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BOARD AP
COUNTY
COMMISSIONERS
'PL:ANNING 8. DEVELOPMENT
SERVICES DEPARTMENT
• Building.*& Code-Regaila#lon .
71 A i 1 TST FOR RMDE NTIAUCON MM MCfALDUN a]NG PERMIT
` ' I � ::.:....... . ... J*`e�ti o DO=Pro at:Lo
Petwit Namher:. ' . •TecLnldan:. � ' . .
. alp e
e
$uatatired Doc®nents: , •. .. '
Applicationcompletely. filled out with Notarized Signatures ...........:......:.......... Yes_;, T0;_ �1/A► ..
Sub Agreements with Notadzed Sigeat=s (priorio.'issuance).......................... Ye!Nu MIA
_Owner /`BuRder Affidavit (sigaeii int office) .:.... ........:.............:.......:.:...... Yes No_„'N%
,�
Filled Laud Affcdavit.(pdor to issuance) .......:... :.:.::.......:.:.......................:
LNo ,^
NUA -
Recorded Warraaty De4 if applicable.........................................................:Yes ..?c yo
N/A
RecordedNotice:ofCommencement (Prior-to;issuanc
Yes No,_,;N/A:
Utility Agreement orpaymeut Receipt (prior to-issuance)...:.......................:...:.Yes . No
NUA.
Vegetation &MovaAPPl.ication with coPy ofsarY;Ycs No,_N/A
,Playas. Cal, ltx ifi & AttaAmeats (3 copies comwerciA1 copies rddeniial)
Complete set,of plans wish Fan&eci /
Truss Plans reviewed and approved b En ' eer / Architect .............:..... ...
Yes No .
. M .X
Twdscaping-and Paming.plan-(under 6;000'sgft):1.................. ........... ,............
Yes„_ _No'N/A
-Approved, Site plans.:...............................:........:......:..:..:............:..
Yes_L-Na
N/A,.
Sealed' Survey with Dimensions, Finished floor:.............................:...........:.Yes
Elevations and Setbacks................... ...:..:.......... r............. ........... :.Yes ,No
NIA
Plot plan with Setbacks......................... -... ..... ............. ....
Yet_;-No.�
NIA
�iON J .
Health Depazt approval stamped on survey and #laor
AW& PgartmodFood'Estab]isbma tPer®itsiampedoft$oor"JAM.................Yes,;,_,P1Q____,N/A
Manual."P or Menuual`IC-Calculadons..................... ........ ... Yes_Na,_
• Signed F.nergy:CalCulations (i set origistal sigosi�u+es s�gaed:m 2 spots}.:.:.......:Ycsgta"N/A
Seated Wmd Load Compliance.Cerification.. .
ProductReWewAEukyit::................:...........::..::...:.........::.....:..,........
..
Yes No.
NIA
' Eacaystine a Mond for fill:.
'
Site plan showin _25-fool :u#nunum) setback -from aid pioperty boundaries; size,
Yes,_ No
NSA _iI(.
shape; location and quantities ofproposed excavation end.fili areas
_ .+
Side.slopes.not to exceed4to l to a minianum of 3-fed below water -level::....:..
Yes ML__
NIA
D &.of eaoavat<on does not e'xceed. l2 feet ut de .................................. :.
...---. i_ __....._....._.-. Yes., No =-
ii/A. '
If Mauling fill off cite (excessof 100 ouliic yards) youmust liave,a miniiug permit_
.Yct . No_WA
.
Health Egatmerit Pen nil Paperwork:....... :.........................
�- DEP, SFWMll or.Aimy Corp.of Engineers (dock, seawall; SF on
�:..
Pool Barrier Affidavit.........:...:.:.:.::.:....:..:.......:.:........:.:.,.�:,......,
Ground Sign Landscape."Affidavii (algae}.........:: .............................:.......::
-L.
Ycs Rio w
ILIA`
Burn Rate for Sign Calyinets.......: :.:...........:..:.:.............:......:...:.:......::::Yes,;_
Fo
N/A
Aam-DL(2 copies)
Pemut Wow ie"Dowh....:...........,.......,..........:............:.
Yes
Na,lA�
Mmuhdw Set -Up and'hotallationaVlaDtual...................:........::..................
es
No N!A
faSlael�ingDocuments.......:..................................:.....,....:,....Ycs
Signed Peuetrometer Te st.(1 d.............................................:.............Yea
StairDetmIs..,.............................:.....:....,........,:.;........ .............. ......:.:.
Moi ile Home:Impection. R:eportfoi Relocation (used only).................,....:.....
Copy of --me for. Relocation (used only):. ........................:....:.......::..:........,
Private Pmpe* not in a mobile home pack
Class "A7 Appzoval firom, Planning or do # ........................................:......:
Yes+ To : NIA/
COMMENTS
R Amd 10/15/18