that must be repaired or reconstructed.
(Example: The home has 20 windows, only 10 were damaged and being replaced; ratio should equal 50%)
ITEMS RECON/REPAIR OFFICIAL
COST RATIO OF WORK USE
LABOR + MATERIALS
Concrete, Form, ETC $4,500.00 40%
Carpentry Material (r) $9,004.00 1000/"
Doors/Windows, Shutters $2,046.00 50%
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ARCHITECT/ENGINEER
RECONSTRUCTION/IMPROVEMENT AFFIDAVIT
Parcel #:
/
/
Property Address:
Architect Name:
License #:
Address:
Phone:
I have reviewed the contractor's list of work to be done with the plans prepared by my office. The list
accurately reflects the scope of work indicated on my plans and specifications. The proposed estimated cost
is in line with current average industry standards for the work reflected in my plans and specifications.
See Attached Itemized List
Total Labor and Materials $
Overhead & Profit $
Total $
AFFIDAVIT
STATE OF FLORIDA
COUNTY OF PINELLAS
PERSONALLY APPEARED before me, the undersigned authority,
who, being duly sworn, deposes and says that he/she has read, understands, and agrees to comply with all of
the aforementioned conditions.
Date'
Architect/Engineer's Signature
SWORN TO AND SUBSCRIBED before me this
day of
Notary Public-State of Florida
Commission Expiration Date
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ESTIMATED COST OF RECONSTRUCTION/IMPROVEMENT
Parcel #:
I
Property Address:
This Cost Estimate of Reconstruction/Improvement must be prepared and signed by a licensed General Contractor
ITEMS RECON/REPAIR OFFICIAL
COST RATIO OF WORK USE
LABOR + MATERIALS
r.oncrete Form ETC
Caroentrv Material (rouoh\
Caroentrv labor (rouoh\
Roofino
Insulation & Weather Strio
Exterinr Finish (stucco)
Doors Windows & Shutters
Lumber Finish
Carnenter labor (finish)
Hardware (finish)
Hardware (rouoh\
Cabinets {built-in\
Floor coverino {tile/ruo\
Plumbino
ShowerfTubfToilet
Electri""1
Licht Fixtures
Built-in Aooliances
HVAC
Paint
Demolition and Removal
Overhead and Profit
TOTAL
(PLEASE ATTACH ANY ADOITIONAlINFORMATION)
Contractor
Contractor Lie. #:
Address:
Phone #:
Sionature:
Date:
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CITY OF CLEARWATER
DEVELOPMENT SERVICES
Municipal Services Building, 100 South Myrtle Avenue, Clearwater, FL 33756
PHONE (727)-562-4567 FAX (727) 562-4576
ATTENTION: ABOVE GROUND POOL CONTRACTORS
The City of Clearwater is starting a new program relating to electrical work on above ground
pools. The pool contractor's permit and inspection will not be held up for electrical work not being
completed if the following is true:
· The contractor provides us with an affidavit from the owner, using the attached affidavit or
one similar to it at time of permitting.
e · No electrical work is done or required.
If you have any questions, please contact us at 562-4567 and ask for plan review.
Si~C~reIY, . L-t ..
~~41~
K~vi~Jarriott
Building Official
KG: taw
5/31/01
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
I/we
(Owner's Name)
(Address of Property)
have contracted with
to install an above ground swimming pool.
Check all that applv:
o The contract does not include any electrical work by this contractor.
_ No electric required or intended on this installation.
o I understand that if I do the electrical work required for this project, I will obtain the necessary permits and
inspections.
o I also understand that if I hire someone to do the electrical work, they must be properly licensed and obtain
the necessary permits and inspections.
Owner's signature
Date
.
Above ground pool affidavit.doc
Permit #
~ Clearwater
-~
u=
Residential Swimming Pool
Spa and Hot Tub Safety Act
Notice of Requirements
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at
, and hereby affirm that one of the following methods
will be used to meet the requirements of Chapter 515, Florida Statutes.
