HomeMy WebLinkAboutBLDG PERMIT #7072PHONE: 321-868-1222
vermit iF: tuiz issuea: oiuuizu lu
Permit Type: PLUMBING
Class of Work: 434- Add./Alt. & Reroofs Res.
Proposed Use: See specific use - residential
Sq. Feet: Est. Value:
Cost: 968.56 Total Fees: 60.0
Amount Paid: Date Paid:
INSPECTIONS & FAX: 868-1247
v, yur , 9Lv
)7072
Address: 7554 MAGNOLIA AV
CAPE CANAVERAL, FL
Township: 24 Range: 37
Lot(s):1 Block: 44 Section: 23
Book: 3 Page: 7
Subdivision: AVON BY THE SEA
Parcel Number: 24 3723CG 44 1
Name: PETRO PLUMBING Name: TRSTE LLC TRUSTEE
Addr: 157 N. ORLANDO AVE Address: 501 E SOUTH ST STE.B
COCOA BEACH, FL 32931 ORLANDO, FL 32801
Phone: (321)783-5422 Lic: CFC1426233 Phone: 407-782-1069
Work Desc: REPAIR DIRECTIONAL CLEANOUT PER SUBMITTED DRAWING
underground rlum
Final Plumbing
APPLICATION ACCEPTED BY: C- PLANS CHECKED BY: [91'F, APPROVED BY:
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR
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
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICEOF
COMMENCEMENT. YOUR • IMPROVEMENTS
TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER • . ATTORNEY BEFORE RECORDING•UR NOTICE OF
-�- ZE
ISSUED BY/DATE
AfJTHORIZE SIGNATURE/DATE
PRINTED NAMEV Z0r�G1 .Tlq y5-5
FROM : PETROPLUMBINGASERUICEINC FAX NO. : 321 783 8223 Mai-. 01 2010 09:59AM P1
Date: //p— — CITY OF CAPE CANAVERAL Truck'iag# iC-0Z'6_-z
RECEIVED BUILDING PERMIT APPLICATION 7
MAR 01 2010 .(321) 868-1222
CltN. of Cape 7510N.Atlantic Ave, Cape Ci1wv(a-a1,1;L.3292Q
You U-wv down,]Qad this application- You 113zy fax to: (321) 963-1247, All applications must include rite
backside of this form. Important; Please complete the checklist oil thc Nkck of this form and provide other docuinQntation, as ilidicalcd
oil the Qbc;c1dist. A cop)' of coatract way be requLred. Application packages will not be accepted uttless complete.
APPLICANT WILL BE CALLED WHEN FEPN11T IS READY.
is requiKt4 W -.dgn for the buAl<tia pcwnut, unless iadicatc4 QaWnVi$� IY alf1davir. 1D. inzw lie Eequlrecl)
Address of Job Site: Zonin- classifi,;416011. Flood Zone:
Legal deSCripti011 Of PfOpeft\ TWN' Rw(.�: SEC: BLK' LOT; PB: Pc,.
Property Name: -r-... 'Tcx)
Addzess:-S--
_Y 0 Ej�j�f�®V �76
Fee Simple Tifleljoldei's NWIle of.ther than pmv:0: Address:
5oading Companj Address:
Mortgage Lender: Address -
Type of PenniT Brief description of work;
.7
Electrical
Plumbing JCLf'A)46/z am
Mecliaiaical
other
Type of
Building
(please
in(;iqAW as
?qua"
Feet,
zjnder
roof
UQKk%1_
Type
(L-�_
Vf$'
etc)
Quc-
14pancy
GAVAUP
(K 1t 1,
etc.)
FrL Hues
va-MlItly
uvau'lbk' to
sent this
PrOIK-M-7
Yes/No
Uty Sewer
avail -Ale
to gerve
itis
proprrl}'?
YQSINO
Will train
stmutawc.17
have W144UsW
911N
appliances?
Yes/No
4
ries
Hof FF of *of
I bed, Water
ling rOGUL9 dust'"
units
vAlawkian 13f Nvork
Commercial
State License No.:
phoat; (office);
_Phonc!
Fax:
Electrical Contractor Nkwie;
Address,
Name of Company:
SFR
phone (office)
Phone (cell/pager.):
Plumbing Contractor Name;
Address: N 21 .v
p^
Name of Company:JP
C_T�
Slate Lic(rose NO;: jC F7C- Z4,?!2 Phone (office): A_3_SYZ2 —Phone
RLN:
ova utaotase
Name of Company;
State Licen_;e No.;
Pholle (office),
Phoate (Cell/pager.);
Specialry/Other Contractor N-mue,
Addres5'.
$
Name of Compally-
State License No.;
Pholle (office):
Phone (cell./pa.-Cr.)-
Fax,.
5
Coudomjiiiuni
Othen
9-
Arcbitcct/Zugiue-_.r Nmuv.:
Address:
Name of Company:
Stare License No.,
Phone (office):
—Phone (CeWpager-):
rax:
Prinmry Contractor Name:
Address.
Name of Company,
State License No.:
phoat; (office);
_Phonc!
