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BOARD OF 1 wj ! _ PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COUNT
COMMISSIONERS F L • R I . ABuilding &Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location: 9 10 y 1 i.Y Date:. 1 17, D p Z b.
Permit Number ... '%.� V T j 3.. Technician:..
Required Documents:
• Application completely filled out with Notarized. Signatures ..........::.:.............. Yes Y 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) ................................................ Yes_ t No _ N/A
Recorded Warranty Deed, if applicable .......................................................Yes No — N/A
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes .. L.,,No _ N/A .
Utility Agreement or Payment Receipt (prior to issuance)..........................:......Yes X 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 ........................:.. Yes—)�—No N/A,
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes k No N/A
Landscaping and Parking plan (under 6,000 sgft).......................................... Yes No _ N/A
Approved Site Plans........................................................................ Yes :X No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes X No N/A
Elevations and Setbacks............................................................... Yes )(No N/A
Plot plan with Setbacks........................................................ Yes %, No N/A
104
Health Department approval stamped on survey and floor plan ........................ Yes —No —N/A X
Health Department Food Establishment Permit stamped on floor plan ................ Yes —No —N/A
Manual "J" or Manual "N" Calculations.................................................... Yes_.L_No _ N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes i No N/A
Sealed Wind Load Compliance Certification ............................................... Yes Y' No 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
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
—No
—N/A
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
N/A
Burn Rate for Sign Cabinets..................................................................
Yes
—No —N/A
11
RV and 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 "A" Approval from Planning or file # ............................................... Yes No N/A
COMMENTS
Revised 10/5/18