Type Full Name :
Sign With Hand
Last Name
Work Type (Check all that apply)
LOMR
State
Is there below-grade parking proposed?
Substantial Damage Project
Driveway/Patio
Other Permits
Certification
V Zone Cert Reqd.
First Name
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
ZIP
Please type the street number and portion of the street name and press ENTER to begin your search
Addition
Is this a non-residential building?
Phone #
New Building
Phone #
Is this an agricultural structure?
Site Specifications
Sidewalk
Land $
Wet Floodproofing Corrosion-Protection?
ZIP
First Name
Manufactured Home
Is this building in a V Zone or Coastal A Zone?
Last Name
Description
Address
City
LOMA
List Other Permits obtained for the Project
Is this a multi-family or mixed-use building?
Residential
City
The fee for this application is:
State
Builder Information
Property Owner Information
Email
Application Fee
City
Company Name
First Name
1 to 4 Fam Constructed
Landscaping
Accessory
Email
Lot
Structure $
Project Overview
Builder same as Owner?
ZIP
Is this building in a non-coastal A-Zone?
Signature
Phone #
Non-Residential
The applicant must obtain the required Federal, State, and Local permits prior to applying for a Floodplain Development Permit (See Appendix B for a detailed list of agencies and permits).
The proposed development MUST be in compliance with other Federal, State, and Local laws.
Design Professional Information (Engineer, Architect, Surveyor)
Attachments
Applicant same as Owner?
First Name
1. No work of any kind may start in the NJ Flood Hazard Area or FEMA SFHA until all permits, including, but not limited to a floodplain development permit, are issued.
2. This permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until a permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Occupancy is issued.
5. Work must commence within six (6) months of issuance or this permit will expire.
6. The Applicant is hereby informed that other permits may be required to fulfill federal, state, or local regulatory requirements.
7. The Applicant hereby gives consent to the Administrator or his/her representative to make reasonable inspections that are required to verify compliance.
8. The Applicant certifies that "All statements herein and in attachments to the application are true and accurate to the best of my knowledge."
{[PNAME]}
Phone #
Address
Removed/Demolished
Other Bldg Constructed
Required Documentation Checklist
Substantial Improvement Project
Repetitive Loss Mitigation
Floodproofing Cert. Rqd.
Address
Block
Is there an elevator proposed?
Provide an estimate of the total cost of building improvements using qualified labor and materials obtained at market prices. (Note: Unpaid or discounted labor and materials must be counted at their true market cost per the NFIP.)
Is this an accessory structure?
Project Address
Email
Email
Project Type (Add all that apply)
State
Provide an estimate of the current market value of the property:
Address
Last Name
Dumpster
Last Name
Applicant Information
City
ZIP
State