HomeMy WebLinkAbout14-15283 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
�sis��so-oozo 15283
` BUILDING PERMIT
�_ _ - - - --
��.�,��.� .�,.,.�..�PERMIT:nINF.ORMATION ��. � . �� �` � ' .; ;!LOCATION�INFORMATION $`�`�:�'.�` ` ''`
Permit Number: 15283 Address: 4774 SILVER CR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
� Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CHALFONT VILLAS
Est. Value: Parcel Number: 15-26 21-0190 00000-0240
Improv. Cost: � �00 ._f'OWNER,INFORMAT.IONj� -°�.:��''.< �
Date Issued: 5/19/2014 Name: LONG, DONALD JR
Total Fees: 55.00 Address: 4774 SILVER CIR
Amount Paid: 55.00 ZEPHYRHILLS, FL 33541-6517
Date Paid: 5/19/2014 Phone:
Work Desc: REROOF SHINGLE
; _ � CONTRACTOR S: :; ` = APPLICATION FEES ,
CAPSTONE CONSTRUCTIO REROOF RESIDENTIAL 55.00
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,` , . ,Ins ections'Re uired , ��_
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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 properly. 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 pertormed in accardance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON T GNATURE PERMIT OFFI R
PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
15-26-21-0190-00000-0240 � Pasco County Property Appraiser 2��Page 1 of 1
. !� (� .
� � �
° Mike Welis Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, May 10, 2014
Parcel ID 15-26-21-0190-00000-0240 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
PRITCHARD KATHLEEN Ag Land $0
4774 SILVER CIR Land $13,241
ZEPHYRHILLS FL 33541-6517
Physical Address Building $57,436
4774 SILVER CIR Extra Features $366
ZEPHYRHILLS FL 33541-6517
Leaal Descriotion (First 4 Lines) ]ust Value $71,043
See Plat for this Subdivision Assessed (Save Our Homes) $67,385
CHALFONT VILLAS PLAT II Homestead 196.031 - $25,000
PB 31 PGS 69-70
LOT 24 Non-School Additional Homestead Exemption - $17,385
OR 4664 PG 280
lurisdiction
City of Zephvrhills Non-School Taxable Value $25,000 �
School District Taxable Value $42,385
Warning: A significant taxable value increase may occur when sold
Click here for details and info, regarding the posting of exemptions
-- ---_.._----
Land Detail (Card: 001 of 001) _____
---,----- -- -
Line l Use Descri tion� Zonin —' �— �
---- -- -
p g T__Umts � Type___� _ Price i Condition Value
-- ----
1 _ ��_0100__ SFR �__OPUD__ � 3,000.00_j_ SF __L_ $4.33 _I _1.00__ $12,990
2 � 0100 � SFR j OPUD � 544.60 I SF j $0.46 � 1.00 i $251
Additional Land Information_ __
---------- --_.__—_--- - - _�---- -- _----- _—__
Acres 0.08 Tax Area � 30ZH � FEMA X IResidential Code CHALLPI
� ` 1 Code � ,
� �
Buildina information - Use 07 - Single Family Villas (Card: 001 of 001)
Year Built 1996 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
_ Line _ _ Description �_ Sq. Feet _� Repl. Cost New
--�-- 1----- -- BAS--_�--- 1,034 _ i $61,420 ^--�--
2 FOP 108 � $1,604
- 3�-- �----FGR �– - 242 — �-- $5,762
Extra Features (Card: 001 of 001) _
,_ Line _�__Description _ _ Year Units _ _ Value ___
1 j DWC 1996 �__� 135 $234
— ----- ---_.�_. ______------- ----
2 I UDU-M 2006 1 1 �J� $132
Sales Historv
Previous Owner: BROWN ROY JOHN
-- -- — - -- DOR T— �� -
Month/Year � Book/Page � Type Code IConditionl Amount
� i -�----------
-- - --- ---�-- ----
07/2001 4664 / 0280 WDeedty� !Improved � $72,000
i
, http://appraiser.pascogov.com/search/parcel.aspx?parce1=2126150190000000240 5/16/2014
A. S�TTL�MENT STATEMENT B. '['Yr� oF toarv
GulfAtlantic Title&Appraisal,Inc. �•��^ Z•0�' 3•❑ CONV.urims.
