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HomeMy WebLinkAbout07-7073 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 LP /NATURAL GAS PERMIT 7073 Permit Number: 7073 Permit Type: LP/NA TURAL GAS Class of Work: FIRE-LP/NATURAL GAS Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv, Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 1,270.00 10/10/2007 40.00 40.00 10/10/2007 INSTALLATION OF 100 GAL TANK Address: 6747 NORTH LAKE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: SILVER OAKS Parcel Number: 03-26-21-0150-00000-0140 Name: OTIS, RICHARD Address: 6747 NORTH LAKE DR ZEPHYRHILLS, FL. 33542 Phone: t.:f~ ~"D7 10-10( l~ Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned, Complete Plans, Specifications and Fee Must Accompany Application, Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." c~ o-R CONTRACTOR SIGNATURE I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 Oct 01 07 04:08p PGM Holdings 813-650-8993 S~r/27/200rITHU 07: 52 AM ZEPHYRHILLS BUILDI~ FAX tlo, 613-760-D021 813-7BO-OO20 Ci1y of zephyrhnls 'Flre Pennit AppJc:ation I I~ ~ick.( d o--hcs OMetsAddnlss ., lQ74 -, n ath Lo...k.Q Qe. I Fee Sllmpl!! T""""der AddRIBC I IlQ1~ I Fee Simple TiUBtlcIder Name I ~I I \..iGense . I I =~J Y/N I Lbr.e. I I =nv.~ r Y/N :i -. i I =[ Y/N W L Ucen&e' ,: I"IJ aut ........lbl~. . Own8r. ConIractor iVlIlla of appIic:etiun, nolari2ed (Or, copy of &Igned alntI8Ct with owner) . If over f25OO, a Not_ of CoImII_ament is required (M8cIlaIical WOItc: over t6000) SUpply two (2) .. of cbNngs will applc8ble doCUll1el...... Allow 1o-14d8ys1OrnMe'wafter '''mIlIaI d8te. CIte Received . 11"'&11 0Ml8t'8 N8IIIIe Job Addnt5S SUb DMalcn D o o o D D Conlrador $(gnaUe Adctess . ELECTRICIAN SlsnaVe ~I ~= l Add~ll ~ MECHANlCi ~tuf1i! Acldresa I :1 AddtMll I ~: p.2 P. ODI Fax-813-780-0021 ~J Pmne CclrDalb Pennit I s:l-,:; ~. I Owner'e PIlone Numller.r I , r I f , I I t U)1#.1 I r (V~ '~-:f~\SO' b~oO' (j/J, :: ,~I r. _ tlr~n I"", _' JY:I :::. o FUIIIplIon Tent o Huardous.... D ~ IltStlil8llon g-LP/lIIatIRI G_lnSUllJallor\ o LPINIIll.ra Gae-ANNUAL SM D Pla~ t6 Ass8I'llbly-lallNJAL o RelRetionll Bum D D o o Torah RooIng o Waate Tire Storage I TiMokfer Phone Nlxnber I . r L II (\o{-+h lLLt~ DL.- I Parcel ~ 1 ; Bio-HIJ7a'd W~ Sklrage . ANNUAL Comm Ext1aat I<IIeh8n HoDcrIDUCI Conwolled !kI'n I!II'IeIg8IICy Gen&rator < 30 Ic.w ElI18I'gIIrICy Generator:> 90 kw Fire PIOt<<Bon MIlIn1eMnce - ANNUAL " ..[ a;.Y' )J '" .vJ IL9- ../1 ,j.iJ e( (Y') . ;.,,l/ rJO.y ell {15r o Fire AAtrm D Hoot! Clean/SuprnesJan 0 Fire AIarrn ,....1aIan Splllllcler . SparkJCI3 SpdnkIer Syatem Insl!lldons S1anc!pipee (Sprfnldw Sys) 81<<. ~c0 Fir. Pumps FInt Wcrlc:t Flammable AppllcaIon- ANNUAl. Fuel Tanks z S~ ~ r-l{Y'\ 'O/2-/en , ~ \?>D ~ R9llloo"Bd Urzne.' YJN lFeeClmlnt ( Y/N ( ] 1 I , Fee CUrrent . r Y / N j - I Fee Cutrent l YJN'l f Y I N ,~ L -.J F.. Co.mlnr 1 I , .._.._...."~._- ,... Oct 01 07 04:08p PGM Holdings S~~/27/20D7/THU 07:53 AM ZEPHYRHILLS BUILDING 813-650-8993 FAX lk 913-780-0021' p.3 P. 002 .--..-...---..---.....------. ..- ,.---.,-......- . ....- -... . :.NOtlCf.OF,'E)&EiD ReSTRICTIONS: The undersigned undll'ltancls.that thI8 pennft m~-be 8l.;Ibjeot to '!cfeed. restriction.. .Whlch may :be.more re&trf~ .than County reguiaIlo.., The .undersigned 8SSUmes responslb1fl!.y1or ComPliance With ~y 8pPJ1cabte deed restrictlens. ' . '. 'I:INUCENSEO CONTRACTORS AND 'CON'I'RACTOR Re8PONSIIIU1ES: H'1le owner has IW'ed 8 oontractor or contractors to undertake work. they may be reQUired to be ficensed In accoldance will -state and local regUlations. If the conCreotor is nolllcem5Bd .. I"eqllinld by law, both the owner and uOt,,1ICtor mIlS' be.oit9d for a',misdemeanor violation under state law. If the owner or intended contnwtor are uncertain at 10 .wflat licensing 'requnmems may 8PPIY for the Intended work, they are advised to contaci 1he P8Isco COunty Buldlng InspBCUon DIvIsIon-Lfcenslng Section 81127-847- 8009. 'Furthermore. if the owner his hied a conbctor or (,on1r'8Okn. he is advJeed to have.the cont.racfor(s) sign portlons.of.the -contractor Blook" d this -appllcaUon for whiCh they will be responsa.Je. If you, .. the owner 8lgn as ihe oordractor, that may be an il1dicallon thet he Is not property licensed and is not entIIed to pe~ng prWeges In Pasco go,.un:m.UCTION'UEN'LAW (CfalpW713, FIorIcli Statute$, as amend.t): I valUation of work is $2.600.00 or more;" oertify that I, the appllcwtt, have been provided with a copy 01 the "FIortda ConstrucUon Uen Law-Homeowner's Prolecllon Guide- prepared by the Rorida Department of AQrIcuItwe and Consumer Affairs. If the appficant is someone o1her tlarr the -owner". I. C8l'ttfy thet I have obtained a copy cI the above described dooument and promise In good faith to dBlw.r It 10 'the -ownet" prior Ig'QDfMlencemenL . . .. CONTRACTO~WNER-S AFFIDAVIT: 1 certify that all h infDrmaIIon In this appllcat1on.is aocurate end ... .-.. ... -that-a1I.wortc-wll. be 'done 1".cemplMlnce.wIh.....appllcllbte-.!8ws.f8ClUlatiAg.-GOflSlnIdio...-.zoning..afld-Iand........... development Application Is hereby m.fe 10 obtain a permJt to do work and jn~n as '-'cbted. 1 certfy that no work or tmaQation has commenced prior to lllS~nCe of 8 perm. and thai all work WIll be perfo.tntllilld to meet atandwds c:l all '&wi regtjaIng oonatructIar\. County and C1ly oac1ee. zoning mgulaUons, and .Iend developrntri regulations i1 the jll'isdialon. I eIsCJ C8I1ify .that 1 underetand that the f'II9t18ClofJ$ of other government agencies mIlY apPly fD the intended work. and that It iB my resjxmslbRily 10 idenflfy 'WhBt actions I rnuat1ake to be In compliance. . . r I am the AG~NT fO~ tHE OWNER, I promise In good faith to IAform the owner of the pennlttfng condition, set forth.ln this affidavit prioi"..o.~nck-lg cons1ruotion. 1 tlnderstand thet 8 separate permit maybe req,*ed fOHudrlcafwork. plumbing, ~ wells, :pooIs. air OondllJoning, gas. or other inswllalons not ,pecIIICaUy included in the 8pPIicatiolt. A P.er=m8:1a$Ue.d . StIalI:. tX)M1Ned to be a'license to proceed wlh the work and not 88 authority to violate, C8r1oei, alter, or &etasl'- eay' proVr.sIQns 01 the technical codes, nor shall AU'" of a pIJf1"taIt ~ the ~ otfIciI!II from thereafter .' . requ/riAg.a.ocmection of erron In _ne, construction or vlQlafioM of 8lY/ cod_, Every permit Iuuecl sheD become invalid .'. ~;~:.~thQrized:by such.perr'qit 18 ~ WIthin six mo~ of permit iBau8nc:e. or if work authorized by ~:~.. SUSPfJT\dtId or abandoned fer a period of elK (6) months after the the the wotk Is comanenCed. An eanaton . . ~~ ~~, J~ wrWng. from the 81J1ding OffIci8Ifor a perIod 'not to eDCceed ninety (90) days anct..., d8monstrBte . J~~!~~ ~e for the extenIior1. If work C8Q.. for nk1ety (10) oonsecuttve days, the Job Is considered abandoned. wARNiNG :ro OWNER: YOUR 'AlLURE 1'0 'RECORD A NOTICE OF COMMSNCEllENT M"Y RESULT IN YOUR PAVING ~Cl: FOR "PRO\f~~T5 ~ ~ p'~I)':. JF. . . .~f?W.: ;~"B~ CONSULT .... . . e_ .... .._... ......~..... ~ Com ry PdG Qilr L ~-bAc,-- Ib Qc~ l ( D ~r:Tll . Na' "\ Notary~ ~OUfamped ~ F'tIbIIc ,,~~'.It;;~" Christina A. Beall ~~:':':';' .~-;, CoIJU"Wuitm #00291791 =.. ~ ....:: E' C I. 1" 2000 ;':', ~.,,~ ~: reu I, .~ ";:~6;t\.~~ BaDdad..11n '''' It! ..- AtIaoIic Bondillg Co.. lrtc. ,,'''II~ t""'I....:...:...6A Beall ~~~~ ~R~ . {~~~% CGII'mL..aoo f#DD291791 ~;;., . ::g ~ Fcb 17,2008 ~~~...~. BoDl1ed TIw ""'~Ir:t\\ AOInticBoaSing~J:ac. ---.- "'--'- -. '- '--'- '-- .~ ~ ~ .~ IV) \f\~ ~u: ~ ~~ " V) 0 j s~~ "S I t... '-' .~ (;) Dj~~ C) ~D -- ~ \:.". 10 ..... c- ~ -IS , C- ~ '--<'J ~ '1. d :::r ~ J~ oS: ~ '~ ~ \ ~UC:-~ * I V) ::rr' -~ ~ ~ -~ ~ ~ ~ ~ \i ":l ....... a l\I ~ ~ ~ v ~ ~ ~ ~ ~ :: -:2.. ~ ~ ~~ ~ ~~ ~\~ o!, ~ ,~~ , ;' I , .. '0 G'l>\ e/~ ~~ ~'\ ~u ... \I" -- "' <r ..r 2:(312:13 ~d God 5'im~3WlJ' L~~909LE!8 Er:9! L~eZ/9G/60 s5u!P/OH 1i'J8d dsn:o La GO PO t:66S-og9-t: ~ S tfd n ci g'~ 3 ~I"" ~ * co gj.... 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"' .. ffi :J J;; ;; ~ ~ ~ sBUiPIOH ItIIOd ~. d6(rvo LO ~O PO Oct 01 07 04:D8p PGM Holdings 813-650-8993 ON9f feu! ~ 1 ~~~~ {{ (/YY'--', Q-1-A -1- ~~ (&l~)l\ G -1-./ (<-( ~'\)(I~ i}y-o~ &~ L! p~~ fofcJ1 ID{Z/OI Spk --\-r..;:> Q...hn. , " , . 