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The project name (business name). |
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The project address (must be a
numerical address with suite numbers or unit numbers when applicable).
Addresses can be obtained by contacting the City of Melbourne Traffic
Engineer, (321) 953-6327. |
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The complete legal description
(taken from a current tax record) accompanied by a copy of the
current tax roll or property deed. The township, range, section,
subdivision name and number, block and lot must all be included. |
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The property owner’s name and
address as shown on proof of ownership. |
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Fee simple title holder, if
applicable (if not, indicate with N/A). |
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Bonding company information, if
applicable (if not, indicate with N/A) |
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Mortgage lender’s information.
If there is not a mortgage on the property, indicate "owned"
in the space provided. |
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Architect/Engineer’s name and
address. |
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Description of work (exactly what
is to be done). |
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Value of construction (the
actual valuation of the work to be done, including materials and labor
costs). |
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Contractor information. Company
name, license holder name and address, and license numbers (if not
known, indicate TBD - to be determined). |
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If there are any subcontractors
(electrical, mechanical, plumbing, gas or roofing) list the company
name and address. DO NOT have the subcontractors sign the
application at this time. They will sign when they receive the hard
cards for the project. |
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The property owner’s/agent’s
signature (notarized) and the contractor’s signature (notarized). If
and only if the owner’s signature has been notarized may a
contractor authorize an agent to sign on his behalf. At any time
when an agent is to sign for the contractor, the agent must have a
notarized authorization from the qualifier identifying the specific
job that the authorization covers. We will not accept blanket
authorizations. |
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Commercial projects must pay a
plan check fee upon application submittal. |
