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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L 0 11 1 D A Building & Code Regulation
CHECKMT FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Date: 120
Vb( J ') Technician:
ReagjMd Documents:
Application completely filled out with Notarized Signatures ............................ Yes V No_N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No _ N/A_�Z
/ 1
Owner / Builder Affidavit (signed in office) ................................................. Yes —No —NIA V
Filled Land Affidavit (prior to issuance) ................................................... Yes —No _ N/A, V
Recorded Warranty Deed, if applicable ......................................................Yes, No _ N/A _-
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 No _ N/A
Plans Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes V No,_N/A , /
_
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes _No_N/A ,V/
Landscaping and Parking plan (under 6,000 sgft)......................................... YesNo _ N/A v
Approved Site Plans........................................................................... Yes �/�No_N/A_
Sealed Survey with Dimensions, Finished floor ........................................... Yes v/ No N/A
Elevations and Setbacks.............................................................. Yes ✓ o_N/A_
Plot plan with Setbacks.............................................................
.. Yes No _ N/A_
Health Department approval stamped on survey and floor plan ........................ Yeo N0
Health Department Food Establishment Permit stamped on floor plan ................ YesNo N/A
Manual "P' or Manual "N" Calculations.................................................... Yeo No _ N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... •Yes NON/Aj- I
Sealed Wind Load Compliance Certification ...................... —*...... ............... Yes No v
Product Review Affidavit..................................................................... YesTNo_N/A
Excavating a pond for fill: ` f
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_ NA
If Hauling fill off site (excess of 100 cubic yards) you must have a mining Permit Yes_ No_ NIA —
Other:
Health Department Permit Paperwork.......................................................
CD for Fire Department if commercial or multi -family ....................................
DEP, SFWMD or Army Corp of Engineers.(dock, seawall, SF on beach)............
PoolBarrier Affidavit...........................................................:.............
Ground Sign Landscape Affidavit (signs) ...................................................
Yes_NON/A��
Yes —No —N/A ✓`
Yes--No—NIA
Yes No_Pn- V
Yes_No _ N/A"
17
Bum Rate for Sign Cabinets.................................................................. Yes No _ N/A
1-
R; and Mobile dome Tie-DoMOh'(2 copies) ' /
Permit VJorksheet (Tie -Down Diagram) ................................................... Yes No_N/AV.
Manufacture Set -Up and Installation Manual .............................................. Yes NoN/A �
.............. Yes No N/A
Manufacture Blocking Documents ..............:............................. _
Signed Penetrometer Test (1 copy)......................................................... Yes No_N/A
Yes
StairDetails.................................................................................... _No N/A
Mobile Home Inspection Report for Relocation (used only)...........................
Yes_No_N/A�
Copy of Title for Relocation used only) Yes No_N/A
( Y)............................
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes No_ N/A
COMMENTS
Revised 10/15/19