Construction Permit App F100-1

BID #: F100-1

ISSUED: 12/1/2007

DUE: TBD

VALUE: TBD

100

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Executive Summary

This document is a Construction Permit Application (U.C.C. F100-1 rev. 12/07) for the City of Ocean. The application requires the applicant to complete sections I, II, III (optional), IV, VI, and VII. It covers various building-related aspects, including residential and non-residential use, construction classification, and specific systems within the building such as elevators, boilers, sprinklers, and swimming pools.

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--- Document: Construction Permit App F100-1 Document ---
1.
Elevators/Escalators/Lifts/
4.
Refrigeration Systems
  8.     Smoke Control Systems in Open Wells
Dumbwaiters/Moving Walks
5.
Cross-Connections/Backflow Preventers
  9.     Underground Storage Tanks
2.
High Pressure Boilers
6.
Hazardous Uses/Places of Assembly
10.     Swimming Pools, Spas and Hot Tubs
3.
Pressure Vessels
7.
Sprinklers
11.      LPGas Tanks
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BLOCK _____________
LOT ______________ QUALIFICATION CODE _______________
ADDRESS (SITE) _________________________________
PERMIT NO. ______________________
CONSTRUCTION PERMIT
APPLICATION
Applicant Completes:  Sections I, II, III (optional), IV, VI, and VII
U.C.C. F100-1 (rev. 12/07)
I.  IDENTIFICATION
V. FEE SUMMARY (for office use only)
$
1.
Number of Stories
VI. BUILDING/SITE CHARACTERISTICS
(office use only)
3.
Area — Largest Floor
sq. ft.
4.
New Building Area
sq. ft.
5.
Volume of New Structure
cu. ft.
ft.
2.
Height of Structure
  VII. DESCRIPTION OF BUILDING USE
 A. RESIDENTIAL (primary use)
  1. State Specific Use:
  2. Use Group, Proposed:
  3. Change in Use Group, Indicate Present:
  4. No. of dwelling units:
         Gained, Sale
         Gained, Rental
          Lost, Sale
          Lost, Rental
 B. NON-RESIDENTIAL (primary use)
    1. State Specific Use:
    2. Use Group, Proposed:
    3. Change in Use Group, Indicate Present:
 C. MIXED USE  -List secondary use(s):
 D. Construct. Classification:
1.
2.
3.
Private
Public
Ownership in Fee:
IV. DOES OR WILL YOUR BUILDING CONTAIN ANY OF THE FOLLOWING?
Update
Update
8.
Subtotal
$
10.
Subtotal
$
11.
Cert. of Occupancy
12.
Other
13. TOTAL
$
1.
Building
$
2. Electrical
3.
Plumbing
4.
Fire Protection
Elevator Devices
5.
6.
Subtotal
7.
Less 20% for State Plan Review
9.
State Permit Surcharge Fee
7. Max. Occupancy Load
6.
Max. Live Load
IIa.PROPOSED WORK
Building
Electrical
Plumbing
Fire Protection
Elevator
DO YOU WANT:
IIb. SUBCODES
(Check all that apply)
1.
Partial Releases
2.
Prototype Processing
III. PLAN REVIEW   (optional)
TOTAL COST
Plans
Rec'd by
Date
Rec'd
Rejection
Date
Approval
Date
Re-
viewer
 Resubmission Dates
    Approval              Rejection
Re-
viewer
Est. Cost
Minor Work                                               New Building                                Addition                             Demolition
Repair                                                       Alteration                                      Renovation                         Reconstruction
Asbestos Abat. -Subch. 8                         Lead Hazard Abatement               Radon Remediation            Annual Permit
8.
If Industrialized Building: State Approved
HUD
  9.
Total Land Area Disturbed
sq. ft.
10. Flood Hazard Zone
 11. Base Flood Elevation
ft.
 12. Wetlands
yes
no
FOR OFFICE USE ONLY (Optional)
Total Units Income-restricted
 Proposed
 Present
6. Responsible Person in Charge once Work has Begun
FAX:
Tel.
(              )
(              )
5. Architect or Engineer
Contact
FAX:
(              )
(              )
Address
e-mail
Tel.
License No. OR, if new home, Builder Reg. No.
Exp. Date
Home Improvement Contractor Registration No. or Exemption Reason (if applicable):
Federal Emp. ID No.
FAX: (              )
Tel.
Principal Contractor:
4.
(              )
Address
e-mail
Proposed Work Site at:
Name of Owner in Fee:
Tel. (              )
e-mail
zip code
municipality
street
Address