HomeMy WebLinkAboutBLDG PERMIT #7836City of Cape Canaveral, Florida vato 81 3 L (1 t
BUILDING PERMIT 7836
PHONE: 321 - 868 -1222 INSPECTIONS & FAX: 868 -1247
-T - --
- - - - -- PERMIT INFORMATION --
-_- -- - LOCATION INFORM_ ATION
_ _'
Permit #:7836 Issued: 3/04/2011 -
u _-
Address: 405 TYLER- -AV _
Permit Type: ROOFING PERMIT
CAPE CANAVERAL, FL
Class of Work: 434- Add. /Alt. & Reroofs Res.
Township: 24 Range: 37
Proposed Use: Apartments (R -2)
Lot(s):2, 3, W25' Block: 44 Section: 23
Sq. Feet: Est. Value:
Book: Page:
Cost: 13,550.00 Total Fees: 139.05
Subdivision: AVON BY THE SEA
Amount Paid: Date Paid:
Parcel Number: 24 3723CG 44 2
- CONTRACTOR.
-
- -- -
-- OWNER INFORMATION -- - ____ --
N_
ame: HARTFORD SOUTH LLC
Name: TRSTE LLC TRUSTEE
Addr: 7326 S ORANGE AVE
Address: 501 E SOUTH ST STE B
ORLANDO, FL 32809
ORLANDO, FL 32801
Phone: (407)857 -9382 Lic: CCC035621
Phone: 407 - 782 -1069
Work Desc: RE -ROOF PER SUBMITTED D SPECIFICATIONS
-- - -- - -- - - -- - - -- ---- - - - - -
- --
APPLICATION FEES
ROOFING - OVER 2K 136.001 BUILDING PERMIT SURCHARGE
Roof Sheathing
Dry-In /Flashing
Final Roof
:ctio-ns_Required
4.05
CO^
P�
APPLICATION ACCEPTED BY: J L PLANS CHECKED BY: 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.
ISSUED BY /DATE AUTHORIZED SIGNATURE /DATE
PRINTED NAME:
Vd/ VJ/ LV11 12,: UL rAA 4V 10or414V MAIN Ir V"Ouu In
Date: 3/3/11 CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
Tracldng #
Wj VVL
it 032
Permit # 7 8 3 6
MAR 0 4 2011 (321) 868 -1222
City of Capc Canaveral Building Department 7510 N_ Atlantic Ave, Capc Canaveral, FL 32920
You may download this application: v ;,%+w.citvnfcayecanaveral.ort=_ You may fax to; (321) 868 - 1217_ 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 maybe required. Application packages will not be accepted unless complete.
APPLICANT WILL 13E 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: 405 Tyler Avenue . Zoning classification_ Flood Zone:
Legal description of property: T N; RNG: SEC: SUED: _,•_._•. _ ELK: LOT: ^ PR: M.
Property Owner Name: Tyler Holdings, = Phone:
Address: P -0. Bow , Orlando,
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: N. A. Address:
Mortgage Lender: Address:
Architect/Engineer Name:
Address:
Type of Permit
Brief description ofwvrk:
Coast.
Building
FPL lines
City Sewer
Electrical
Primary Contractor Name: 1'a A
Address:
Fj- nrPjTnq-nnn
Plumbing
L,lIC
State License Nv.:
echanical
M �
Phone (ee11/pager.) •
X
Other Roofing
Re— roofing of 405 Tyler
Architect/Engineer Name:
Address:
Type of
Name of Company:
Coast.
occ-
FPL lines
City Sewer
WI thh;
Primary Contractor Name: 1'a A
Address:
Fj- nrPjTnq-nnn
NameofCompany: Hartford. South,
L,lIC
State License Nv.:
Phone (office):
Phone (ee11/pager.) •
Square
Type
upancy
currently
available
stiaidure
q or
9 of
it of
p of
Valuation of work
Name of Company:
Building
g
eet
(1A.
Group
available to
to serve
have built-In
stories
dwrl.
bed-
water
(Cepy ofConrtnce P.egoimd)
Fax;
(please
under
VB,
(B,Iil,
serve chls
d1IE
gas
Fax:
Gds
rooms
Z-m
indicate as
roof
etc)
etc,)
property?
property1
applianees?
unite
applicable)
Yes/No
Yes/No
Yes./No
ommercial
$
SFR
$
vwahouse
x
Apartment
s '
Cvpdotr►iai
$
tber
$
Architect/Engineer Name:
Address:
Name of Company:
State License Nv.:
Phone (office):
Phone (cell pager,):
Fax:
Primary Contractor Name: 1'a A
Address:
Fj- nrPjTnq-nnn
NameofCompany: Hartford. South,
L,lIC
State License Nv.:
Phone (office):
Phone (ee11/pager.) •
Fax�,,p7_7 7 G n
Electrical Contractor Name: _ _
Address:
_ Name of Company-
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 ColltrdCtor Name:
Address:
Name of Company:
_
State License No,:
Phone (office):
Phone (cclVpager_),
Fax;
Specialty/other Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
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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 11 Ilica ' is the
Florida Building Code 2007 Edition. I understand that all permits require inspections as indicated. This p
application is valid fqr six months £rom date of submission. By signing, applicant affirms that all ova is a and
correct and that he/she is an authorized agent of the Contractor /Owner and has the authority tg y for permit.
Applicant's Namc: Jay A. Rintelmann Applicant's Signature'
Date: 3/3/11 Sitr, Address: FL
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this 3rd &y of March , 20 ",by Jay A. Rintelmann
F Xw ho produced identification: or
is personally known to me.
T-W
MIATIA YRI ZARRY
Seal: Notary Pub* • State of FkWIOt
My Comm. Eaplraa DCt 2.2014
COmmI08lon S DD t8
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Prinled name of Applicant
Building Permit Application Cbecklist
Notes
Complete Permit Application
Currant code edition: FL Bldg. Code 2007 (as revised)
Current survey showing all ro sed construction and lan&capiug landscaping
Check with Bldg. Dept_ for setbacks
Notarized si ature — Owner/Builder Affidavit
if owner is acting as cmirractor
Sewer Impact Fee receipt
May be deferred until CO. Unless job is remodeling
County Impact Fee receipt
May be deferred until C.O.
Capital Expansion Impact Fee reeei t
Maybe deferred until C.Q.
Sidewalk Impact Fee receipt
Nsidewalk exisra on lot
Recorded Wamm Deed / Proof of Ownersiu
Copy of Recorded Noriet: of Commencement Cover $2,500)
over $7,500 for Mechanical change out
Current Cell. Of Liability ins./workar's Comp- Policy / Facem tion.
Record will be kept on file after initial mbrnittal
Cornmuuity:A 22earauce Board A roval
For all work visible ham Public Right-Of-Way
Flauning and Zoning Board Site Plan Approval
For all naw consrmcdon of fourunits or more
Concilzmnsy Foms
For all new construction not part ofapproved site plan
Primary Contractor's State License
Record will be kept on file after initial submittal
Subcontractor's
State License
Authorizations:
Record will be kept on file after ividal.submittal
Nodfy Building Dopartmcut of contractor cbanges
Plumbing Contractor
Plumbing Contractor
Electrical Contractor
Electrical Contractor
Mcchunical Contractor
Mechanical Contractor
x
Roofing COntractor
Roof= 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 la yo and reaction s utnmary
Cut sheets and chop 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 14 nut
Plans must indicate person responsible for design
Two sets of Enewy Calculations
Plans must indicate person responsible far calculations
Lot Drainage Survey
Pour sets of Fire Su ression/S rinkler /Alarmspecifications
Requires Fite Dept approval prior to issuance of permit
PQo1 Barrier Requirement Fonn (signed)
Pool permirs will not Im 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 11 Ilica ' is the
Florida Building Code 2007 Edition. I understand that all permits require inspections as indicated. This p
application is valid fqr six months £rom date of submission. By signing, applicant affirms that all ova is a and
correct and that he/she is an authorized agent of the Contractor /Owner and has the authority tg y for permit.
Applicant's Namc: Jay A. Rintelmann Applicant's Signature'
Date: 3/3/11 Sitr, Address: FL
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this 3rd &y of March , 20 ",by Jay A. Rintelmann
F Xw ho produced identification: or
is personally known to me.
T-W
MIATIA YRI ZARRY
Seal: Notary Pub* • State of FkWIOt
My Comm. Eaplraa DCt 2.2014
COmmI08lon S DD t8
� 8t1tMd18�
Prinled name of Applicant
3/03/2011 19:02 FAX 4078592740 HARTFORDSOUTH 0 004
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03/03/2011 19:02 FAX 4078592740 HARTFORDSOUTH
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CITY OF CAPE CANAVERAL
AUTHORIZATION FORM
City of Cape Canaveral Budding DCpMIMCM 7510N- Atlantic Ave. Capc Canaveral, FL 32920
(321) 568-1222
(You army doivnload this authorization: �t��,�.m�florida_connlcape. You inay fax to: (321) 868 -1247.
Date: March 3, 2011
Permit 4: 7836
CONTRACTORS AND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE
NOTARIZED AND SUBN11T T RS FORM WITH THE PERMIT APPLICATION.
Company Name:_ ____ Hartford South, LLC
-Jay A. Rintelmann hereby authorize Dezanis Lovett
Oat" Lionise HotdWs Name — PLEASE PR]1M (Aitliwrizod Person — PLEASE PRINT)
to obtain a permit on my behalf under my state licenses) as issued by the Department of
Business and Professional Regulation, Construction Intdustry Licensing Board l
(Brats Lioensa Tiumbe(s)}
for the job site described below.
An authorization will be required for each pe=#
Tyler Holdings, LLC
Name of Property Owaer
405 Tyler Avenue
Cape'Canaveral, Flora
Signature of License
For Notary use only: State of Florida, County of $Ftp,Taci Orange
Sworn and subscribed before me this are day of March . 20 11 , by Jay A. Rintelmann
Elwho produced identification:
is personally known to me.
Seal: _ ' 'P Nee�ry Pubtk Buts of FlorWe
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BoDd$6 Nou X34
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or
Name of ApplicmA
This form may M duphCUL4
Building
Plumbing
Electrical
Mechanical
Roofing
Swimming Pool
Specialty Structure
Other — Specify_
Tyler Holdings, LLC
Name of Property Owaer
405 Tyler Avenue
Cape'Canaveral, Flora
Signature of License
For Notary use only: State of Florida, County of $Ftp,Taci Orange
Sworn and subscribed before me this are day of March . 20 11 , by Jay A. Rintelmann
Elwho produced identification:
is personally known to me.
Seal: _ ' 'P Nee�ry Pubtk Buts of FlorWe
^T( v •�, rat n,�m Ezvlros oat 2. 2014
BoDd$6 Nou X34
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or
Name of ApplicmA
This form may M duphCUL4