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BOARD OF PLANNING & DEVELOPMENT
COUNTY COUNTY
SERVICES DEPARTMENT
COMMISSIONERS F L • R I D A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: 009 Woof 1(� G l rt Date:
Permit Number: vb� \ Technician:It"UV�O�Q
ED
APR 8'0 2020
Reauired Documents: FermlEtlnq De artment
3E, Enets Edtwy.
Application completely filled out with Notarized Signatures ............................
Yes, No
N/A
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes X No
N/A
Owner / Builder Affidavit (signed in office) .................................................
Yes No
N/A X
Filled Land Affidavit (prior to issuance) ...................................................
Yes A No
N/A_
Recorded Warranty Deed, if applicable ......................................................Yes
No
N/A7%
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 X No —
N/A -Truss Plans reviewed and approved by Engineer / Architect ............................ Yes Ilk No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A X
Approved Site Plans........................................................................... Yes No —
N/A -Sealed Survey with Dimensions, Finished floor .....................:..................... Yes%No_N/A_
Elevations and Setbacks.............................................................. Yes 1` No —N/A —
Plot plan with Setbacks............................................................... Yes y No N/A_
0
Health Department approval stamped on survey and floor plan ........................
Yes
x No_N/A_
Health Department Food Establishment Permit stamped on floor plan ................
Yes
X No
N/A
Manual "J" or Manual "N" Calculations....................................................
Yes
'X No
N/A
Signed Energy Calculations (I set original signatures & signed in 2 spots) ...........
.Yes, :LNo
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes
No
N/A_
Product Review Affidavit.....................................................................
Yes
No
N/A /`
Excavating a pond for fill:
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 N/A
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A_
ther:
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
Bum 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
—N/A —
—No
Manufacture Blocking Documents..........................................................
Yes
—N/A —
—No
Signed Penetrometer Test (1 copy).........................................................
Yes
—
No -N/A -Stair Details....................................................................................
Yes —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
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................
Yes_No
N/A
COMMENTS
Revised 10/5/18