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BUILDING PERMIT CHECKLIST
PLAN*NiNiG.DEVELOPP.4ENT BERM -=s DEPARTMENT Residential / Commercial Building Permit Checklist ITE LOCATION ERMIT NUMBER �� TECHNICIAN BY neral• �t. Lude County plication completely filled out with Notarized Signatures dyes ❑ No ❑ N/A Summary list with contractors' names & county & state certification numbers.. ©"Yes ❑ No ❑ N/A Agreements with Original Signatures ............................................... t % Yes ❑ No ❑ N/A er /Builder Affidavit........................................................... . ........ ❑ Yes ❑ No E2"'N/A / Builder Electric Affidavit......................................................... E� Yes ❑ No ❑ N/A 1 LandAffidavit........................................................ I............... E&Yes ❑ No ❑ N/A or Recorded Warranty Deed ........................................................ ❑Yes ❑ No [N/A -1d Notice of Commencement...................................................... ❑ Yes �Z No ❑ N/A Agreement or Payment Receipt ................................................... ❑ Yes ❑ No [;?S/A egetation Removal Permit................................................................. ❑ Yes No ❑ N/A on Conforming Lot of Record ........................... ................................. ❑ Yes ❑ No D"R/A 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 .................. dYes ❑ No ❑ N/A Landscaping and Parking Plans............................................................ ❑ Yes ❑ No [ZN/A Three (3) copies of Approved Site Plans ................................................ ❑ Yes ❑ No ['N/A Two (2) Sealed Surveys or Plot Plans with Dimensions, Finished Floor ........ Yes [] No ❑ N/A Elevation and Setbacks........................................................................ Yes ❑ No ❑ N/A Health Department Approval Stamped on Survey and Floor Plan ................ ( Yes ❑ No ❑ NIA Health Department Food Establishment Permit Stamp on Floor Plan ............ ❑ Yes ❑ No ErNIA Manual ' T' or Manual ' N' Calculations ................................................ Yes ❑ No ❑ N/A Signed Energy Calculations................................................................ Yes ❑ No I❑ N/A Sealed Wind 'Load Compliance Certification ........................................... Yes ❑ No ❑ N/A Product Review Affidavit ................................................................. Edyes ❑ No ❑ N/A Page 1 of 2 PLANNING t' 'DEVELOP -E T .SERVK-. j DEPARTMENT Residential / Commercial Building Permit Checklist � SITE LOCATFON F f3 /0 j9-i &vS 0yFT- C 3 y fc-/ PERMIT NUMBER TECHNICIAN Other: Health Department Permit Paperwork ..................................... [f Yes [] No ❑ N/A CD for Fire Department if Commercial or Multi -Family .................. ❑ Yes ❑ No ❑'QUA DEP, SFWMD or Army Corp of Engineers ............................................ ❑ Yes ❑ No �N/A Pool Barrier Affidavit........................................................................ ❑ Yes ❑ No N/A Ground Sign Landscape Affidavit......................................................... ❑ Yes ❑ No N/A Burn Rate for Sign Cabinets............................................................... ❑ Yes No N/A RV and Mobile Home Tie -Down Only ( 2 Copies) - Permit Worksheet (Tie Down Diagram) ................................................. ❑ Yes ❑ No ErN/A Manufacturer Set -Up and Installation Manual ................ ❑ ❑ .............:............ Yes No N/A Manufacturer Blocking Documents......................................................... ❑ Yes ❑ No [ErN/A, Signed Penetrometer Test (1 copy) ........................................................ ❑ Yes ❑ No [ZN/A Stair Details...................................................................................... ❑ Yes ❑ No [ZF N/A Mobile Home Inspection Report for Relocation ....................................... ❑ Yes ❑ No [ZI N/A Copy of Title for Relocation.............................................................. ❑ Yes ❑ No N/A, Class "A' Approval from Growth Management ....................................... ❑ Yes ❑ No N/A, ;COMMENTS.. iCra ,i us !y/ D i �r&r► t -eScd CONSrT.TKL a 9 Name (Printed) nature Sig Page 2 of 2 Date