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PLANNING & DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY
COMMISSIONERSF L • R I • A Building & Code Regulation
CHECKLIST FOR'RESIDENTIAL/COMMERCIAL BUILDING PERART
RECEIVED
ProiectLocation• 10701 S OCEAN DR LOT 837 - LANGONE Date: AUG 0 4 2021
at, iovml IV
Nt"PaPermit Number: Technician: perm
ng
R_R_ eauired Documents:
Application completely filled out with Notarized Signatures ............................
Yes \/No
N/A
Sub Agreements with Notarized Signatures (prior 0 issuance) ..........................
Yes
No —
N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes
—No—
NIA
Filled Land Affidavit (prior to issuance)..............................:......I............
Yes
No
N/A
Recorded Warranty Deed, if applicable ......................................................Yes
No
— N/A—V—
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes
No
^ N/A3�
Utility Agreement or Payment Receipt (prior to issuance).................................Yes
No
— N/A V
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 V No N/A
Truss Plans reviewed and approved by Engineer / Architect .................. I......... Yes No N/A 1I
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No _, N/A
ApprovedSite Plans........................................................................... Yes_No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes 'No N/A,V,
Elevations and Setbacks.............................................................. Yes --No N/A_,
Plot plan with Setbacks............................................................... Yes____No N/A�.
4r� �
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..
Ye4_No
N/A_V_
ProductReview Affidavit.....................................................................
Excavating a pond for fill:
Site plan showing 25-foot(minimum) setback 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
Otber.•
Health Department Permit Paperwork ................................................ I ...... 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 _ZNo N/A
Pool Barrier Affidavit.......................................................................... Yes,_No N/A_ �
Ground Sign Landscape Affidavit (signs)
BurnRate for Sign Cabinets..................................................................
. I ........ Yes_,,,No
Yes
NIA
NIA
_,
No
RY and Mobile Home Tie-Dllwn Only (2 copies)
Permit Worksheet (Tie -Down Diagram)........ • ....... • .. • .................
. ............. Yes�No
N/A
Manufacture Set -Up and Installation Manual......... • • ..... • ...... • •
. • .:....... • .. . . • • .. YesNo
Manufacture Blocking Documents ................ • • .. • ........... • . • ............
• .., Yes ••,.,•
No
N/A '
Yes
No
N/A
Signed Penetrometer Test (I copy)..............................•.•••••••••••••••
..........
YesNo
StairDetails......... •.......................................... • ... • • ........
• ... • .. •... , ......
Mobile Home Inspection Report for Relocation (used only). • . • . • .................... . Yes_No
N/A
N/A\,l
Copy of Title for Relocation (used only)..........................••.•..•..........•.•.....YesNo
Private Property not in a mobile home park
No
N/A,�
Class "A" Approval from Planning or file 4................. • ...............
• . • ... • . • • • • • •• YeS
COMMENTS
Revised 10/15/18