Demolition Clearance Form

OCFO/Treasury Division

2 Woodward Avenue Coleman A. Young Municipal Center

Owner Name

Owner's Home Address

Owner's Home City/State/ZIP

Last 4 Digits of Owner's SSN

Please Do Not enter all 9 digits.

Owner's EIN/FID Number

This number should be entered in the following format:

XX-XXXXXXX

Owner's Phone Number

Phone

Owner's Driver's License Number

Address of Property Scheduled for Demolition

Representative's Name

Representative's Driver's License Number

Owner/Representative Email Address

Documents Checklist

Please check each of the boxes below to confirm that you have provided ALL of the following items in the 'File Upload' box below.

Copy of Registered Deed

Copy of Owner's Driver's License

Copy of Representative's Driver's License (if applicable)

Copy of Receipt from BSEED for Inspections

File Upload

Drop your files here

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