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BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/CONIN ERCIAL BUILDING PERNHT
'180 al 1Na
Permit Number: ���a 0�3�- Technician: Ewa)
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes v No_N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes t/ No _ N/A_
Owner / Builder Affidavit (signed in office)/ . ............................................ Yes.,,,/No_ NN/A_
ea Land-Affidavit(pnor to -issuance) ................................................... Yes_No v N/A_
Recorded Warranty Deed, if applicable......................................................Yes,_No _ N/A_
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes v 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
glans. 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 ZNo_N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes —No N/A
Approved Site Plans........................................................................... Yes i�No_N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes ✓ No —N/A
Elevations and Setbacks.............................................................. Yes'/ No —N/A —
Plot plan with Setbacks............................................................... YessLNo — N/A_
P
Health Department approval stamped on survey and floor plan ........................ Yes_2Nq_N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes No_N/A
Manual' P' or Manual' N" Calculations.................................................... Yes No _ N/A
Energy
Sealed
Product Review Affidavit..........
Excavatins a aond for fill:
)n......
�
..........�.;;:;
r 't
Site plan showing 25-foot(minimum) set back 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
Pool Barrier Affidavit..........................................................................
Yes
No_N/A_
Ground Sign Landscape Affidavit(signs) ................................. ..................Yes_No
_ NIA_
Burn Rate for Sign Cabinets..................................................................
Yes
Nc
_ N/A
:r
RY and Mobile Home Tip -Down Only (2 copies)
Permit Worksheet le -Down Di
Yes
No_N/A_
Manufacture Set -Up and Installation Manual ..............................................
Yes
No_N/A_
Manufacture Blocking Documents .............. :...........................................
Yes
No
N/A
Signed Penetrometer Test 1 co ................................
Yes
No_N/A
Yes
No_N/A
StairDetails....................................................................................
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