HomeMy WebLinkAboutBldg Permit #18-1695- 405 Tyler Ave Unit #106- 8/27/18City of Cape Canaveral, Florida
Building Permit
PERMIT #18-1695
CUSTOMER #007427
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
PERMIT=INFORMATION
,. LOCATION INFORMATION -.
Permit #: 18-1695 Issued:8/27/2018
Permit Type: PLR
Cost: 715.00 Total Fees: 184.00
Amount Paid: 184.00 Date Paid: 8/27/2018
Address:405 Tyler Ave Unit #106
Cape Canaveral FL, 32920
PERMIT EXPIRATION DATE: 1/15/2019
CONTRACTOR INFORMATION
_ OWNER INFORMATION
Name: Smart Plumbing Sewer & Drain Cleaning In
Addr: 3536 Ellis Ln
Mims, FL 32754-
Phone: (321)267-0202
State Lic#: CFC1429218
Local Lic#:
Name: Trste LLC
Address: 501 E South St Ste #B
Orlando FL, 32801
Phone: (321) 426-5943
APPLICATION°
FEES ..:.
BP -Main: 60.00
BP -Surcharge: 4.00
Plan Revision Fee: 30.00
Date Plan Revision Fee Paid:
Temp CO:
Concurrency:
BP -Plan: 30.00
Fire Plan Review: 0.00
Plumbing:
Electrical:
Capital Expansion:
After the Fact: 60.00
Re Inspection Fee Paid: 0.00
Mechanical:
Sewer Imapct:
Sewer Tap:
1NSPECTIONS'(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: INSTALL SHOWER VALUE & TRIM. REPLACE SHUT OFFS TO TOLIET. INSTALL WATER HEATER
INSPECTION APPROVED BY: DATE:
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 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—+
rr l%t1 r\,f) l)
AUTHORIZF,O�IGNATURE /
6
DATE
ISSUED / DATE
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(Iii:7MI0 , T.-1, G, n- -„„Y,
Print --4. Ov cJ�c—�4
'' -PRINT NAME
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Total1B4.00
Cash / rou! t $0.)
CK K `;;;cunt $1P4
:00
CITY OF CAPE CANAVERAL
100 POLK AVENUE
CAPE CANAVERAL, FL 32920
(321) 868-1220 phone (321) 868-1247 fax
buitdingforms@cityofcapecanaveral.org
Ceuutti 8.-=d-4 S
Permit #
Tracking #,y_ ,� --
Permit Total.
APPLICATION FOR BUILDING 'PERMI
Florida Building Code in effect: 6th Edition "� 7 j
PROPERTY INFORMATION J U L 19 2018
TWP:C9'( RNG:3 1 SEC:@ SUB BL,rA l"( LOT.
Site Address: t J T L 1€ r F JQ • r`.('� Cf �a0efec (
# Stht ct City Zip
`fit's LLC- Trus+-ee.
P. 0' l ���C '� l] 0 @,F !t V f 11.1 m o
Street City Zip
Owner's Name:
Owner's Address:
CONTRACTOR'S INFORMATION (APPLICANT)
Qualifier Name: M (9� (\- C . OCT1
Company Name:
Address:
GQ\Laclede
C—" 1 Last Ftrst 1 nse #
oc.C-.9Wm\-1 A �mkr a OA! c
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H # Street City Zip
Phone #: 1 • 4-10--1 0 Fax #:
E -Mail: [ `t -i\ C\* ]� lC( hop- corn
PROJECT INFORMATION ❑ Residential ❑ Commercial Site Plan #:
Describe Work To Be Done: fi CM.x
Cl
1
mu s 1cof a I \ Q(1
Q,9\ e_work,f (
Cost of Project: $ ' ) 1 5
(copyof contract required)
Proposed Sq. Ft.:
(total new construction)
SUBCONTRACTOR INFORMATION:
PRINT FIRST & LAST NA
Plumbing: ,
'
License #:
Phone:
Electrical: eS('t'O,/'
License #:
Phone:
HVAC: 4,41 �� 1� O` T
°" ,\t Wte'
License #:
Phone:
Roofing '�' it t �t�`�atpa,ee'
�� F Gni. q OL
License #:
Phone:
Specialty: \j\E�o tbts�'`. ;5'a\`
License #:
Phone:
FORM DATE: 3/26/2018
PAGE 1 of
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3
2
4
FORM: APPL I.k
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Site Address: 4or-> v � Qc
Owner's Name: � "Tru Ske.
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A, NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE YOU
SCHEDULE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. Intl.
** 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 installations as indicated. I acknowledge
and accept responsibility for compliance with all applicable codes, regulationsand ordinances as well as the
payment of all legally constituted fees regarding this development application, including but not limited to
ALL REVIEW FEES, PERMIT FEES, IMPACT FEES AND RESERVATION FEES.
-e. r
Name (Print): wner/Agent/Contractor
Signatu : Owner/Agent/Contractor
Date: i ( 2 ! )
State of Florida
County of Brevard
Subscribed and sworn to before me this Pa day
of ,X personally
appeared C Y Sn-oJk:
Pp �
who is personally known to me or produced
171-- g)(-- as identification,
it
,,No. ublic Sign ture
,�ti:r"�'•,•, J SSICA PROPST
Sea =' _ Commission # FF 921489
Janus!), Expires Janua. 23, 2020
Do 1w 9 TTray PA JTV sousta 19
who did/did not 4e an oath
t.,
In"!
8n
DISCLAIMER: The City of Cape Canaveral's approval of
this development permit does not create any right for the
permittee to obtain a permit from a state or federal agency.
Further, pursuant to section 166.033, Florida Statutes, the
City of Cape Canaveral shall not be liable for issuance of
this development permit in the event a pe»nittee fails to
obtain any other required approval, fails to fulfill
obligations imposed by a state or federal agency, or
undertakes actions that result in a violation of state or
federal law.
The issuance of this development permit is expressly
conditioned upon the permittee obtaining all other applicable
state ozfederalpermits, if any, prior to 1/1e commencement of
the development authorized.by the City's development permit.
FINAL INSPECTION IS 1E1111E11 Failure to obtain a final inspection may result in a penalty.
FORM DATE: 3/26/2018
PAGE 2 oft
FORM: APPL
ciaNc
Invoice#
4.75Q
SMART
ewer. and Drain Clean..ing.. lnc.
.: Uc:GfC142u218:,i
Mailing Address PO Box 416 • Mims, FC 32754;
Phone (321) 267-0202 .•
Name:
Customar Information
QTY ITEM OR?ART DESCRI°TIOU! UNIT AMOt,ti7 LABOR HRS. RATE AMOUNT
DATE..
/..
Address: 1_- . O. .7
City: ell
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State: Zi:3a9-a 0
AB
RECOMMENDATIONS
Phone:
Owner/Mgr
'MAKE
MODEL
SERIAL
DESCR1PTIOCN OF ', ?ORK/SERVICE
AMOUNT
(N) vat V
\fa u o c - .ct S e +N6_,
6_,
TERMS
O CASH 0 CHECK O VISA 0 MC ,0 AMEX • rJ DISC .
NAME ON:CARD
GC#
€XP DATE. CVC CODE
JSignat
I hereby atdhoriie the above work to be donees prie.ed'and stated above.
I understartd'and agree payment is billd le atcompletion.
Mt • o2/8118
MATERIALS ".
LABOR
TAX
I hereby acknowledge the satisfactory completion of the above' described work.
Signature
Date
OTHER.
TOTAL
VERIFIED/REVIEWED:
READY FOR DESTRUCTION: