Volusia County House Moving Permit Application Form
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1VOLUSIA COUNTY HOUSE MOVING PERMIT APPLICATION
05/02
Pre-House Moving #_____________________
Ap#_______________________
Pmt#________________________
1. Property Owner______________________________________________________________
2. New Parcel Number________________ - __________ - __________ - ________________
3. New Address of building to be moved: (#, Street, City)___________________________________________________________
_________________________________________________________________________________________________________
4. Present Parcel Number________________ - __________ - __________ - ________________
5. Present address of building to be moved: (#, Street, City)_________________________________________________________
_________________________________________________________________________________________________________
6. Approximate time building will be upon roadways and proposed route that will be taken from present to new location:
(Attach separate sheet if necessary)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
7. Attach copy of State of Florida D.O.T. permit for this move. (if applicable)
8. Contractor Information:
License Holder’s Name _______________________________________
Phone Number______________________________
License Number_____________________________
Address________________________________________________________________________________________________
8. Actual moving height and width of building and square footage of living area:
____________
____________
____________
____________
Length
Width
Height
Square Footage
Zoning:
Approved by:____________ Date:____________
Traffic Engineering escort required____________ yes
____________ no
Vol. County Traffic Engineer___________________________
Date_________________________
John Cheney, William Long, (386) 736-5968 ext 2709/ 2359 (386) 257-6000 ext 2709/2359 (386) 423-3300 ext 2709/2359
Vol. County Sheriff’s Dept.____________________________
Date_________________________
Capt. Terry Sanders, (386) 239-6542
***Call the Volusia County Traffic Signal Shop 48 hours prior to moving the building, (386) 239-6537
**Note: This application must be accompanied by a completed building permit application with the required site plans
(having Zoning’s approval), foundation plan, and floor plan showing all required improvements.
*Once building has been moved, approval from the Traffic Engineer must be obtained before final power will be released.
Permitee will be responsible for all charges relating to labor and use of equipment furnished by the County.
________________________________________________________
Date:________________________________________
Signature of Contractor
State of Florida
County of __________________________
The forgoing instrument was acknowledge before me this________________________________by _______________________________________,
who is personally known to me or who has produced__________________________________________________(type of ID) as identification.
___________________________________________________
___________________________________________________
Signature of Notary Public State of Florida
Print, Type or Stamp Name of Notary
Notarial Seal
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