14502 N.Dale Mabry Hwy. a.Q va s.❑corrv.ws.
Suite 314 e.�tax�e� 7•�N�e�
Tampa,Floiida 33618 13-1324
S13964-8300 fax:813963-0135 e.Mon�el�.CacNa.:
G NOTE:77Js form Ls jivnlshedlo gii�eyou a statenaercl ojac/ua(selRemettl cosls.An�mmis paidla and by fhe setdement agent a�r shmim.lfems inarked
(poc)rvere pafd outrlde die elosing 771ey are shmvn herejar lnjorn�a!lona!purposes and ure nof i�mluded ln IGe Wfrsfs.
Donald Long Jr
D.Buyer: PO Box 548
Crystal Springs,Florida 33524
Kathleea Pritchazd
E.Seller: 34934 TeeView Lane
Zephyrhills Florida 33541
F.Lender: Cash
4774 SILVER CIItCLfi
G.Property: Zephyrhills,Pasco County,Florida 33541
CHALFONT VII.LAS PLAT II,LOT 24,Pasco County,Florida
H.Settlement Agent: � GulfAtlantic Title&Appraisal,Inc.
Place of �4502 N.Aale Mab H p , Sh �Y
Settlement: lY wy,Suite 314,Tam a Florida 33618 Hillsborou Coun
I.Settlement Date: Ma 14,2014
J. , Summary of Buyer's Transaction I{. Summary of Seller's TransacHon
100.Gross Amount Dae From Bu er: 400.Gross Amount Due To Seller:
101. Contrad Sales Price 53,000.00 401. Contract Sales Price 53 000.00
102. Personal Pro erty 402. Pecsonal Pm e
I03. Settlement Cha es to Buyer line 1400 795.00 403.
Ad ustments for Items Paid b Seller in Advance: Ad ustments for Items Pt►id b Seller in Advance:
106. Ci /Town Texes 40G. City/Town Texes
107. Coun /Perish Texes 407. Coun /Parish Texes
10E. Assessmenb Ma 14 2014 th[u 7un 30 2014 102.86 408. Assessments M 14 2014 thru Jun 30 2014 102.8G
120 Gross Amount Due from Buyer: 53,897.86 420 Gross Amount IDue to Seller: 53,102.56
200, Amounts Paid b or in Behalf of Bu er: 500. RedncHons in Amount Due to Seller:
201. D osit/Earnest Mone 501. Excess D osit see instcucNons
202. Princi al Amoune of New Loan 502. Settlement C6ar es to Seller Line 1400 5 545.75
203. Existin Loan s 503. ExisHn Loan s
204. 504. ��of First Mortgage to Caliber Home 46,45G.12
205. 505. Pa offofSecandMor e
206, 506. PurchaseMoneyMoR e
z�r 507 Pay 2013 delinquent wunty taxes to Pnsco Co 839�
Tax Collectar
'_Ad'ustments for�Items Un aid�b Seller: � Ad'ustments for Items Un uid b .Seller: •
210, Ci /Town Taxes 510. Ci /Toxm Tazes '
Z�l. County/Parish Taxes Ien 1,2014 thm May 13, 26135 5 L l. County/Parish Texes Jan 1,2014 thm May 13, ZG1.35
. 2014 2014
212. Assessments 512. Assessments
ZZ Total Paid by/for Bayer: 261.35 520 Total Reductions in Amount Due 53,102.86
� . Seller:
30b. Cash at Settlement from/to Bu er: • � 600. Cash at.Settlement:to/.from Seller:..
