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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L • Building & Code Regulation
CHEcKii r FOR RESIDENTIAL/COMI ERCIAL BUILDING PERMIT
Proiect Location:
Ih 1J E
Date:
PermitNumber:
D Off- D�
'Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ YesL::::�No_N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No _ N/A`:
Owner / Builder Affidavit (signed in office) ................................................. Yes_No_ N/A .�
Filled Land Affidavit (prior to issuance) ........................................::......... Yes_No _ N/A
Recorded Warranty Deed, if applicable ......................................................Yes No _ N/A_
Reese_lIoti=otiGstmmenceme_nta(pricr1aAssuance:vrbins ection ............. Yes_No N/A_
Utility Agreement or Payment Receipt (prior to issuance).................................Yes_No
Vegetation Removal Application with copy of survey.....................................Yes_No
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 sq8)......................................... Yes No _ N/A �
Approved Site Plans........................................................................... Yes No _N/A
Sealed Survey with Dimensions, Finished floor...............................I ........... Yes No_N/A Z
Elevations and Setbacks.............................................................. Yes No_N/A
Plot plan with Setbacks............................................................... Yes_No _ 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'Tor Manual'' 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 ...............................................
YesNo
N/A
Product Review Affidavit.....................................................................
Yes
No_N/A
Excavating a pond for Till:
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_ N/A_
Other:
Health Department Permit Panerwork....................................................... 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
_ NIA
Bum Rate for Sign Cabinets.........................:........................................
Yes_No_N/A_
me
V
Wand 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/A
Signed Penetrometer Test (1 copy)..........................................................
Yes
No_N/A
StairDetails....................................................................................
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 "Afe Approval from Planning or file # ...............................................:
Yes
No_
N/A
Revised 10/15/18
COMMENTS