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BLDG PERMIT #18-1121 (Elec.& A/C)
44 CEA*to City of Cape Canaveral, Florida . ,;f BuildingPermit 4.4 PERMIT#18-1121 �•••« CUSTOMER#004605 PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247 PERMIT INFORMATION LOCATION INFORMATION Permit#: 18-1121 Issued:5/15/2018 Address:191 Center St Permit Type: EL Cape Canaveral FL, 32920 Cost: 50000.00 Total Fees: 539.94 PERMIT EXPIRATION DATE: 10/10/2018 Amount Paid: 539.94 Date Paid: 5/15/2008 CONTRACTOR INFORMATION OWNER INFORMATION Name: Orangemen Development& Construction Cor Name:Jim Morris, R.A. Addr: 3921 SW 47TH Ave#1017 Address: 55 Westview Ln Davie, FL 33314- Cocoa Beach FL, 32931 Phone: (407)366-5434 Phone: (321) 432-4055 State Lic#: CGC1508462 Local Lic#: APPLICATION FEES BP-Main: 315.00 BP-Plan: 157.50 After the Fact:0.00 ' BP-Surcharge: 12.44 Fire Plan Review:25.00 Re Inspection Fee Paid:0.00 Plan Revision Fee:30.00 Plumbing: Mechanical: Date Plan Revision Fee Paid: Electrical: Sewer Imapct: Temp CO: Capital Expansion: Sewer Tap: Concurrency: INSPECTIONS(for complete list of required inspections refer to Hard Card) NOTE: Once an inspection is approved by an authorized inspector the permit expiration date is extended six (6) months from date of inspection. Permit Desc:ADD NEW ELECTRICAL SERVICE & NEW A/C UNITS INSPECTION APPROVED BY: DATE: 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. Sign& Date �! � /!3 ` f �� . . 51 r S 11 t AUTHORIZED SIGNATURE/ DATE ISSUED/ DATE Print PRINT NAME o`; ;v--.,... Cooh S 1.CYCIi , - A plication Fee:$30.00 '�''' j CITY OF CAPE CANAVERAL4`L Permit# t��t ' { �S e r;! 100 POCK AVENUE Tracking# : �,�, ` -',4„ ,,2 v CAPE CANAVERAL, • FL 32920 � (321)868-1220 phone (321)868-1247 fax Application Date: buildingforms*ityofcapecanaveraLorg APPLICATION FOR BUILDING PERMIT Florida Building Code in effect: -1dition v. 530, 1 PROPERTY INFORMATION BLK/PAR:_� --- _- RNG: SEC: SUB#:,_— 1 q! CeYV1'2/ s-_- City Zip Site Address: ,. # strew ' 0.Last Telephone Numbs' Owner's Name: First -- S Z % 0 _Street car zip Owner's Address: • # CONTRACTOR'S INFORMATION(APPLICANT) G G C, 5-b S v� r� r License1 i Qualifier Name: Last First Company Name: r 4-, i Address: City Zip ° �11et ___Y22--- -4-12:-3 5 3 Fax#: S-GI- U t-%Zb Phone : # E-Mail: 5 " TION J...._.> ❑Residential Site Plan#: PROJECT INFORMA � T� e ti `_.� Describe Work To Be Done: •-_0 l e' , � • n E 5-3 (?d O Cost of Project:$ Proposed Sq.Ft.: (total new construction) (capvof contract required) SUBCONTRACTOR INFORitIlATION: CIII:IZIIIIIIII� ` Plumbing: �` _Fs? License :�`i 13170 0 2,9 D Phone: _fee-�,�tr;ca►: Phone:�!-8y4-14Q License#: / 1 Lici l HVAC: a,,,,, � � � � ��' Phone: Roofing: MIIIIIIIIIII Phone: I Syocielty: 11111111111111111111111 FORM:APDL t3E 1 of 2 FORM DATE: 3/26/2018PA:t.,.,:;.faL„).() PP ma -z//a7/ad i e- Site Address: I ` I _ vow('G/— 5-/- Owner's Name: P.