HomeMy WebLinkAboutBLDG PERMIT #5070
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City of Cape Canaveral, Florida . I
PLUMBING PERMIT /5070
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
I ." . _ PERMIT INFORMATION _________.__ [-. ____ LOCATION INFORMATION . ~
I Permit #:5070 Issued: 5/30/~dress: 7554 MAGNOLlAAV .
I Permit Type: PLUMBING I CAPE CANAVERAL, FL
I Class of Work: REPAIR/REPLACE i Township: 24 Range: 37 :
I Proposed Use: See specific use - residential Lot(s): 1 Block: 44 Section: 23 I
I Sq. Feet: Est. Value: I Book: 3 Page: 7 I
I Cost: 3,000.00 Total Fees: 162.501 Subdivision: AVON BY THE SEA I
I Amount Paid: Date Paid: ! Parcel Number: 24 3723CG 44 1 )
[ COt!TRACTOR INFORMATION r== OWNE.R INFORMATION j
I Name: WALKER, TOM DBA TOM WALKER PLUMI Name: TRSTE LLC TRUSTEE I'
I Addr: 102 COLUMBIA DR #103 Address: 501 E SOUTH ST STE B ,
. CAPE CANAVERAL, FL 32920 ORLANDO, FL 32801 1
I Phone: (321)799-0508 Lic: RF0046309 I Phone: 407-782-1069 I
. Work Desc:-WA TER HEATER CHANGE--OUT & REPLACE WATER LINES I
I... .... .......... .. .... APPLICATION FEes I
I PLuMBING OVER 2K 65.00 i AFTER THE FACT OVER-2K 65.00 i PLAN REVIEW OVER 2K 32.50 I
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I Rough Plumbing I I
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APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY: ~
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I NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR I
I IF CONSI.8ILCTION OR WORK I~L~l!~PI;NJ:)_E;P.LQ8_,A,!3ANQONED FQ8_,L\.fJI;RIOQ9F 6j111Qtm:l~j~IAI\/.'(IIM.Ej~EII;8-'/I/ORK IS STARTED.___J
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL I
I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 'I'
I NOT. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
I.-STATE OR LO.cAL LAW REGULATING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION ----_____ ..---1
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF I
i COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS I
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! TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH :
I YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
I COMMENCEMENL-__~~_ -----.- .---..-
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~ISUED BYlDATE
01 OAOi4 '1)7 PL' ii 'i
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CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION Permit
(321) 868-1222
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
You may download this application: www.mvflorida.com/cape. You may fax to: (321) 868-1247. 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 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 pennit, unless indicated otherwise by affidavit. LD. may be required)
Address of Job Site: Zoning classification: _ Flood Zone: _
Legal description of property: TWN: _ RNG: _ SEC: _ SUBD: BLK: - LOT: PB: PG: -
Property Owner Name:' I y L lZ L H 0 L.f) " iV'U T'? J ;ru. Phone:
Address:
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
I ,/1 'T'yp"" "f'P""-rrY'I;t I Brief description of work: I
" ~ p'" V.1.. ..L v.l..l..l..l..l.L
Building
Electrical
Plumbing
Mechanical
Other
Type of Const. Occ- FPL lines City Sewer Will this
Square Type upancy currently available structure #of #of #of #of Valuation of work
-V Building Feet (lA, Group available to to serve have built-in stories dwel- bed- water
(please under VB, (B,RI, serve this this gas ling rooms closets
indicate as roof etc) etc.) property? property? appliances? units
applicable) Yes/No Yes/No .... Yes/No
Commercial $
SFR $
Townhouse $
Apartment $
Condominiurr $
v Other $ ~{(oc (L /""
ArchitectlEngineer Name: Name of Company:
Address: .
State License No.: Phone (office): Phone (cell/pager.): Fax:
I Prinlary Contractor Name. Name of Company: I
^ Ar1rQ~~'
~U-\...U\..100.
State License No.: Phone (office): Phone (cell/pager.): Fax:
Electrical Contractor Name: Name of Company:
Address:
State License 1'-10.: Phone (office): Phone (cell/pager.): Fax:
Plumbing Contractor
Address: I
State License No.:
Mechanical Contractor Name: Name of Company:
Address:
I State License No.: Phone (office): Phone (cell/pageL): Fax:
Specialty/Other Contractor Name: Name of Company:
Address:
C~~
State License No.: Phone (office): Phone (cell/pager.): Fax:
G:\B1dg.Dept.Fonns\BP APPLICATION Rev. July 20, 2006
.y Building Permit Application Checklist Notes
Completed Permit Application Current code edition: FL Bldg. Code 2004 (as revised)
Current survey showing all proposed construction and landscaping Check with Bldg. Dept. for setbacks :11
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 Impact Fee receipt May be deferred until c.o.
Capital Expansion hnpact Fee receipt Maybe deferred until c.o.
