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• C®UNTY
• • F L 0 R I D A
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMM ERCIAL�B�U,IILDING PERMIT
Project Location: + /V e r 3 hk Date - 5
Permit Number:y V / Technician: Azov
Required Documents:
Application completely filled out with Noeta.ri1zred Signatures............................ Yes `� No_N/A
Subr�Ag�_eement fi of `' ed ` ignggir ii nor Y, iss, ance ... b ..... . SLL Yes _No N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes —No -'-N/Af---
Filled Land Affidavit (prior to issuance) ................................................... Yes_No ZN/A
Recorded Warranty Deed, if applicable.......................................................Yes_No _ N/A -
'°x e c mei Tr oTSYi�sua ice or ns ectFo fl
co did Nptice'of Co ' ' � �p '� ,, �. _ p�' n..........
No -N/A -
Yes_No
/
_ N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes
Vegetation Removal Application with copy of survey......................................Yes_No
No
_ N/A c
_ 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
_ N/A_
—NO
ApprovedSite Plans...........................................................................
Yes_No_N/A_
Sealed Survey with Dimensions, Finished floor ...........................................
Yes
—
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 "J" or Manual "N" Calculations....................................................
Yes
_ N/A_
—No
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ...........
.Yes_No_N/A_
Sealed Wind Load Compliance Certification ...............................................
Yes
—N/A
—No
Product Review Affidavit.....................................................................
Yes_No_N/A
Excavating a pond for Till:
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
-
Other:
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
N/A _
_No_
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
—No
_ N/A_
Bum Rate for Sign Cabinets.................................................................. Y es_iv0 TWA
•4
Wand Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes_No_N/A_
Manufacture Set -Up and Installation Manual ...............................................
Yes
—NIA_
—No
Manufacture Blocking Documents..........................................................
Yes
—N/A
—No
Signed Penetrometer Test (1 copy).........................................................
Yes
—NIA
—No
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_Nhk_
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes No N/A_
Revised 10/15/18
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