High-Rise Residential Building
Non-Sequential Floor Numbering Filing (FDNY)

1. Building Information

Street Number:

Street Name:

City:

State:

Zip Code:

Borough:

Block No:

Lot No:

Building Identification Number:

2. Building Owner Information

Name of Owner:

Office Street Number:

Office Street Name:

Room/Floor:

City:

State:

Zip Code:

Telephone Number:

Email Address:

3. Owner Representative (Person Submitting This Electronic Filing)

Representative Type:

Expeditor Registration No:

Registered Architect
License No:

Professional Engineer
License No:

Other (explain):

Name:

Office Street Number:

Office Street Name:

City:

State:

Zip Code:

Telephone Number:

Email Address:

4. Certification

By submitting this electronic filing, the Owner Representative certifies under penalty of perjury that s/he is authorized to make this submission on behalf of the building owner indicated above, and that the attached Building Information Card accurately reflects the non-sequential or other non‑standard floor numbering of the building for which it is being filed.  False submissions are punishable by law.

5. Attachment

Upload the non-sequential floor numbering building information card. The attachment must be in JPEG format. An attachment is required to submit this electronic filing.

Video and Picture Upload
You can upload up to three (3) files.
You can upload a total of three files, but the total size of all files uploaded can not exceed 3 MB.

• Videos must be in .mov, .mpg, .mp4, .avi, .wmv, .3gp, .3g2, or .rm format.
• Pictures must be in .jpg, .png, .gif, .bmp, or .tif format.
• Audio files must be in .mp3, .mp2, .wav, .wma, .aac, or .ra format.

Before uploading, make sure that all the videos and pictures you are sending are appropriate and relevant to the service request to which they are to be attached.
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