HomeMy WebLinkAboutBLDG PERMIT #18-0670 (Electrical)City of Cape Canaveral, Florida
Building Permit
PERMIT #18-0670
CUSTOMER #007971
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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
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LIED / DATE,
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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: