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BOARD OF PLANNING &DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS F L • R I• Building &Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Protect Location: 17 MAJESTIC WAY, FORT PIERCE - WYNNE RES. Date: �j2WI 2-M
Permit Number: Technician:
Required Documents:
Application completely filled out with Notarized Signatures ............................ Yes %./No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes V No NIA
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_
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes No _ N/A6--
Utility Agreement or Payment Receipt (prior to issuance).................................Yes No N/A_
Vegetation Removal Application with copy of survey.....................................Yes No N/A
_�e_
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 N/A
Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A_
Elevations and Setbacks.............................................................. Yes No N/A_
Plot plan with Setbacks............................................................... Yes No N/A_
I
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 —N/A
Manual "J" or Manual "N" Calculations.................................................... Yes No N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........ :... Yes _No N/A__V
Sealed Wind Load Compliance Certification ............................................... Yes No N/A
ProductReview Affidavit..................................................................... Yes No N/AV
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/A -I/
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_S/,
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)., ., ........ Yes VNo N/A
Pool Barrier Affidavit..............................:........................................... Yes No N/A V
Ground Sign Landscape Affidavit (signs).........................I ........................ Yes No N/A
BurnRate for Sign Cabinets.................................................................. Yes —No —N/A
RV and Mobile Home Tie -Down On1y (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
Signed Penetrometer Test (1 copy)......................................................... Yes No N/A
Stair Details.................................................................:.................. 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 N/AV/
Private Property not in a mobile home park
Class "A" Approval from Planning or file # .............:.................................. Yes No N/A_
COMMENTS
Revised 10/15/18