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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COUNTY
COMMISSIONERS F L • R I D A Building & Coale Regulation
CHECKLIST FOR RESIDENTiAUCOMMERCIAL BUILDING PERMIT
Proiect Location: Crreekside Plat # 4 Lot 109 @ 9316 Potomac Dr Date.. 3/24/21
Permit Number: 4 Technician: kas�k�.'
Reauired Dggments:
Application completely filled out with Notarized Signatures ............................ Yes V No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes VNo N/A
Owner / Builder Affidavit (signed in office ............................ Yes VNo N/A
Filled Land Affidavit (prior to issuance) ................................................... Yes N� N/A.
Recorded Warranty Deed, if applicable ......................................................Yes, NNo N/A�
Recorded Notice of Commencement (prior to issuance or inspection) ................. Ye. No� N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes 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 NIA
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes__No N/A
Landscaping and Parking plan (under 6,000 sgft)....................................... Yes No N/A
Approved Site Plans .......................................... ..... ...................... Yes NO_%e/N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes No N!A
Elevations and Setbacks.............................................................. Yes V No N/A
Plot plan with Setbacks............................................................ Yes 0 — N/A
r
Health Department approval stamped on survey and floor plan ........................ Yes- No N/A--V—
Health Department food Establishment Permit stamped on floor plan ................ Yes —No —NIA
Manual ' T' or Manual 'W' Calculations.................................................... Yes No NIA
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes \/No N/A
Sealed Wind Load Compliance Certification ............................................... Yes V No N/A
Product Review Affidavit.................................................................... Yes No N/A
Ezcavatine 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_AZ
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes —No
—NIA
V
Pool Barrier Affidavit..........................................................................
Yes
—No
—N/A
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
- No
NIA_I
Burn Rate for Sign Cabinets....................................................... a ..........
Yes
—No __N/A�
F
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 V
Signed Penetrometer Test (1 copy).........................................................
Yes —No
—NIA
StairDetails.. z .................................................................................
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
—NIA
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................. :.............................. Yes No N/A�
COMMENTS
Revised 10/15/18