The Private Provider Plan Compliance Affidavit is a City of Cape Coral, Florida, form on which a private provider certifies that the plans submitted were reviewed for compliance with the Florida Building Codes and all local amendments. It is one of the documents in the city's Permit Document Center, which is where a Cape Coral permit applicant or provider looks for forms. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form itself is published by the city, and its Development Services Department letterhead is printed at the top.
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What is Private Provider Plan Compliance Affidavit – Cape Coral, FL?
The Private Provider Plan Compliance Affidavit is a City of Cape Coral form on which a private provider certifies that the plans submitted were reviewed for, and comply with, the Florida Building Codes and all local amendments by a named, duly authorized reviewer.
The form is a one-page sworn statement. The top block identifies the private provider: the firm, the principal, an address, phone, fax and email. The certification then says that, to the best of the signer's knowledge and belief, the plans were reviewed by the affiant, who is authorized to perform plans review under Section 553.791, Florida Statute, and holds the appropriate license or certificate. The reviewer is identified by name, the plan sheets covered, and Florida license, registration or certification numbers with a description.
The reviewer signs the affidavit, and a notary section follows: State of Florida, county, the date, the person who appeared, and whether that person is personally known or showed identification (with the type of ID), then the notary's signature and seal.
A footnote defines who may be the Private Provider Principal: a Building Code Administrator under part XII of Florida Statute Chapter 468, an Engineer under Chapter 471, or an Architect under Chapter 481.
The city publishes the form in its Permit Document Center, alongside permit applications, guidelines and other affidavits. This affidavit is not a permit application.
Who needs to file Private Provider Plan Compliance Affidavit – Cape Coral, FL?
The form is used by private providers: the firm and its Private Provider Principal, together with the reviewer who performed the plans review. The principal named on the form must be a Building Code Administrator under part XII of Florida Statute Chapter 468, an Engineer under Florida Statute Chapter 471, or an Architect under Florida Statute Chapter 481, according to the footnote printed on the form.
The reviewer, called the affiant, is the person who must be duly authorized to perform plans review under Section 553.791, Florida Statute, and who must hold the appropriate license or certificate. The affiant signs the form and has the signature acknowledged before a notary public.
The form does not say who may sign for someone else, and it names no representative or alternate signer. It is a plan-review certification, not a permit application, so owners and contractors who only need the city's permit applications should look at the application forms in the Permit Document Center instead.
When to file Private Provider Plan Compliance Affidavit – Cape Coral, FL
The form sets no due date of its own. It speaks of plans already submitted and reviewed, so it is completed after the plans review is done, with the reviewer's signature and the notary acknowledgment.
Because the affidavit certifies the review of specific plan sheets, the plan sheets listed on it should match the plans the review covered. Check with the City of Cape Coral Building Division for any timing rule tied to the plan submittal the affidavit accompanies. The revision printed on the form is Revised 2/3/2023, so confirm that you are using the current version from the city's Permit Document Center before signing.
Documents you need
- Identification for the notary: if the person appearing is not personally known to the notary, they show identification, and the form records the type of ID.
How to fill out Private Provider Plan Compliance Affidavit – Cape Coral, FL
Enter the private provider firm
Write the name of the Private Provider Firm on the first line.
Name the private provider principal
On the Private Provider Principal line, enter the principal, who must be a Building Code Administrator under part XII of Chapter 468, an Engineer under Chapter 471 or an Architect under Chapter 481 (see the asterisk footnote).
Add address and contact details
Enter the Address, Phone, Fax and Email of the private provider.
Identify the reviewer and plan sheets
Under the certification, enter the Reviewer Name and the Plan Sheets that the reviewer reviewed.
List license and certification numbers
Enter the Florida License/Registration/Certification #(s) and a description of each, showing the reviewer holds the appropriate license or certificate.
Sign as reviewer
The reviewer signs on the Signature of Reviewer line, certifying the statement above it.
Complete the notary section
Before the notary, fill in the county, the day and year, and the name of the person appearing, mark whether the person is personally known or procured identification, and enter the Type of ID. The notary then signs and applies the seal.
Review and download the completed PDF
Check names, plan sheets and license numbers against the plans and credentials. Download or print the completed PDF from FillingPDF, then have it signed and notarized as the form requires.
How to submit Private Provider Plan Compliance Affidavit – Cape Coral, FL
The affidavit does not print a portal, email address or mailing address for delivery. The only address on it is the letterhead of the Development Services Department, 1015 Cultural Park Blvd, Cape Coral, FL 33990.
- Where the form comes from: the City of Cape Coral Permit Document Center, at https://www.capecoral.gov/departments/development_services/permitting_services_division/permit_document_center.php.
- Before delivery: the reviewer must sign, and the notary section must be completed with the notary's signature and seal.
- How and where to deliver it: the form refers to the plans submitted, so ask the City of Cape Coral Building Division how it wants the affidavit delivered with the plan submittal.
FillingPDF lets you fill out and download the PDF; submission follows the city's channels.
Common mistakes to avoid
- Naming a Private Provider Principal who is not a Building Code Administrator (Chapter 468, part XII), an Engineer (Chapter 471) or an Architect (Chapter 481), the only roles the form's footnote lists.
- Leaving the Plan Sheets entry blank, so the affidavit does not say which sheets the reviewer reviewed.
- Omitting the Florida license, registration or certification number(s) and their description for the reviewer.
- Submitting the form without the Signature of Reviewer.
- Signing outside the notary's presence: the notary block states the person personally appeared before the notary and executed the instrument.
- Leaving the notary block incomplete: the county, the date, the name of the person appearing, the ID type or the notary's signature and seal.
- Listing a reviewer who is not authorized to perform plans review under Section 553.791, Florida Statute, or who lacks the appropriate license or certificate.
- Using an older copy instead of the current version in the city's Permit Document Center (this one is Revised 2/3/2023).
Frequently asked questions
What is the Private Provider Plan Compliance Affidavit?
It is a City of Cape Coral form in which a private provider certifies that the plans submitted were reviewed for compliance with the Florida Building Codes and all local amendments. A reviewer authorized under Section 553.791, Florida Statute, signs it before a notary.
Is this the Cape Coral building permit application?
No. It is an affidavit about a plans review, not an application. The city's Permit Document Center lists the cape coral permit applications separately, such as Application - Addition/Remodel, Application - Miscellaneous and Application - Trade.
Who can be the Private Provider Principal on this form?
According to the form's footnote, a Building Code Administrator under part XII of Florida Statute Chapter 468, an Engineer under Florida Statute Chapter 471, or an Architect under Florida Statute Chapter 481. The form lists no other category.
Does the Private Provider Plan Compliance Affidavit need to be notarized?
The form contains a notary section for State of Florida and county, the date, the person who appeared, the type of ID, and the notary's signature and seal. Complete it with the reviewer's signature; confirm any other requirement with the city.
Where do I send the completed affidavit?
The form prints no delivery channel. Its letterhead shows the Development Services Department, 1015 Cultural Park Blvd, Cape Coral, FL 33990. Because it refers to plans submitted, ask the City of Cape Coral Building Division how to deliver it with the plan submittal.
Is there a deadline for this affidavit?
No due date is printed on the form. It certifies a completed plans review, so it is signed and notarized after the review. Check with the Building Division for any timing tied to the plan submittal.
Can I fill out this affidavit online on FillingPDF?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not connected to the City of Cape Coral, and does not file or deliver the affidavit; you submit it through the city's channels.
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