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BOARD OF PLANNING & DEVELOPMENT
COUNTY COUNTY
SERVICES DEPARTMENT
COMMISSIONERS Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUII,DING PERMIT
� Date: �
)-'4fi
Permit Number: CQ 10 `,- F1 �0 Technician'
Reaairesl Documen
Application completely filled out with Notarized Signatures ............................ Yes No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes 7No /AN/A
Owner /Builder Affidavit (signed in office) ................................................. Yes No ✓N/� —
Filled Land Affidavit (prior to issuance) .................................................. Yes No _ N/A
Recorded Warranty Deed, if applicable ......................................................Yeses No _ N/A
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes No _NIA
Utility Agreement or Payment Receipt (prior to issuance).................................Yes /NoNo _ N/A
Vegetation Removal Application with copy of survey.....................................Yes v —N/A
Plans Calculations &Attachments-( 3 copies commercial, 2 copies residential) /
Complete set of plans with Engineer /Architect Raised Seal
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 N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes —No —NIA
Elevations and Setbacks .............................................................. Yes No N/A
Plot plan with Setbacks............................................................... Yes No — N/A
ent approval stamped on survey anplan.................. Yes
Health Department ppr d floor ......
No —
N/A V
�Z
Health Deparhnent Food Establishment Permit stamped on floor plan ................ Yes
�N0
/A
Manual ' J" or Manual " "' Calculations.....................................................
Yes
y No
NIA
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
Excavaton a pond for fill:
et back from all property boundaries, size, Yes No_ N/A
Site plan showing 25-foot(minimum) s
shape, location and quantities of proposed excavation and fill areas
need 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A
Side slopes not to ex
....... Yes No N/A-2
Depth of excavation does not exceed 12 feet in depth... • ... - • ....... • . • . • • . • • • /
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes N o N/A ✓
Other:_ .
N/A
Health Department Permit Paperwork ............................................. .........
Yes
No
N/A
' or multi-famil .
CIS for Fire Department if commercial Y • • .. • • • • .
.......Yes
No
DEP, SFWMD or Army Corp of Engineers .(dock, seawall, SF on beach)............
Yes
No
—/
.. ..:... YeS--.No—N/X'V/N/A
Pool Barrier Affidavit .................
N/A.-Z
Ground Sign Landscape Affidavit (signs) ...............................
Yes
No
Yes
No
N/Ati/
.... ............
Burn Rate for Sign Cabinets ...................................... ..........
RV and Mobile Home Tie -Down Only (2 copies)
Yes ✓ No N/A
Permit Worksheet (Tie -Down Diagram .............. • • • • • •
............................
Manufacture Set -Up and Installation Manual .............................................
Yes `✓No_ N/A
Manufacture Blocking Documents.............................................
............. Yes�,/ No= /A
.. Yes ZNo N/A
Signed Penetrometer Test 1 co .................. • • • • " " " " " " V
Yes N/A /
StairDetails................................................................................... — V
Inspection Report for Relocation (used only).... .......................
. Yes No N/A
Mobile Home
Copy of Title for Relocation (used only) ........................ • """'
......... Yes No= /A
Private Property not in a mobile home park es No N/A/
Class "A" Approval from Planning or file # ................................................ Y.
COMMENTS
Revised 10/15/18