5 who LU", prcu '6.e d~~\ls ~c:::( pic-\-. p.1 ZEPHYRHILLS BUILDING FAX No, 813-7BO-D021 City of ZephyrhPls 'Flre Permit AppJJcation Ph:lne Cont8l;t fer Parmit v"","t. VI VI "'"'T.""""",., I _.., ,......._...0::1- S~P/n/2D07/THU 0'7:52 AM e134~OO20 I IDI~ LP~(~t.( d O-hS OoMlets.AcltllMs "/lfi74t n Ofth Lo...l'-Q. De.. I Fee SIlmple TlIIII'ddl2r Addn19S I Il ITl~ I ~] Date ReceIll'8d . IlIR 0INnIlt"B Nmne P. 001 t=sx-a13-780-0021 I~t~~' J " II f I I , I I Owner'& PIlone Number II I r Fee Simple TlUstIalder Name I T~ldB/' Phone Number I - JtXl Address DL.- Parcel t ~l\J!1lN1'1CL1 r/M t"RUr<<=A1I' I ~ "",II,,"~ o Fum/glltlon Tent D '-arclous Mo*riBI D I-foad Instal8ll01l u;;;::tLP/NlIIInI G_lnSUII~ D lPINBtUraI Gu-ANNUAL Sale D PIll~afAss8mbIy-ANNUAL D R8cnationll Sum D D D D o SUb DMsIon D D D o D o I r I Bio-HIIZBRi Walt. Skl~ge - ANNUAL Comm ~ I(JIehen HooctJDucI COnll'Olled BlI'~ E~ Gen&r.ltDr < 30 kw ElIt8rgency Genera1CIr:oo SO kw Fire Protedlon Mlllntenence - ANNUAL o Fir. AAIrm 0 HOOD CleaniSlIppr'eesJan 0 Fire Alarm Inslallatlon Sprinkler . Contractor $1gnaU8 Address FIre Pumps Filii Wcrkll Flammllble ~lIca11t:ln- ANNUAL Fud Tanb Other: I Lot# .I SparklelS SpdnkIer System InstzdlB1lons , S1andpipe8 (Spl'lnldw Sys) frI Q.. fUu:~ t'Q TcrahRoollng Z ~-\o 8m IC(2./C7 Waste Tire Slorag. I 6 V ~ ~ UlZnIIe" I ~I l.iGense # I Comperv J RegisWacI I a.b-e# I =~r UcIInse # I Company I Regl&tlnd _ . L.icene , I l Y/N I Feeeunent I Y/N I 1 Y I N l . Fee Current.1 Y I N I I EL.SCnVCIAN Slgnabe 'Address I ~=I Addree15 l MECHANlC4 SJgnatull! Acldrese I OTHER I Stgnatul1l Add__1 ~ons: PIlIU~lI"..ccm~. Own8r &. eor.actorslgn bllGkof ~, nolal1zecl (Or, cgpy of av-s ccntratt with owner) . If over 12500. . NlJI_ 01 Commaament is nIlIUired (Moch=ncal wolic overt5OtlO) SI.qiy two l2)'" of drWings wiI1 appllo8bJe doCllR1elIhA.. Allow 10-14 cf8ys b nJViIJw after Gubllll1lal dme. I I I I -, f ,. Y/N l N1eCufrent I YJN Y/N I Y/N t , Fee C&anlnr V'-A V I \"t'1 v-T.",^",., , _...., I ._._...~.... S~P/2Y20D7/TEU 07: 53 AM ZEPHYRHILLS BUILD11'G FAX Nc.913-780-0021' p, 002 -~-~-'-----__-.'-'.--"__- "'-' --. . . .' . . :.NOT:ICE,OF.'f)&JiD. RESTRICTIONS: The lmclersigned -undBl"8l:8nc1s,.thaf this permit ml!lY-be Sl;lbjeot .to '!deed. rastrlclfonS' .Whlch may:be.J1JOfIl restrfdlve than County ~1'8. The .undersigned assumes responslb1lfty1or eomp1jance With Br!Y appJicabte deed restricUens. ' ' '. 'I:JNUCENSEO CONTRACTORS AND .CONTAACJ.OR ~SPONSlBIUIlES: if.the owner has '*ed 8 contractor or contractors to undertake work. they may be reQUired to be ficensed in acccrdance wIh'State and local regUlations. If the conf,nw;tor Is not lloen!liBd as requinld by law, both th& owner and contr'Bdar mIlS' be.oit9d fel" er.misderneanor violation under state law, If.the owner or intended contractor are unaertain as to .what licensing 'requnmellts may apply for the tntended work, they are advteed to confect 'I1e Pasco County BuildIng InspecUon DIvIBfon--lfoensing Section at 727-841- 8009. 