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PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTLAL/COMMERCIAL BUMMING:PERNIT
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Project Location: Q�.�, o1 Date: � �D• ��
Permit Number: " ��� `I Technician: Qioit
Reauired Documents:
Application completely filled out with Notarized Signatures ............................ Yes V//No_N/A_
Sub Agreements with Notarized Signatures (prior to issuance) .......................... YesZNo _ N/A_
Owner / Builder Affidavit (signed in office) ..... ............................................ Yes No N/A 1//
Filled Land Affidavit (prior to issuance) ................................................... Yes-.ZINO _ N/A
Recorded Warranty Deed, if applicable ...................................................... Yes _ No N/A
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes —No VIN/A_
Utility Agreement or Payment Receipt (prior to issuance) .. . .............................. Yes —No _ N/A V1
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 -Landscaping and Parking plan (under 61000 sgft)...................................,...... Yes' No _ N/A
ApprovedSite Plans......................:.......,............................................. Yes_�/No_MA
Sealed Survey with Dimensions, Finished floor ........................................... Yes No_N/A_
Elevations and Setbacks............................................................... Yes_111No N/A
Plot plan with Setbacks .......................................................;....... Yesv 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
Manual "J" or Manual "N" Calculations....................................................
Signed Energy Calculations (1 set original signatures & signed in 2 spots)...........
Sealed Wind Load Compliance Certification ...............................................
Product Review Affidavit.....................................................................
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size,
shape, location and quantities of proposed excavation and fill areas
Yes -NO — N/A_
Yes V/ /No_N/A_
Yes V 'No N/A
Yes7No N/A
Yes No N/A•V
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A V
Depth of excavation does not exceed 1,2 feet in depth .................................... Yes— No_ N/AV/
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No N/A V
Other:
Health Department Permit Paperwork. , .......................... I ........................... Yes_No_N/A_�k/
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 v
Pool Barrier Affidavit.......................................................................... Yes —No —N/A v/
Ground Sign Landscape Affidavit (signs) ................................................... Yes —No _ N/A Y
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 V
Manufacture Set -Up and Installation Manual .............................................. Yes _No_N/AV/
Manufacture Blocking Documents.......................................................... Yes —No —NIA
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