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J.
BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
MMISSIONERS F L . R I . • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/CONIN ERCLAL BUILDING PERMPP
Project Location: �n,� I i r C h Date: 13 11 d o a
Permit Number: ou�3 Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes 4 No_N/A_
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes t� No _ N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes )( No_ N/A_
Filled Land Affidavit (prior to issuance) ................................................... Yes X No _ N/A
Recorded Warranty Deed, if applicable......................................................Yes_No N/A K
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes � No _ N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes_No N/A_
Vegetation Removal Application with copy of survey.....................................Yes X 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 K No_N/A
Landscaping and Parking plan (under 6,00 a" f�(( (C(Aj{�� yl �;', ........... Yes_No _ N/A a
Approved Site Plans .......................... 9 /jW A'5; ,Pt.
.......... Yes No N/A
Sealed Survey with Dimensions, Finishe .............. Yes]�No_N/A_
Elevations and Setbacks.......... - 1. -x ::, ., ...... .............. Yesl No N/A
Plot plan with Setbacks............................................................... Yes_ No — N/A_
Health Department approval stamped on survey and floor plan ........................ Yes —
No -N/A -
Health Department Food Establishment Permit stamped on floor plan ...... ........... Yes No_N/A_
Manual ' T' or Manual ' N" Calculations.................................................... Yes -� No _ N/A_
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes L No_N/A
Sealed Wind Load Compliance Certification ............................................... Yes Y� NO —
N/A -Product Review Affidavit.. ................................................................... Yes /( 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 —
Other:
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 —
PoolBarrier Affidavit.......................................................................... Yes —
No -N/A -
Ground Sign Landscape Affidavit (signs) ................................................... Yes No _ N/A_
Bum Rate for Sign Cabinets.................................................................. Yes_No_N/A_
RY and Mobile Rome Tie -Down Onbr (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
No
Manufacture Set -Up and Installation Manual ..............................................
Yes_No_N/A_
Manufacture Blocking Documents..........................................................
Yes
—
No -N/A -Signed Penetrometer Test (1 copy).........................................................
Yes_NON/A_
StairDetails....................................................................................
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 10/15/18