'Furthermore. if the owner has fftd a cor*actor or CCII'11r1IOkmi, he is advfeed to have 'the contraclor(s) sign portlonS.of ~ .contraclDr Block- at this ~ppDcatJon for whiCh they will be responsib1e. If you, .. the owner 8lgn as the oonlraCtOr, that may be an irdcallon thet he Is not properly IIc8nsed and is not entlled to pe~itting prMleges In Pasco County, . CONSTRUCTION'UEN'LAW (Chaptar713, Florld8 ~ as anend8l:l): If VIIIUatIon of work i$ $2.600.00 or more;'. oertify that I, the appIlcwlt, have been provided with a copy of the "FIortda Construction Lien law-Homeowner's Prolecllon Guide" prepared by the Rorida Department of AgrtcuIb.n and Consumer Affairs, If the applicant is someone other 'tharr the -owner". t.carttry that I have obf2ined a copy fA the above c1escrlbed dowment and promise In good faith to dElI..,., It to the .own"" prior 1o.000000encernenl ' CONTRACTOR.'SIOWNeR-S AFFIDAVIT: I certify that illllhe infcrmaUon tn this application .is accurate end .., . - .. ... -Ihat- a11.work -wll. be -dotIe In 'cemplianoe. wtIh..al.appllc8ble-.1lNIs .f8ClUIatiftg.-OQf1SInIatio...-.zoning-antHl!Iftd..... ...... developmenl Application Is hereby made to obtain a perm1t to c;Io work ami insta.on 88 i1dated. I certify that no WDr'k or InslaIJatiDn has commenced prior m 11l61.18nCe of a permit and that all work will be ~ to meet standards c1 all lawa regtjatIng oonstructlon. County and CIy oode8. zoning regulallons. and .Iand develoP.~ .reguIation& irl the j..isdictlon. I ~ CllIlI1if'y .that I unc:Ier8land that the reguJafians of other government agencies nwy apply to the intended work, and fhat It is my resjxm&lblllly to identify what actions I muat18ke to be In compnance. . . If l.am the AG~NT FO~ tHE OWNER, I promise In good fBlth to lmorm the owner of the permltlng conditions $el furth.ln this affidcwit Priof.lo.~nctlg construaUon. 1 understand 1het a separate permit maybe reqLft:d for.electrlcafwork. P,lumbing, ~ weJls. :pooIs. air Oondllfoni'lg, gas. of other instatlalons not ~pecIIIcalJy included 4n the appIica60ll. A p;er:mlJ. :~.~:StI~I:bft ~..'Jn,Ied to be a'llcense to proceed .wlh the work and not as authority to violate, canoei, after, or sela81~ eay proVr.sIQna of the techntcaf codes, nar shaft issuiP>> of a petT1'Nt ~ the ~ 0ffI_ from th<<eafter .' . ~qu'riA9.a.ocmeotion of etTOlS In _ne, constnJctJon or vJQlaIioM of 8lJ.f cod_, EYer,i permit Hued shaH become invalid .'. ~~.