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. -COUNTY
QOr,Pmn§sI O*NEftS
FLANNINGAMMLOPMENT.
SERVICES.
13011din
.9 4% Code. RYgubpt!.Jon
-CRE.CKLIST.FOR-RESE[)ENTiAL/coMmRCIA,L:BU]LDING *
PERMIT
Permit Niiinber: 6
RgMujL*d Documents:
Technician:
Application cOInPlet6IY filled.o'ut with Notarized Signatures .......
...................
JAN 2 41120'..
. Sub. Agreements with Notarized Signatures (prior toissuance) , ............................
Yes__
X No
,Owner l-BuddeT'Affidavit(signed i:noffice).......................... ..................... Yek_.
_No
— .N/A
Filled Land Affidavit brior to issuance) ................................. ..................
X,-
'Yes, No..
N/A
Recorded --Warranty Dmd,:if applicable............
Yek_.N6-_.N/,A:
x
Reb6rded-Notice of Comnie'nc ement (prior to. issuance or inspection)...'.....:.. .......
Ves�_No'.
X NIAL�_
.Utility Agreement or PaYM . ent Receipt (prior to issuance) .................................Yes
,No
NA X.
Vegetation Removal Application with copy of survey ..... : .......... .............. sl ........
Yes,_No
— N/A
Plans. Calculations A Attachment.:-(3 copies gommefeia residential)
. b 2 copies . d
Complete set of plans with Engineer / Architect Rziied Seal .............................
Yes
XNo
N/A
Truss Plans reviewed and approved by Engineer / Architect. ........................
YesXNq.—NIA.
Landscaping and Parking plan (under6,000 sqff) ...................... ! .............
-Yes,
_No.:__
-X
N/A —
ApprovedSite Plans..; .................................. x
........................... YeL�No.N/A..
Sealed Survey with Dimensions Finished floorr ............................................. . Yes No N/A- X
Elevations . .'and Setbacks............................................................... .
Yek—X
Na_N/A_:
Plotplaqwith Setbacks .,.: ........................
. ....... ....... ...... ...............
Yek.2.No,
x
N/A�
d � J
Health Department approval stamped on survey and floor plan ........................ Yes_No_N/A X
Health Department Food Establishment Permit stamped on floor plan ................
Yeo
No_N/A
X
Manual' P' or Manual'W' Calculations....................................................
Yes
X No
N/A_
Signed Energy Calculations (1 set originar signatures & signed in 2 spots) ........... .Yes
X NON/A.
Sealed Wind Load Compliance Certification ...............................................
Yes
X No
N/A_
Product Review Affidavit.....................................................................
Yes
X No_N/A_,
Excavating,a pond for fill:
Site plan showing 25-foot(minimum) setback from all property boundaries, size, Yes' No 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
the
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/A X
PoolBarrier Affidavit.......................................................................... Yes No_N/AX
Ground Sign Landscape Affidavit (signs) ................................................... Yes _No _ N/A X
Burn Rate for Sign Cabinets.................................................................. Yes _No_N/A X
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
x
—No
—N/A
Manuficture Blocking Documents ..................... ; ....................................
Yes
X0
N/A
X
Signed Penetrometer Test (I copy) ..........................................................
Yes
x
—No
—N/A
—
StairDetails ....................................................................................
Yes—XO—N/A
x
Mobile Home Inspection Report for Relocation (used only) ...........................
yes_No,_N/A.X
Copy of Title for Relocation (used only) .................................................1.
Yes-_No�_N/A.X
Private Property not in a mobile home park
Class "A" Approval from Planning or file #
................................................
Yes�_Nq._
N/A
X
COMMENTS
Revised 1015118