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BUILDING PERMIT APPLICATION

  1. BUILDING PERMIT APPLICATION

  2. (Note: If cost meets or exceeds 50% of market value of the structure the substantial improvement requirements shall apply)

  3. Setbacks:

  4. Check all that apply: 

  5. The following certificates are required and must be submitted within the specified time frame.

  6. 1. Elevation Certificate, based on construction drawings, certified by a registered land surveyor or professional engineer, that the lowest floor of structure will be constructed at or not less the Base Flood Elevation.

  7. 2. Elevation Certificate, as built, certified that the lowest floor of structure has been constructed to not less than the Base Flood Elevation. Submit prior to any vertical construction.

  8. 3. Elevation Certificate based on finished construction, certified that the lowest floor is at or above the Base Flood Elevation. Submit after final inspection but prior to Certificate of Occupancy issuance.

  9. 4. Flood-proofing Certificate, certified by a professional engineer or architect, submitted at the time of completion of the lowest floor.

  10. 5. V-zones only, breakaway wall certification, to be submitted within 7 days of completion.

  11. 6. V-Zones only, certification of superstructure and substructure design, must be submitted with application.

  12. 7. The proposed development is located in an indentified floodway and a no rise certification must be submitted prior to the issuance of the permit or start of construction.

  13. 8. The proposed development includes an alteration of a watercourse and a letter or map revision issued by FEMA. This documentation must be submitted within 6 months of completion.

  14. Other permits that may be required:

  15. FEDERAL

  16. STATE

  17. JCUA Approved

  18. U.S. Army Corps of Engineers

  19. Dept. of Natural Resources

  20. (Jackson County Utility Authority)

  21. U.S. Fish & Wildlife

  22. Dept. of Environmental Protection

  23. Environmental Protection Agency

  24. Dept. of Public Health

  25. U.S. Coast Guard

  26. Dept. of Transportation

  27. DEBRIS REMOVAL IS REQUIRED AND IS THE RESPONSIBILITY OF THE APPLICANT.  AN ONSITE COMMERCIAL DUMPSTER IS REQUIRED.

  28. Leave This Blank:

  29. This field is not part of the form submission.