~~:by such.perr'qit Is cominefK:ed WIthIn sbe monhf of permit is8uance. or If work authorized by t~:P.iiiUi\ft.... IUS""dttd or abandoned fer. period of ~ (8) months after tRe tme the WOIt< is commenCed. An extension . . ~~~ ~~~. .I~wrillng. from the BuDding OffIci&I.for a ,.rlDei 'not lo SlCceed ninety (9O)-days and'.lriJ demonstrate . )!'~~~~ ~e for the extensiOl'l. If wert ceues for nInely (gO) consecutive days, the Job Is considered abandoned. WAaNiNG TO OWNER: YOUR f:AILURE TO RECORD A NOTICE OF COMMENCEMENT M~Y RESULT IN YOUR PAVI~~CeFOR.PR~~TSTO,~p'~:.~... . .~~~_ ;a~"G~CON5U1..T '. .. ,T' I ur :~;~::~;.~~~,......".., .... -.. ,...,:...................:- ..:....... _._~.:...:.__......_--,_:_. ...... ...-........--..."... . ~ ..... ....... .........:.'... lidO :MOm1l:l(D, tIIIfare~~ ....... -~ w_w ~ . IdIlllliClBIkm. ('),il~Q~C<.I( _"._ """tf"lS J2'.Ji n 9 I. .. NMte of NlII8r}f \'P8d. prInI8d or s1emped c.i1r i ~-hAc~ lJ:; CCA-l ( 1:15 J!P~ rT.lJ . (,) Na NoUlrytyped, pdnted orslamped ~ PtIbIIc ""'J"",, Christina A. Beall E~~ .~~ ComJrUsion#DD291'191 =.. ~ '''''::E' F ~ 1'T 2000 ~.,::. ";).,"";:0 xpu:es: C:u , , c -~"iio;. . :cl~ BoDdad 1'.IIIu -""",It!':'>'" At1aatic BoudiDgCo., Jnc. "",,"16y, r"'I...:.....:....a A Beall. ,'A.~.".!it.._, \,A1.l~ {~~~~ eo-micci....#DD291191 ~;;.. "ll.::ff ~ Feb 17, 2008 ,~_;i~' Bcmded'l1Ka 't, ".. \' AOantic BoDiing Co..lDc. 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W 0 Z w Ci.iii: ;:) W m => o ::; 8 II) N ..... ~ :t: Z oct :iE :t:", Uu: ;:)lCl mM M 5j?:: c(- D.U ZI- oZ .:O..,S :~~~k~'~;;W ;:;~ iWi;~~..i~:';: ;;::..\~~~~!~, ....il :._ ""..,..----....... .,i....:...-:':"'":.;:' . !i~~~~~.J,~:;:.:~.~._ . . ;;':"7,':'.,.4:_ :-: .- ~-'..,......:.-"'" .: ."~ .,:r'-:'-:''',~~ a.~8 -l:z:g Wzab Zc(co c(:2:'" Q.:rt') OU~ ll::::lU" Q..:n>- l/}-11- c(:::>- C}...u -il:f- ffioz .:!:Oc( c(~~ co l!)U> lLIZIU :;;;l2i ~~~ o o In . co~ . ..... . . MC LOt-. NO .....0 ,N oeo -12 g:~ ci ... J- oe( 0:: 3 o <( J- ::>- (.} Z W w j ~ 8ga; x........ <"'?~ "'~a: -ee .. ffi..:.:: 30;< w ::J III :5 Cl 0 ::; ~ o III C ~ ~ l- e.. - w u w ~ >< <( ,... tIJ C/') W Z - en .:J to :Z o .u x w '" o ., ;;: ij w W ~ ~ '" z W Ii! ~ a: :! B :;: 8 ~ g 2 :z.- a: 0 Q. 0; .~ .. OW .1~ >- "- :J :2" ffi '" " ;; '" '" ~ ~ ~ oR, tln.,..n J IAIC"--, ". rlan....n J n I n nf"l . . . City of Zephyrhills BillLDING PLAN REVIEW COMMENTS Contractor/Homeowner: ClYrw2.(','sa &':. ID.2 -0-7 %), (!~ S:)-~-+o P{rn Date Received: Site: (.:;74-7 Ncn~Lt"lJlltJ Dr-> Permit Type: 1-p/~ ~'\ ~<;,~, . Approved wino comments: 0 Approved withe below comments: 1 Denied withe below comments: 0 (j~J,( f <1Je 1~5h I/'r'd WI fit;, I fe't- t?{< c~ r {J~~ Contractor and/or Homeowner (Required when comments are present)