PLANTATION ACRES IMPROVEMENT DISTRICT
1701 Northwest 112th Avenue
Plantation, Florida 33323
BUILDING PERMIT APPLICATION
Please fill out the top portion of this form:
DATE ___________________________
LOT _____ TRACT _____ SECTION _____
PARCEL IDENTIFICATION NUMBER ______________
SUBDIVISION _________________________________________________________________________
LOT ADDRESS _____________________________________________________ZIP_______________
OWNER'S NAME ______________________________________________________________________
ADDRESS ___________________________________________________________________________
ADDRESS _________________________________________________________ ZIP_______________
PHONE __________________________________FAX_________________________________________
PERMIT FOR: _____ HOUSE
_____ POOL
_____ ADDITION
_____ FENCE
_____ FILL
_____ TENNIS COURT
_____ OTHER: ___________________
CONTRACTOR’S NAME _________________________________________________________________
ADDRESS ____________________________________________________________________________
PHONE ___________________________________FAX__________________________________________
********************************** THIS SECTION FOR OFFICE USE ONLY ****************************************
B/BP#______________________________
AMOUNT RECEIVED __________________________
REFERENCE(S)#
APPROVAL DATES:__________________________
Building Permit
__________________________
Certificate of Occupancy
REVIEWED BY: ______________________
Building Permit
______________________
Certificate of Occupancy
Return this application with a cashier's check or money order made payable to Plantation Acres Improvement
District (P.A.I.D.) for the permit fee, along with four (4) sets of site grading plans to:
WINNINGHAM & FRADLEY, INC.
111 NORTHEAST 44TH STREET
OAKLAND PARK, FLORIDA 33334
954-771-7440
954-771-0298 Fax
H:\PAID\FORMS\Applications\APPLICA.FOR Revised 11/17/05 SFP9