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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L • R I . A Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location: 3 3oi Lf_l�'irjA Gi r Date: 1 I9 llPermit Number: ZI M- O �i Technician: ftib Y
Application completely filled out with Notarized Signatures ............................ YesX No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes^ No _ N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes^ No_ N/A
Filled Land Affidavit (prior to issuance) .....................:............................. Yes^ No _ N/A
Recorded Warranty Deed, if applicable ......................................................Yes No _ N/A X
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes V No _ N/A
Utility Agreement or Payment Receipt (prior to issuance)
.................................Yesvl
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
N/A
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes^ No
N/A
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes No
_ N/A X
Approved Site Plans...........................................................................
YesX No
N/A
Sealed Survey with Dimensions, Finished floor ...........................................
YesX No
N/A
Elevations and Setbacks..............................................................
YesX No
N/A
Plot plan with Setbacks...............................................................
Yes No
N/A
Health Department approval stamped on survey and floor plan ........................ Yes —No —NIA '`
Health Department Food Establishment Permit stamped on floor plan ................ Yes No N/A_�_
Manual "J" or Manual "N" Calculations.................................................... Yes No N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yesn 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