Follow the steps to successfully complete the authorization form.

1. Click ‘Get Form’ button to obtain the form and access it in the online editor.
2. Select your preferred credit card type by checking one of the options: Visa, MasterCard, Discover, or American Express.
3. Enter the cardholder’s name as it appears on the credit card.
4. Input the credit card number in the designated field.
5. Fill in the expiration date of the credit card.
6. Provide the card verification code (CVC) located on the back of the card.
7. Enter the billing address associated with the credit card. Note that PO Boxes are not accepted.
8. Complete the city, state, zip code, and phone number fields.
9. If necessary, provide a fax number for further communication.
10. Choose the appropriate fee description by checking the relevant box based on your license, permit, or application requirements.
11. Authorize Broward County to charge the specified fees by signing in the designated area.
12. Enter the applicant, facility, or project name in the specified field.
13. Fill in the facility or project location.
14. Mark any applicable building records requested, including re-inspections, and fill in the elevator or escalator BCID numbers if required.
15. Provide any additional notes or information in the relevant section.
16. Enter the date and review all information for accuracy.
17. Once completed, fax this authorization form to 954-765-4410. Do not upload this document to the ePermitting portal.

Complete your documents online today to ensure a smooth permitting process.