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HomeMy WebLinkAbout16-17220 ' ' CITY OF ZEPHYRHILLS 5335-8TH STREET - ` (813)780-0020 17220 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17220 Address: 3410 MALACHITE DR Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0290 Improv. Cost: 1,700.00 OWNER INFORMATION - Date Issued: 4/11/2016 Name: PAINTER JERRY L,& JEAN Total Fees: 67.50 Address: 210 IRON WOOD CIR Amount Paid: 67.50 CROSSVILLE TN 38571-0235 Date Paid: 4/11/2016 Phone: 931-248-9245 Work Desc: INSTALLATION 8 X 10 SHED CONTRACTOR S APPLICATION FEES HOMEOWNER BUILDING FEE 67.50 /; . � � . � � � " � Ins ections Re uired ' FRAME SHEATHIN FINAL � - ,� . REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may`result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CONT ACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ', CALL FOIt INSPECTION - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM WEATHER ' � � o O A � �„FLOli7QA' . � "U ,��r►.•-�''t . ,....,+�,p r� I�`':'�.,�i. F r ,`ti �'m:r.��� :� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��'j� �t�'J �G2 Date Received: ��.`2�l� s�te: � ��v �l�/��C�'� <�� Permit Type: �yC' l� �,�G� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comm.ents: ❑ � This comment sheet shall be kept with the permit and/or plans. 3 �-�� �1.� �� Kal n S �� r—Plans Examiner Date Contractor and/or Homeowner ,. (Required when comments are present) > . DISCLOSIIRS STATEi�NT F4R OWNL3R CITX OF 28PF1YRIiILLS BIIILD=NG DEPARTN.�NT I, have read and fully understaad aad agree ta the provisioas of this instrumeat. The undersigaed states aad aff3.ims tfiat he a'r she �is�d'e'sirous of constructing, reaovat3ag, addiag ta or reroo�iag his ar her owa domicile, that he or ohe actually occupies, or will occupy by said domicile, aad same i� nat for reat, lease or sale. That he or she shaZl comply with the followiag con.ditiaas: I. Tha� the a�vner aad he or she alone shall act as the buzlder fof all phases of coastruction. 2, That the owaex will camgly with all provisioas of the City of ZephyrhilZs ordiaances and codes pertiaent to the buildiag. 3. That in the eveat variaus phases of coas�ruc�ioa are subcoatracted, he will engage anly pzoper3y 2ie�ased subcontrae�ars and will persaaally supervise such wosk. . 4, That ia the eveat the BuiZdiag Inspector shall reguire correctioas to be made, the owaer wil.l' assume �ull respaasibility to iasure they are made, aad upon completion wil.l call for a reiaspection before proceediag with the buildiag. 5. Tha� the owner sh�ll assume full resgonsa.bili�y far the construatioa and will not expect supervisioa of his work from �he C3ty af Zephyrhills Suilding Depaztmeat. 