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HomeMy WebLinkAboutBLDG PERMIT #11629 dec, 12. 2014 1 :52PM East Coast Fence No. 4383 P. 1 Date:_ J? fy C= OF CAPE CANA''V'ERA.L, ng� � 17 BUILDING PERMIT APPLICATION 11 (p? (321)868-1222 City of Ceps Caeav"Bw1de8 Deputment -7510 N.A&,Wc Ave.-Cape CanaVWA FL 32920 You may dowsload this application: www.citvofeapecanaveral.o38. You may fax to: (32,M68.1247. All applicasions mast include the bwAbide of this form. Important: Please complete the c*kVm on the back at this form and provide other documematian as indicated on the ebeeldist. A copy of contract my be required. Applicadoapadmges wt71 Aot be accepted=10=C=Vllrte. APPLICANT WILL BE CALLED VIM PERMrr IS LADY (C*ntr=GW0W0er BmAder is reguaed co AP ft thabuflft8 permit,vW=indicated othavviss•by a0idavit. LD.may be required) Address of Job SM.5�5 (4)0,ghiAVC., z026mg ala cation:_Flood Zme: Legal description of property:7w. � `sirc: St7n BLK tAr: PB- tom: property 0w,ner Name: phone. Address: p Fee Simple'l~rtleholdees ameta'oa"o�aweet�: r Ad ,: Boudin$Company: Addles- Mortgage Lender: Addraw. Type of Penh Bxiefdescription of worle Buildffig . ElecCricai .. Plum' Mechanical ,. Other X, Type of Square Coast. than- )Rimes QW&War 00f ltof #of •Mof,:. #of Feet earreaa available trsu of work BuildingBuilding 'ry'Pe P�1ei' � Co'aereW stones duvet- tied .eater valaa anter (G+a. Cbaasl m available to to serve I�a11 (Alamo Asp 114 TIM alosda (Copy�cd°TM+�+ ' bxvwm as roof VB, -tion sprue tliia this pv-� ua °' ' appll+abto) eta) . (6,RIJU tamrJV, prop"? Spaelx ere,) XesJlato• YwM0 1 S S ownhouse $ . eat S T— er s l Lt ArchimangizaeerName: Name of Company: Address: State License No.: Phone(office): )'hpne(aelUFax: Primary Contractor Name: MM—ofCOmpatry. tCOW Addres: $ l [b �I Stats Lieepso No.:_- Phone(office): z t Sao+ 0.2.4fP g,ne(eev/pager.): Fax: 8'-t_$04 2 7 Edectdcal Contractor Name: Name of Compaq.. Address State Me=No.. Phone(office): Phone(celUpeger)' Fax: Plumbing Contractor Name: Name of Company Address: _ State License No.: Phone(office): . ._ Phone(gWpager.): .. Fax. .... Mecbanical,Contractor Name: Name of company, Address: State License No.: Phone(office): Phone(ceil/pager.): Fax: Specialty/Other Coattactor Name: Name of Company. Address: State License No.: Phone(office): Phone(calllpager): Fax: J:i}di•��f:,141l11?�BYf}•+IA�P::91Si11}+}•111:l21a:�J i<{:,:5}.., iJ•�il� Dec, 12. 2014 1 :52PM East Coast Fence No, 43$3 P. 2 41-wilding Permit A,pPlIcation Cheemi Notes Completed Permit A lic adon I Comsat codeceitionc FL Bldg,C+a1e 2010(asmds Current curve 92MM all ed Goastntotion,and lands in Cheek with Bid&D*L,for Notarized si tare—Q"mm(BwlderAffidavit Ifownvis ming asamnraemr Sower Im Fee May ballet'erred nam?Co.caress job is rtatodeTmg Coup Ira t Fee recowt Maybe dem tx two. Capital Exp Fee receipt Maybe,deferr W anW Co, Sidewalk hwact Fee lrsidowWk aft"lot Recorded W Deed/Proof ofOwu ' of Recorded Noiim ofComm uoament aver 0 OV&S7.S0o fMM eMM out Cmrent Cert.Of InLM-orkces 2m.Poli /Exemption Ramd wig be kept act Sc aBCtmlti ai submittal COmunmity A. eata=Boatd royal Farad uta*vWle from Public Right-Of-way Plazmin and Board Site Plan Approval For aU Ww cmwWneaon of four moes or wn 2ma-Wa Forms I Forel neweomsowdtmwtpnt ofappmvad&cpbw Prf M Contractor's State License Retard wM be,kept on Ste aRor Bial sAakal Subcontractor's Authorizations: RecentwIDbekept onSkatwriaWmonjtw State License Na*BWdigg Dquin of of conmaotor danger Plumbing Contractor Plumbing Contractor Electrical Controctdr Electrical Convector Medbanical Contractor Xwbmioal Contractor Roofing Contractor P-OQfMg Contractor SM Pool Contractor S ' Poo1 Caatra—OW r Gas CwtMotor oras Coatmotor Specialty/Othtr Contractor Specialty/t?tlndt Contractor Construction I)r'awi7¢g5: ParP.B.C.104 Three sets of sealed construction drawings Pa F.B.C,10. 