(Please initial one of the fol/owing)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier
requirements of ss. 515.29, F.S.;
.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-
91 (Standard Performance Specifications for Safety Covers for Swimming Pools, Spas and Hot
Tubs);
All doors and windows providing direct access from the home to the pool will be equipped with
an exit alarm that has a minimum sound pressure rating of eighty-five (85) decibels at ten (10)
feet;
All doors providing direct access from the home to the pool will be equipped with self-closing,
self-latching devices with release mechanisms placed no lower than fifty-four (54) inches above
the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is
completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as
committing a misdemeanor of the second degree, punishable by fines up to $500 and/or up to 60 days in jail
pursuant to Chapter 775, F.S.
Contractor's Signature
Date
Owner's Signature
Date
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Contractor's Name (please Print)
Owner's Name (please Print)
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BUILDING OFFICIALS ASSOCIATION OF FLORIDA
GUIDELINES FOR IMPLEMENTATION OF THE
"RESIDENTIAL SWIMMING POOL SAFETY ACT"
1. BACKGROUND
The Building Officials Association of Florida has undertaken to establish these guidelines for fair and reasonable
implementation of the Residential Swimming Pool Safety Act adopted by the Florida Legislature for inclusion in Chapter
515, F.S.. and effective October L 2000. Deliberations included input from Building Officials of various jurisdictions
\\ithin the State, representatives of the swimming pooL homebuilders', and other affected industries. Consideration was
given to several facts; (1) no clear responsibility was assigned to building departments in the Act. (2) the Act is not part of
any commonly acknowledged construction code, (3) practical construction and installation applications of certain
provisions in the Act were not addressed and, (4) reasonable thought and common practice should apply as to its
implementation date.
2. PURPOSE
These guidelines were developed for distribution and consideration for use by building departments in Florida which do
not currently enforce equivalent or more stringent pool safety requirements. These guidelines do not constitute a directive
or legal opinion. They should only be used after careful consideration, and in conjunction \\ith all information pro\ided in
the entire document including notes and commentary
J. GOAL
e It is the intent of the Building Officials Association of Florida through development and distribution of these guidelines, to
encourage and facilitate reasonable, consistent implementation statewide of certain provisions of the Act. These guidelines
represent a "best effort" to interpret the vague and ambiguous statutory language of the Act and provide support for its
stated intent of supplementing adult supervision as the primary means of preventing accidental drO\\nings or near-
drownings of children and medically frail, elderly persons in residential S\\imming pools.
4. CONCLUSIONS
(Note) indicates a corresponding numbered note following these conclusions
The Building Officials Association of Florida concludes that implementation and application of the follo\\ing guidelines
will reasonably meet the implied intent of the Residential Swimming Pool Safety Act.
(1) In order to pass final inspection and/or receive a certificate of completion, new residential swimming pools for
detached single family, duplex, and townhouses less than four stories in height must have at least one of the follo\\ing
0001 safety features:
(a) A barrier (note no. 1) which encloses the pool and provides isolation from the home that meets all of the follo\\ing
conditions;
1. Is at least 48" high, and
2. Is not passable or climb-able by small children. and
3. Is located around the perimeter (note no.2) of the pool, but placed a sufficient distance from the water's edge
(note no.3) to prevent a child or frail, elderly person from falling into the pool if they do get past the barrier,
and
4. Is not situated close to permanent structures or equipment that could be used to climb over the barrier.
(b) An approved (ASTM F1346-91) pool safety cover.
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(c) AudIble exit alarms (minimum 85 decibels at 10ft) installed on all doors and windows providing direct access
from the home (note "0. 4) to the pool.
(d) Self-closing and self-latching devices, with a release mechanism placed no lower than 54 inches above the floor,
installed on all doors providing direct access from the home (note no. 4) to the p;x>l. e
(2) There are other significant requirements in the law including (1) for above-ground pools, stepslladders which must be
removable or capable of being secured if the structure walls constitute the "barrier" and are consistent with the
"barrier" definition and (2) gates which provide access to any residential pool must open outward away from the pool
and be self-closing, -latching, -locking. The release mechanism on such gates must be on the inside (POOl side) and out
of the reach of young children.
(3) These requirements should apply to all new swimming pool pennits applied for on or after October L 2000. (Note no.
5)
Note 1 Standard screen enclosures of the type common~v installed in Florida may be utili=ed as part of or all of the
"barrier" and shall be considered a "non-dwe/Jing" wall.
Note 2 The "perimeter" of a pool is defined by the limits of the pool deck and an...... dwelling or non-dwelling wall (or other
adjacent open space as determined by the Building Official), or any combination thereof, which complete~v surrounds the
pool.