6. That prior ta fiaal iaspec�ioa aay additional fees, iacluiiing reiaspectian fees, must be paid ia full.. A wxitt�ea reque"s"t' from this office shaZ2 ' � canstitute an off3.cia1 aatice to pay additional fees. ` � � ' . . • 7. That the owaer sha11 comply with all City, S�ate and Federal laws in regard .ta sacial securi�ty, workmanrs compensa�ion, Zien Zaws, ete. , where, app2i.cabl'e. 8. That the owaer sha11 comply with all the safety codes issued by the Florida :. _ Iadustrial Comtniss3.oa. ' 9. Sta�e law requires coastruation to�be doae by liceased contractors. You have applied for a permit under aa eacemptioa �o that law. The exemption allows yau, as �he •owner of your property, �o aet as yaur own contraetar wi�h certain restrict3oas even though you do ,not have a licease, Yau must provide direct onsite supervisioa of the coastrueti.oa yourse2,f. Yau may build or improve a one-£amily or two-tamily resideace ar a �arm autbuildiag. You may also build. or improve a commexcial buildiag, provided yaur casts do aot exceed $75,040. The buildiag ar residence must be far your awn use or oacupancy. It may aot be built or substaatially i.mproved far sale or lease. If you sell or lease a buildzag you have buiZt or substaati.ally improved yourself �,rith3.a 3 year after the coas�ructioa is complete, the la,w wiZl presume that you built or subsbaati.ally improved if for sale or lease, which is a violatioa o£ this exemptios�. Yau may no� hire an txnliceased person to act as your coa�raator or to supervise people workiag on your buildiag. It 3s your respoasibility t�o acake sure that people emplayed by yau have licenses required by state law and by cauaty or municipal liceasing ordsaaaces. You may aot delegate the respoasibility for supervisiag work �o a lice»sed contractor who is ziot liceased to perform the work being doae. Aay person workiag on your building who is aot liceased must wark uader your direc� supervisioa and must be employed by you, whieh meaas that you mus� deduct F.I.C.A. aad w3thhoZding taac and provide workers' compensatiari for that employee, all as prescribed by law. Your construc�a.oa mus a mg2y with all applicable laws, ordiaaaces, building codes, aad zoaing gu tiaas. � . OWI�TER'S 3IGNATL7RE - �� DATE .���j— �CJ � .b ADDRESS PH02�E -- Z 5 WITN',ESS P8RMIT # � �i 1 � . � � I� � t �..�._. . � � , '�`% RE�EiV�D � � ! ' ' a ��c � �, , �r �� � "':�`Recd � f / jrD LOT INIl�ROVE'�MENT' REQUEST Permat No 1 � / '� � � f r � rr: i + I �b: v__ - ___ ' , r�ve^�en� Committeep& ard of Direct�rs � "rom: �- ���%'"`�'Z/ I I aot#/Addr ss: � � � �I '} Q ! �I .._..� =�a:�a�r where you can be reached: � OS ' 1� �,.