'friss la out and reaction Gut shat&and sbop drawings wiA,be weded attune afmsp. Electrical Load Calculations Phos amtst indicate peutan respoDs@le for eateutations Electrical.Rim Agnew m vica=M be tomcod imdtrgr h&d Plumbing Riser Plmu aaet ipdic ate perso n responsblc far aesigo AIC IaMti FlausmtcstittdGcatepersonrespamsblefordesi�p Two sets of Eneru CalctdatioasFleas,sauttndiesee perm respna�ble for celeutaaeas Lot ptainage Siwe Four sets of Fire Stn 'on/S er/AlarAa ' cations R«1uim 15MDVti*�Fiar to iaaanee.ofpamit Pool BattiermentF.orm a POOIPUjWU vnIInot beimmdwit?metbaeder Application is hereby made-to obtain a permit to do the work and installations as indicated. I certify that no work or iastallatico has comr=Ocd prior to the issuance of a permit and that all work will be perfomned to meet the standards of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is theEgd& Buil. '. Code 2 10 Edition. I understand that all permits require'inspections as indicated and that it is the responsibility of the permit holder to notify the budding department when ready for inspecdon(s). This permit application is valid for six months from date of submission. By signing, applicant afrms that all above is true and correct and that he/she is as authorized agent of the Contractor/Owner and has the authority to apply for this permit: *ALL OTMM APPL CABLE TATE 04 FEDLM to Plan M 1vivST BE TtZCIE VWT`� Applicant's Name__Vi1 Appli 's Signator -L Date: Site Address: ViM WAS I For Notary use only. State of Florida,_County of B evard I (� Sworn and subscribed before me this- _'_� -_-day of I L I ,20 by eta"hC qe.V.S �- I tme of Applicant produced iderLOcation: rt,—L") t—- of is personally known to me. �0•."Y,i OOI M D E MILLER ply COAUsSION i FP 044166 I Seal: * EXPjM-Nmmber 2t 2Q17 � � ec SipWum-NMy Pub&At Large i f R: 1is Ki Qa go ao t� '4 ;ate WOW d sa A� m d" Aa v� Op �0 E� i7 � OWN DV 4a9 anI err s3r VL3� c�3,LON.irra� vt,iv lr, �; 4 0Q �' 4 o— � �i a� � 0� � I'R s ra a rso o�u iiimm" err �� Qui ver t�a � S#: v�� ' ' razz t++r*t� �,,,.►� G1V 1i7 712 LrA�� ©t]f7 ,19 LT�1V �tAv `. 0 Q?, 40 s �� �_n o v� n�v �uv a�y� a4 h7 w qtrr, ��.ag �i4o �ovon� � �Q oo �Q so u a© cera �© © o u �a v vo v v� Q ��j dt7 4 Lau �a� u u v© �E1 D �i7 MKS p� L� CUR .ni© �r�i e�ao c=a'�o �it� �p vu ��a dv w© 14) � �a� 7gT!!�Ll Q11Aim 7 '�[``U �man j CTt,_��1 157 �TSFIA [T`.&]9 T� Q I= Q" M K Ki.�� AULV� L1li [I1l \71� V.Ti�?.0\"l11.fltJk7 [�� v© v � � � v� �� �� �� m m as as opo saA va �© �o �� �o o■o Mort m�a�taa ram o o Ma su Aa cera ON oto rarer ern a vera v Baas �■� sa o a o Aa�i Lau Qa or$ a �' 0 or qm, a v v � FINAQ� �� o� �'� ri�C�ra a�� n�v �iv a�✓ n�J� �vd awn neva a1Ja a��a 0 .srsn�' v �0 04 u�i� h . s3�7"• l T N �w 0 PIJI LA, Pot rVYAL*-WAI C, m us Ira ■ T r ca rn is V �' Nou se 4 t Z I �VG fit, Aim m VBG �fGC> lc-2 :=> -P. �,at� } •+w R�i t;- ��{�^,a�:.y., ! 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