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BOARD OF _ PLANNING & EL f�P ENT
COUNTY SERVICES DE'R TMENT
COMMISSIONERS . Building &Code R�`g
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(Nation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location: �J LP S 1 lA i P li Y Date: D a-D
Permit Number:
Required Documents:
Application completely filled out with Notarized Signatures ............................
Yes- fi No_N/A_
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes_JQ No
N/A_
Owner / Builder Affidavit (signed in office) .................................................
Yes )0 No
N/A_
Filled Land Affidavit (prior to issuance) ...................................................
Yes-L_No
_ N/A_
Recorded Warranty Deed, if applicable......................................................Yes_No
N/A )
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes X No
N/A_
Utility Agreement or Payment Receipt (prior to issuance).................................Yes_No
N/A_
Vegetation Removal Application with copy of survey.....................................Yes
)�- No
N/A
Plans. Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes No
—N/A —
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes X No
—N/A —
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes —No
N/A X
Approved Site Plans...........................................................................
Yes X No
—
N/A -Scaled Survey with Dimensions, Finished floor ...........................................
Yes�C No_N/A_
Elevations and Setbacks..............................................................
Yes K No
—N/A —
Plot plan with Setbacks...............................................................
Yes No
N/A_
Health Department approval stamped on survey and floor plan ........................
Yes X No_N/A_
Health Department Food Establishment Permit stamped on floor plan ................
Yes X No_N/A_
Manual "J" or Manual ` N" Calculations....................................................
Yes X No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ...........
.Yes Y No
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes No
N/A X
Product Review Affidavit.....................................................................
Yes ii% No
N/A
Excavating a pond for fill:
Site plan showing 25-foot(minimum) setback from all property boundaries, size, Yes_ No_ N/A_
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A_
ther:
Health Department Permit Paperwork.......................................................
Yes_No_N/A_
CD for Fire Department if commercial or multi -family ...................................
Yes_No_N/A_
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes
—
No -N/A -Pool Barrier Affidavit:. : .......................................................................
Yes
—N/A —
—No
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
N/A
Bum Rate for Sign Cabinets..................................................................
Yes
—No
—N/A—
r, A
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
—
No -N/A -Manufacture Set -Up and Installation Manual ..............................................
Yes_No_N/A_
Manufacture Blocking Documents..........................................................
Yes_No_N/A
Signed Penetrometer Test (I copy).........................................................
Yes_No_N/A_
Stair Details....................................................................................
Yes
—N/A —
—No
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes
—
No -N/A -Copy of Title for Relocation (used only) ...................................................
Yes_No_N/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................
Yes_No
N/A_
COMMENTS
Revised 10/5/18