3D t. Gross Amount due fram Bu er line 120 53,597.86 601. Gross Amount due to Seller line 420 53,102.86
302. Less Amoun[Paid b/for Bu er ine 220 2G135 G02. Less Reductions Amount due Seller line 520 53 102.86
30.3. Cash From Buyer: $53,636.51 603. Cash From Seller: $0.00
,
May 2007
Flle Number.l3-1324
Settlement Date:May 14,2014 FATCO
L. SettlemenE Charges
700. To�al.Sales/Broker's:Commission: Paid from Pnid from
Basedon�Price.�$53,000.00 Q..5.00% _ $2,650.00 Buyer's Seller's
Divisiori of Commission us follows Funds ut Tunds at
701. 1 525.OD to Weicome Home Real Settlement Setflement
702. (,(25.00 to Herkshire Hathawa Florida Pro eRies
703. Commission Paid at Settlement 2,650.00
704. Commission to Berkshire Hathawa Florida Pro erties 325.00
80(i. Items Pa able in:Connection with.Loan:
801. Loan Ori 'nntion Fee
802. Loen Discount
803. A raisal Fee
Ep4. Crcdit R ort
805. I.ende�'s Ins ecHon Fee
806. Mort a e Insurance A lication Fee
807. Assum tion Fee
90 . Items•Re iilred�b Lender to be Paid inAdvanee:
901. Dail interest cha e from M 14 2014
9D2. Mort a e Insurance Premium
9D3. Hezard Insurance Premium
S•)4. Flood Insurance Premium
1000. Reserves De osited wiith Lender: • �
IODl. HazardInsurance
1002. Mort a e[nsurance
1003. Ci P Taxes
1004. Coun Pro erty Taxes
1005. Annual Assessments
1100. Title Ctiar es:
1101. Settlement or Closin Fee to GulfAtlantic Title&A raisal Inc. 395.00 550.00
I 102. Abstract or Title Search to First.4merican Title Insuiance 75.00
1103. Title Examinallon
11 4. Title Insurance Bindet
1 I05. Document P aration
1106. Nota Fees
1107. Attomey Fees
includes above item nucn6ers:
1108. Title Insurance to GulfAtlendc Tide&Appnis�l,lnc. 304.75
includes above item numbers:
11 a9. Lender's Coveta e 0.00
1110. Owne�'s Covern e 53,000.00 Risk Rate Premium: $304.75
12(?b. Government Recordin and Transfer Char es: � -
1'..�)1. Recordin Fees: Deed 10.00 Mort e e 0.00 Releases 0.00 10.00
-�)2. Ci /Coun Tax/Stam s: Deed 0.00 Mort e 0.00
I2�3. StateTax/Stum s: Deed 371.00 Mort e e 0.00 37I.00
1i�4. Inten 'ble Tux to Clerk of the Cireuit Court
I'U5. �
13(i. . Additional Settlement Char es: � �
1� 1. Survey
1+ 2. PestIn ection
13 3. Esto el fee to Ameri-Tech Realty 250.00
13 4. Delin uent HOA lien to Chalfont Villas HOA 1,410.00
14C�: Total Settlement Charges(Enter on line 103;�SecHon J and line 502,SecHon I� . �$795.00_ �5,545.75
[ha�e enrefttlly reviewed the Settlement Statement aad ro the best of my knowledge and belief,i[is n Itue and nccurute st¢temen[of¢Il receipp nad dishursemenfs mnde
o¢mri accowt oi by me in this transactioa I further certify tl�at I have received a capy af Settlemen[Statement
� ,�✓� %" I-�R-C'Q��iUa nn� lY/tit/t.f� f/v�1�
Buyet� Seller:
I Danald Long Jr Kathleen Pritchu[d
�
The�P�emrn[Statement which�I-�ave p�epared ia o lrue and necurete nxoun[of this ltansnctioa I ltave caused or will cause t11e Cunds lo be disbursed in nccordance wifh
FATCO
this stbtement. �- // Dnte: May l4,2014
Settlement Agent �
��e v,�,a_--�_____r;ri�Agent
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May 2007
Prepared by:
Bryce Fanar,Title Agent
GulfAflan,tic Tifle&Appraisal,Inc.
14502 N.Dale Mabry Hwy.,Suite 314
Tampa,F'lorida 33618
File Number: 13-1324
General�arranty ID�ed • '
Made this May 14,2014 A.D.By Kuthleen Pritchard,a single woman,whose forwarding address is:34934 TeeView Lane, y�/e.
Zephyrhills,Florida 33541,hereinafter called the grantor,to Donald Long Jr,n single man,whose post office address is: PO Box 3�8;
Crystal5prings,Florida 33524,hereinaRer called the grantee:
� (Whenever used herein the tecm"p,�antor"and"g�antee"includa all Uia pacties ro tlus inshumcnt and the heits,legel representaGvrs and essigns of
individuels,und the successois end assigns of caiporatlons)
WltIIessetll�that the grantor,for and in consideration o£the sum of Fifty Three Thousand dollazs&no cents($53,000.)aud
other valuable considerations,receipt whereof is hereby aclmowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys
and confi:ms unto the grantee,all that certain land sitnate in Pasco County,Florida,viz:
Lot 24 of CHALFON'T VII..LAS PLAT II,according to the Plat thereof as recorded in Plat Book 31,Page(s)
6A&70,of the Public Records of Pasco County,Florida.
