HomeMy WebLinkAboutResidential or Commercial ChecklistRESIDENTIA LICOMMER CIA L BUILDItVNG PERMIT CHECKLIST
Site Location: 'I...
Permit Number: lZ . ° (�}�'( Technician:
General. -
Application completely filled out with notarized signatures
1YA
Sub Summary List with contractors' names and county & state
-sue Nor / NA
r--�Yes r l-"
_ certification numbers
No
N/A
_
Sub Agreements with original signatures
X.
1-
Owner Builder Affidavit
Yes
r
No
N/A
Owner Builder Electric Affidavit
Yes
I-' 1-
No
N/A
Filled Land Affidavit.
Yes
r�Yes r
Nor
(-
NIA
Geo %or recorded warranty deed
(iti/
Yes r-
No
NIA
Recorded Notice of -Commencement
Yes r
No
NIA
Utility Agreement or Payment Receipt
r
. No
'Nor
N/A
Vegetation Removal Permit
Yes
l- r
N/A
Non Conforming Lot of Record •
Yes
[- t-
No
f-
N/A
Yes
No
N/A
Plans Calculations &.Attachments .3 copies corrimerciaU2 residen ial
Complete set of plans with engineer/architect raised seal
- es r.
No 1-
N/A
Truss plans reviewed and approved by engineerlarchitect
[-
._es
Landscaping and parking plan ..
[-
No.
f
N/A
N/A
3 Copies of approved site plans
Yes
No
.N/A .
2 Sealed surveys or plot plans with dimensions, finished floor
Yes
f
Yes. -
Nor
r
N/A
elevation and setbacks
No
N/A
Health Department approval stamped on survey and floor plan
r Yes r-
No r
Health Department food establishment permit stamp on floor plan
r Yes, r
N/A
Manual J or Manual N calculations
Yes r
Nor
r
N/A
Signed Energy Calculations
f� 1--
No
r
N/A
Sealed Wind Load Compliance Certification
Yes
-/'Y"es r
No
N/A
Product Review Affidavit .
Poll' Yes r
Nor
l-
N/A
No
?�/A .
RESIDENTIALICOMMERCIAL BUILDIAG PERMIT CHECKLIST
Site Location:
Permit Number:
Technician:
Other:
Health Department permit paperwork
CD for Fire Department if commercial or multi -family
DEP, SFWMD or Army Corp of Engineers -
Pool Barrier Affidavit
Ground sign landscape affidavit
Burn rate for sign cabinets
R V a,nd Mobile Home Tie Down Only (2 copies)
r
f-'
—
r
f-
r
Yes
Yes
Yes
Yes
Yes
Yes
r
!-
r
r
ri
r
No
No
'No
Nor
No
No
r
N/A
NIA
N/A
N/A
N/A
NIA
Permit Worksheet (Tie -down diagram)
Manufacturer set-up and installation manual
Manufacturer blocking diagrams
Signed penetrometer test (1 copy)
Stair details
Mobile home inspection report for relocation
Copy of Title for relocation
Class A approval from Growth Management
Comments:
r
r
1-
�
r
G
r
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
r
r
r
f-
r'
r
1-
[-
No
No
No
No
Nor
No
No
No
r
r
C-
r
N/A
N/A
N/A
N/A
N/A
N/A
NIA
N/A
LLJ
J
Name:
Signature:
Date
Resat
Clear Form
KSM
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712
PALM BEACH (561) 845-7445 C.A.: 5693 P.E.: 37293 S.I.: 860 MELBOURNE (321) 768-8488
FAX (561) 845-8876 E-MAIL KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
FAX (772) 589-6469
DATE TESTED
PERMIT #
CONTRACTOR
JOB LOCATION
SOIL COMPACTION REPORT
ASTM D 1557 and ASTM D 2922
December 6, 2007
Maronda Homes
5214 Manciano Street
Unit 3, Waterstone S/D
Port St. Lucie, Florida
ITEM TESTED Compacted Foundation Fill (Townhouse)
KSM JOB # : 703310-1d/JL/ley
JOB: 3WT003
P.O. #: 6023288
Const. Mgr.: Mark
TEST LOCATION DEPTH * PEN DRY MAX. DRY PERCENT
OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION
1.
S.E.
0" - 12"
180
114.8 116.8
98.3
2.
Center
12" - 24"
175
114.0
97.6
3.
N.W.
24" - 36"
180
114.8
98.3
Soil Description:
Dark Brown Slightly Silty, Slightly
Clayed Fine Sand
In Place Moisture
9.7 Percent
Optimum Moisture:
10.8 Percent
Max. Dry Density:
116.8 P.C.F.
@ Test Locations The
Density & Penetrometer
Readings Indicate the
Degree of Compaction Meets
Minimum equired
For Uns � ked Foundation
* Pen. a ings T to
Resp Sub fitted:
n
W
E
I
G
H
T
P
C
F
D
R
Y
118.0 3 1 DEC 11
1 20p7
i
117.0 ---�-- ---- �- •- -- ----
I I I I I
I I I I I
116.0
I I I I I I
I I I I
I I I I I I
115.0 -- --- --• - --, ----- --
I
I I I I I I
114.0-Ir--- i---------i--i-----i---- i
8 9 10 11 12 13 14
Ron I .Keller P.E. * -711 P"
Fa . Maronda Main O is 321-725-5703 and 228-9879