Note 3 "Sufficient~v aw~vfrom the water's edge" means no less than 3 fifrom the barrier to the water's edge. Dwe/Jing
or non-dwe/Jing walls, when used as part or all of the "barrier", and meeting the other barrier requirements, may be as
close to the water's edge as permitted by prevailing construction codes, laws and ordinances. Reasonable application
presumes that a dwe/Jing wall or proper~..... installed screen enclosure wall extends to the "roof' and is not passable or
climb-able.
Note./ "Direct access from the home" means any opening which discharges into the "perimeter" of the pool or any
opening in an exterior dwelling wall or interior wall (for indoor pools), which faces the pool. Exception: anv window with
a bottom sill heif!ht of -18 inches or more measured from the interior finished floor at the pool access level.
Note 5 Reflects standard practice of building departments statewide for implementation of any new construction code
requirements. Does not impose unexpected costs on buyers or builders of pools contracted for prior to the implementation
date. Provides reasonable time for development/distribution of publications required in the Act. Assumes complete,
properly executed application for pool permit has been received in the building department before implementation date.
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5. COMMENTARY
The Building Officials Association of Florida, after having received and reviewed knowledgeable input from building
officials, pool builders, home builders, and other interested parties believes these guidelines to be reasonable, practical and
consistent \\'ith the intent of the Act. These guidelines are not an official interpretation of the law. For complete text of the
Act refer to ss. 515.21-515.37. Florida Statutes.
The Building Officials Association of Florida further recommends that;
1. The requirements of the Act be applied. after the implementation date to pool renovations, the cumulative costs of
which, over a I-year period., exceed 30% of the assessed value of the pool. "Pool renovations" apply to the structural
repair, reconstruction or restoration of the pool structure (shell) and do not include the installation, repair, replacement
or maintenance of screen enclosures or pool circulating equipment.
2. A notice, substantially similar to the one included with these guidelines, be provided to the owner and contractor for
inclusion with the pool pennit documents, and collected by the Building Department when issuing the pennit.
.
---
CITY OF CLEARWATER
PLANNING AND DEVELOPMENT SERVICES
100 SO. MYRTLE AVE., 2ND FLOOR
CLEARWATER, FLORIDA 33756
PHONE (727)-562-4567 FAX (727) 562-4576
TEMPORARY USE
APPLlCATION/LETIER OF INTENT
Temporary uses may be permitted on appropriately zoned properties. Approval is subject to
a determination that the proposed temporary use will have sufficient parking and will not
have a significant negative impact on surrounding uses of property. Please complete the
questionnaire below for a prompt review of your request by the Planning and Development
staff:
([);^~~~
-,.~m;~.."
APPLlCA TIONNO::
NAME:
ADDRESS:
CITY/ST A TElZIP:
ADDRESS:
CI
DYes D No
:,TEMPORmtYllBOItLDJI~G$:DR;'teNTSWAtetem'~fcf,"."~UI /il"'SfD',,:fEtrl ,- ""'. ":""'W'I.~r;;i€';,~~~5~F;J;t:t~'t~:fi';~~~I!i~~~7h:;;~
DYes D No
I will obtain the proper Occupational Ucense(s) required for the above proposed Temporary Use and I agree to
comply with the requirements contained in Community Development Code Sec. 21-3, "Temporary Uses".
Signature of Property owner or Applicant
FOR OFFICIAL USE ONLY
Number'of ever.atS available: .
.' ibf~dy$~'lcJn~b1e:"".
> :'- - >,-->,:-~--,: ,--,:>--._:-:--::- --'- ;,\:-:-:'
.', creqit';t:lV~l")tsrernoji1irig:';/?,. ....
...... '. . ..' '.' ..'
