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BOARD OF PLANNING & DEVELOPMENT
COUNTY COUNTY
SERVICES DEPARTMENT
COMMISSIONERS F L • R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTLAL/COMMERCIAL BUILDING PERMIT
Project Location: l (9 3 N e ' -P S' 1 Date: ,n, nn I (i("�
Permit Number:: Q F1 I -� QO (4� Technician: �Gku-j
Required Documents:
Application completely filled out with Notarized Signatures ............................
Yes
-/No N/A
Sub Agreements with Notarized Signatur (".g to 'ssz�. ce ..........................
Yes
_9ZNj r-17N/A_
Owner / Builder Affidavit (signed in office) .................................................
Yes
ZNo_ N/A_
Filled Land Affidavit (prior to issuance) ...................................................
Yes
/No _ N/A
Recorded Warranty Deed, if applicable......................................................Yes_No
_ N/A-9:::f
Recorded Notice of Commencement<Cnor tozssnanceporiiaspacfz .................
Yes o 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_
Plans. Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes _ZNo_N/A_
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes _/No_N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes_No _ N/A_Z
ApprovedSite Plans........................................................................... Yes /No_N/A_
Sealed Survey with Dimensions, Finished floor ........................................... Yes XNo N/A
Elevations and Setbacks.............................................................. Yes "No_N/A
Plot plan with Setbacks............................................................... Yes fNo — 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' ' or Manual "N" Calculations....................................................
Yes /No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes
"No
—N/A —
Sealed Wind Load Compliance Certification ...............................................
Yes_No_N/A
Product Review Affidavit.....................................................................
Yes
—No
ZN/A_
Excavating a pond for fill:
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 —NIA —
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 N/A_
Burn Rate for Sign Cabinets.................................................................. Yes_No_N/A
RV and Mobile home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ................................................... Yes _No_N/A
Manufacture Set -Up and Installation Manual .............................................. Yes_No_ N/A
Manufacture Blocking Documents.......................................................... Yes_No_N/AT-7"
Signed Penetrometer Test (1 copy)......................................................... Yes_No_N/A_y"'
StairDetails.................................................................................... Yes —No —N/A
Mobile Home Inspection Report for Relocation (used only) ........................... Yes No_N/A—Z
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 —
COMMENTS
Revised 10/15/18