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Building & Code Regulation
Proiect Location:123 QUEEN BESS CTMet
, FT PIERCE - CUERVO Date:
Permit Number: Technician:
Application completely filled out with Notarized Signatures ............................Yes
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/.A
Owner / Builder Affidavit (signed in office),,, Yes No N/A
Recorded Warranty Deed, if applicable ................................................. ...Yes No N/A
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes No ®N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes No N/,�
Vegetation Removal Application with copy of survey., a at to if 04a 44 state so eeel be of Is so 04 **Yes No N/A.
Complete set of plans with Engineer /Architect Raised Seal . . ......................... Yesy No N/A
Truss Plans reviewed and approved by Engineer / Architect...... $got I@ "Yes No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A
Approved Site Plans........................................................................... Y / es No N A
Sealed Survey with Dimensions, Finished floor,.. $40 %**1 6 641466% Goo $0 6414440849 the 44 *a... Yes No N/A
Elevations and Setbacks. 0 e t A 64866vots 4660 loot@ eveoto Ye
s No N/ A
Plot plan with Setbacks ................................................... . ........... Y �
es No N/ A
Health Department approval stamped on survey and floor planes. too sells 4 too 40 5 61 61 .. Yes®No N/A
Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/A
Manual "J" or Manual "N" Calculations.............. so @safe Yes No N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots), ....... I ...Yes No N/A
Sealed Wind Load Compliance Certification, 6 0 he 410 5 0 a 6 0 0 0 4 0 t 0 8 so 6 0 4 0 * of $ 0 0 4 * 0 a 0 off Yes VNo N/A
Product Review Affidavit.....................................................................Yes No N/A
Excavating a pond for fill:
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
®that:
Health Department Permit Paperwork, to Is sells Yes No N/A V
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)............ YesVNo N/A
Pool Barrier Affidavit.......................................................................... Yes No N/A
Ground Sign Landscape Affidavit (signs) .................................... tome ........... Yes No N/A V
Burn Rate for Sign Cabinets. . 0 0 6 9 1 0 1 1 1 IYes No N/A
RV and Mobile Home Tie - Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...... . ... . . .... . ............. . ...... . . alto . , . , .... Yes No N/A
Manufacture Set -Up and Installation Manual..... Goof 1 6. .. . ... . .. woo ....:. . ... . . see so ..... Yes No N/A
Manufacture Blocking Documents. . .......... . . ......... Yes No N/A
Woo
Signed Penetrometer Test (1 copy) ...... . ........... . ... . ....... . ............ . . ....... . ... . Yes No N/A
V.
StairDetails .................................................... . .... . .......................... Y / es No N A
Mobile Home Inspection Report for Relocation (used only) . ............ 0 , ...... , , .... Yes No N/A
Copy of Title for Relocation (used only) .......................... . ................ . ......6 Yes No N/Av
Private Property not in a mobile home park
Class "A" Approval from Planning or file #.... . .... . ............................ . ......... Yes No N/A
Revised 10/15/1