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BOARD OF dui ! PLANNING DEVELOPMENT
A SERVICES DEPARTMENT
FILE ERS
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location: qZ5 Potomac Dr Date: 2/1 /22
Permit Number: Technician:
Creekside Plat # 4,!Lot #q
Required Documents:
Application completely filled out with Notarized Signatures .............................
Yes X
No
N/A
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes X
No
N/A
Owner / Builder Affidavit (signed in office) .................................................
Yes X
No
N/A
Filled Land Affidavit (prior to issuance) ....................................................
Yes X
No
_ N/A
Recorded Warranty Deed, if applicable......................................................
Yes
No
N/A X
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes X
No
N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes
X
No
N/A
Vegetation Removal Application with copy of survey.....................................Yes
X
No
_ N/A_
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes X —No—N/A
Truss Plans reviewed and approved by Engineer / Architect .............................. Yes X —No—N/A,
Landscaping and Parking plan (under 6,000 sgft).......................................... Yes No _ N/A X
ApprovedSite Plans........................................................................... Yes X No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes X No N/A
Elevations and Setbacks.............................................................. Yes X No N/A
X
Plot plan with Setbacks............................................................. Yes No N/A
Health Department approval
stamped on survey and floor plan .........................
Yes —No
—N/A X
Health Department Food Establishment Permit stamped on floor plan ................
Yes
No
N/A X
Manual "J" or Manual "N" Calculations....................................................
Yes X
No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... .Yes
X No
N/A
Sealed Wind Load Compliance Certification ...............................................
Yes X
No
N/A
Product Review Affidavit.....................................................................
Yes X
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 X
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 X
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A X
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A X
Other:
Health Department Permit Paperwork.......................................................
Yes
No
N/A X
CD for Fire Department if commercial or multi -family .....................................
Yes
No .
N/A X
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes —No
—N/A
X
Pool Barrier Affidavit..........................................................................
Yes
No
N/A X
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
N/AX
Burn Rate for Sign Cabinets..................................................................
Yes
No
N/AX
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
No
N/A X
Manufacture Set -Up and Installation Manual ..............................................
Yes
No
N/A x
Manufacture Blocking Documents..........................................................
Yes
No
N/AX
Signed Penetrometer Test (I copy).........................................................
Yes
No
N/A X
StairDetails....................................................................................
Yes
No
N/A X
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes —No
N/AX
Copy of Title for Relocation (used only) ...................................................
Yes_No
N/A X
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................ Yes No N/A X
COMMENTS
Revised 10/5/18