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11225 SW FAIRHAVEN STREET '
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BUILDING PERMIT APPLICATION -riGARp 19 _ 4059
THE UNDERSIGNED HEREBY APPLIES FOR A PEHMIT FORT HEWORK.HEREIN INDICATED BUILDER PHONE 639-5252
ORAS SHOVbN AND APPROVED IN THE ACCOMPANYING FLANS A.ND OPECIFICATIONS. OWNER PHONE
1%AV, LOT
OWNER
L t JOBADDRESS 11125 SW Fajr!wen .Ste !.,nY 19., yirrxi3ia Aeres Z
.�5,.i l.�t t------ — -----
ARCHITECT
ENGINEER
BUILDER owner _ ADDRESS abw" — DESIGNER -_—
STRUCTURE E3;NEW ❑ REMODEL ❑ ADDITION __1 REPAIR _ Cl RENEWAL _ ! FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM [71 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO_P CARPORT ❑ GARAGE 1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 'I --LAND USE ZONE ?-1D_BLDG.TYPE —SN—FIRE ZONE.-_—PLAN CHECK BY —HEAT _..
CnnstY�{�t n*.:2Tagr• acceAsory buildinii.__ Cle..---_ _--.---
-------^ — a »luraUing or hx-chanical.
SEWERPERMITM —
OCC.LOAD FLOOR LOAD Corm.•WEIGHT 12 NO.STORIES 1 AREA 164 _ NO.BEDROOMS— VALUES 5.000.
r BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 29 LEFT SIDE 20 RIGHT SIDE
Permit v'`0*50 THIS PERMIT IS ISSUEC SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
32 '13 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check •1 J WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICAIILE CODES AND ORDINANCES. THE IS5U1.NCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 83.33 RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONT,iACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMIT'!;RFQi;!REC FOR SEWER,F'LUMBING AND HEATING.
State Tax— t� 2.62
-" SDC-
Total $95.35
MOP aFFLICANT OR AOrNT
By
Receipt No. -------------- _ _ _ .____
Approved JWN ADDRESS OMNI
DATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
Contractor
Permit No.
Rot.igh-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sicleymik
Curb&Street Final
Approach
BLDG.DEFT.F1Nl1L TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final