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BOARD OF PLANNING & DEVELOPMENT
COUNTY` SERVICES DEPARTMENT
TY
COMMISSIONERSF L • R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT .
Proiect Location: 5331 S o n.... 6i-n i-o t t t o P L Date:- 1 o 1 5 f. Z .. .
�.? d, D ��
Permit Number:—.. .. Technician:..
Required Documents:
Application completely filled out with Notarized Signatures........... .................. Yes_?� No N/A
Sub Agreements with -Notarized Signatures (prior to issuance) ................,....:.... Yes No --N/A
Owner [Builder Affidavit (sighed in,office).:.....:.::......................::.............. Yes)( No. N/A
Filled Land Affidavit (prior to issuance).......;..; ..................................... Yes x No N/A
Recorded Warranty Deed, if applicable.......................................................Yes No N/A X
Recorded -Notice of Commencement (prior to issuance or inspection),.. ................ Yes 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 X No N/A
Truss Plans reviewed and approved by Engineer / Architect ................ X No N/A
............ Yes
Landscaping and Parking plan (under 6,000 sgft)............................................ Yes No N/A
Approved Site Plans ........ ............................................. ............... Yes. y. No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A
Elevations and Setbacks; .............................................................. Yes_No N/A
Plot plan with Setbacks ..................... .................... ............. Yes 1 No N/A
V
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 %k 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................................................................ . 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
PoolBarrier Affidavit.. ......................................................................
Yes
—No
—N/A
Ground -Sign Landscape Affidavit (signs) .....................................................
Yes
No
N/A
Burn Rate for Sign Cabinets..................................................................
Yes
—No
—N/A
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 #.......... .... . , , .... y /
COMMENTS
Revised 10/5/18