Sidewalk Impact Fee receipt If sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500) Over $5,000 for Mechanical change out
Current Worker's Compo 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 offonr units or more
Concurrency Forms For all new construction not part of approved site plan
Primary Contractor's State License Record will be kept on file after initial submittal
Subcontractor's Authorizations: Record will be kept on file after initial submittal
State License Notiry 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
Constmction Drawings: PerF.B.C.I04
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104
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
NC 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 Suppression/Sprinkler/Alarm specifications 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 made to obtain a pennit to do the work an.d installations as indicated. I certify t.~at no work or
installation has cO!P.....rnenced prior to the issuance of a permit and t.l}at all vvork "viII be performed to meet t.~e s+..andards
of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the
Florida Building Code 2004 Edition. I understand that all permits require inspections as indicated. This permit
application is valid for six months from date of submission. By signing, applicant affirms that all above is true and
correct and that he/she is an authorized agent ofthe Contractor/Owner and has the authority to apply for this permit.
Applicant's Name: Applicant's
Date: {' Site Address:
For Notary use only: State of Florida. County of Brevard
Sworn and'subscribe"'d before me this S chvof Jr/!.4cl 20 67 .. hv -----zt;;-r.. f~d 1;( c:./'--
- ----.; --- ~--~ -..I - . .
Printed name of Applicant
D :v~O prod~~e~ identification: or
[]----is peE
.... ~ ",'1.if..~:f.~~::',. JOY LOMBARDI
ff..?- ti "~;~ MY COMMISSION # DO 486084 { ~
Seal: I ~~i:~~~j o__~..~~~~~~:.~ugu,st 3, 2007 /;:Jf ~, v
-'i.lJF r""\~ UUIIUi::U Il1lU I\iU!i;l.fV rHU!!{; IlfloervJprer-; ,.. :>7'"
."......- , .... .. ....... 7{ Signature - Notary Public At Large
G:\Bldg.Dept.Fonns\BP APPUCATION Rev. July 20,2006 This form may be duplicated.
BUILDING PERMIT FEES: Address: 7~5 'f /Y)tJ pne____ t1w-7k ill ~<-
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Building Permit per square footage:............................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
B 'ld' P 'tb d l' 3""'00 '00 &S- 00
Ul lng erml ase on va uahon:.... .::-:.......:.......................................... _ ,
, T~~k{.)Ft. (~ivingArea):lsr~~ te;:~:
0!qG"-af~.& J/I'-e~'i-I~- ,_ .....
Total Sq. Ft. (Enclosed Area): &/5"; 0<>
.
Rn~l,.:t;~~ D~~~;t- ~:~~~l1~n~~..~.'---r--- .1t;"1.=- :t::::=-,.= . 1C> 6:5-: 0 0
U' u.~~""'J.J.L5 .L eJ.J.J.UL J.J.lJ.L)\..eJ.J.a~ c:u U:::.....~<=.-'U-..,,~ I.:-,-;-...Lk.~...........:......................
Total Sq. Ft. (Living Area):
fotal Sq. Ft. (Enclosed Area):
ElectricaL......................................................................:..................................... .
?l umbing...............................................................................................................
vIechanical........................................................................................... ................
3uilding Permit Plan Check Fee... .......... .................. ........ ....... ....... ................
~ire Dept. Plan Check Fee................. ..... ....... ............ ................... .... .......... .......
\.adou Trust Fund: sq. footage ..................................
=oncurrency Management Fee..... ................. ............... ............. ............ .... ........
=a pital Expansion Fee.. .... ....... ...... .............. ... ....... ....... ... ...... ...... ....... .......... ......
Total Building Permit Fees:...... 12{}.'"
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;EWER PERMIT FEES:
Se1ver Impact Fee....................................,......... .......................................
Sewer Tap Fee.......... ~................................................................................
Total Sewer Permit Fees.....,,"'"
BY:~. Date: sJ~vt 7
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Tom Walker Plumbing, Inc.
102 Columbia Drive #103
Cape Canaveral, FL 32920 f"\~r
(321) 799-0508 r", .
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May 24, 2007
City of Cape Canaveral
105 Polk Avenue
Cape Canaveral, FL 32920
Subject: Tyler Holdings Trustee, LLC
7554 Magnolia Avenue
Cape Canaveral, FL 32920
It is requested that you inspect the following:
. a) New CPVC water lines hot and cold that are pressure tested.
b) New Water Heater
. Final Inspection after fixtures are installed
The original work was installed by another contractor. Tom Walker Plumbing has
inspected and tested the above. We will install the fixtures after work is
completed.
1
Tom Walker
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Tom Walker Plumbing, Inc.
102 Columbia Drive #103
Cape Canaveral, FL 32920
(321) 799-0508
May 29, 2007
City of Cape Canaveral
105 Polk Avenue
Cape Canaveral, F! 32920
Subject: Permit
7554 Magnolia Avenue
Cape Canaveral, FL 32920
This letter authorizes Leslie Gordon permission to pick up all permits for Tom
Walker Plumbing from the City of Cape Canaveral.
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Tom Walker