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BOARD OF
COUNTY SERVICES DEPARTMENT
COMMISSIONERS • I Building & Code Regulation
SCANNED
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Lucie B COUI1b
Proiect Location: 5 a d a a fl Date:
Permit Number: ���� �� 5 Technician:
Regpired Documents: I JUN 2 0 ?C119
Application completely filled out with Notarized Signatures ...........................
Sub. Agreements with Notarized Signatures (prior to issuance) .......................... Yes—�No _ N/A
Owner / Builder Affidavit (signed in office) ................................................. Yes-�XNc_ N/A
Filled Land Affidavit (prior to issuance) ................................................... Yes_)�,No _ N/A_
Recorded Warranty Deed, if applicable ......................................................Yes No N/A_
Recorded Notice of Commencement (prior to issuance or inspection) ................. Yes No N/A -A-
Utility Agreement or Payment Receipt (prior to issuance).................................Yes_No _ N/A:�rl_
Vegetation Removal Application with copy of survey ..................................... Yes�'4No _ N/A
PlansCalculations & 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
Sealed Survey with Dimensions, Finished floor ........................................... Yes XNo_N/A
Elevations and Setbacks.............................................................. Yes No_N/A
Plot plan with Setbacks............................................................... Yes No _ N/A
Health Department approval stamped on survey and floor plan ........................ Yes No_N/A
Health Department Food Establishment Permit stamped on floor plan ...... .......... Yes_No_N/A
Manual "P' or Manual' N" Calculations.................................................... Yes No _ N/A
Signed Energy Calculations (I set original signatures & signed in 2 spots) ........... .YesNo_N/A
Sealed Wind Load Compliance Certification ............................................... Yes�LNo_N/A
Product Review Affidavit..................................................................... Yes 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
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
her:
Health nenartment Permit Panerwork....................................................... 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
No
N/A_
Pool Barrier Affidavit..........................................................................
Yes
No_N/A
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
_ N/A
Bum Rate for Sign Cabinets.................................................................. Yes
No_N/A
') `
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes
_No_N/A
Manufacture Set -Up and Installation Manual ..............................................
Yes
No_N/A
Manufacture Blocking Documents..........................................................
Yes_No_N/A
Signed Penetrometer Test (1 copy).........................................................
Yes
No_N/A
StairDetails....................................................................................
Yes
No_N/A
Mobile Home Inspection Report for Relocation (used only) ...........................
Yek_Nq--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_
Revised 10/15/18
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