, Parcel ID Number:l5 26 21 0190 00000 0240
Togethei with ell the tenements,hereditements and appurtenances therero belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
A1nd the grantor hereby covenants with said grancee that the grantor is lawfiilly seized of said land in fee simple;that the
grantor has good right and lawful authority to sell and coavey said land;that the gantor hereby fiilly warrants the title to said land and will
defend the same against the lawful claims of all persons whomsoever;and tl�at said land is free of all encumbrances except taxes accnring
subseauent to December 31,2013.
In Wihiess Whereof, the said granwr flas signed aud sealed these pmsents the day end year frrst above written.
Signed,sea[ed and deliver 'n ourpresence:
� �°C f'A l V�t � .l� ✓ (Seal)
� � ICa een Pritchard�
Wimess Printed Name/G��i���' �l/l r�.. Address: 34934 TeeView Lane,Zephyrhills,Florida 33541
�
'•.
Wimess Printed Name .�Cj 5/}VU / , �l�I�
State of Florida
County of Ii�lsboroagi�{��.sc.�
The foregoing inshvment was aclmowledged before me this 14th day of May,2014,��Pritchard,a single woman,who is/are
personally lrnown to me or who hes produced drivets license as ideatification. /'
Notnry Pubitc�� �
Print Namc:
`�, Y p4 OAWN L WISER
•_; °'�:% Notary Pu61ic-Slale of Florida
' My Cammtsston�aplres:
- _My Comm.Expires Aug 29.2U74
i;• '�= Commission M EE 14826 �
`'%%°;;,`.°•`�, Bonded Tn�ouph Nalional Nolary Assn.
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DEED Individual Wananty Deed With Non-Homest�d-Legal on Face . .
1
� � ` I Rept:1616957 Rec: 10.00
�� IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIII . DS: 0.00 IT: 0.00
�. 2034115017 . , 07/18/14 8. MeBee, Dpty Clerk
��• � PqULR S.0'NEIL,Ph.D.PiiSCO CLERK 6 COMPTROLLER �
� , � 070R BK4 9060 P�o 2�50 �
Permlt No. Parcel ID No���/ �p�9� '66000-(,J��
• NOTICE OF COMMENCEMnENT
' State of /'� County of!���f9 '
• THE UNDERSIGNED hereby gives notice lhat tmpiovement will be made to certain real property,and in aceordance wilh Chapter 713,Florida Statutes,
the following infortnatlon is pravided in this Nolice of Commencemenl: �O�QD "OOBOO —OZ�7��
�, Descriplion of Property: Parcel Identificalion No.,�� z 6"o�
§treet Address:� '7 � r
2. General Descrfption ol lmprovement��� /Q � �
� 3. Owner Informalion or Lessee intormation if the Lessee contracted for the improvement:
� N e
y ¢ Cfly� tate � .
Address '
Inlerest in Property:
Name af Fee Simple TiUeholder:
(If diHerent hom Owner flsted above)
.. ���y State
Address _L
.� �4. Conlrector: T ' ! .
am � QAnn/ryeFi �a%c�� �
�d.�O x .'��X� /� State
ddress �r^ °�
' , ConUaGaYs Telephone No.:�Ju � "��6���`�
5. Surety: �
ame
Ciry State
' Address Telephone No.:
i � Amount o(Bond: S
6. Lender:
Name l� titq
��h, . State �
Address , . e� '• �0��
Lender's Telephone No.: . , � e • \ o�
7, Persons wilhin the State of Florida desfgnated by the owner upon whom notfces or other dacuments may be served as provided by � �;e� � , w
Seclion 713.13(1)(a)(7),Florida Statutes: �
� � h u� e �
Name � ' � ; �j
' Cil Stale � �� � � �'
. Address . y . V • �
Telephone Number o(Designated Person: �� �
of_ �� �
8. In additfon to himself,lhe ovmer designates . � e ' �
to receive a copy ot the Lienofs Notice as provided in Sectian 713.13(t)(b),Florida Stalules. � �
W
'Telephone Number of Persan or Enlity Designaled by Owner: { J
� �c � � �� U
g, Expireliqn date af Notice of Commencement(the expiratlon date may not be betore lhe completion of conslruction 37�d final paymenl lo the '' �Z ��� O
conUactar,.bul will be ane year(rom the dete o(recording unless a differenl date Is specffied):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEiJT �' ' d C�.7 Q F w N �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN;� ' O L1-J i _ J a
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE � z
' RECORDED AND POSTED ON THE JOB SITE OEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � � 0 Q�`Q
• • WITH YOUR IENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING�YOUR NOTICE OF COMMENCEMENT. , � � � � U U
Under penalty of perjury,I deClare that I have read lhe foregoing notice of commencement and thal lhe fads slaled lherein are true to tHe best�` _ � O O � � �
ol my knowledge and betief.