;Cr;edltdaYS,Jemdil"ling:j;',;<';
Approval
Date
s: application forms/development review/temporary use application.doc
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SIGNAGE - Please be advised that the following signs are
illegal:
. Balloons
. Cold air inflatables
. Flags in excess of 3 per property
. Streamers
. Pennants
. Portable signs
. Sandwich board signs
. Signs located on street rights-of-way
. Signs that emit sound, vapor, smoke, odor, particles or gaseous
matter
. Signs that move, revolve, twirl, rotate, flash, including animated
signs, multi-prism signs, floodlights and beacon lights
. Signs attached to any tree or vegetation
. Signs displayed by a person either on a public right-of-way or
visible from a public right-of-way
. Three-dimensional objects used as signs
. Vehicle signs and portable trailer signs
A 12 square foot sign is allowed per street frontage for this
temporary sale
Applicant
Date
City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727) 562-4567 Fax(727)562-4576
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TENT APPLICATION & PROCEDURES
Submittal:
. Completed permit application indicating:
o Name of organization, store or activity
o Purpose of tent
o Duration of permit including opening and closing times
. A fire retardant certificate per tent. The certificate may not be older than 12 months.
. Three site plans showing the location of the tent(s)
DATE:
The following individuals have reviewed the request and their recommendations are as indicated:
Department
Recnmmendation
Initial~ R. Date
Zoning...................................................................... Grant/Deny
.....;[emporary Use (Zoning) ......................................... Grant/Deny-N/A
.affic Engineering.................................................. Grant/Deny
Parking System....................................................... Grant/Deny
Occupational License.............................................. Grant/Deny-N/ A
Building Official........................................................ Grant/Deny
Fire Marshal.................... ......................................... Grant/Deny
Is tent to be placed on City Property?
(If yes, then applicant must have Parks & Recreation approval)
Parks & Recreation.................................................. Grant/Deny
Yes
No
Comment/Remarks:
Where alcoholic beverages are permitted to be sold or given away, those alcoholic beverages must be consumed
within the confines of the tent.
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City of Clearwater
Development Services Department
100 South Myrtle Avenue, Clearwater, FL 33756
Phone (727)-562-4567 Fax (727) 562-4576
CLEARWATER FIRE DEPARTMENT
TENT PERMIT CONDITIONS
Date Issued:
Name of Vendor/Renter:
Location of Tent:
Clearwater, FL
Date (s) :
thru
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The following conditions will apply to all tents erected within the Clearwater Fire Protection District
except that tents of less than 1200 square feet in an area shall be exempt.
Check Tent Fire Main
One Area (sq. Ft) Extinguishers Aisle Width Exits
> 1200 but <3000 1 44 inches 2
>3001 but <6000 2 44 inches 2
>6001 but <9000 3 66 inches 3
>9001 but <12000 4 88 inches 3
II
If tent is to be used during the evening hours or with closed sides, the following additional requirements
shall apply:
a. Emergency lighting shall be installed throughout
b. Illuminated exit lights shall be installed at each exit
.
If you have any questions concerning these conditions, please contact the Fire Prevention Office at
(727) 562-4327
Issuing Official (fax copy to 562-4328)
NO TREE VERIFICATION
or
NO TREE REMOVAL PERMIT REQUIRED VERIFICATION STATEMENT
CITY OF CLEARWATER
PLANNING & DEVELOPMENT SERVICES
(727) 562-4741
Phone:
Phone:
-0
CD
3
::;:
(Print or Type)
Owner:
Owner's Representative:
Address of Applicant:
City:
Location of Proposed construction:
State:
Zip:
Clearwater, Florida
I hereby certify that the information contained herein is true and accurate and that I am the legal owner of the
subject property or have legal authority to execute this form on behalf of the property owner. I am aware that any
deviation from the information submitted with this form shall be considered a violation of the Community
Development Code, In accordance with Section 4-1205. Community Development Code, I request a release from
the provisions of the tree removal permit section to allow the issuance of a building permit at the above location
because one of the following conditions exists:
eROTECTED TREES, as defined in Section 8- 102 (non-prohibited species greater than four inches at 4.5 feet above
grade) exist on the site, but ARE NOT REQUIRED TO BE REMOVED FOR CONSTRUCTION purposes, thus no tree
removal permit is required, I further understand that these TREES MUST BE PROTECTED FROM DAMAGE BOTH
BEFORE AND DURING ALL CONSTRUCTION ACTIVITIES ON THIS SITE as provided in Section 52,08 of the City code of
Ordinances (A site plan is submitted with this request.)
o NO PROTECTED TREES, as defined in Section 8-102 (non-prohibited species greater than four inches at 4.5 feet
above grade), EXIST ANYWHERE ON THE SITE of the proposed construction,
PRINTED NAME:
Owner or Representative .