\ L'S (1-1-1"--/ 17/ WARNING TO OWNER: YOUR FAILURE TO RGA G E NOTICE FOF COMMENCEMENT MAY RESULT IN YO IMPROVEMENTS TO YOUR PROPERTY. A NCTICE OF COMMENCEMENT JOB SITE BEFORE YOU MUST BE RECORDED AND POSTED ON THE SCHEDULE THE FIRST INSPECTION. IF YOU OR AN ATTORNEY BEFORE FINANCING, CONSULT WITH YOUR LENDERIntl RECORDING YOUR NOTICE OF COMMENCEMENT. ** NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county or that may be required from other governmental entities such as water management district,state agencies or federal agencies. APPLICANT'S AFFIDAVIT Application is hereby made to obtain a permit to do the work and insle codes, tallations as ation and ordinancesite . as well ledge ge and accept responsibilityafor compliance thisth all ldevelopment application,including but not limited to payment of al �•_ y eon,' , -' • regarding ALL RE i W . .., 'ER IT FE IMPACT FEES AND RESERVATION FEES. Iii ` �.- 1----'"""r •ignature: Contractor Signature: Owner/Agent Date: -/O . //3 Date: State of Florida State of Florida County of Brevard County of Brevard Arocv`''"� /d daySubscribed and sworn to before me this day Subscribed and sworn to before me this , personally of r:t' ___,ZO/f , personally of -- - ' appeared .S c of �wile"? appeared� who is persoow nal) knn to me or produced who is personally known to me or produced as identification, as identification, and who d'd/did not take an oath.i if and who did/did not take an oath. f.A 44.- o 'rry Public Si., ure Notary Public Signature Seal a ri eat "ev.�, N"5l'��br:rS�hVt r Notary Public State d Florida „ : John LaFayatte t. / My Commission FF 213829 of p, Expos Ob/D1 M2018 • �� i ' Finn! 1NSPICT1gw IS SEINIIRE6 Failure to obtain a final inspection may result in a penalty. FORM DATE: 3126/2018 PAGE 2 of 2 , F - - FORM: APPL ;. �tii.-1.:� -.� c-,'� cam^'•��.-` -. LFIRE RESCUE, INC. CANAVERAL Serving the city of Cape Canaveral & Canaveral Port Authority Plan Review To: Building Department From: John J. Cunningham, Fire Marsha Z- Re: 191 Center St. Electric Service and HVAC Date: 4-25-2018 We have reviewed the plans and have no comments at this time. Plan Review Fee:$25.00 Station#1: 190 Jackson Avenue • Cape Canaveral,Florida 32920 • (321) 783-4777 •• Fax :(321)(321 7838 53 87 S98 Station#2: 8970 Columbia Road• Cape Canaveral,Florida 32920 • (321) 783-4424 www.ccvfd.org II r y� ?i°r 4 CITY OF CAPE CANAVERAL --y I CI �` ,- 100 Polk Ave Cape Canaveral,FL 32920 \ ,t ''' (32I)868-1220 phone (321)868-1247 fax !I em w AFFIDAVIT OF NOTICE OF COMMENCEMENT FILING Date: il/a l/,g Building Permit# Property Owner: /47;15 geJ 4-- tJet / (that Telephone Number Site Address: /Y/ C2n,�',ll 54- ec,re 6,,,,,,,,,,,,e.,-, ( C-1 3 Lel w Street City State Zip Description of work to be done J41.5'-a,l( aka n r J 4/e. 4. ed l,-7G 5er' G 1, the owner of the above referenced property, hereby certify the attached is a copy of the Notice of Commenceme r . is_beingftled with the lerk of the Circuit Court for the improvement as noted. 'roperty Owner 'u actor's Signature Subscribed and sworn to before me this /0 day of - dr; / , jg, ,personally appeared 34...al 62-.©.1d� who is personally known to me or produced as identification, and who did/did not take an oath. �� r �� " Notary Public Stats of Florida Eaysaseidsose,,koci . John LaFaystte ,arylic Si j: ure Sealcnrranls,iort��213623 F_xpirw 05101i20ta i' , k I:• FORM DATE: 3/2b/2018 FORM FILING ` _...-., 1 p �,_ b , ,t z:- -yr. __ _x,,: ;-