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HomeMy WebLinkAbout16723 (40) - � _ --- --- -- --_ — - -- - --_ � r �'�C9�'��i�3I�dI3�� ' �� -----�---- Y���'tlii'�ME�'���� �i I�E��LOPMEriTT SER1JICES i � ` Z 1825 E.Copley Drflve � (904)860-3145 F'ax(909)�6Y-3fl47 PRESS � °:;.bK�•..., � ���� ��'�°��,Bc�T�o�r FIRMLY � JOB5ITE `��� ,� �,P����� �j �PPLICATION ���d� NUMB R #/C a ADDRES51 `� DATE � ISSUE Tl'PE OCC APN LOT TRACT DATE CONST. GROUP p OWNER L�➢ fG�E�% ADDRES�S�� + ZONING SETBACKS Z CITI�/�J�te��''e �' ZIP TEL. FRONT RW ❑ o APPLICANT TEL. SIDE/SIQE STREET RW � z Q CONTRACTOR i . �� ' SI�E ❑ �' ADDRESS �"��' �'� pROPOSEDUSE �"'� �6P'l/'F� o CITY . L.�' ! ZIP �'� TEL. o ARCHIENG/ � DESIGNER NO.DWEL. NO. NO. a ADDRESS - UNiTS SFORIES BEDROOMS � CIN ZIP l��L. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OINtJER-8UI!DER DECLARATIOPI SFF/ADD/REM O I HEREBY AFFIRM UNDER PENAL7V OF PERJURY THAT I AM EXEPvIPT FHOF!TNE CONTRACTORS LI- G3�dQE/CdfPOfL W �CENSELAWFORTHEFOLLOWING;REASON(SEC.7o31.5BU5MES5ANDPflOFE5510N5CDDE:AfdYqTYOFi (f) . CJ COUtJiYNMICHREQUiRESAFERAAITTOCANSTRUCT,ALTER,IMPROVE,�EM01lSH,ORREPAIFANYSTqUC- �jJ pdti0/DBCk � TURE.PRIOH TO ITS ISSl1ANCE,qLSO REdU1RE5 THE APPlICANT FOR SUGN PERPJiIT i0 FILE A SIGNEi7 W � STATEMENT THAT HE OR SHE IS LICEN6E�PURSUANT i0 iHE PROVISIONS OF 7HE CONTFACTORS LI- .S CENSE LAW(CHAPTER 9(COMMENpNG WITH SECTION 7000)aF DIVISION 3 OF THE BUSINF53 ANO PRO- � Po01/Spe FESSIONS fADE)OR THAT HE OR$HE IS E%EMPT THEREFflOM AND i HE BA515 FOR THEALLEOED EXEMP- ' o� iION.ANYVIOLATIONOFSECTION'�7a39.58YANVAPPLICANTFORAPERN117SUBJECTSTHEAPPLICANTTO Z �0-R00( A CIYIL PENALTV OF NOT MOR'c THAN FIVE HUNDRED DOLLARS(SSoo)J: ❑I,ASOWNERCFTHEPROP RN,ORMVEMPIOYEESWIT{lWAGESASTHEIfiSOLECOMPENSATION, �� � � Commercial - ' WILL DO THE WORK,AN�THE ST UCNRE IS NOT INTEN�ED Ofl OFFEREO FOA SALE(SEG.7054,BU51- ,J � N6SS AND PPOFESSIONS CODE:7HE CONTRACTORS UCENSE Lr�W�OES NOTAPPLY TO AN OWNE(i OF � PFOPEFiTYWHOel11L�SORIMPR VESYHEREON,ANDWHODOESSUCHN'ORKHIMSELFORHERSELFOR [�" THROUGHHISORHEROWNEMPL�YEE6,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENOEDOR m W�. OFFEREDFORSALEIF,HOWEVER,i7HE8(JIL�MGORIMPflOVEFAENTI550t➢WIiHINONEYEAROFGOMPLE- p'� TION,THE OWNER-BUIL�ER WILL;HAVE';iHE BURDEN OF PROVING ThIAT HE OR SHE�ID NOi Bl11LD OR �;' IMPROVEFOf1THEPURPOSEOF$ALE).' W ❑I,ASOWNEROFTHEPROP,ERTI;�PMEXCLUSIVEIYCONTRACTWGWIiHLICENSE�CONTRACTOftS , p['.', TO CONSTRUCT iHE PROJECT(SEC.7040.HUSINESS AND PROFESSIONS CODE:?HE CONiRACTORS LI- VaIU8lipPi ADJ.AREA W; CENSELAWDOESNOTAPPLYTOANONMEROFFPROPER7YWH08UILD50PIMPROVESTHEREON,ANCJ � �'�, ,WHOCANTRACTSFORSUCHPfiO�EC75��WITHACONTAACTOR(S)LICENSEDPUPSL'ANTTOTHECONTRAC- QUAIVT�TY DESCRIPTION FEE �II �, TORS LICENSc LAW.). I '' � ❑{AM EXEMPT UNDER SEC. e.8 P.C.FOR THIS REASON U I �' — � � DAT� 'OWNER U QLICENSED CONTRACTORS DECLARATION W CC IHEREBYAFFlflMUNDEftPENAL7YOF?ERJURYTHATIAAFLICENSEDUNDERPROVIS�ONSOFCHAPTER � I �� B P'-�^'�,� y,\ d 9(COMMENCING WIiH SECTION 70�!OF OiVI510N 3 0F TIiE 8U5WES5AN�PfiOFE5510N5 GODE.AMD Z I ���� �++� X. MY UCENSE IS IN FULL FORCE ANIp CT, y G�y � a� lICENSE CyLASS �s���� LIC.NO. P < a n• y���. j � �� U DATE !S•"�,�� '�, �� CONTRACTOF !�s-17 `� W � �� WORKEJRS'COMPENSATION DECLARATION � � U � IHEREBYAFFIRMUNDERPENALTI�OFPERJURYONEOF7YEFOLLOWINGOECLAFATIONS: z , O'. _IHAVEAND IL4MAINTAI ACERTIFIf.ATE�FCONSENTTOSELF-IPJSUREFORYJORKEFS' _ �' CO ATION,AS PROV OE�8Y SECTION 370o OF THE LABOR COCE,FOR 7HE PERFORMANCE U ¢ HE WORK FOR WHIC 7HIS PERMR IS ISSU`cD. � �'. ���' ,I HAVEAN�WILI MAINTAI WORKEftS GOMPENSATI ' RAN E.A REQUIRED BY SECTION � 37o00FTHELAB CO FOR7HEPERFORMA OFTH K� N'HICHTHISPERMITIS . ISSUED.MYWO�CERS' MPENSATIONINSURA E RIE N _I�YNUMBEfiARE: CONSTRUCT{ON _ � . �, CAHRIER _ PLAN REVIE�V a POUCYNUMBER , �LECTRIC Q I--'' � (iH445ECTIONNEmNOTBE�µr�nPLEfEDCFTHEPERMRIS PE nqs�s�aa)ort�Ess�. PLUMBING •� Z I CERTIFYTHAi IATHE PE�FORIiAANCE OF THE WORK F R WHICHT IS P IIT IS ISSUED,I MECHAPIICAL (�" SHALL NOT EMPLOY ANV PERSOh'INANV TO 9E e SU �ECT TO THE ..;,r ----�� � WORKEFS'COMPENSpTION LAl^I�,S OF IIFORN df IF I OUlO 6ECOME INSP'ECTION FEE +'ti m��� �r`�"'� ���', SUBJECiYOTHEWORKE�S'COIvfiPE ATIONP SO E ION- OOFTH�LABOR •-^�Z-� ''���-^-�-•-� --�+w'` ,� co9�s sHa� rrrHwi�,COM.PLY i1H ��vi io s. ISSUANCE � p �, DATE: `°� ��/ARPLICAN7: � SMIP ..�_�.�, �✓��F��. I_ � ' ' - ENERGY P/G E q /� .. . . J '� WARNINGFAILURETOSECUftE RKERS'GON�PE TION VEFAGE!SUNLAWFUL,ANDSHALLBE -"—"—'-j��-��-j�1�'' ' � ' SUBJECTANEMPLOVERTOCRIlh�ALP6NALTIESAND INESUPTOONEHUNDREOTHOUSAN� ENERGYPERMII ' \�A � + � DDLLARS(5100.000),INADDITION THGGOSiOFCOMPENSATION,�AMAGE5A5FftCVICmFORIN � t J " SECTION 97ae OFTHE LAOOR COD,INTEREST,AND ATTORNEY'S FEES. RETENTION FEE: P���° � � ��.� '�, �,.....�..� _'_u.«.:.-+,...._�..__.n. ' � d ,. CONSTRUCTIONLENDlNGAGENCY PRE-ALTFEE: Q � �.'. IHEREBYAFFIRMUNpERPENALTI�OFPERIUqYTHATTH=REISACONSTaUCTIONLEN0INGAGENCV � �� FOfl THE PERFORMANGE OFTHE WORK�FOF WHICH TH'S PERMIT IS ISSUED(SEC.309'/,CIV.C.). W. ��� LENDER'S NAME -- - �i � LEN�ER'SAODRE55 ,� Q�'``� � ICERTIFYTMATIHAVEREA�THISAPPLIOATIONANDSTA7ETHATTHEA90VEINFOqMATIOtdISCORREGT. TOTfiL FEES � .'�.i W IAGREETOCOMPLVVATNALIdTMANDGOUNT'ORDINANCE30.NDSTATELAWSRELATINGTOEUIL�ING `�� � GONSiRUC710N,ANDHEREBYAU�H EREP SENTATIVESOFTHISCOUNTYTOENTERUPONTHE ' Z.� ABOVE�MENTIDNEDPROPERTY � INS�ECT PUpPOSES. CCMMENTS Q �s J, �, m�.. PERMlTT'cE� M'cP Q �/� C/) Td �ry SIGNATUREOF aiAITTEE i ' � E _, � RECPT.NO. 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