SIGNED:
Signature of Owner or Representative
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CLEARWATER
1430-0022-GC
White - Plonning & Development Services
Yellow - Applicant
10-00
CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
TREE REMOVAL PERMIT
NO.:
REASON FOR REMOVAL:
o Construction
· Permit #
· See "A" below
o Hazardous
o Declining
o Dead
o Other (Specify)
_AME OF OWNER
OWNER'S ADDRESS
PHONE
SITE ADDRESS
LOCATION OF TREE(S) ON LOT
SPECIES AND NUMBER OF TREE(S)
TO APPLICANT: A non-refundable fee of $15,00 for up to five trees to
be removed, plus $3,00 for every tree above 5 to be
removed is required.
j. All Protected Trees Including:
(i.) Diameter of 4.5' above grade (DBH)
(ii.) Surveyed Location
(iii.) Species
(iv.) Diseased or Insect Infested Trees
k. Tree Barricade Detail & Locations
2. Protective barriers are required around all trees remaining on site during construction. These barricades must remain
intact during construction. The barriers must meet City Specifications,
B) REPLACEMENTS
1. Tree replacement minimum standards: 12' overall height, 4" caliper. Florida Grade # 1. See inspectors note below to
determine the number of replacement trees required, Replacements required within 30 days.
_herebY certify that as property owner or as representative of the property owner, I have verified that the tree(s) sought
to be removed is wholly on property owned by the above-identified property owner, and should it be determined that
the tree(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of
Clearwater harmless in any claim made for wrongful removal of such tree(s). I hereby certify that this application together
with any plans submitted is a true representation of all facts concerning the proposed removal of the tree(s). Any deviation
from the permit issued shall render it null and void and be considered a violation of the Community Development Code.
Fee Rec'd, $
Receipt #
A) CONSTRUCTION Date
1. For new construction, additions or other modifications of a property which involve the removal of a protected tree(s),
a site plan is required, This site plan must have a minimum scale of 1"=20' for single family lots, or 1 "=50' for all others. The
site plan must include:
a. Major Changes of Grade f. Proposed Number of Parking Spaces
b, Structure Locations g. Proposed Underground Utilities
c, Driveways and Walks h. Zoning Setbacks
d. Parking Arrangement i. All easements and Rights-of-Way
e. Required Number of Parking Spaces
Signature of owner or applicant
Printed Name
Agency Representing (If Not Owner)
Address
City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Inspector's Comments:
Required Replacement Trees:
Applicable Code Section:
eased on the Inspector's comments and information submitted, the above removal application is:
o Approved as Submitted 0 Approved-Modified as Noted Above 0 Denied
Signed: Date:
Community Development Coordinator or Designee/Inspector
1362.0001-GC
White - Planning & Development SeNices Yellow - Applicant
Rev. 11-00
~Clearwater
u~
INSTRUCTIONS FOR
SCHEDULING INSPECTIONS
Call (727) 562-4580
-
. Press 1: To Schedule, Cancel or Get Inspection Results
. Press 1: For BCP Permits - Press 2: For SGN Permits
. Enter the permit number (without the hyphen) then press # (Ex. 200112345 #)
. Press # to confirm the permit number.
. Press 1: To get inspection results
. Press 2: To schedule an inspection
. Press 3: To cancel an inspection
. Press 7: For a new permit #
. Enter your full phone number then press #
. Press # to confirm your phone number
. Enter the 3 digit inspection code then press #
. Press * to enter another inspection code
. Press 1,2 or 3 for the date of the inspection
. Press # to confirm the inspection
YOUR INSPECTION IS NOW SCHEDULED!
TO CONTINUE: Press *: For another inspection on this permit
Press #: To schedule inspection on another permit
.
CALL FIRE DEPARTMENT DIRECTLY FOR FIRE INSPECTIONS -562-4327
FIRE INSPECTORS
ANNE DOWNES-BLACKBURNext. 3025
IRENE GACCEK...............ext. 3158
DUANNE ANDERSON ... ext. 3008
JOE COLBERT ................. ext. 3028
JEFF DANIELS ................ ext. 3039
INSPECTORS
BUILDING
ROBBIE ACKERMAN..... 562-4569
VERN PACKER ............... 562-4571
BOB SCOTT .....................562-4563
JOHN WITKOWSKI........ 562-4570
BILL WRIGHT ................. 562-4573
LAND RESOURCES
RICK ALBEE ....................562-4741
SCOTT KURLMAN ..........562-4746
TRAFFIC ENGINEERING
MIKE GUST .....................562-4775
PLB./GAS/MECH.
