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Includes applicant, property, and permit request details such as permit type, work type, parcel or folio number, property address, occupancy classification, and valuation fields. Collects owner, contractor, and design professional information, plus type of work description and required affidavits/certifications. 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Fax: 305-673-7857 [http://www. miamibeachfl.gov/building/](http://www. miamibeachfl.gov/building/) |  |\n| Property Address: |  | Unit \\#: | Master Permit Number (If applicable): |  |  |  | Violation \\# (If applicable): |\n| Permit Type (select one) |  | Permit Request (select all that apply) |  |  | Property Information (select one) |  |  |\n|  Building\u003Cbr> Electrical\u003Cbr> Mechanical\u003Cbr> Plumbing\u003Cbr> Roofing |  Demo year-built \u003Cbr> Generator\u003Cbr> Temporary\u003Cbr>Structure\u003Cbr> Fire |  New Permit\u003Cbr> Change of Contractor\u003Cbr>Change of\u003Cbr>Architect/Engineer\u003Cbr> LEED\u003Cbr> Interior, Non-Structural |  |  Permit Extension\u003Cbr> Permit Renewal\u003Cbr> Permit Revision\u003Cbr> CO Update\u003Cbr> Private Provider\u003Cbr> City Project |  Commercial\u003Cbr> Multi-Family Residential\u003Cbr> Residential: Single-Family Residential or Duplex |  |  |\n|  |  |  |  |  | Occupancy Classification: |  |  |\n|  Phased Permit  Shop Drawings |  |  Affordable Housing  Reprieve Permit |  |  | Attach a copy of the construction cost affidavit to this form |  |  |\n| Type of Work: |  | New Construction/Addition |  |  | Alteration/Reconfiguration of Space |  |  |\n| Total Value of work: $ |  | $ |  |  | $ |  |  |\n| Total Area (Square Footage): |  |  |  |  |  |  |  |\n| Description of Work: |  |  |  |  |  |  |  |\n| Property Owner |  |  |  | Contractor |  |  |  |\n| Name: |  |  |  | Name: |  |  |  |\n| Address: Suite: |  |  |  | Address: Suite: |  |  |  |\n| City: State: Zip Code: |  |  |  | City: State: Zip Code: |  |  |  |\n| Driver’s License/ State Identification Number: |  |  |  | State Identification Number/License: |  |  |  |\n| E-Mail Address: Daytime phone: |  |  |  | E-Mail Address Daytime phone: |  |  |  |\n| Architect |  |  |  | Structural Engineer |  |  |  |\n| Name: License Number: |  |  |  | Name: License Number: |  |  |  |\n| E-Mail Address: Daytime phone: |  |  |  | E-Mail Address Daytime phone: |  |  |  |\n| Notice & Certification |  |  |  |  |  |  |  |\n| This application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws and construction regulations in this jurisdiction. I understand that a separate permit must be secured for Electrical, Elevator, Fire, Mechanical, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.\u003Cbr>Owner’s Affidavit: I certify that all the forgoing information is correct. Owner Certifies that the aforementioned Contractor has the authorization to perform the work as specified above.\u003Cbr>Lessee’s Affidavit: Lessee certifies that he has full consent and authorization from owner of subject property to perform the above-mentioned work and to hire above captioned contractor.\u003Cbr>In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there maybe additional permits required from other governmental entities such as: the Environmental Division of Miami-Dade County; Permitting, Environment and Regulatory Affairs, Water & Sewer Department, Department of Environmental Protection, South Florida Water Management District, Miami-Dade County Impact Fee, water management districts, state agencies, and/or federal agencies. Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. Any information found to be false may cause the revocation and/or denial of the permit and/or Certificate of Occupancy. A person who knowingly makes a false declaration is guilty of the crime of perjury by false written declaration, a felony of the ","cbCaiax1VkcpoIge","https://ap.wps.com/l/cbCaiax1VkcpoIge","pdf",395581,"English","# Permit Application\n## Applicant Information\n## Property and Permit Request\n## Type of Work and Value\n## Notice & Certification\n## Owner/Lessee Documentation and Signatures\n## Form Purpose and Process","[{\"question\":\"What is the purpose of this Permit Application form?\",\"answer\":\"It is completed when an owner or developer wants to request a permit for a construction or rehabilitation project within the City of Miami Beach.\"},{\"question\":\"What disciplines may require separate permits?\",\"answer\":\"The certification notes that separate permits must be secured for trades such as Electrical, Elevator, Fire, Mechanical, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, and others.\"},{\"question\":\"What warning applies to owners regarding recordation?\",\"answer\":\"Failure to record a notice of commencement may result in paying twice for improvements, and a notice is required for any work with cost exceeding $2,500.\"}]","Permit Application - Application Form | PDF",1789840174]