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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS . . Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: �,711 �{I i�y I s r I I I I � t Date:("
Permit Number: y -2/0 Technician:,dJLLJr/)e'! 1
Reauired Documents:
Application completely filled out with Notarized Signatures ............................
Yes x 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 %\
Filled Land Affidavit (prior to issuance) ...................................................
Yes X No
_ N/A_
Recorded Warranty Deed, if applicable......................................................Yes_No
N/A X
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes,L,No
_ N/A_
Utility Agreement or Payment Receipt (prior to issuance).................................Yes
1 - No
_ N/A_
Vegetation Removal Application with copy of survey.....................................Yes
X No
_ N/A_
Plans. Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes%No_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 K
Approved Site Plans........................................................................... Yes X_No_N/A_
Sealed Survey with Dimensions, Finished floor ........................................... Yes,LNo_N/A_
Elevations and Setbacks.............................................................. Yes_)L-No_N/A_
Plot plan with Setbacks............................................................... Yes A No — N/A_
Health Department approval stamped on survey and floor plan ........................
Yes i
No
N/A
Health Department Food Establishment Permit stamped on floor plan ................
Yes R
No
N/A
Manual "J" or Manual "N" Calculations....................................................
Yes k
No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ..... ......
.Yes
No
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes X
No
N/A
Product Review Affidavit.....................................................................
YesX
No
N/A
Excavating a Dond 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
PoolBarrier 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
—N/A —
—No
Manufacture Set -Up and Installation Manual ..............................................
Yes
—No
—N/A —
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