Fax:
Electrical Contractor Nkwie;
Address,
Name of Company:
State Liceiise No.:
phone (office)
Phone (cell/pager.):
Plumbing Contractor Name;
Address: N 21 .v
p^
Name of Company:JP
C_T�
Slate Lic(rose NO;: jC F7C- Z4,?!2 Phone (office): A_3_SYZ2 —Phone
RLN:
Mccl.a nical Contractor Name;
Address:
Name of Company;
State Licen_;e No.;
Pholle (office),
Phoate (Cell/pager.);
Specialry/Other Contractor N-mue,
Addres5'.
Name of Compally-
State License No.;
Pholle (office):
Phone (cell./pa.-Cr.)-
Fax,.
FROM : FETROPLI_IMB I NGSERU I CE I NC FAX NO. 321 783 8223 Mar. 01 2010 09: 59AN F3
-�
Nolt;s
lsuiluil3� kcr111iE A(,}1lie�ti4++ Lh4t:tollS'1 T -
4 ot1t111::terl Pc'rrllllAmi;bort Cu=ria codc c3;tavn, i;L 131(19. Q-i< 24V4 (++a rovia�JJ w
_CurXC11L survey 5IIoW6115 05ed Wastrucli0n and Ian[fscil C:lteck with 131de Dcpt, fur selbaeks
NOlar1LCC! ii `rlutut4 �tiyl1{ t/13uiid4t Airldilvil 1!'s>wnerI's : tix,gu vuu[raswr
scGwcr 1111odct Fitz xacciol lvlay bC duf<:r ' u[ttil C.O_ LGdess i�h i- r- ,12i n
_COtt a 1111 UCL Fcx rl CCi ( —
May. tw'dei'e(red u1ui1 C.O,
I C41pit t1 l �p 1nSian lilt tat t Fc trace
Mayb4 dcicuv-d until C.Q.
Sidceva-U, 11rl itcl ,Fee reccipi
lf;Idewulk cKig,% on lot
R�cordui W arrdilly Dccd / Proof of Ownership
CO) of Recorded Nokc: of Carn.menceCll $2,500)
Uv,:r SS,000 for M•:vltauicul clt ulbe out
CLtrre:llt Celt. Of Liubilil lns./Worl;<r's Cump2 PQ1iG / xerrl titin
_ y p Y
Recerd'will be t;e t on fI14 ntt !s»tis
P � t aubutitWl
C011unwIll), Ap2car;aicc Bo%ird AUroval
For 411 work visible Liam 1>1lblic.R1gln--Qf--Way
Plailftwg a[ld ZUr11ng lBow'd Sita Plan it�?roVal ^�
r0l, all Ui1W con tinction Pf oor Lwils or more
Coacurrem:y Fur1r15_ _
FW 411 new c omdruc tion not pati of approved sew plan
IPritalUq C011WIC_LUCE $nlic Liccrlw
RY:Cord Will be kept on lilt atirr itutiul Wb"md
Subcontractor's
Snar- Licc-tlse
lZaoard will be kap! Lin fila alter ild1j.1 s,ub>11it"ll
Notify l3uildins Vq wUncuk of contrltaor cit,ctb�s
Plumbing Coii racios- Plumbing CO•ntr 1QlUr
El4ctrical Conmiclur Electrical Contractor
•.•.• • . . • •• ..,' • ,• .
' lV1i:Clt.![l1CilI C;pIttlJtaOr' lV1f:C1L'']rllC:tit' GQLl[riiGCO'r ...
: Gonu-actor ... _...:,. Rao,fisnJ.', Ctfatt�etnr....,.,,.:._...,.;. ;,.,:..11
; POOI COILId-a=r Sx-A nirnln r Pool Cot i-ndctorl,traclol,
Gas ConlrlCtor/Other
Cotltrkclor Specialty/oLhor Contractoru.uri
a
Dl-aNvitlgs:
NT F.1i_C. 104
ls u6 xi:cic�! cttnstralcGlean tjr:lovirlg a
Fur'F.B.C. 104
Truss laY011t lila Tcaction sllllL[X1rZrV
Cut structs and shop antiq np will be necdcd u time or ln: p-
I;lt c Lricill 1.0i1Cj Cillci(1i111oi]S
1'1:m:: must indlcalta p=on respousible Ear c+tlaulali m.
EltcLr1czA
„
Af l noW service must be logitcd underground
_.._
Plumbing Rise ^�
M= rival indicate peraun responsible for dcsibn
A/C layout �^T
Plans mu::t indicvle pccsou rest>onsible for dcsit n
Two Sets of Encu y C:11C Ul}1L1Ully T m
PLuly rpust iradic aro p=an reapon�iblc for calculasiotl
Lot Drain- ge Survey
Doul' 2iclx of Fire
nuquire,: Fits: Dept. approval prior to isNuww� trf perniil
Pool Barch:r RLcL irculCnt Form (si mcd)
P001 perWils Will 11M be issued without [aaci r
Appliczaiolr is h(zuby niaue to obtain a pCrrrut to do the work and insWiations as indicated_ I certify that no work or
installation hats conunencud prior to the issuance of a permit and that all work will be perforfned to rrl4ct dw sr:.t dt lxds
of all lawrugula.lin,�, CV1lstrilCClotl 13l this jUrisdiCt10n. . lie- Building Code Lin effect at the time of this appllcadon is Lhu
FloricLk BllildBuildin I Code 2007 Edition. I widersrzuid that all permits require inspections as indicated. This peril -lit
application is valid for six li1o111 hs from date of submission_ By signing, applicant alarms t13a1 all above is true and
coITC(:taxed that he/sho is wi atlthorizcrd avL-.ar of the Contractor/Owner and has the authority to apply for this pernlit.
