HomeMy WebLinkAbout1611 Azalea Dr - Permits/Water Heater - 09/26/2018F1___1rt Collins
Site Address: 1611 AZALEA DR
Job Valuation: $450.00 Category: Residential
Owner: SHERILYN DAVIDSON
403 HARBOR RIDGE DR
PALM HARBOR, FL 34683
Phone:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1808391
Issued Full: 09/26/2018
Permit Type: Residential Water Heater
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: ALPHA PLUMBING INC
713 W MULBERRY ST '.-
FORT COLLINS, CO 80521
Subcontractor(s)=
Plumbing: I I ALPHA PLUMBING INC
Work Description: Replace 40,gallon.gas water heater.
Filing M Lot M Block M
Ind sq ft: _
Const Type: _
Stock plan options:
- License #: MP-664
Phone: 9704934436
Basement sq ft:
Supervisor cert#:
, --Phone
/r 970-493-443� 6,_.__� ❑
License Number
MP-664._
Ijr�i �-
IJ I_�,'
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 300 301 302
TOTAL FEES PAID AS OF 09/26118: $34.90 Payment method: Credit Card 7076
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: 4�- _.O� Print Name:, rtt w e. /G��-r✓ i Date:
Form Revised Oct 2010
fins
Site Address: 1611 AZALEA DR
Job Valuation: $450.00 Category: Residential
Transactions
Method Check Number Date Paid
Credit Card CK# 7076 09/26/2018
Receipt issued: 09/26/2018 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$34.90
$34.90
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1808391
Issued Full: 09/26/2018
Permit Type: Residential Water Heater
Comments
Fee Amount
Amount Paid
$8.66
$8.66
$1.24
$1.24
$25.00
$25.00
$34.90 $34.90
Date Paid
Amount Due
09/26/2018
$0.00
09/26/2018
$0.00
09/26/2018
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/26/2018: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.