APPLICATION FOR DEVELOPMENT

APPLICATION MUST BE COMPLETE:

Property Owner/s: _______________________________________________________________________________

Contact Information: Home #: _________________________ Cell #: _____________________________________

Mailing Address: ___________________________________ City/State/Zip: _______________________________

EMAIL Address:____________________________________@__________________________________________

Contractor Name:____________________________________ Business Name:______________________________

Contact Information: Office #: _________________________ Cell #: ______________________________________

State License #:_____________________________________ County Registration #: _________________________

Mailing Address:____________________________________ City/State/Zip: _______________________________

EMAIL Address: ____________________________________@__________________________________________

PROPERTY DESCRIPTION: 911 Address: _________________________________________________________

Lot/s: ______________ Block:______________ Subdivision:______________________________ Unit: _________

Parcel Identification #: ___________________________________________________________________________

JURISDICTION: □ Franklin County □ City of Apalachicola □ City of Carrabelle

□ Apalachicola □ Eastpoint □ St. George Island □ Carrabelle □ Dog Island □ Lanark/ St. James □ St. Teresa □ Alligator Point

DESCRIPTION OF DEVELOPMENT: ____________________________________________________________

ZONING DISTRICT: _________________________ CONTRACT COST: _________________________________

HEATED SQ FT: ________________ UN-HEATED SQ FT: ___________ TOTAL SQUARE FOOT: __________

ROOF MATERIAL: ______________ FOUNDATION TYPE: __________ LOT DEMENSION: _______________

SEPTIC TANK PERMIT # _________________________ OR SEWER DISTRICT: __________________________

WATER DISTRICT: ______________________________ OR PRIVATE WELL: ___________________________

WATER BODY: ________________________________________________________________________________

CRITICAL SHORELINE DISTRICT: YES OR NO CRITICAL HABITAT ZONE: YES OR NO

FLOOD ZONE INFORMATION: EFFECTIVE DATE: February 5, 2014

PANEL NUMBER: ______________________________ FIRM ZONE/S: ________________________________

ELEVATION REQUIREMENTS AS PER SURVEY: ________________________________________________

□ Requires V-Zone Certification □ Requires Elevation Certificates □ Requires Smart Vents □ Requires Breakaway Walls

_____________________________ ____________________________ ____________________________

BUILDING OFFICIAL DATE FLOODPLAIN ADMIN. DATE OWNER/CONTRACTOR DATE

NOTE TO APPLICANTS AND PERMIT HOLDERS:

VIOLATIONS OF THE TERMS AND CONDITIONS OF THIS PERMIT MAY

WARRANT A STOP WORK ORDER OR REVOCATION OF THIS PERMIT. THIS

PERMIT IS VALID FOR ONE YEAR FROM THE DATE OF ISSUANCE.

CONSTRUCTION MUST COMMENCE WITHIN SIX MONTHS OF THIS DATE:

ISSUANCE DATE: _____________________ EXPIRES: _______________________

□ New Constuction

□ Commercial

□ Residential

□ Substantial Improvement

□ Less than Substantial

APPLICATION FOR DEVELOPMENT

FRANKLIN COUNTY BUILDING DEPARTMENT

34 Forbes Street, Suite 1, Apalachicola, Florida 32320

Phone: 850-653-9783 Fax: 850-653-9799

http://www.franklincountyflorida.com/planning_building.aspx

PERMIT #_________________

FEE: $________________

RADON: $________________

FLOOD: $ ________________

C.S.I.: $________________

TOTAL: $________________

SUPPLEMENTAL APPLICATION

1- Proposed Alteration of the Land:

 Determination of COE & DEP Wetlands:_______________________________________________

 Amount and location of Fill to be placed on property: ____________________________________

 Percentage of land to be placed in impervious surface: ___________________________________

2- Critical Shoreline Inspection:

 Construction to be a minimum of 50 feet from the mean high water or wetland: ______________

(Must be indicated on submitted site plan)

 Construction within 50 feet of the mean high water or wetlands: ___________________________

 Attach the Board of Adjustment Approval: Date of Approval:_____________________________

(Expires One Year From Approval Date)

3- Elevation Requirements:

 FLOOD ZONE: ______________________ BASE FLOOD ELEVATION: ___________________

 LOWEST BASE FLOOD ELEVATION AT BUILDING SITE: ____________________________

 A/AE/AH/AO ZONES: Elevation of bottom of the first floor: ______________________________

 VE Zones: Elevation of the first floor horizontal support structure: _________________________

DEVELOPMENT APPLICATION CHECKLIST

RESIDENTIAL: FORMS REQUIRED IN FLOOD ZONES: (Additional)

_____ Application _____ Topographical Survey

_____ Supplemental Application _____ Flood Plain Management Review (Requires Permit)

_____ Boundary Survey (Non-Flood Zones) _____ V Zone Certification (If Applicable)

_____ Site Plan _____ Smart Vent Certification (If Applicable)

_____ Septic Tank Permit _____ Elevation Affidavit

_____ Energy Code Form

_____ 2 Complete Sets of Building Plans COMMERCIAL: (Additional to Residential)

□ Wind Load Analysis □ Engineered

_____ State Permits _____ P&Z Approval Notice

□ DEP Permits □ COE Permits □ FDOT Permits _____ BOA Approval Notice

_____ Portable Toilet Agreement _____ BCC Approval Notice

_____ Owner/Builder Affidavit _____ DBR Approval

_____ Dumpster Affidavit _____ Parking Plan

_____ Termite Affidavit _____ Flood Proofing Certification (If Applicable)

_____ Turtle Light Affidavit (If Applicable) _____ DEP Storm Water Permit/Exemption

_____ Recorded Notice of Commencement

SUB-CONTRACTOR LIST

PLEASE BE ADVISED THAT ALL CONTRACTORS DOING WORK IN FRANKLIN COUNTY MUST BE REGISTERED IN

FRANKLIN COUNTY PRIOR TO PERFORMING ANY WORK IN THIS COUNTY. ALL GENERAL, RESIDENTIAL &

BUILDING, ELECTRICAL, PLUMBING, HVAC & ROOFING CONTRACTOR’S ARE REQUIRED TO PULL PERMITS ON

ALL NEW, RENOVATIONS, REMODEL PROJECTS.

CONTRACTOR OR OWNER HAS CONTRACTED WITH THE FOLLOWING

Contractor: ______________________________ □Registered Insulation: _________________________ □Registered

Electrical: _______________________________ □Registered Painting: __________________________ □Registered

Plumbing: _______________________________ □Registered Framing: __________________________ □Registered

HVAC: _______________________________ □Registered Masonry: __________________________ □Registered

Roofing: _______________________________ □Registered Tile: _______________________________□Registered

Piling: _______________________________ □Registered Other: _____________________________ □Registered

Concrete: _______________________________ □Registered Other:_____________________________ □Registered

Siding: _________________________________ □Registered Other: ________________________________ □Registered