HomeMy WebLinkAboutBLDG PERMIT #7611Permit #:7611
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost: 1,200.00
Amount Paid:
City of Cape Canaveral, Florida
ELECTRICAL PERMIT
PHONE: 321-868-1222
IT _INE QRMA
Issued: 10/28/2010
ELECTRICAL
437- Add/Alt/Roofs-commercial
BUSINESS
Est. Value:
Total Fees:
Date Paid:
79.00
INSPECTIONS & FAX: 868-1247
IN,I NIATI
Address: 166 CENTER ST
CAPE CANAVERAL, FL
Township: 24 Range: 37
Lot(s): Block: Section: 23
Book: Page:
Subdivision: TECH VEST
Parcel Number: 24 3723JI El
NEM
`% 2,04ra
:ACTOR IN:F!
Name: HOOG ELECTRIC COMPANY
Addr: 210 JEFFERSON AVENUE
CAPE CANAVERAL, FL 32920
Phone: (321)784-2529 Lic: ER0002842
Name:
Address:
Phone:
TECH -VEST LLC
124 ST CROIX AVE
COCOA BEACH, FL 32931
(321)783-8474
Work Desc: INSTALL 100 AMP SERVICE PANEL (UNIT 101)
PPL' C ATION Fr -
75.00 BUILDING PERMIT SURCHARGE
ELECTRICAL - REP/ALT UNDER
Final Electric
APPLICATION ACCEPTED BY: C-- PLANS CHECKED BY: % y' APPROVED BY: %
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE
PERFORMANCE OF CONSTRUCTION
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 ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
AUTHOBIZED SI ATURE/DATE
PRINTED NAME:? ,/
EN _0 0 1 001110 P1 161, In t R>W1111101-. U NO •
Tracking # . /0 -
Permit # 7611
(321) 868-1222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920
You may download this application: www.cityofeapecanaveral.ol-g. You may fax to: (321) 868-1247. All applications must include the
backside of this form. Important: Please complete the checklist on the back of this form and provide other documentation as indicated
on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by affidavit. I.D. may be required)
Address of Job Site:Zoning classification: Flood Zone: _
Legal description of property: TWN: RNG: SEC: SVBD: BLx: LOT: PB: PG:
Property Owner Name: l�G 1'- ��C. Phone:
Address: &2 �' �t%7`E2 5� �G ✓�� G'�N l%r2 C,, /. vim : S 2.�
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Type of Permit Brief description of work:
Building
`✓ Electrical __jv/ >;a6e ,�a ivr1-1, -VN ,_.k aallz (� 1
Plumbing
Mechanical
Other
Architect/Engineer Name:
Address:
Type of
Name of Company:
Const.
Occ-
FPL lines
City Sewer
Will this
Primary Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Square
Type
upancy
currently
available
structure
# of
# of
# of
# of
Valuation of work
Name of Company:
BuildingFeet
State License No.:
( IA,
Group
p
available to
to serve
have built-in
stories
dwel-
bed-
water
(Copy of Contract Required)
Fax:
(please
under
VB,
(B,Rl,
serve this
this
gas
Fax:
ling
rooms
closets
indicate as
roof
etc)
etc.
property?
P P Y`'
property?
p A Y�
appliances?
Pp
units
applicable)
Yes/No
Yes/No
Yes/No
Commercial
$
SFR
$
Townhouse
$
Apartment
$
Condominiu
$
Other
I
$
Architect/Engineer Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Electrical Contractor Name:
Address: �i �b �,t1
c�6=.
l ✓
Name of Company:
�_ �'_
CrrL -
State License No.:
Phone (office):
(- Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
,f Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code 2007 (as revised)
Current survey showing all proposed construction and landscaping
Check with Bldg. Dept. for setbacks
Notarized signature — Owner/Builder Affidavit
If owner is acting as contractor
Sewer Impact Fee receipt
May be deferred until C.O. Unless job is remodeling
County Impact Fee receipt
May be deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
if sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over $7,500 for Mechanical change out
Current Cert. Of Liability Ins./Worker's Comp. Policy / Exemption
Record will be kept on file after initial submittal
Community Appearance Board Approval
For all work visible from Public Right -Of -Way
Planning and Zoning Board Site Plan Approval
For all new construction of four units or more
Concurrency Forms
For all new construction not part of approved site plan
Primary Contractor's State License
Record will be kept on file after initial submittal
Subcontractor's Authorizations:
State License
Record will be kept on file after initial.submittal
Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
Roofing Contractor Roofing Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings:
Per F.B.C. 104
Three sets of sealed construction drawings
Per F.B.C. 104
Truss layout and reaction summary
Cut sheets and shop drawings will be needed at time of insp.
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
All new service must be located underground
Plumbing Riser
Plans must indicate person responsible for design
A/C layout
Plans must indicate person responsible for design
Two sets Of Energy Calculations
Plans must indicate person responsible for calculations
Lot Drainage Survey
Four sets Of Fire Su ressioil/S rinkler/Alarm specifications
Requires Fire Dept. approval prior to issuance of permit
Pool Barrier Requirement Form (signed)
Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards
of all laws regulating construction in this jurisdiction. The -Building Code in effect at the time of this application is the
Florida Building Code 2007 Edition. I understand that all permits require inspections as indicated. This permit
application is valid for six months from date of submission. By signing, applicant affirms that all above is true and
correct and that he/she is an authorized agent of the Contractor/Owner and has the authority -to apply for this permit.
Applicant's Name: Applicants Signature:
Date:�� l �'
Site Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this day of 20 (C) ,-by
,,who produced identification:
is personally known to me.
AhI L. CFxAPMAN
r ) W, COMMISSION # DD856332
Seal;
EXPIRES: March 23, 2013
-80;7 3-N0 i ARr A, Notary Discount Assoc. Co.
or
r t
Printed name of Appliean�
Si ""ature Nota Publ 8 A : r
gn Notary ii. At Large
Address:
13UILDING PERMIT FEES: e A
3uilding Permit per square footage: .............................................................. 7 61-1
Total Sq. Ft. (Living Area):,
Total Sq. Ft. (Enclosed Area):
3uilding Permit based on valuation:., ........ ...........................
Total Sq. Ft. (Living Area): 2, 7s, o,,.s
Total Sq. Ft. (Enclosed Area):—
;uilding Permit miscellaneous: .....................................................................
Total Sq. Ft. (Living Area):
otal Sq. Ft. (Enclosed Area):
Jectrical
Jumbing...............................................................................................................
4echanical.....................................................
�uilding Permit Plan Check Fee .....................................................................
ireDept. Plan Check Fee .................................................................................
44
,adon"Tf sf'F&Fd--. sq. footage .................................
.. ... ........
-oncurrency Management Fee .....................................................................
ExpansionFee ........................................................................................
Total Building Permit Fees:......
EWER PERMIT FEES:
SewerImpact Fee ......................................................................................
SewerTap Fee ........... ..............................................................................
Total Sewer Permit Fees .............
By: A- Date:
REYIEWED FOR
CODE. COMPU 0
OFFICE COPY
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