The Emergency Disaster Repair Permit Hold Harmless Affidavit is a City of Cape Coral form, headed Department of Development Services, in which the signer affirms that disaster repairs authorized by a referenced permit are like for like/size for size and agrees to hold the City harmless. It is one of the documents the city publishes in its Permit Document Center for a Cape Coral permit. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the city publishes the original PDF on its website.
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What is Emergency Disaster Repair Permit Hold Harmless Affidavit – Cape Coral, FL?
The Emergency Disaster Repair Permit Hold Harmless Affidavit is a City of Cape Coral form in which the signer affirms that emergency disaster repairs under a referenced permit are like for like/size for size and agrees to hold the City harmless.
The form is not a permit. It points to one: the top of the page asks for the job address, the permit number, the contractor and license number, and the owner/builder with a phone number. The City lists it in its Permit Document Center under Miscellaneous Documents.
By signing, the owner or contractor makes these statements:
- The emergency disaster repair/recovery work is LIKE FOR LIKE/SIZE FOR SIZE repair and/or replacement, and will meet all applicable codes and ordinances, including the Cape Coral Land Development Code (LDC) and Florida Building Code 105.4.1, Permit Intent.
- Receiving a permit does not relieve the applicant or contractor of the duty to comply with all codes and required inspections, and the permit is not a warranty or guarantee of compliance.
- They agree to indemnify and hold the City of Cape Coral, its officers, employees and agents harmless from claims for injuries and damages to persons and property arising from the covered work.
- If code violations are found after the permit is issued, a Notice of Violation (NOV) will be issued and corrections required, and the permit applicant pays any costs of removal, relocation, repair or replacement of the improvements.
The form closes with a verification under Section 92.525, Florida Statutes, made under penalties of perjury.
Who needs to file Emergency Disaster Repair Permit Hold Harmless Affidavit – Cape Coral, FL?
The form is completed by the people tied to one emergency disaster repair permit: the owner/builder and the contractor named at the top, along with the contractor's license number and the owner/builder's phone number. The signature section has lines for the Owner and for a New Contractor, each with a printed name, signature and date.
- Owners/builders and contractors doing emergency disaster repair or recovery work that a permit authorizes as like for like/size for size repairs and/or replacement.
- A new contractor taking over the work: the acknowledgement line refers to "this Change of Contractor Form." The City's Permit Document Center also lists a separate guideline, Change of Contractor Permit Documents Required, which you should check for that situation.
The certification covers like-for-like and size-for-size repairs and replacement only; the form does not address other work. Each signer states that they have read and understood the agreement, signed it voluntarily and had the chance to ask questions and consult an attorney of their choice. The form does not describe anyone signing on another person's behalf.
When to file Emergency Disaster Repair Permit Hold Harmless Affidavit – Cape Coral, FL
Complete the affidavit for a specific emergency disaster repair permit: the form asks for the permit number and speaks of repairs "authorized by the above referenced permit." No separate due date is printed on it.
The terms you sign also look ahead. If code violations are found or discovered after the permit is issued, the City issues a Notice of Violation (NOV) and corrections are required, and the permit applicant bears the costs of removing, relocating, repairing or replacing the improvements. The hold harmless agreement covers claims arising from the repairs or replacement work under that permit.
The City lists the affidavit in its Permit Document Center without a revision date, so confirm with the Building Division that you are using the current version for your permit.
How to fill out Emergency Disaster Repair Permit Hold Harmless Affidavit – Cape Coral, FL
Enter the job address and permit number
At the top, write the Job Address and the Permit Number of the emergency disaster repair permit this affidavit belongs to.
Enter the contractor and license number
Fill in the Contractor name and the contractor's License Number exactly as they appear on the permit.
Enter the owner/builder and phone number
Write the Owner/Builder name and a Phone Number where the City can reach that person.
Read the like-for-like certification
The first paragraph affirms that the repairs are LIKE FOR LIKE/SIZE FOR SIZE and will follow all applicable codes and ordinances, including the Cape Coral Land Development Code (LDC) and Florida Building Code 105.4.1, Permit Intent. Confirm the work fits that description before you sign.
