Broward County Environmental Licensing and Building Permitting Division Credit Card Authorization Fo 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting your card type from the options provided: Visa, MasterCard, Discover, or American Express.
3. Enter the cardholder’s name as it appears on the credit card.
4. Fill in the card number, expiration date, and card verification code (CVC) accurately.
5. Provide your billing address, ensuring that a PO Box is not used. Include city, state, phone number, fax number, and zip code.
6. In the fee description section, select the appropriate license, permit, or application type by checking the corresponding box.
7. Authorize Broward County to charge your credit card by signing in the designated area.
8. Complete the applicant's name and facility or project location fields.
9. Indicate any building records needed and specify re-inspection types if applicable.
10. Add any additional notes or information in the 'Notes/Other' section before finalizing your form.
11. Once completed, fax this authorization form to 954-765-4410 as instructed. Do not upload this document to the ePermitting portal.

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