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. -COUNTY
COMMISol,
Q.NERS
.' PLANNING -i.DEVE1.-6FMr;NT.
SERVICES. .DEPARTMENT
i ga cip n de..Regufiatijon
-CI.ElE.CKLIST-FORRESEI)ENTLAIUCOAEMRCIA,L-
BUILDING PERAffr
Permit Number:. t; 6 C3 S a' Techn
,Reauired'D_0cU)rn6htS:
Date:
KtUMV r-u
JAN 4 !20
ST. Lucie county, FlermlWng
Application 6o1i1plet6ly11U6d.'
out with Notarized Signatures ....... .....................
Ye k_2_No_N/A
X,
• .
.&b Agreements with Notarized Signatures (prior to.issuiance)... ..........:.....:.Yes
s
X N 0
N/A
�
-Owner Affidavit (signed in office) .......X.
.................................... .....
Yek_No�._N/A.
Filled Land' Affidavit. (prior to issuance) ................................. ...............
YesL
X No.
N/A -
Recorded Warranty Deed,:if applicable.................................................. ...
YesL_No-_.N4.
'X'
Recorded -Notice of Commencement (Prior to. issuance Or ifisPe6#00 ..................
Yei_No
X N/A,
Utility Agreement or Payment Receipt (Prior to issuance) ................................. Yes .No.,_
N/A -
X.
Vegetation Removal Application with copy of survey .......................................
yes
—No
NIA.
flans Calculations &
44*j4Lnb:(3_ copies commercial, 2 es residential)
dential)
Complete set of plans with Engineer / Architect Raised Seat ............................ Yes X.-No N/A
Truss Plansreviewed and approved, by Engineer / Architect. x
..........................
Landscaping and Parking Plan (un*6,000 sqft)..: ............. X
....... ................. Yes kA_
ApproVed:Site Plans, ................................... .............................. ... :-Yes -x
No�. _N/A�.
.Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A
x
EiiavAoiw.'and 'Setbacks ............ Ye x
................................................... s ;� No_N/A
PlOtplan with Setbacks ... .................... .......... ....... ...................... x
YeL:Z.No
r
Health Department approval stamped on survey and floor plan ........................ Yes No_N/A X
Health Department Food Establishment Permit stamped on floor plan ................ YesNo_N/A X
Manual "J" or Manual "N" Calculations ....................... ......................
Yes
X No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ............ .Yes
X No_N/A
Sealed Wind Load Compliance Certification ...............................................
Yes
X No_N/A_
Product Review Affidavit ............................................. ........
Yes-
No
N/A_
Excavatine.a uond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, YesNo_ N/A X
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 X
Depth of excavation does not exceed 12 feet in depth .................................... Yes_ No_ N/A.X
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A X
Other:
Health' Department Permit Paperwork
.........................................................
Yes_
No
N/A
X
CD for Fire Department if commercial or multi -family ...................................
Yes_No_N/A
X
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes,_No
N/AX
PoolBarrier Affidavit
..........................................................................
Yes
No_N/AX
Ground Sign Landscape Affidavit (signs) ........................................
Yes
X
_No
N/A
Bum Rate for Sign Cabinets..................................................................
Yes _No_N/AX
RV and —Mobile Home Tie -Down only (2 copies)
Permit.Worksheet (Tie -Down Diagram) ................................................... Yes No N/A X
Manufacture Set -Up and Installation Manual
..............................................
Yes_No
N/AX
Manufacture Blocldng Documents ............. ........ :.................................... Yes
—No
—N/A —
Signed Signed Penetrometer Test (1 copy).........................................................
Yes_No_N/AX
Stair Details ......................................................
YesNo_N/A
X
Mobile Home Inspection Report for Relocation (used only) ........................
Yes_No_N/A
X
Copy of Title for Relocation (used only)
...................................................
Yes
No
N/A X
Private Property not in a mobile home park
Class "A" Approval from Planning or file #
X
................................................
Yes
No_
N/A
COIVIWNTS
Revised 1015118