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BOARD OF ' a `"°�`° PLANNING & DEVELOPMENT.
COUNTY SERVICES DEPARTMENT
®.`
COMMISSIONERS o Q Building & Code. Regulation.
CHECKLIST FOR RESIDENTIAL/CONLWERCIAL BUILDING.PERNHT
Proiect Location: Date: s` 131 ad
Permit Number: aao5� day: Technician:
%CCEIVED
Required Documents: ' MAY 13 2020
ST. Luc4ty,
Permitting
Application completely filled out with Notarized Signatures............ eNo N/A
Sub Agreements with Notarized Signatures (prior to issuance) .............,.............. YesZNo _.N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes No N/A
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 ZNIA___
Utility Agreement or Payment Receipt '(prior to issuance).................................Yes No _ N/A V/
Vegetation Removal Application.with copy of survey.......... .Yes No N/A .V/
Plans. Calculations & Attachments (3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes VNo N/A
Truss Plans reviewed and approved by Engineer / Architect........ ..................... Yes No N/A
Landscaping and Parkinplan (under 61000 s ft) .......................................... Yes No N/A
Approved Site Plans......................................................................... YesZNo N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes V/ No N/A
Elevations and Setbacks .................... ......... . Yes 4 No N/A
Plot plan with. Setbacks............................................................. Yes No N/A
I
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_,It/No _ N/A_
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes No N/A
Sealed Wind Load Compliance Certifi`cation................................................ YesV//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•V!
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/Av/
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 commercialor multi -family ................................... Yes No N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes INo N/A ./
PoolBarrier Affidavit..........................................................................
Ground Sign Landscape Affidavit (signs) ...................................................
Burn Rate for Sign Cabinets..................................................................
Yes No N/A V/
Yes No _ N/A N/
Yes No N/A7
RV and Mobile Home Tie -Down On1j.(2 copies)
Permit Worksheet (Tie -Down Diagram) ................................................... Yes No N/A V1
Manufacture Set -Up and Installation Manual .............................................. Yes No N/A VI
Manufacture Blocking Documents.......................................................... Yes No N/A
Signed Penetrometer Test (1 copy)......................................................... Yes No N/A V
Stair Details .......................................... . Yes No_N/A
Mobile Home Inspection Report for Relocation (used only) ........................... Yes No N/A
Co of Title for Relocation used only) .....................
Copy ( Y)........................ ...... 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