Broward County Public Schools
Building Department
APPLICATION FOR CERTIFICATE OF OCCUPANCY
FACILITY NAME __________________________ PROJECT # _______________LOC. # ________
PROJECT NAME __________________________
ARCHITECT _____________________________
DATE _________________________________
PERMIT # ______________________________
Staff Assignment
DOCUMENTATION
CBO
Building
Fire
Fire
Fire
Fire
Mechanical
Building
Electrical
Plumbing
Mechanical
Plumbing
Plumbing
Fire
Building
Electrical
Building
Building
Civil
Plumbing
Certificate of Occupancy (OEF Form 110B)
Substantial Completion Form (Document 01770e)
Fire Alarm System Record of Completion NFPA 72
Ansul-Range Hood Fire Suppression Systems Report NFPA 17/17A, NFPA 96
Fire Protection Piping Material & Test Certificate Abvgrnd and undrgrnd
Backflow Assembly Field Test Report
Duct Mounted Smoke Detector Differential Pressure Test Report
Threshold/Special Engineer Approval Letter
Lightning Protection System, NFPA 780 & UL 96a
Health Certification Clearance
HVAC Test & Balance Certification / Report
Interior and Exterior Bacteriological Test Reports
Local Drainage District Approval
Monitoring of fire alarm system in conjunction with a fire sprinkler system
FEMA Elevation Certificates
Generator Load Bank Test Results
Elevator Certification
Notice of Preventative Treatment for Termites
Site Certification Letter from the Engineer of Record
Domestic water service lead content tests
Date Recvd
I understand that the above list of documents in their entirety is necessary to obtain a Certificate of Occupancy
(OEF 110B), in accordance with Chapter 1013.37(2) (C), Florida Statutes. Upon the approval of an occupancy
inspection by all disciplines and the receipt of all required documents, an OEF 110B may be issued.
Accepted and agreed to:
_____________________________________________________
General Contractor
_____________________________________________________
Architect of Record
BD Form 100 Rev. 6-7-12