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CHECKLIST - BUILDING PERMIT
51YE ;0.0CAYIDN_ PkfVl9Y NlDfl/iB�R O Hot" IUOGIAfiI. General• - Application completely filled out with Notarized Signatures ........................ Ja�yes 0 No 0 NIA Sub Summary list with contractors' names & county & state certification numbers.. Wyes 0 No 0 N/A Sub Agreements with Ongmal Signatures .......................................... .... Yes 0 NO 0 N/A Owner / Builder Affidavit ....:....................... 0 Yes [aNo 0 N/A Owner / Builder Electric Affidavit..................................................... .... Dyes Er No NIA Filled Land Affidavit.............................................................. I......... ❑ Yes [2No 0 NIA - - — -Deed GEO_oz�tecotdgd=Wuran�_.:........• :__...... • •_._--- :.:.... 0 Yes- 0 No-- . : NIA Recorded Notice of Commencement....................................................... 0 Yes 0 No D. N/A Utility Agreement or Payment Receipt ................................................... 0 Yes [Z No D N/A Vegetation Removal Permit................................................................. .B Yes 0 No 0 NIA Non Conforming Lot of Record ........................................................... ❑ Yes W No 0 NIA Plans Calculations & Attachments (3 copses commercial 2 copies residential Complete set of plans with Engineer / Architect Raised Seal ..................... ❑ Yes Di No 0 NIA Truss Plans Reviewed and Approved by Engineer / Architect ...................... ❑ Yes [�T No 0 NIA Landscaping and -Parking Plans .............. ❑ Yes © No 0 N/A Three (3) copies of Approved Site Plans ................................................ ❑ Yes 0 No 0 N/A Two (2) Sealed Surveys or Plot Plans with Dimensions, Finished Floor ........ ❑ Yes 0 No NIA Elevation and Setbacks................................................................:....... 0 Yes 0 No 0 N/A Health Department Approval Stamped on Survey and Floor Plan ................ ❑ Yes E!5 No 0 NIA Health Department Food Establishment Permit Stamp on Floor Plan ............ 0 Yes Ql No 0 N/A Manual ' T' or Manual ' N" Calculations ................................................. ❑ Yes [� No 0 N/A Signed Energy Calculations................................................................. ❑ Yes Q No ' 0 N/A Sealed Wind Load Compliance Certification ........................................... ❑ Yes [ No ❑ NIA --___.Pro Icuct Revie-w Affidavit.:.................................................................`Q Yes. No ❑ N/A Page I of 2 0IYE LQC,4YlOPI. RERMlY._RIU6l1161ER- - YECIi,NICIP. "I Other: Health Department Permit Paperwork..............................._....._................ Yes No 0 NIA CD for Fire Department if Commercial or Multi Vamily ............................ 0 Yes �,y( No 0 N/A DEP, SFWMD or Army Corp of Engineers ............................................ ❑ Yes ICI No 0 N/A Pool Barrier Affidavit................................................................ ❑ Yes No 0 N/A Ground Sign Landscape Affidavit .................... ❑ Yea P No 0 N/A Bum Rate for Sign Cabinets............................................................... ❑ Yes �ZNo 0 N/A RV- ia�d Mobile RoaneTie-gDown Only (2Copies)LL___.�_ Permit Worksheet .(Tie -Down Diagram) ................:................................ If JYes [] No ❑ N/A Manufacturer Set -Up and Installation Manual ....... ............. :. e. 0 No .................... Yes ❑ N/A Manufacturer Blocking Documents......................................................... [ZYes 0 No 0 N/A Signed Penetrometer Test (1 copy) ........................................................ 0 Yes 0 No ❑ NIA Stair Details ............................ ..... Yes 0 No 0 N/A Mobile, Home Inspection Report for Relocation ........................................ Yes �J � No N/A 0 Copy of Title for Relocation...........................................................— Z I Yes 0 No 0 NIA Class "A" Approval from Growth Management ....................................... 0 Yes jZf No NIA Name (Printed) S%nature ]Date PW2of2