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2. For questions, contact the Building Division by phone at (407) 262-7700 Ext. 1103 or by email at building@casselberry.org.
4. I am applying for a Certificate of

   1. Occupancy
   2. Completion
6. Date
7. Building Permit Number
9. Scope of Work
11. Applied for Casselberry Business Tax Receipt (BTR)?

    1. Yes
    2. No
13. Project Address
15. Parcel Tax Identification Number
16. Subdivision
18. Property Owner Name
19. Telephone Number
21. Contractor Name
22. Telephone Number
24. Contractor Address
25. License Number
29. The edition of the Florida Building Code when the permit was issued.
30. A description of the portion of the structure for which issued.
32. Type of construction as defined in Florida Building Code Chapter 6, Section 602
33. Is an automatic sprinkler system provided? If yes, is it required?

    1. There is no automatic sprinkler system provided.
    2. Yes, it is required.
    3. An automatic sprinkler system is provided, but it is not required.
35. The use and occupancy, in accordance with the provisions of Florida Building Code Chapter 3, Section 301
37. Provide the design occupant load.
38. Have there been any name or other major changes to this project?

    1. Yes
    2. No
40. Are there any special stipulations/conditions of the building permit?
44. Prior to the issuance of a Certificate of Occupancy/Completion for the above referenced building or part thereof, the undersigned contractor by signing below does hereby certify that he/she personally supervised the construction of the above mentioned building or part thereof and that said building or part thereof has been constructed in all respects in compliance with the Building Code, all other City ordinances and regulations relating to the above mentioned project and in accordance with the plans and specifications as approved by the City of Casselberry and does hereby assume complete responsibility for the construction thereof.
46. Contractor Signature
47. Date
49. Email Address
51. Certificate of Occupancy and Permanent Electrical Service
    It is the responsibility of the Contractor to schedule and obtain approved plumbing, mechanical, electrical, fire, engineering, and building inspections as required, including final inspections, prior to the issuance of the Certificate of Occupancy and the connection of permanent electrical service.
53. Certificate of Completion
    A Certificate of Completion will be issued, upon request, for completed alterations to structures already occupied and accessory structures, such as fences and utility buildings.
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