� (�'z-- �! ��-o� 4q ��- � i� +�e request EPPOA appraval �or constructian, addition to our installation, an the fclloming: (�Shed ( }Lanai ( }RV Port { )park Mode3 ( ) Cottage ( }Concrete Slab ( ) Pavers Al1 zec�uests for canstruction/additions/remodeling are reguired to have a eomplete, , detailed/ske�ah cr gangshlet a£ Park Model to be purch�sed with pictnres, to include footprint, setbacks, front eleva�kian, back elevation, left S right side elevation and top elevation. All elevations must inolnde al2 si.zes and locations of windows and doors, with length, raidth and height of the overall structuxe. Za additioa, all requests require and must inclnde the full I descra.ption, including calor af siding, trim, shutters, doars and pavers if applicable. "PRIBR � �ra B�Gxrxrr=xG corrs��vczxax�� a copy of the 2�phyrhills build9.ng permit and a capy of the � campleted engineering p3ans must b� RETURNED tc the "LOT IMPROVEMENT COI�t+lI'PTEE", these vtill be � r�turned ta yau for construction. Upan completian of your construation a comp3ete copy af the � engineering drawings of the structure, (as bui2t} pezmits, inspections and £inal permit � approvals must b.e retnrned to the Eueerald Painte Lot Improvement Committee for O�fice fi3ing. �o��t S: .� � 1� o l g r Aithaugh we v�ere told by a desk clerlc at the Zephyrhills city office that we could not move the shed on fot 29,Ron Rogers spoke to the city inspector earlier this week and the inspector told Ron that we ceuld slide the shed aff,�our#he new concrete slab and fhen put the shed back onta the conc�ete,bot�ng i#down as required. The shed cumentty sets 7"to the north and to the east irtta the 5'setback ar.ea. This new information wi!!a!!aw us to place tt�e she�in a proper positian that does not e�end inta the 5'setbacks. • Attached is the proposed plan far ing additional se ,city water,and we!(water connectior�s. i —�Lot Owner's Sig�.ature Date � J�/ e Lot Traprovement Co�cnittee Contir�gent Appxoval Aate w�j �� J�� Recoaunended to be Denied 1 ! , �Q�►eri�s:��.�►ec.�- �o w t�i�e+`1 C� ��v► �c�cQ c�c pe�r�,��- � ��«�.�,��,� �-�--�---�- Pstga I UF lotimp-r.odt 12/012014 ti '� a� `{c � f � � n i�l� 1�.��i f��" , • - - _ _.. ' ' , ._ ; _ _.____.`._ ` - [ ; --� � , � _.�;, , , . . _ - , - , � ' ,., ' � ,_ , _ , . , • � � ' ` - � � ' „ . ..� � . „ . , . 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I i :- - = . - . - ' _' , � , , - _ - � � , . . ` . ! - i _ , i , , + ; - ''= Y _ , , ` : : = , , , • ; � - , - �._. ! � - - - - � '� _ . . . :. _ - - _ . ° . . : � _ . ,. � , , " ' I - .., � � I� _ . , • i . : S �� � ate Recd.J /o`I / '� LOT IMPROVEMENT REQUEST Permit No�/� I , ���To: EPPOA Lot Improvement Committee & Board of Directors i � i From (please print) : � �� �.� t �/q � �A !