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APP-Building NEW CONSTRUCTION & ADDITIONS - FEE SCHEDULE I* TOTAL COST OF CONSTRUCTION TO INCLUDE: STRUCTURAL, ROOFING, ELEC, MECH, PLBG $____________________ NOTE: OTHER ASSOCIATED TRADES TO BE FEE’D SEPARATELY UNDER FEE SCHEDULE II OR III. THESE INCLUDE: LOW VOLTAGE, HOOD/SUPPRESSION SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. MISCELLANEOUS PERMITS – FEE SCHEDULE II* ALTERATIONS & GENERAL CONSTRUCTION –SCHED. III* TOTAL COST OF CONSTRUCTION: $___________________ COST OF CONSTRUCTION WITHOUT TRADES: $___________________ NOTE: ALL SUB-TRADES TO BE FEE’D SEPARATELY. THESE INCLUDE ELEC, MECH, PLBG, ROOFING, LOW VOLTAGE, HOOD/SUPP SYSTEM, FIRE SPRINKLERS, IRRIGATION, LANDSCAPING, PAVING, ETC. *SEE BUILDING PERMIT FEE SCHEDULE FOR DETAILS -1- APPL DATE F.B.C. VERSION ACCEPTED BY PERMIT NO. OWNER INFORMATION CONTRACTOR & DESIGNER INFORMATION Name ________________________________ Address______________________________________ City ___________________ State_____ Zip_________ Home Phone ( ) ___________________________ Cell Phone ( ) ___________________________ Fax No. ( ) ___________________________ Email Address _________________________________ Check if Owner/Builder (See Page 3) Contractor License No.__________________________ Workers’ Comp No. _____________________________ Company _____________________________________ Address ______________________________________ City ____________________ State_____ Zip_________ Phone __________________ Fax _________________ Cell ____________________ Email ________________________________________ Architect/Engineer’s Name _______________________ Address ______________________________________ Private Provider: Plan Review ____ Inspections ____ ****************************************************************************************** FOR PERMIT EXPEDITERS ONLY (for permit pick -up): Contact Name _________________________________ Phone ____________________________Ext. ________ Cell _______________ Email _____________________ PROPERTY INFORMATION Property Control Number: ___-_____-_____-_____-_____-_____-_____ Address of Proposed Work _____________________________________________ Legal Description _______________________________ Suite or Apt # / Floor _____________________________ Project Name (if applicable) _______________________ Flood Zone _____ ADDITIONAL INFORMATION Fee Simple Title Holder (if other than owner) __________________________________________________________ Address ________________________________________ City_________________ State __________Zip ________ Mortgage Lender _________________________________ Bonding Company _______________________________ Address ________________________________________ Address _______________________________________ City _____________________ State ______ Zip ________ City ___________________ State ______ Zip ________ DESCRIPTION OF PROPOSED IMPROVEMENTS Detailed Scope of Work (New Construction, Addition, Interior/Exterior Alteration, Windows/Doors, etc.) _____________________ ________________________________________________________________________________________________________ _________________________________________________________________________________________________________ Is this a City or Re-hab project? Yes No Is the building served with an automatic fire sprinkler system? Yes No Current Use or Occupancy ___________________________ Is this a change in the Use or Occupancy? Yes No PERMIT VALUATION For Impact Fee Credit, Existing or Previous Structure Demolished? Yes No Type of Structure Demolished: SFR Commercial Commercial Accessory Building PLEASE CHOOSE ONE OF THE FOLLOWING: BUILDING PERMIT APPLICATION 100 NW 1st Avenue ▪ Delray Beach, FL 33444 (561) 243-7200 ▪ Fax (561) 243-7221 www.delraybeachfl.gov Parcel B Congress Delray LLLP 2850 Tigertail Ave Suite 701 Miami FL 33133 305 331-1664 eklein@13fi.com 12 43 46 30 41 002 0010 2350 S Congress Ave, Delray Beach Building 1 Parks at Delray Phase 2X New construction of a 5-story building CGC024773 ANF Group, Inc 2700 Davie Rd Davie FL 33314 954-693-9900 954-347-2749 dtrujillo@anfgroup.com MSA Architects 8950 SW 74 Court, Suite 1513, Miami FL 33156 vacant land 6,554,416 Revised 05/19/23 1 of 2 •THIS PAGE FOR BUILDING DEPARTMENT USE ONLY• PERMIT NO: ________________________ APPLICATION DATE: _________________________ PCN: _____ - _____ - _____ - _____ - _____ - ________ - _________ Zoning District __________________________________________________ Historic: □ Yes □ No Development/Condominium/Apartment Name ________________________________________________________ Set Backs: Front _______________ Side Street _______________ Side Interior _______________ Rear _______________ Type of Foundation: Monolithic _____ Stem Wall _____ Pile _____ Square Footage of Commercial Demolition: ________ Type/Size of Accessory Building: ______________________________ Type of Structure Demolished: SFR Commercial Commercial Accessory Building STRUCTURE SET UP Occupancy ___________________________________________ Const. Type __________________________________________ Roof Type ___________________________________________ Flood Zone ___________________________________________ Plan Sq. Ft. (A/C) ______________________________________ Plan Sq. Ft. (Under Roof) _______________________________ Finish Floor Elev. ______________________________________ DEPARTMENT APPROVALS ______________________ _______________________ Env. Services Engineering ________________________ _________________________ Planning & Zoning SPRAB / COA ________________________ ________________________ Landscaping / Irrigation Public Utilities ________________________ ________________________ Fire Department Plan Review Occ. Load _______________ COUNTY IMPACT FEES Source: ______________________________________________ (Credit) Impact Fee Amount Due Parks $__________ $___________ $__________ Public Bldgs. $__________ $___________ $_________ Schools $__________ $___________ $_________ Road $__________ $___________ $_________ PERMIT CALCULATION Adjusted Value $ ____________________________ Permit Fee $ ____________________________ Electrical $ ___________________________ Plumbing $ ___________________________ Mechanical $ ___________________________ Roofing $ ___________________________ Paving $ ___________________________ Irrigation $ ___________________________ Landscaping $ ___________________________ Shutter $ ___________________________ Misc Permit $ ___________________________ Other $ ___________________________ Plan Check Fee $ ___________________________ MCR # ______________________________________________ Total Permit Fee $ ____________________________ ADDITIONAL FEES Fire $ ____________________________ Radon $ ____________________________ DPR $ ____________________________ Water / Sewer $ ____________________________ Parks / Rec $ ____________________________ Master Plan $ ____________________________ Total Additional Fees $ ____________________________ TOTAL FEES DUE $ ________________________