Applirlt's Applicant's Signature:
7
llstc: �f� f /U Site Address: ZS. V f� f� 4,4/
For Notary use only: State of FlQrid.a, Cowity of Brcyard
Swora chid subscribed before nie thus day of .:?,a 201Q� byp� �J_. - C,14 '; �-
Pri;lwd mum of Applicant
VrF10 produced identiiiCaLkon_
],S'
pccsowdly knUw'n to n7G-
Seal:
or
DIANE AF4WMSON
MY COMMIRSIQN # DD 6
EXPIRES: Mwh 13, n0�
�ondgO Tlnli NrUury RdU6:llrkLx
Sig.=a - Noudy Public At Lvga
Address:'_
'UILDING PERMIT FEES: Al."',
uilding Permit per square footage: ........................... I .................................
707
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
{.(
uilding Permit based on valuation: ...................................:..................
Total Sq. Ft. (Living Area):, , i Q of-, 0,
Total Sq. Ft. (Enclosed Area):
uilding Permit miscellaneous: .....................................................................
Total Sq. Ft. (Living Area):
otal Sq. Ft. (Enclosed Area):
lectrical..........................................................................................................
1.umbing.......................................................................................................:.....
lechanical...........................................................................................................
uilding Permit Plan Check Fee.....................................................................
ireDept. Plan Check Fee................................................................................
adon Trust Fund: sq. footage ...............................
oncurrency Management Fee.............................................................I............
apitalExpansion Fee ................... ................................................. I...................
Total Building Permit Fees:......,,',,
c_
EWER PERMIT FEES:
SewerImpact Fee.....................................................................................
SewerTap Fee...........................................................................................
Tntil CPwar PPrmit FPPQ
By: 1. (r #� c Y �.. - Date: C.I I V,-
a-
FROM : PETROPLUMBIN55ERIJICEINC FAX NO. : 321 793 9223
w
Mar. 01 2010 09:59AM P2
0
REMEWED
WRE:: COMM.. P
--
City w"Cappe caqnaveraI
PER M-ITTED roR CC S
PERMIT No,
REVIEWED
Rev i e w of tins-0'ijTc' 0-'r—lze—v I o-1 at —loll
of -
asly locat, 9tatc or federal ordinarlos Or statutes
FROM PETROPLUMBINGEERUICEINC FAX NO. : 321 783 8223 Ma.r. 01 2010 10: (DORM P5
CITY OF CAPE CANAVERAL
AUTHORIZATION FORM
Qly vF Gap- Q nnrcrul 5uilding PepyrCmturt 105 )•calk Mvc. Cape Cwlavcrat, FL 32920
(You =Y dowWoad ibis
authorization: w-w.,Ilyllyrid .Gcrm%cltn4. You =y fax to: (321) 868424)7,
Data: r -� cam% '266 Permit #• 1
CONTRACTORS A'ND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE .
NOTARaED AND SUBMIT TRIS FORD WITH THE PERMIT APPLICATION,
Company Name:
WIN
hereh),authariae
,,..»�.,..,..,_,....,,,�,,,u.,;...::•.C&anis:Lros��olrl4t�cr'�NsmtiT.pF�w°,51wB�JN�,., ,_, ,,.�.- .....,.._.......... ...:.„:•!:•...,.,(�,ust<o�gC.p4cs,?>f,,:YL,�Sk-la�i J ,.. ........ �-•'-:.„
to obtain a pocmit on. my behalf under my state licence as issued by the Deputment of
Business =4 Profcszipn4 Ragul ten, Construction lndu-ptry Licensing Board C�7C.j _
• (Srara [rG«r}w: NtrntLa')
for the jyb silo described. below.
*For blanket a;<uthw iza tion, do not complete.
Naine of Proarty Qwacr
it
Building
lumbi.ng -
Electrical.
'Mechanic
Roofing
swirnmin� goal
BRecialty St umlre
Other'— Specify:
Address of Job Site
Si lure of License Holder
Far Notary we only: State of Florida, Coe�[y cE Brevard f
Sworn =d subscribed before me 20 � O by d� �'
Naam raf n!!;,p)icant
who produced identification: or
is possonally know1z to mc.
Seal:
MY COMMISSION i DD 654195
EXPIRES; March 19, 2411
RonMd'ma NMIY POW U"6nW"M
G:\n1dg.Q*t,Foil W+rauhoriradon Poon
Signoras - Nptary Pubii� Ar,
7lri$ tipnn 1oa b•; owil rJual,