HomeMy WebLinkAboutBLDG PERMIT #7089I' M
03/e2/2e1FJ 10:47
Date..
321-385-2687
BOWMAN ELECTRIC
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
PAGE 01
TracWng# 90 --,0303
Permit #
7089
(321) 868-1222
City of Cape Canaveral Building Acpartment 7510 N. Atlantic Ave. Cape Canaveral, FL -32920
You may download this application: w��w.cityofcavecatraveraLorQ. You may fax to: (32I) 865-1247. All applications must include the
backside of this form. Important: Please complete the checklist cm the back of this form, and provide other documentation as indicated
CM 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 rmquired to sign i'or the building permit, unless indicated otbqrvise by affidavit Z.D. may be required)
Address of Job Site: I a I C.&,r-r�� S - Zoning classification: Flood Zone --
Legal description of property: Tom: _._ R NG: SFC: SUM) BL c: LOT: M. PG:
Property Owner Name: M iS—�� o�t�l L,% -X- Phone: y 3a -,-N9 SS
Address: logs to 3l,-_ two n x N t o�5
Fee Simple Titleholder's Name (if alba limn owner): Address:
Bonding Company- Address:
Mortgage Lender: Address:
4�El�a�-S4---Focf-
Mechanical,
Brief description of work:
t
Other
Type of
Const. oco
FfL- lines
clty Sewer
Will this
Phonc (office):
t
l�Building
Square Type upancy
Feet
currently
available
structure A.f
#of #Of #u{ Yaluaciopofmark
State License No.:
(11,, Groep
available to
w xerVe
have bullx4n s �
� - tea- watcyr
(PIC831P
under VB, (TIAL
serve this
t hls
gas
"OW closets
indicate as
roof cit) etc.)
prnpeny?
prope.rty?
appliances?
units
applicable)
—'Name
Yes/No
a
Ye$'No
Yes No
Phone (offico):
ommcrcial
Fax.
eS
t
Pv 0
O
FR
Phone (office):
Phone (cell/pager):
Fax.
v0
ovcvhouse
�
pai�meAt
$
Condominium
S
thcr
�
ArchitecvEugineer Name:
Address:
Name of Company-- _
—.
State License No.:
Phonc (office):
Phone (Pell/pager.):
Fax;
Primary Contractor Name.
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pagcr.):_Fax:
Electrical Contractor Name.
Address. 319 S It
w-9
t`h i m5 �L 3 a7
Name of Company:
4
State Liceztse Nopl'l9 Phone (afficc):---P� one (celUpager.): S57-
Fax -.3)k- X6$7
Plumbing Contractor Name: _r
Address:
- -- --
Name of Company:
State License No-:
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
—'Name
of Company:
State License No.:
Phone (offico):
Phone (ccll/pager-)'
Fax.
Specialty/Other Contractor Name:
Address:
Name of Company:
State Li.censc No_:
Phone (office):
Phone (cell/pager):
Fax.
C+:\5ld9.Dcpt.F0am9\Buildiog Permit Application Rev. August 20, 2008
03/02/2010 10:47 321-385-2587 BOWMAN ELECTRIC PAGiE 02
a4lon Checklist
Notes
Permir lication
FEOM
si flue - OwnerfBuilder A#£tdavit
Current code edition: FL Bldg, Code 200'7 (as ravised)
Dept fw setbacks
If owner is acting as contactsee
Pee receipt
May be deferred until C.O. Unless job is remodeling
Cavi Tits act Fee receipt
May he deferxcd until C_0.
Capital Expansion Impact Fee mc!TL-
Maybe deferrod until C.O.
Sidewalk Impact Fee recd pt
If sidewalk exists oa lot
Recorded Warranty Decd / Proof of Ownershi
C22Y of Recorded Notice of Commencement over $2,500
over S7,500 for Mecben,cal cbtmge out
CurrentCert_ Of Liabi uhf. rY orker's Co . Pah; / Ere tion
Record will be kept ;ii file after iuitial submitral
Coxnm+ana A earance Hoard roust
For all work visible from Public Fight -Of -way
Plant and Zoning ,Board Site Plata Approval
For all new coasrrltction of four units or more
Concurrme Forms
For all new consmuiion not parr of approved site plan
Primary Contractor's State License
Record will he kept on file after initial wbmitml
Subcontractor's Authorizations:
State License
Record will be kept oa Tile aftrs initial submittal
Notify Building Departmelt of contractor cbang%
Plumbing Contractor Plumbing Contractor
Electrical Contractor EIectrical Contractor
Mechanical Contractor Mecbanical Contractor
Roofing Contractor Roofing Contractor
Swantunin Pool Contractor SwimmiU Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings.
FwF.B.C. It14
Three sets of sealed cons"etion dra'winp
Per F.B.C. 1014
Truss layout and ruaction 9 �
Cut sheers and strop drawing will be armed at time of insp.
Electrical Load Calculations
Plans must indicatePcrsou responsible for calculations
Electrical Riser
M new service trust be located undcrgauud
PlumbinRiRer
Plans must indicatepawn rr� ponxble for acirigc,
A/C layout
Plans must indicate parson responsible fox design
Two sets of Ener Caleujations
Lot Drains a Survey
Plans "anal indicate person responsible fpr calculations
Four sets of Faze S ression/S xjWder/Alarm wecifications
IZaduires fire D171. approval prior to issuatrce ofpcFcnit
Pool Barrier Rcquirement Ford (sigpe4
Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work azul installations as indicated. I certify that no work or
installati.oil has commenced prior to the issuance of a permit and that all work will be performed to mcct the standards
Of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the
Fl�ri Code20tl 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 affums that all above is true and
correct and that he/she is an authorized agent of the Cpntractoz/Owner and has the authority to apply for this permit.
Applicant's Name: f�eWW4'f, L . / dGUyy q o
Date: 3 1 ?' 1 D
Applicant's Signature:�" ZZ -7.,
Site Address: R 1 ►'F '-C'
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this day of _ , 20J, by _k_ef\n_e-4h
8
Primed Dame of Applicant who produced idexitificativn:
is personally known to me
wr' l, Notary Pubt!c State of Rprida
My Commission D0799H79
Seal, �erA� Expires osf25t2o72
Signature otnry Public At
G:lSidg Dept.Farms\ Building Permit Application Rev. December 17, 2009 This form may bo duplicalcd.
City of Cape Canaveral Inter -Office Transmittal
To: Johnny Cunningham
From: Joy Lombardi, Building Department
Re: 191 Center Street — Electrical Service Upgrade
We Transmit:
® Herewith
THE FOLLOWING:
® Plans
❑ Prints
❑ Other
These are transmitted for:
❑ Permit Issue
❑ Approval
® Review & Comment
❑ In accordance with your request
® Specifications
❑ Copy of Letter
❑ Record
❑ Use
Copies Date Description
1 3/8/10 Electrical Service Upgrade
Remarks:
❑ Shop Drawings
❑ Information
❑ Information
❑ Distribution
Copies to: File By: j
boy Lombardi
03/02/2010 10:47 321-3e5-2687 BOWMAN ELECTRIC PAGiE 03
Bowman Services & Electric, Inc.
Mailing Address
3795 Hammock Road
ER13013279 Mims, FL 32754
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City of cape cmuaveial
PEIUIATTTED� �RC , �Rff
PERMIT No,
RE V11 TEW El
Phone: 321-264-2554 Review (if t 1- pml Os nc�lq aul ionze V, Gir
Fax: 321-385-2687 arly local swe or't;Jeml 0-'41inanges or stawtes