�7�1? i i Lot#/Addreea: � �� � � � -�I L' � C � � / � '`� ��— ; Phone number where you can be reached: C 7J I �� - 1 O( � �� 07• � 7 � � ����jj'' request EPPOA approval for construction, addition to our inatallation, on the following: i (x) Shed ( )Lanai ( )RV Port ( )Park Model ( ) Cottage ( )Concrete Slab ( ) Pavers I �( ) Concrete Painting ( ) RV Skirting ( ) Landscaping i All requesta for construction/additiona/remodeling are required to have a compl�te, ! detailed/aketch, or pamphlet of Park Model to be purchased with pictures, to include footprint, setbacks, front elevation, back elevation, left & right aide elevation and top elevation. All , elevations muat include all sizea and locationa of windows and doors, with length, width and height of the overall atructure. Park Models ,are to include pamphlet with pictures. In ' addition, all requeata require and muat include the full description, including color of � siding, trim, ehuttera, doors, pavers and concrete painting if applicable. "PRIOR TO BBGINNING ' CONSTRIICTION" a copy of the Zephyrhills building permit and a copy of the completed engineering ; plane muat be RETIIRNED to the "LOT IMPROVEI�NT CONII�IITTgS", these will be returned to you for i natruction. Upon completion of your conetruction a complete copy of the engineering drawinga �, co be re rned � of the atructure, (se built) permits, inspections and final permit approvals'muat tu � to the Emerald Pointe Lot Improvement Committee for Office filing. ; I . i ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF ZEPHYRHILLS,PASCO COUNTY,OR STATE OF FLORIDA CURRENT BUILDING CODES. , Co �� : < . • �J • ,��nk���� — — �'�k / � �J � ���� �- ' � � --- � --- — ----- Lot Owner's Signatur Date��/ �� /�� Page 1 of 3 - OF lotimp-r.odt 10/242015 , . j i I •-- , i . ..: �_ ��-!b . . � � � 1�-a���3 � Actua# Shed - :�.,.:.:--:--_�-�_._ _ . � ._� -rT� ._._�p___ - T�- - � . . .- ��.a���=- - _ -=---_-�_ _ Construction Y � �;;�`�_�� �=�:��`� Two identical windows - �. (18"X 27"} (One on each slde) ,�'.. .;- �' ��W::�t-=;,� = � Shutters: Nane ;--��_ - � �r' � �,�r/'" u � Exterior Faatprint:8'X 10" i � Height at tallest point:8'21" � ' � 1 �� �, Cotors =�,'� '�,+� rzd','-�,�4 � I Siding:�ight Stane Trim: Brawn - � .;;.,y Doar. White . _ __ " _' ' " -'_T_T_'�_=_ '_'_" "' '" _ _" '- _` � . ._-J _ 3�aJl�b . , 36' Permit No�.�� Sft Setback 1 i N""- �TYPICAL 36' X 68' LOT � With ~ �'��D � MAX Concrete 26' x 63' ^ 1 , , ,- -� — ,a s �� f� ALL WORK SHALL COMPLY WITH ALL ' PREVAILING CODES,FLORTDA BUILDING • CODE,NATIONAL ELECTRIC CODE AND ' �� CITY OF ZEPHYRHILLS ORDINANCES � .:�-. Sft Setback �Sft Setback . . 68� ��VI�w���� . P �,l� : - ���'��I�H1'RHILLS � h�LAfd� EXAM�►V�f� CS ,; . � r Lot#� �lddress:�� '1 1(' / ' la/QQ,��'"F� I � Ownei:�ERRy �i�i ��2 Date: 3 I S j 20 ft Setback from Inside of Curb to building 15 ft Setback to coach. t Page 3 of 3 JL LotLayout_2015-01-12 �v�0�sr� � eo ��c �L�o C'IT��F A1'Ip���s,,�o L��IT�� 2Ep� �l� ��q BUj L �IILL�p�CCOD�LDI�rG � a�ANCES � � -- -- ��� �� -- ---- ---- ------- , I " ��N � � 1 . �i� �1'�t�1�P� - 16 � AUG , GA Oa0 �C' MA�tER ANCHORI �4NS II �r F�R THE — STATE O� FLORIDA. GENERAL NOTES � i. n�co�rn�croR�vt�eE�wa ve�uis a.t.ewsnrt�cornrno�. 2. 1tE GONTRAGTOR SFV�LL BE�51�.E FOR C.00W71NATfliS ARLWiEG7LPiAL Al�STiC�NRhL D�TALLS Alm DIh81�ilONS.H1Y �I�ET IND�X qsca�nr�tfs e�+s�r��rais,�o rnr�stmrs srwLL ee�rtro ro ne e+sn�t wuat ro�wc�ttas wmi n�woFac. �T �. n�corrtw�croa srwu.ee�wx r�cnow�H+o�ar�ro ww�n�i�n oF n�enwiw��rrs � 5F�ET TITLE corro�atr r�Rrs ouwr�:castrvcnort Nth•9BER �. �TFE5E PlAN51NVE BEEN PREPAi�P��TW15 OF hE 7DI4 RAWDh flAlDlt�C�ODE.t!E 4'mRK OF ALL C.LViYRAGTOR5 SFW.L � � GOt4�LY Wi}1 TE RfidARB�H�iS 5ff FORTH M 7FE AFO�'BffIOP6D GODE.P!0 DEVIATIONS,RiOi�i TFE WORI:5FIOYdi OR RFA50W�LY GI COJFlt SF�T �FR�SHALL BE IR7DERTAI�1 WTHQtT 7F�@k5I18�R5 NRIT(Hi GOfKENf-A C.OP(OF YHIGH W1LL 8E FlLED YII7H Tff CAN57Fd1GTION A-1 W1ND LOAD GIAFM5 D�'B' OFFK.V�_ 5. ANY CAIMYaES TO OR DHIAt10�5 fROM TF�SE DRAW k65 SNA.L NOT BE NADE Hif VJUi YE217'TB�G011�iBd FRGH TFE BhSIt�L A-2 MUI�IDAD GHAR75 D�'G' , � II 6. Tt�.�E�AYIW65 ARE 1}E PROP�TY OF 71�6�611F.ER At�SMN.L NOT BE Ur�YBTIIWf HI5 G�f5Btf.DRN'�N65 SHALL NOT�U5ED A3 YUtm M4P 1 IAADIN6 WPGRAM FOR 155LE�H1A.DB16 PEid11i IR8.F55 S16KD A!m 5FALm Bf TFg Bd57t�ft 7. iFf OY@H2 Atm 7!E GOHTRAGTOR SFNLL Fbl.D H4WA.E56 TtE B151t�i2 FROM AW A6/�R157 ALL LIABILRY GWMS.DAM46Li'3 LO%ES A-4 GROIPA AHCNOR SL1�OU.E At8 E�@L�5 IHCUNINfi LFbAL�ARI51N6 01lf OF OR�1A.TRK f'ROF1 6iROR5 OR OhB�filON5 IN iFE�tA1G£OF hE WORK A3 �E ANGfbRIN6 LW1RT5 FJ�_B BY 71�Cd11RKTOR..Tff°DRAHNFiS.�A10W TVE 6B�iAL�A1m EMENi OF TFE HORK 15 TFE YIORK�.T1E OYI�t AN7 7fE LONtR�LTOR AT NO EXTRA L0575.5HALL MN�MOOIHGATIOPLi TO MAI�iFE PARTS AL16N. A-b BUGQE A�pRRib LHARi5 E7 W.'G' , � 9, ifE�GONRiAGT FOR hli5 PRO.FLT 5HAI.L IkG.UDE�TBi1AL5 AND LABOR REd11RED TD GOTl�LETE TFE TOTAL PRD.ELT.7tE A-'I BIGKLE AItG�R1N6 DE'fAILS GONfRALTOR SFWl flJRNK.�H AND PAY FOR ALL MA79ZIAI5.TGGL`�,EGtl11PMBff,LA80R MALHIIERY,iRANSPORTATION.FiFAT.W+76L �A-B AVTRHb PJlGHORIHG CNAK75 EM�.'8' UTILRIES,�1t�ALL 07182 FPGWTIES N7D SHtVICES REOUf�FOR THE 5�AFE AI�PROPER E�UTI�!AND GOW�I.ETION OP TF�W�K - TiE @J61t�32 SFMLI.�7FE MHtPRE76t OF TfE CONiRAC.7 DOCU�HiTS. A-9 AVIRM{i AF2GF10RBiG LNAKT5 EJ�.'G'_ w. n��s si+ar n�,w o�nsv oR n¢r��an�u�vaz nns coHrrucT nr�a��m aecu�s um co�moris -- _..—_._.___ - ----- iHAT WN1 IMP/�Ll'7FE'PRO.FGT./�LL DRl�V8N65 ARE GOh�l.ih�if/U21'.TFE DWyiBiG6 GB�iALLY 5H0�9 ifE MiBt�OF i}g WERALL A-10. 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TF�BtTIRE PRO.fsY SHNl BE LEFf IN A fBY,G.EAN GOMJI770t1 ,,,,e��oe�.��:�cr ��s � �� .� � `�.�,CZ`���� 3•.-�' ��� O r � REV BY DA'fE DA7E� '06I90A5 THOM�6 A DIXOPI,PE � • � BE�WETT&71LDii�s SYSTB� SHEET ALo 30537 TX�KM� DIXON BYaIN�i1tK.BIG. / �¢� FV5TH2 lJ�GfI0RIN5 PLAl� � DRH BY. 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A� Yt tt srcStOH o Tn¢5 7dE � Y -FLORIDA 6UILDING G!)t�E-20I4 � _ _ �� A-q Wd.i.Sf�TkrN perqus � -N,4TIONN.E1.EG7RIG GODE-2011 � "— — s »...�,..� - A-11 9EAR HNJ.TA9.E t -r�n io�ur�st,r�n ccs�-�o�z __ Il A- �zuau aEra�s M� s # h13 �ite82 y i �..�,.�� .�'.��. ` b � �e A-14 ptTMS N07E� i ''� A-6 OGG(t FRM11N6 BEVATIONS �` K/+NlFALS4RE TO NAVE LKT AVAFthBLE TO ° � 3RD PRRtt ItG}''EG70R't}iA7 MEETS TNE WIND j • C PREf9'�5 STA'fED ON Cr2 FOR ANY � ...,�.,,.«..,....a......,„.,�.�..,.�»�,�. C. PR[7CI1GT 7HAT RC:QUIRES F'120DU:T API'�120VAL � FOR TF�SiATE OF FLORIDA �, i .DA O'IJ,YIftS REY15Ep PER 4q�d�EN[5 � i° ,,������nr��q� � FtEV BY PATE t)E��LRIPfION �� THESE P4AN5 V'gRE DESIGI�D IN ALGORUANGE WITH THE 201R FLORIDA&11LDING GODE,&11LDIN6 FOf�"� ro1Y�T OF 14C7 MPN. , �' '�H�I�i�S �. 1�IXl�i�l, �:�. SE1�N�1T BUtI.DlNG 8Y8tEMS 3*ri' - ,�//�:*� aA�. �r.� � �� AU 30G9'1 FC�19034 K5�21198 DU�OH EN6IFIEHZMG,ING. Ib6o DI%[R!AIR1.�itE wono ' I� ^//%�(�/t ' DRhI'8�1 BY, GNO �! + SG 4"1592 NLI 03JlQS 6Ao 034371 AHCiIFP1 BY�Oib ND PSPELiIOX-GOA 8M6 NK�TA 6A 3oroG ^."7k�-STAFE"OF •��~ GQfX.(9 BY: TAD I ��I Y} PM o'iN3G TX!b43�i3 t-07D 404T 104t0?tAIN STHfE7 Hn1E�M'!B-_G]-71'r7 ':.c : O/ +: PA�P7'200�{VAt 64Y3D TtE7tbto5A:£�P FL 3T'112 SGALf� AS NOTEB I � nni�wi Fuean2 vow�eisaea-neasFa�cao�z-z�w COVER3HEEt '%•�ss-...P..•...N�'.`,, wo.tb� s�o�o�t t oF 21 ��nnn• I � � � .�. 1�8t1��1�� ���6�8� ��1� �B1�p���lOf� 501 f�orth Jackson Ave.Suite 2 Byars Building Russellville,AL 35653 ' Jul 25 2015 ,, v . Mr.Jim Richmond Florida Department of�usiness and Professional Regulation , Manufactured Building Program • ' 1940 No�ih Nlonroe St�eet � Suite 90A � Taliahassee, Florida 32399-0772 RE: Plan Approval:Residential Lawn Storage Shed � f. Manufacturer: Bennett Building Systems;� Plan iVumber/Rlame:530-021 Gable Shed I Dear Mr. Richmond,. , Pursuant to�the requirements of the Florida Departmen�of Business and Pro�essionai Regulations,the above referenced documents have been reviewed for compliance with: 2014 FBC,5th Edition These plans.complv with Florida Product Approval Rule 61G20-3.006(FAC).Also included in this approval.anrl attached to the plans are pre-engineered truss designs P910608, P91180�, P9185U3,and P91�603,.and, Kingpost,Job#79092. A signed and sealed set of plans are maintained on file in the Third Party Agency office of Natiqnal Design and Inspection. All mandatory comments have been satisfied and plans are approved for construction by a modular building manufacturer that is currently approved by the Departmen$of Business and Professional Regulations. ' If you have�ny questions or require my assistance in any way, please do not hesitate to contacfi me. RespectfuBly submii�ed � John Farinel{i, CBO, MCP,SMP49 � I 8�3-�ao-oo2o City af Zephyrhilis Permit Appllcation � F�X a�3aaaoQz� "' � ' Building Departmant Y, ' ' Date R�ceived --�— -- phane Contact'for P�rmlttln Owner's Name �-�--- � 'L" Owner Phone Number "c��{p'' ,J Owner s Addres� C � t3wnerPhone Number ,! Z) J .���.� Fee Simple Tltleholder Name �' � �''t�' Ownsr Phone Number � � � Fee Simple Titlehaldec Address � ' � JOB AI�DRESS I O � � �- LOT# �_c�� SUBDiVIS10N �%Yn-C�i`�.� d'��%�� PARCEL�IQ# - (8B7AINED FROM PROPERTY tAX NOTICE) WQRK PROFC?SED ' NEW CONSTR ADD/ALT � SIGN� Q [� DEMOLISH e lNSTAtL 8 REPAIR PROPOSED•USE Q SFR [� COMM � OTHER TYPE OF GONSTRUCTlON Q BI.00K ' Q ERAME Q BTEEL � �'" DESCRIPTION OF WORK �C�.,S �' {V � BUItDIPIG StZE d �l� � SQ fQOTAGE 0� HEIGHT . f r 1 rt � �BUILQING $ VALUATION��1F TQTAL CONSTRUCTION I��� QELECTRIGAL (95 � ANtP SEF2VlCE � PRt1GRESS ENERGY Q W.R.E.C. �. � [�]PLUMBlNG $ � (J � ��1 �� � , l,.J � QMECHANICAL $ ' VALUATtON OF MECMAN{CAL I�lSTALLATIOfV �`' � � � ��` , �f [�GAS Q ROOFING CJ SPECIAITY C] OTHER l�'"'� ` ��� FINISHED FLOOR E4EVATIONS FLt�OQ ZQNE RFtEA QYES NO - ���� � � ��� /� � �,,� BUlLDER ���� �COMPANIt '��G�,Nj 1 SIGNA7URE / ��iSTE�tEn Y/ N FEE GURRER Y/N Address License# ( � El.EG7RlCIAN COMPANY SIGNATURE �" REGISTERED Y/ N FEH GURRER Y!N Address �License# ( � I PLUMBER COMPANY SIGNATURE REGI37ERED Y/ N FEE CURRE� Y!N Address Ucanse# � � MECHANICAC, COMPANY SIGNATURE REGI$7ERED �. Y,/ N FEE CURRE� Y/N: • Asldre�s l.icanse# � � OTHER COMPANY Si�3NATURE ' REGISTERED Y/ N . F.EE CURRE� Y/,N• Addfoss Lic:enSe# � � �,, . . RESIDENTIAI: Attach(2),Rlot Plans;(2)sets:of�Buildi'ng,`Plans;{1a set of Energy=Foims;.R-O-W Perri%It for nev+w,construcfion, I Minimum�.ten:(1,0);worlting;days,after submlthat date.�.Requlred onsite,Canstruo8an Plans;Stormwate�Plans w/Silt Fence installed, Sanitary Ea�iftles&..1.,clumpster.,,Site°Wotic�Fermft far'sutidivisEonsilarge qroJects --`..-" .__ COMMERCIAI. Attach(3)'complete sets af Bulltling Pla�ris�plus a L[fe Safety Page�(1)set ot Energy Forms.R O-W Permit t'or new construction. Mtnimum ten(10)working days after submittal date. Requlred onsite,Canstructfon Plans,Stormwater Plans w/Sllt Fence installed, Sanitary FadtiNes&1 dumpster._Site Woric Permit for aR n�w'prajects.AIi cammerciai requirements must meef campilance SIGN PERMIT Attacti'(2)"sets of Engineer,ed�Rlans.;,:; �-- " """PROPERTY SURVEY requfreri for:all NEW cansUuctlon. Directlons: Fill out epplicatlon completely. dwner&Cantractar sign baok of applicadon,notarized _ tf over E2504.a Notica af Commencement t�requtred. {A!C up�rades c�ver�7500} . '• Agent(for the cantiactor)or Pbviier of Attomey(for the owner).woutd be sarr�eone with not�rized letter from owner authorizing�same � "�_. DYER THE COUNTERPERMITfiNG . {Frontaf Appilca�an.Oniy} . �., " .. , , ` _ , Reroofs if shingles Sewers S'ervice Upgrades A/C ` Fences{Plot/S.urvey/Footage) • � � i _ _ _ �. - .,. , . Driveways-Not over Counter if an public roa+dways..need�-RQW_: '.. .. ..