Vap � � y �
� STATE OF F RI �. STEPHA�NE Yh6NIESKE' �'' `� = U U z J 1
. COUNN OF �, Signature of Owner or Lessee,or Owner's or Lessee's Aulhorized Q ~ F— --� Q U
Noliryr�i0►k-BGb of FbriOa � p >- U C� p �
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�� • Yy�Ort�l Etp1i0�YY 2�:jQ�� OflcedDirectorlPaAnedManager •. , � � � z � J
coni�(..6on r Ff obtoos � —
0 � � �. = QW
� ' Signatory's TIUelOKce ` , .' J uJ Q � Z
CI. 'I.�,nal� � oo � G °
^ :T e foregoing Instrument was acknowledged before me this�day of�.Z��?by ,
� as (type of authoril e.g.,officer,lruslee,attorney in tact)for � E— z � � Cn
� � ` (na f pa o beh f of om Instrument was executeA). . � � w `J Z Q
� �
•�. Personally Knovm�Produced Identification❑ Notary Signalure � Z
' Name(Prinq �- I� � � H � O � � m
Type of Idenli�ca!(on Produced j�
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� � � I 52� 3 �
: wpdata/bcsJnoticecommencement�c053048 � . I
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813-780-0020 City of Zephyrhills Permit Application FaX-a�a-�ao-oo2�
I Building Department
I
Aate Received � Phone Contac4 for Permitting --
Owner's R1ame "�i�/,L4 Owner�hone�umber
. •
Ov�ner's B,ddress Ovune��hone tdumbeo
�ee Simple Titleholder fd�me OuvneP�hone Idumber
Fee Simpie Titleholder Address
JO�a►DDRESS L � S l/7" r LOT# �
SUBDINISImId �d6tCEl.ID# — O ^O —O` C
(OBTAIMED ROPA PROPERTY TAX NOTICE)
NNORG�PRO�OSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
�RO�OSED USE Q SFR Q COMAh 0 OTHER /
'�VPE OE COtdSTRf1CTI0iN Q BLOCK Q FRAME 0 STEEL Q
D��CFtI�TIOfd OF lMOR9Z G e ('0
�UILDIV�G 51ZE SQ FOOTAGE� CiEIGF9Y
OBUILDING $ ��OD O� VALUATION OF TOTAL CONSTRUCTION
! DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
�PLUMBIMG $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FIIVISHED FLOOR ELEVATIOIVS FLOOD ZONE AREA QYES NO
ISUILDER CORAPAP�Y
� 'l�/
SICiW�Td1�E - REGISTERED / N FEE CURRE� Y/N
�c➢dc�ss _ � License# ~� 7
ELECTRICIARI COAfl�A1dY
$IGWAT49FP� REGISTERED Y/ PI FEE CURRE� Y/N
�1dc�Pess License#
PLURfl�ER GOAf1PAR�Y
SIGR1AYl7RE REGISTERED Y/ N FEE CURRE� Y/N
�ddress License#
4UI�CHAiNIC�1L COiHiP�,R1V
SIGR1ATl9�E REGISTERED Y/ N FEE CURRE� Y J M
e�ddr�ss �icense#
OTF9ER CONAPAtdY
SIGiUATl9RE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
92�SIDE�1�l�9L Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities&1 dumpster;Site Work Permit for subdroisions/large pro�ects
COMAlIERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. _
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,5tormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGfd PERilA9� Attach(2)sets of Engineered Plans.
•"°PROPERTY SURVEY required for all IVEW construction.
Direc4lons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over;2500,a Idotice of Commencement is required. (k/C upgrades over$7500)
'° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
_..
ONER Tbd�COUiNTEFt PER�(il'PTIIdC; , (Front of Application Only) .
Reroofs if shingles Sewers Senric"e.Upgrades A/C Fences(Plot/Survey/Footage)
Dridevvays-Not over Counter if on�public roadways.:needs ROW- ,