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HomeMy WebLinkAbout13487 (24) CITY OF DIAMOND BA� � " DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES 21660 E.Copley I?rive Suite 190 (904)860-3195 Fax(909)861-311? PRE$$ BUII.DING PERMIT APPLICATION FiRMLY y JOBSITE APPLJCATION PERMR �( P/C o ADDRESS I S7� �a�p��re �M'� DATE NUMBER � O # � APN OT � TRACT da DATE ��I"f --I 1 CONST. GROOUP � OWNER 7 L � ADORESS • ZONING SETBACKS CITY t ZIP 2 « TEL � FRONT pyV p APPLICANT TEL REAR p 51DEl51DE STREET RW ❑ CANTRACTOR i Kc.. SIDE p g ADDRESS�] ' pROPOSED USE CITY �_v_ ZIP TE ,�,�'�.-0 D � ARChUENG/ DESIGNER NO.DWEL. NO. NO. ADORESS UNITS STORIES BEOROOMS � CITY 21P TEL. y DESCRIPTION SQ.FT. FRCTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM ��n¢er,�sw umen�Tr oF reaunr nur i�w oceMvr FnaM rne aoNrw�crar+s u. GeragelCarpoR CQi5EU1WPoR7MEfOU,Wy1NqqEISpM(5EG70.71.66USINESSANDPRDFESSIONSCODE:ANYCITVOR (J) ... .90UNi`lWHIOINEOINfiESAPERIARTO00NSTpUCT.ALTER9APROVE,DFMOIJ&1.OqREPAIRIWY8TFMIG W Pet10/DBCk TURE,VRIDR TO IiS BSUANCE.AL80 ilEOUIRE9 THE APPLICJYJT FOR 6UCH VFAIAli TO FlLEA&[iNED W 6TAlF11EM TW1T FE OR SHE IS 110ENSEO Pl1iLSUANi TO TNE VROriSIONS OF THE OONTAAC70RS U- CEHSE lAW�dMD'TEF1 Y(COYNENCM1f3 WR}18ECTION 70ao)OF DIVIBIOH 9 OF THE BUSINE58 ANC PRO- LL POOVSpB FE6910NSCODE)ORh1ATMEOR6ME18EXEMPTiHEfiEFHOMANDTHEBASISFORTHEALLE0EDE1fEMP• � TION.ANYNOLATIONOF6ECTION7o71.69YANYMPIICAMTFO1t�PERMRBUBJECTSTHEAPPLICANT7p � Re-Roof � ACML VENALTY OF NOT A10RE TIAN FNE NUNDRm�OLLAR91i5o01.1: . 04��1MNEROFTMEPROPERTY,ORN1'EMPLOYEESWITHWAOESASTHEINSOLECOMPENSATIDN, � COrt1111BfCiel MI9.L DO 7ME YYORK MID TFIE STRUCTURE IS NOT MRENDEU OR OFFENEU FOR SALE(SEC.70M,BU51- J NESS Ml�PqOfESS10N5 OOOE:TME CONTRACTOi15 L10EN9E LAW DOES NOT APP�Y TD Ml OWNEq pF � PRDPERTYNlFIOBUp,.�60RNAPRDVE67MEREON,ANDWNO00E56lACilYVORKNIMSFLFORHERSELFOR = � iMROUGHHSORMEROWNEMPLOVEES,iROVqEDiT1ATSUCFIMPqOVENENTSMENOTMJTFNOFAOR m OFFERED WNSILLE IF FiOM1EVE0.1HE BULWNfI OR IMPROVEMENf 680LD WIfMW ONEYEAHOF COMPIE• N TqN.THE OWNER�BUIDER WILL IYWE THE BURDEN OF PHOVINO TFIAT NE OR 6HE 01�ND'f BUIID pi MPf1DVE Wp7HE%1RPOSE OF EAL�. � OLASOYMEROFTMEPipPERh;A1NEXCLU9IYELYCIXfIMCfINflWI7NlK:ENSE000NTRACTORS TO C�N57RUCT TFIE PHWECf(8EG 901/,BUSINES9 MIO PROFESSqNS CODE THE CONiHhCTORS LL Velull1011 /�J,/{q� CENSE UW OOES NOTMPLYTOAN OVYNER OF A PHOPERNMRIO 8U6DS Oq W PRDVES THEREON,IWD WHOWtrtMCTaFORSUd1VROlECT8YnT1ACONTIucroq�s)I�cENsmauasulwrion�ECONrq�G OUANTITY DESCRIPTION � m�ts uc�sE uw.