HomeMy WebLinkAbout930 DRIFTWOOD DR - APPLICATIONS - 9/30/2014i Ells applioat<on is to he used to apply for the iollovving permits only {oheck all that apply) J Air Cond"' in !
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L-3 Demolition {inlsrior non-s;3vcurail ❑ E[2ctnca! Ritera6an {hat service change) ❑ GaS L1gh�r ❑ Goa Lag
C Healing Unit ❑ Lavin Sprinkler 0 Mobile Home replacement ttoor7ng ❑ Sewer Una 0 Photo -Voltaic
0 Venaiation r1 Water Hear ❑ Yv3a r ? ine n S+aInolPelle: Sl
manuracn.aeij. Ove tmast he EPA certined, provide mate, mndei and
Comolete, all applicable information on the applieafion_ Incomplete aaAlleationa tvili not be accepted.
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Ap�licatfon �f I LJ't Date
For09ce use only
Job Site Addrees (waved) Value of Construc�on (labor, matarialsr prom)
30 -0r� ''i-woos2 fief• 4Q,SC)a
Property Owner Name Address Citylstate Zip Phone
1�1 i fe)nokra S)CLis `io ^C9.9co -0(9 96
i Applicant me Address Clty)S ate Zip Phone of -'Al -
- tnc. atri W. T<;N Cz4 C= i G C6 aoSAS
ContracW Address e(ty/Siesta Zip Phone
Wntracbor City of F. 021iins Sates i ax I_ A.—" you paying taxes here or by reporu [flzere Eli Report
Ozer @xITUM Cff-&FR40;;SdbY9ICWk0;tU.^.. Are you paying with your trust accaurk? PrYes ❑ No
zvthis a re5ldenti7al orcommendal project? EffResidentTal ❑ Gammardal
if rasldenGa4 is in W Single family Detached 0 Condc)tdwnhome (shale family attached) 0 Duplex
i❑ MultIlamily (apartment) ❑ Gauge
i,, aommerrialr is it: ❑ Bank Ci ear Q Church ❑ HasUMolml ❑ Medical of ❑ office [I Retail
C.l Re=urant 0 O-ler (slam)
Is this building SO years of age or more? O Yes ONO =r`yesf you mayn2Eii tt] cvrrr��Nislr?ficPn serration
L. this is fer a domolitton pei,nly 1.1batyear was th5-buil6ing mns6iAed7- • _
� 1rprrorm 33i� you Will nEzd'zn as6estosass�sprentin submitwt�5 Urls aAAACatYon.
Description ofwork sue- n:G� -k-
V lawn sprinklerlburMow prevenier, must Ilst licensed plumber. r; flmt time AJC, musty licensed eleadri-dn.
SuJ3ca icroactors: mothseamwnynzimorGWerl3CallrnsAnensP
FJEctrrdan Plumber rQ0Wan ca _—. Romtr other,
hereby aclmmMedge Ur&I have read Lhis application and state that the above lnrarmarion is complete and correct- 3 agree to
comply with all requirem nts conratned he26n and c?ty ordinances and state laws regulating butir[Mg wnstruction. 3 know that a
permit is notvalid unicii Ps has been paid arwd issuer:.
Applicnt:
Drina F2!m