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BOARD OF
COUNTY.
COMMISSIONERS
PLANNING;&_ DEVELQPMENT.
SERV.ICES.DEPARTiMENT .
Building & Code. Regulation
CHECEI iST FOR R�FSI DENT7AL/COM ERCIAL BTTH DINGP£RIVIIT, ,?Zc, -'
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Proiect Location::iue
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Permit Number: Technician: !�Q
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Reanlced Documents:. .
Application completely.filled.out- with Notarized Signatures .................:...........
Yes v No�_ N/A�.
Sub: Agreements witbNotarized'Sigpatures (prior to.issuance):.,...:..,..................
YesZNo N/A_
Owner /Builder Affidavit {signed in office) ................................................... Yes_No N/A Z
Filled LandAffidavit. (prior to issuance) ....... ....................... :....:................
Yes—Lo _XIA_' .
Recorded Warranty Deed, if applicable ..............................................
.Yes_No N/A 2
RecordedNgtiee of Commencement (prior to:issuance.or inspection)...:....::.,.....
Yes 'No vN/A_
Utility Agreement or Payment Receipt (prior to issuance) ...................:.
Applicationmith
Vegetation Removal copy of survey ................ ........................
Yes —No _ N/A
Plane. Calculations & Attachments (3 copies ,commercia4 2 copies residential).
Complete set of plans with Engineer / Architect Raised Seal ................::......... Yes Ve.NoiN/A_.
Truss Plans reviewed and:approved byPngineer / Arelutect............ :................ .YesV No�N/A_
Landscaping and Parldng plan (under 6,000 sgft)......................................... Yes', —No — NIA .
Approved Site Plans..:.....:.............:............................................... ...... Yes :No . .N/A
Sealed Survey with Dimensions, Finished floor..............................:d/.............. Yes No_N/A
Elevations and ........::...........:.............................:........... Yes d .No N/A
Plot :plan with .Setbacks ........... :............................__......,... ::....:....... YekV No NA
Health Department approval stamped on survey and floor plan ........................ Yes_No_N/A�
Health Department Food Establishment Pemut stamped on floor plan ................ Yes —No —N/A
Manual "J" or Manual `W' Calculations....................................................
Signed Energy Calculations (1 set original signatures & signed in 2 spots)........... .
Sealed Wind Load Compliance Certification ..............................................
Product Review Affidavit....................................................................
Ezcavaftg a uond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size,
shape, location and quantities of proposed excavation and fill areas
YesNo _ N/A
Yes ®// No N/A
Yes V No_N/A_
Yes -No N/A_
Yes No N/A•V
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A V
Depth of excavation does not exceed 12 feet in depth .................................... Yes_ No N/A_v//
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes— No N/A V/
Other:
Health Department Permit Paperwork. c....................................................
CD for Fire Department if commercial,or multi -family ...................................
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Pool Barrier Affidavit....................:.....................................................
Ground Sign Landscape Affidavit(sigps)...................................................
Burn Rate for Sign Cabinets..........:.:.....................................................
Yes_No_N/Aje/
Yes
No_N/AZ
Yes_No
N/A v
Yes
No
N/A V1
Yes No — N/A ®/
Yes —No —N/A -
Wand Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ................................................... Yes_No
/
N1A 4i
Manufacture Set -Up and Installation Manual ...............................................
Yes_No
N/AV!/
Manufacture Blocking Documents..........................................................
Yes.'
No
—N/A
Signed Penetrometer'Test(1 copy) ... :.....................................................
Yes
No_N/A
StairDetails....................................................................................
Yes _No_N/A7
7
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes
No
N/A
Copy of Title for Relocation (used only) ...................................................
Yes
No
NIA
Private Property not in a mobile home park
Class "A" Approval from Planning or', -file #................................................ Yes No N/A_
COMMENTS
Revised 10/5/18