BILL PHILLIPS ................ 562-4568
TOM CARRICK ............... 562-4566
MIKE COCCIA................. 562-4572
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HOUSING/COMPLAINTS
BILL WRIGHT ................. 562-4573
MIKE COCCIA................. 562-4572
NOTE:
*The partial inspection request is intended to be
used on large commercial projects and unusual
conditions. It may not be used for single family
or small commercial projects. If this special
inspection service is abused, the permit holder
will be assessed a re-inspection fee.
ELECTRICAL
RALPH ROWE ................. 562-4565
MICHAEL HURLEy........ 562-4564
BUILDING INSPECTIONS
TIE-IN SURVEy...................... 007
FOOT/ELEC.BOND ................. 101
PILE CAPS/GRADE BEAMS.. 102
COLUMN .................................. 103
FOUNDATION STEEL............ 104
FOUNDATION WALLS .......... 105
SLAB ......................................... 106
FRAME..................................... 107
LINTELrrIE BEAM ................. 108
DRYWALL-SCREW/NAIL ..... 109
PARTIAL FOOTER*................ 115
PARTIAL SLAB* ..................... ll6
PARTIAL LINTEL * ................. 117
PARTIAL FRAME* ................. 118
PARTIALDRYWALLlSCR*...119
PARTIAL FOUNDATION* ..... 120
FILL CELLS ............................. 121
RATED WALL......................... 124
LATHING FOR STUCCO........ 130
NAIL INSPECTION-
STRUCTURAL SHEATING....135
FINAL ....................................... II 0
FIRE SPRINKLER ....................309
PARTIAL * .. .......... ..... ................3 I 0
BACKFLOW VAL VEIMED
HAZARD ...................................313
LAWN SPKLR BACKFLOW ...315
FINAL................ ............... ........ .305
-
ELECTRICAL INSPECTIONS
SLAB ......... ........ ... ... .... ...... ........ 20 I
I ST ROUGH ...............................202
TEMPORARY ELECTRIC ...... 205
SERVICE CHANGE................. 206
PARTIAL * ................................207
TEMP. CONST. POLE ............. 209
WALL ROUGH ........................ 211
CEILING FINAL ...................... 215
LOW VOLTAGE SYSTEM ..... 219
UNDERGROUND ELECTRIC 221
FIRE ALARM ........................... 222
FINAL ....................................... 204
MECHANICAL INSPECTIONS
I Sl ROUGH................................401
2ND ROUGH... ...... ............ ..........402
HOOD...................................... ..403
PARTIAL * .... ................... ......... .405
FINAL.. ..... ...................... ........ ...404
POOL INSPECTIONS
INSPECT SIDEWALK DMGE.501
STEEL. ....................... ......... .......502
ELEC BONDIPLUMBING .......503
ABOVE GRND POOLIFINAL .507
FINAL. ....... ...................... ..... .....505
MANUFACTURED BUILDING
TIE DOWN ................................601
PLUMBING ................. ............. .602
ELECTRICAL ......... ........ ........ ..603
MECHANICAL .........................604
GAS... ....... ... ....... ...... ..... ... ........ ..606
BUILDING FINAL....................110
LAND RESOURCES INSPECTIONS
LANDSCAPE IN PROGRESS.. 731
LANDSCAPE FINAL ...............732
TREE REPLACEMT FINAL ....733
CLEAR. & GRUB. / EROSION /
TREE BARRICADES ...............734
ENGINEERING INSPECTIONS
ENGINEERING FINAL ............001
EASEMENT INSPECTION ......006
TRAFFIC FINAL....................... 004
DRIVEWAY ROUGH...............903
DRIVEWAY FINAL .................904
SIDEWALK FINAL ..................92 I
DEMOLITION INSPECTIONS
SEWER CAP OFF .....................801
FINAL ........................................802
MISCELLANEOUS INSPECTIONS
FENCE FINAL ..........................902
TIE BACK-SEA W ALLlSLA ....906
SEAWALL FINAL ....................907
SPA - ELECIPLUMBING ........91 0
WALL - FOOTER.....................9l2
WALL - FINAL ........................913
SIGN INSPECTIONS
SIGN STRUCTURAL ...............010
SIGN FOOTER....... .................. .060
SIGN ELECTRIC ......................040
SIGN FINAL..................... ....... ..070
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ROOF INSPECTIONS
ROOF IN PROCESS ................. 917
COMPLETED ROOF ............... 901
GAS INSPECTIONS
I ST ROUGH ...............................350
2ND ROUGH .............................. 351
PARTIAL * ................................ 362
FINAL ....................................... 355
PLUMBING INSPECTIONS
I sl ROUGH ................................ 301
2ND ROUGH .............................. 302
SEWER ..................................... 303
TUBSET/SHOWER..................304
SOLAR HEATER ..................... 306
GREASE TRAP ........................ 307
FIRE MAIN ............................... 308
-
.