Review the hold harmless and violation terms
The second paragraph is the agreement to indemnify and hold the City of Cape Coral harmless. It also states that code violations lead to a Notice of Violation (NOV) and that the permit applicant pays the costs of removal, relocation, repair or replacement.
Confirm the voluntary agreement
The third paragraph states that you read and understood the agreement, entered into it voluntarily, and could ask questions and consult an attorney. Do not sign until that is true.
Check the Change of Contractor acknowledgement
One acknowledgement line refers to the conditions in "this Change of Contractor Form." Read it before signing, especially if a new contractor is taking over the permit.
Complete the verification block
Under the Section 92.525, Florida Statutes verification, enter the printed name of the Owner, signature and date, and the printed name of the New Contractor, signature and date.
Review and download the completed PDF
Check the permit number, names and dates, then download or print the completed PDF from FillingPDF. Return it to the City as described under How to submit.
How to submit Emergency Disaster Repair Permit Hold Harmless Affidavit – Cape Coral, FL
The completed affidavit is returned to the City of Cape Coral, but the form prints no mailing address, online portal or appointment rule. The City publishes it in its Permit Document Center, under Miscellaneous Documents, alongside permit applications, guidelines and other permit paperwork: Permit Document Center.
Because the form is tied to a permit number, ask the City of Cape Coral Building Division how it wants the signed affidavit returned for your permit. Both the owner and the new contractor sign and date the verification block, so have every signature in place before you send it.
FillingPDF lets you fill out and download the PDF; submission follows the City of Cape Coral's channels.
Common mistakes to avoid
- Leaving the job address, permit number or license number blank, so the affidavit cannot be matched to the permit it refers to.
- Using the affidavit for work that is not like for like/size for size repair or replacement, which is the only work the certification covers.
- Signing before reading the indemnity terms; the form states that you read and understood them and had the chance to consult an attorney.
- Treating the permit as a guarantee of code compliance; the form says receiving a permit is not a warranty or guarantee.
- Assuming the City bears the cost if violations are found later; the permit applicant is responsible for removal, relocation, repair or replacement costs after a Notice of Violation (NOV).
- Leaving the verification block incomplete: printed name, signature and date are needed for the Owner and for the New Contractor.
- Skipping the Owner/Builder phone number or the Contractor name that the header block asks for.
Frequently asked questions
What is the Emergency Disaster Repair Permit Hold Harmless Affidavit?
It is a City of Cape Coral form in which the signer affirms that emergency disaster repair or recovery work under a referenced permit is like for like/size for size and code-compliant, and agrees to indemnify and hold the City harmless from claims arising from that work.
Is this affidavit the same as a Cape Coral permit?
No. The affidavit refers to a permit by number and to repairs "authorized by the above referenced permit." It does not authorize work itself. The City lists it in its Permit Document Center under Miscellaneous Documents, apart from the permit applications.
Who signs the hold harmless affidavit?
The signature section has lines for the Owner and for a New Contractor, each with printed name, signature and date. The header also names the contractor, license number and owner/builder. The form does not describe signing on someone else's behalf.
Does the permit guarantee my repairs meet code?
No. The affidavit states that granting a permit does not relieve the applicant or contractor of responsibility for codes, ordinances and required inspections, and that receiving a permit is not a warranty or guarantee of compliance.
What happens if code violations are found after the permit is issued?
According to the affidavit, the City issues a Notice of Violation (NOV) and corrections are required. The permit applicant is responsible for any costs of removing, relocating, repairing or replacing the improvements.
Do I have to consult an attorney before signing?
The form does not require it. By signing, you acknowledge that you read and understood the agreement, entered into it voluntarily, and had an opportunity to ask questions and consult an attorney of your choice.
What does the Section 92.525, Florida Statutes verification mean?
It is the closing declaration, made under penalties of perjury, that you have read the affidavit and that the facts stated in it are true to the best of your knowledge and belief. Owner and new contractor each sign and date it.
Can I fill out this affidavit online on FillingPDF?
Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not affiliated with the City of Cape Coral, and does not file or send the affidavit; you return it through the City's channels.
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