�. FEE O IAM EXEI/PT U►DER BE0. B.l V.C.FOH THIS REASON � U V" DATE OWNER F— � U LICENSE�CONTRACTORS DECLAAATION W � IMEREBYAFFIRMUNpERPENFLTYOFPERJURYINATIANLICENBEDUNOERVROVI510N90FCHMTER � •�'OMMENCWCiWRH6ECTpN700G)OFOMSION]OFT}IEBUSINESSANOPROFE3910NBCO�E,MIG Z W LICENSE I6 W FlJLL PoRCE AND EFFECT. m L�� 0 UCENSE CLASS LIC.NO.��� l � � DATE � ' CONTMCTOR����� OJ. � � WORKERS'COMPENSATION DECLARATION yIHEREBYAFFIRMUNOERPEN+LLTYOFPEFWRVONEDFTHEFOLLAWINODECWiATION9: z � _IWWEANDWILLMAINTAINACERTIFlCATEOFMNSENTiOBELF-IN6UqEFORWORKER3' � OOMPEN5117qN,A9 PROYIDED BY 8EG710N i7oo OF TFIE U1BOR COOE.FOR TF1E PERFORMMICE U Q OF 7HE WORK FOR+NHIqI TTIIS PEflMR IB ISSUED. � � • IFUVEANDYYILLYAINiAW WORKEq9'COAIPENSATIONINSUMNCE,ASREOUIREDBVBECTION �4 a7aoOF7F1E LABOR WOE,FOHTHE PERFqiUANCE OF 7HE WON(FOP WHICH TH19 PERMR 13 49SUED./M WOtiKERS' PE�IITION INSU E CARRIER MIO POLICV NUMBERME: CONSTRUCTION �j cuwiEn �� ++(+" �—Q t- PLAN Revlew � POLICVNUAABER ���!{/C �!_ �2..��'� ELECTRIC � ' 0 �iwsa�cnor�r+�raTesaor,�IDocnfrEaureraAa+e�unnr+�oawasR�m�oa�ssF PLUMBING _ � ICER71FVi1NTMTHEPERFORMANCEOFTIIEWOHICFORWqIp17HI5PERMITI5155UE0,1 MECHANICAL � �` &MLL NOT ENPLOY ANY FERSON W ANY MANNEH SO AS TO BECOME SUBJECT TO THE t (n WONKERS COMPENSATION LAWS OF GLIFORNIA�NDAOREE THAT IF I BHOVLD BECOME INSPECTION FEE I S����I � ` ti'�� S SUBJECTTOTHEYVOFiKERS'COMPENSATIONVROVISIONSOFSECTION]70oOFTHELABOR COOE.1 SNALL PDHTMMTH COYPIY WITHTHOSE PROVISIONS/. 4 y�,� 1 ISSUAWCE (•�•�•5�(.,,_- .�...,.,,�,�. �; .i a;.,\1�{. �'l/' �� p DA7E:�� APPLICANT. ���G���a !f' ///C�!I� SMIP B..Y•,� ` '��! a:; � WARNINO:FAIUIRE TO SECUNE NAHNERS'COMPENSA7qN COVEH�GE IS UISAWFLI,AND SHALL BE ENERGY P/C � �y SUBIECTANEAIPLOYERTOCRIAIINALOENALTIESANOCMLFNJESUPTOONEHUN�REDTHOU$MA ENERGVPERMIT � OOLLMS(t7a0.00o),NI ADDITION TO 7HE CAST OF COMPENBATION,DMV.OES AS PROVIDED FOH IN �J SECTpN97MOFTiELABORCODE,INTERE3T,IWDATTONJEY6FEE9. RETENTIONFEE: Q OCONSTRUCTION LENDIN�AGENCY PRE-ALT FEE: � IHEREBYAFFIRYUNDERPENALTYOFPERJURYTIUTTHEREISACONSTRUCTIONLENDWOAOENCY FORTME PERFORMANCE OF THE WORK FOR WHICH TFpS PERMIT IS ISSUEO(SEC.�o�,CIV.C.). � � IENDER'3 NA11E L � LENDER9ADDRE55 � I CERTIFV THAT I MAVE qEM THIS APPLICATqN MID STATE TMAT TIE ABOVE NFORMATqN IS CORqECT. TOTAL FE ES � IA3REETOCOMPLYN7THALLCT'M1�COUNTVOROINpNCESANOSTATEUWSRELATINOMBU0.01N0 � CONSTRl1Cf10N,ANDHEREBYAUTqRIZEHEVRESEMATIVESOFTHISCpUNTy7pENfEflUPON7TiE ABOVE•MEMpNED VROPERTY FOH INSPEGTqN►UHPOSES. � �/j�j COMMENTS � ��i�.� //�Q� G�h m PERMfiTEE NAME(PRIfVn � S"� ��^� y SIONATUR F PER411 EE DATE `T� liECPT.NO. 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