CITY OF CLEARWATER
DEVELOPMENT SERVICES DEPARTMENT
Development Guide
Telephone Number Reference List - (727) Area Code
City of Clearwater Telephone Numbers
Development Services Department (Main Number)................. .562-4567
Building Permits, Occupational License......................... 562-4567
24 Hour Inspections Request Line............... . .. . .. . . . . . . . . .. 562-4580
Building Inspections......................... .562-4563, 4569, 4570, 4571
Electrical Inspections... ...... ... ... ... ...... ... ......... .....562-4564, 4565
Housing and Complaints......... .,. ... ... ... ... ... ... ... ... . .. ..... 562-4573
Plans Review......................................... .562-4593, 4595, 4863
Plumbing/Gas/Mechanical Inspections.................. 562-4566, 4568
.
Engineering
Subdivision Platting Information... .................. ...... ... ....562-4750
Stormwater and Flood Zone Requirements.................... 562-4750
Fire Marshal's Office... ... ...... ......... ............ ......... .......562-4327x3039
Marine Services (Harbormaster)......................................... .462-6954
Parks & Recreation (Impact Fees)...................................... .562-4800
Planning Department - Zoning/Site Plans/Fences......... ...562-4567x2622
Site Clearing/Erosion Controlrrree Protection... ... ...........562-4741
Tree Removal Permits... ... ... ... ... ... ... ... ... ... ... ... ...... .....562-4746
Solid Waste... ....... . . ... .. . ... ... . .. ... ... ... ... ... ... ... ...... ... .... .. .... .462-6654
Traffic Engineering (Parking, Driveways).............................. 562-4775
Clearwater Customer Service (Utilities).... ... ...... ... ... .,. ... ... .... .562-4600
Emergency Service.. . . . . ... . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . " . . . ... .462-6633
Pinellas County Telephone Numbers
Air Quality Division... ...... ......... ............ ...... ......... ......464-4422
Environmental Management...................................... .464-4422
Water & Navigational Control Authority... ... " . . .. .. . . . . . . . . . . .464-3464
Visit our website at www.clearwater-fl.com
We are located at Development Services Department, Municipal Services Building,
100 S. Myrtle Avenue, 2nd Floor, Clearwater, Florida 33756
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.
.
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OCCUPATIONAL LICENSE REVIEW
I
o
o
o
Request for Business License is See COMPREHENSIVE -
Presented to Development - DEVELOPMENT REVIEW
Services Dept. Flowchart for Other
..- Applicable Processes
Request is Reviewed by
Planning Dept. (Zoning) ,-------,
"Is Use Request In Accordance , "No" , Request Is Denied
I ,
I I
with the Zoning Assigned to the ..------...110...- -
Property?" ...,..
,..--------
, I
I "Yes" :
'If ~ - - - - - - __I 1-------. Necessary
I "No" I
Review of Application I I Documentation is
I I
Background Check by - by Development Services Dept. ..------........ Submitted by
Police Dept. .. Applicant, or
"Is Application Ready for License to ...
be Issued?" ... Representative
Fictitious Name
Request is Submitted I I .---------
I
to the : "Yes" :
State of Florida ,Ir ~--______I
Applicant Pays Occupational Ucense May Require Work. and/or
Inspections to Meet Fire
Reviews By Other City Fees and Applicable Impact Fees and Life Safety
Departments and/or (e.g., Parks & Rec., Transportation) '---- Requirements and ADA
Other Agencies As - Requirements
..
