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BOARD OF y PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L • 11 1 D A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location: 5 \ 5 t) +J Lg v\ c R v1e o a TC t f Date-
qq G,, 1 a°l J ms
Permit Number: �aa�-d-jCo'Z� Technician: �d�1
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes.)�_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) ................................................... Yek X 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/A
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 ........................... Yes4No_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_
Approved Site Plans........................................................................... Yes No_N/A_
Sealed Survey with Dimensions, Finished floor ...........................................
Elevationsand Setbacks.............................................................. Yes_No_N/A
Plot plan with Setbacks............................................................... Yes —No — N/A_
Health Departnent approval stamped on survey and floor plan ........................ Yes _ NON/A
Health Department Food Establishment Permit stamped. on floor plan ................ Yes_NON/A
Manual "P' or Manual "N" 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 .....................................:.......... Yes No N/A_
Product Review Affidavit ... Y nKt). c�sP...><?.�. �.f.Ol)4 .......................... Yes%NoN/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
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:
uPam, nl nrtment 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
Bum Rate for Sign Cabinets..................................................................
Yes
NO
N/A
By and Mobile Home Titt�nW2 copies)
Permit Worksheet (Tie -Down Diagram) ................................................... Yes No_N/A
Manufacture Set -Up and Installation Manual ............................................... Yek_No_N/A
Manufacture Blocking Documents .............. :........................................... Yes_No_N/A
Signed Penetrometer Test (1 copy) ................ ..............I............................ 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 Yes No_ N/A
Class "A" Approval from Planning or file # .............................................. .
COMMENTS
Revised 10/15/18