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BOARD OF PLANNING & DEVELOPMENT
COUNTY SERVICES DEPARTMENT
COMMISSIONERS Building Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Proiect Location:' >) 0 �e. PC 1')l. -_ Date:
Permit Number: 2) 19 ,_� • n n (P % -Technician:
Reauired Documents:
Application completely filled out with Notarized Signatures ..........:................. Yes No N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No _ NIA
Owner L Builder Affidavit (signed in office).................................................Yes No N/A
. _,....
wed -Lid -Affidavit (p°nor o� suance)..:......................................... Yes
o _ C
NN A
Recorded Warranty Deed, if applicable ..................................................:...Yes No — N/A
ecor ed Ntic.o Commencementt(pnor tag issuance or mspectton). . .............. Yes No _ N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes No _ N/A
Ve 'getattcii%R"emdva�iApplikcatton rwith``copy of'siirvey: ?.: `T . . ........................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
Approved Site Plans.............:............................................................. Yes No N/A
. Yes No7N/A
�S`eed Survey vv�th Dunensions, Fuusled.lc�or,:}:, ..........
Elevations and Setbacks............................................................... Yes_,No . N/A
Plot plan with Setbacks.............................:.....................:........... Yes No _ N/A
j
Health Department approval stamped on survey and floor plan... ..................... Yes No N/A
Health Department Food Establishment Permit stamped on floor plan..... ......... Yes No _NIA6.
lvfanualJ",or, u`I'Clculatio�ns........................................ ..... Yes No N/A
Signedisini' 4rfIy�CaLlNchSu:4ll atditions(1set orgi�nalsignaturesy�8µs�gned in�2�spots ....... .
Sealed Wind Load Compliance Certification ...............................................
Yes
"No
N/A:.
Product Review Affidavit .... :.................................................................. Yes No __NIA
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.....,
—NIA
—No
CD for Fire Department if commercial or multi -family ....
Yes
—N/A
—No
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach).............
Yes
No
N/A
Pool Barrier Affidavit...........................................................................
Yes .
No
N/A
Ground Sign Landscape Affidavit (signs) ....................................................
Yes
No
N/A
Burn Rate for Sign Cabinets....................................._.............................. Yes
—No
N/A
Wand Mobile Home Tie -Down OnhL(2 copies)
Permit Worksheet (Tie -Down Diagram) ........... ....... .........................Yes No N/A
Manufacture. Set -Up and Installation Manual ................................................ .................................... Yes No N/A
Manufacture Blocking Documents.......:..................................................
Yek_Na
_NIA6—
Signed Penetrometer Test 1 c.
Yes
—No
—N/A
Stair Details.,...................................................................................
Yes
—NIA
—No
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes_No
N/A
Copy of Title for Relocation (used only) .........................:....:..................... Yes No N/A
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................. Yes No - N/A
COMMENTS
Revised 10/15/18