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HomeMy WebLinkAboutBLDG PERMIT #18-0670 (Electrical)City of Cape Canaveral, Florida Building Permit PERMIT #18-0670 CUSTOMER #007971 oUr%KJC 199 oco 999n 1K1Cn C!`T1nh1C. 799 oco 99/\A rAv. 999 oco 99A - tyL r -+z -yLOCATION%INFORNIATJON.:� `: t BP -Plan: 30.00 Permit #: 18-0670 Issued:3/6/2018 Address:405 Tyler Ave Unit #102 Permit Type: EL Cape Canaveral FL, 32920 Cost: 800.00 Total Fees: 124.00 PERMIT EXPIRATION DATE: 9/2/2018 Amount Paid: 124.00 Date Paid: 3/6/2018 �m;COIVTRACTaOR' 1NFORMAT!'ON rte _ ` ' i Mechanical: _ •._ OWNEIZ�INFQRMATION� ; Name: Bet -R -Deal Electric LLC Name: Trste LLC Addr: 298 Ocarina St SW Address: 501 E South St Ste #B Palm Bay, FL 32908- Orlando FL, 32801 Phone: (321)693-0333 Phone: (321) 426-5943 State Lic#: ER13014470 Concurrency: Local Lic#: 10 -EL -CT -00051 LL �:•AP.;PLflATION�FEES�-• r ���' �'. s �- � y�� µ•. ��' BP -Main: 60.00 BP -Plan: 30.00 After the Fact: 0.00 BP -Surcharge: 4.00 Fire Plan Review: 0.00 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: 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: INSTALL NEW OUTLETS, SWITCHES, LIGHT FIXTURES. REPLACE BREAKER 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 Print —� IZED SIGNATURE / DATE NT NAME X" LIED / DATE, 1L i+vJ :Arc!L, � )Q -q, -g Date:31�jl CITY OF CAPE CANAVERAL Tracking # 1 0 RECEIVED BUILDING PERMIT APPLICATION Permit # 0 MAR 0 6 2018 (321)868-1222 City of Cape Canaveral Building Department - P.O Box 326 - 110 Polk Avenue - Cape Canaveral, FL 32920 You may download this application: www.cityofcayecanaveral.ore. You may fax to: (321)868-1247. All applications must include the backside of this form and 2 sets of supporting documents. 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: �(�� 1.�'Q (' U, V%A'�_ Zoning classification: Flood Zone: Legal description of prop ly: T 'N: RNG: SEC: SUBD: BLK: LOT: PB: PG: Property Owper Name: Phone:�(o Address: `t 2:_ Fee Simple Titleholder's Na e (if other than owner): Address: Bonding Company: Address: Mortgage Lender: Address: Brief description of work: CThT'![':7![� L ii �_�1i1]�I � _�� � •_ .l.�t 1�3i9_rI_� ���T���lj` ■ Type of Square Const. Occu- FPL lines Cir- Sewer # of # of # of # of # of Building Feet Type pane• currentiv available Concrete/ stories duel- bed- Valuation of work water Electrical Contractor Name:`'' under (IA, Classifica available to to Asphalt ling rooms closets (Copy ofContract Required) (please roof VB, -tion serve this this Parking units Phone (cell/pager.): Fax: indicate etc) (B,Rl,R3 property? property? Spaces Phone (office):. Phone (cell/pager.): Fax: applicable) Name of Company: etc.) Yes/No Yes/No State License No.: Phone (office): Plione (cell/pager.): Fax: ommercial S FR S Townhouse S partment S ondominiuin S ther S Architect/Engineer Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Primary Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name:`'' Nam�?f Company: - ' Z Address: State License No.: fit- Phone iZ O `t Phone (cell/pager.):Mj-(oq3-QIUFax- FI (office): _ Plumbing Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Mechanical Contractor Name: Name of Company: Address: State License No.: Phone (office):. Phone (cell/pager.): Fax: Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone (office): Plione (cell/pager.): Fax: Building Permit Application Checklist Notes Completed Permit Application Current code edition: FL Bldg. Code Fifth Edition (2014) 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 Im act 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 Warrant Deed / Proof of Ownership Copy of Recorded Notice of Commencement (over $2.500) Over S7,500 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 Primal' - Coritractor'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 inspection 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 Sup ression/Sprinkler/Alarmspecifications 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 trade 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 6th Edition (2017). I understand that all permits require inspections as indicated and that it is the responsibility of the permit holder to notify the building department when ready for inspection(s). This permit application is valid for 180 days from date of submission. By signing, applicant affirms that all above is true and correct and that he/she is arr-authorized agent of the Contractor/Owner and has the authority to apply for this permit. *ALL OTHER APPLIrCABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO% COMMENCEMENT* Applicant's Name: I Applicant's Signature: Date: �Site Address: i"7 S' I �� For Notary use only: State of Floridp,minty of Brev rd j Sworn and subscribed before me this ✓� day of, 20 I , by % z 404 Pri ted name of Mplicant {ho produced identification: • ' LJ 's personally known to me. ` ff.Y. P� •i ==E INSON ?4' , F 951009 Seal: '' rry 18, 2020 ��1�, . yfs�''lic Undervtiters Signature - Notary u 1 Xtt L fe P _ This form may be duplicated. Date: ! � 11 RECEIVED CITY OF CAPE CANAVERAL BUILDING PERMIT APPLICATION MAR 0 6 1018 (321)868-1222 Tracking # Permit # City of Cape Canaveral Building Department - P.O Box 326 - 1 10 Polk Avenue - Cape Canaveral, FL 32920 You may download this application: www.cityofcapecanaveral.org. You may fax to: (321)868-1247. All applications must include the backside of this form and 2 sets of supporting documents. 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 isTiq, ired to sign for the building permit, unless indicated otherwise by affidavit. I.D. may be required) Address of Job Site: �" 0 ler c-)- ti�� (U d� Zoning classification: Flood Zone: Legal description of proA%Ly: T N: RNG: SEC: SUBD: BLK: LOT: PB: PG: Property Owperr Name: -Z L Phone: sq - 4196 -5 Address: L "Z Fee Simple Titleholder's Na e (if other than owner): Address: Bonding Company: Address: Mortgage Lender: Address: -i ,f Type of Permit Brief description of work: k) Building Occu- FPL lines City Sewer Electrical # of # of # of Plumbing 10 Mechanical Type Other Concrete/ Type of Square Const. Occu- FPL lines City Sewer # of # of # of # of # of Building Feet Type panty urrently available Concrete/ stories dwel- bed- Nater Valuation of work (please under (IA, Classifi vailable to to serve Asphalt ling rooms (Copy of Contract Required) closets indicate roof VB, -tion se this this '' Parking units State License No.: applicable) Phone (cell/pager.): etc) (13, 1,R3 oper property? Yes/No Spaces Name of Company: State License No.: Phone (office): Phone (cell/pager.): etc.) pYe . Specialty/Other Contractor Name: Address: Name of Company: ommercial State License No.: Phone (office): 7 Fax: SFR Townhouse ��'/Jr`�'A.L� 4�-(/�sv S partment A'�o\ S Condominiumc ther S or�oo�c O Architect/Engineer Name: Address: arae 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: `3' Address: Ute Namp.pf Company: { State License No.: ►• Phone (office): Phone (cell/pager.):.. G73-QZUFax: 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: