HomeMy WebLinkAbout5037 Redbud Ct - Applications/Reroof - 08/05/2014This application is to be used to apply for the following permits only (check all that apply)i 0 Air Cond[foning
0 Demolition (interior non-structural) ❑ Electrical Alteration (not service change) 0 Gas Lighter 0 Gas Log
❑ Heating Unit 0 Lawn Sprinkler O Mobile Home replacement Roofing Cl Sewer Line ❑ Photo•vottalc
C3 Ventilation 0 Water Heater 0 Water Line 0 WoodlPellet Stove (must be EPA certified, provide make, model and
manufaofurer).
Complete all applicable Information an the application. Incomplete applications will not be accepted.
Application OnIr S Date bpi - OS1A14
F'orodlca use only
Sob Site Address (requl, eV
Value of Conbtruct[On (labor, materials profit)
5 a 37 i2 r-A i'>�el C.
UUC) , "o
Property Owner Name Address
City/state Zip
Phone
Z-if r c y C, r n+M
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(e 1-19- 0 f -.
Applicant Name Address
awstate Zip
Phone q-W -
A:F v,Wa r� ?,00A = Yic . a in w. 12it1:1fish PIE crs M5' 5
2..a7-060a
Contractor Address
efty/state ZIP
Phone
Contractor City of it. Collins Sales Tax #
Are you paying taxis here or by report? 0 Report
5a/es texarm tra Ls�ar+�dbY� mnrruarors,
Are you paying with your tn.rst account? i�'Yess
0 No
Is this a residential or commercial project? 19 Resldendat 0 Ccmmercial
if residential, Is it: Single Family Detached 0 Condo/GDwnhome (single family attached) .0 Duplex
0 Multifamily (apartment) 0 Garage I
If commercial, is it 0 Bank 0 Bar 0 Church 0 HoW/Motel 0 Medical office 0 Office 13 Retail
❑ Restaurant ❑ other (explain)
Is this building so years of age or more? O Yes O No ffyey you maymnef to cnMactHisforlc Pres'erwbbJ7
If this is fbr a demolition permit, what year was difr'building can5b ucl�rlT"
ifprlar101975,, you &011 need an asbasfos assessment to submit W& this application.
Descriptfon of work
ti P ,I
*If lawn speinider/baddiow preventer, must list licensed plumber. If firstrhime A/C, must list iicmtsed electrtdan.
Subcontractors: U t[he conrFanynama orQiy.efRGb/i7ns/ker+se aC
9ettridan
Plumber. MedeanireL_— Roar �- [859 Other
I hereby admowledge that I have read this application and state that the above tnlbrrnation Is complete and correct. I agree to
comply with all requirements contained herein and city ordinances Ind state laws regulating building construction. i know that a
permit is not valid until it hiss been paid and issued. !
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Applicant: A`.�::: _i_ Date�1 r 4
Print Name= " tin��' K� i S 9gnatu=ems
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