Per Statutes and
Ordinances/Laws Occupational Ucense is Issued by ...
Development Services Dept. ...
r--------------- Notice of Annual Occupational License Renewal is
I
I Sent to Business Owners in August Each Year
I At Anv Time:
I by Development Services Dept.
,
I Closure of the
I (Fees Are Due Before October 1st)
I Business
I "Has Business Owner Paid the Fee
I
, - Before October 1 st?"
I Termination
I
I r---------,
, of the Ucense r---------. I "Yes" I
I .. I I
I I "No" I ...,.. I I
I , I I ,
I I I 1- _ __ _ _ _ _ __,
..---------.1 ,Ir
Delinquent Letters Outlining Late Charges Are Sent
In December to Business Owners -,..-
by Development Services Dept.
"Has Business Owner Paid the Fee?"
r---------I
I "No" I
Key , I
I I
Penalties '"--------_.1 ,
ev Svcs Dept. and/or
.. Code Enforcement Board or
er Liens Are Pinellas County Court ...
plicant Applied ...
"Have Fines and Fees Been Paid?"
D
Oth
Ap
,
r---------
I I Site Plan Review by
I "Yes" :
Building Pennit ~ _ _ _ _ _ _ _ -. Planning Dept.
~
Application, Fee and Plans ~ (Up to 90 days)
Submitted Annexation,
ApPlicant Submits to other To Development Services Dept. I.... Rezoning/LUP Reviews
...
Aaencies for "Is Site Plan Review, Subdivision ,--------- (Up to 9 months)
Plat and/or Annexation, Rezoning, I I
Permits/Approvals. includina: I "Yes" :
Driveway/Access: FDOT Land Use Plan (LUP) Amendment ~ - - - - - - --- Subdivision Plat
Required?" ...
(30-45 days) I~ ... Process by
...
Drainage: SWFWMD ,- - - -- --I Planning Dept. -
(45-60 days) I "No" I (Up to 90 days)
I I
Asbestos: PINCO (10 days) , ~------~
SewerlWater Extension,
Coastal and/or Wetlands: Review of Application ,-- - - - --, Necessary
I "No" I
DEP (30 days) (Checklist) by t I Documentation is
~------~
State Hotel/Restaurant: Development Services Dept. ~ Submitted by
..
(14 days) "Is Application Complete?" '.... Applicant, Engineer,
... Architect, Attorney,
....-------- Banker, and/or Real
I I Estate Agent
~ I "Yes":
, ~--______'
Review bv Other City Depts. Plans Review by ,- - - - - --.
(Average Total Time) : -"No" I Plans Are Revised
Development Services Dept. ,
Engineering (7 days) ~ I I and Resubmitted by
(0 to 15 days-6 days Average) lo______..
Fire (7 days) .. "Are Plans Ready for Pennitting?" .... ~ Applicant, Engineer, .
Transportation (17 days) ,.. Architect, Attorney.
Planning - r-------- Banker, and/or Real
Land Resources (12 days) I
: "Yes" : Estate Agent
Landscaping (22 days) , ~--______I (5 to 60 days
Zoning (2 days) Applicant Pays Building Pennit Fees Typically)
and Impact Fees (Parks & Rec.,
Sewer, Water)
.-
Permit Issued by
Develooment Services Deot.
.
Construction Stage by Applicant's Contractor - Request for Inspections
Includes Correction Work as Inspections Reveal Deficiencies
(Timing depends on applicant/contractor)
.. .
Inspections by Development Services Dept. Inspections by Planning Dept. and/or
- (Next Working Day Inspections) Other Departments f--
Process Complete With Final Inspection Process Complete With Final Inspection
,
Key I Applicant Pays Transportation Impact Fee
... Plat Recordation
0 Dev Svcs Dept. " By Applicant Through ~-
0 Other Depts. Certificate of Occupancy Issued by Planning Dept. and
0 Applicant Development Services Dept. When Project Engineering Depl
Is Determined to Be Complete
COMPREHENSIVE DEVELOPMENT REVIEW
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Brian J. Aungst, Mayor-Commissioner, _
Ed Hart, Vice Mayor-Commis~ne'r Whit~yGrayrC6mmiS!i1ieper
Hoyt Hamilton, Commissioner Bill Jonson,Cpmmissioner
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