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Home My WebLink AboutBLDG PERMIT #4814 F<~! '6(~{o( I City of Cape Canaveral, Florida I 1 BUILDING PERMIT A14 I' Lu& _~ . . . PHONE'321-868-1222 . INSPECTIONS & FAX'8":'2'7 . PERMITINFORMATION .. ..... .~ LOC~TIONINFORMATIQN ~jl Permit #:4814 Issued: 2/14/2007 I Address: 7554 MAGNOLIA AV Permit Type: BUILDING ALTERATION I . CAPE CANAVERAL, FL I Class of Work: REPAIR/REPLACE I Township: 24 Range: 37 I I. Proposed Use: See specific use - residential i Lot(s): 1 Block: 44 Section: 23 , Sq. reet: Est. Value: I Book: 3 Page: 7 I. I Cost: 2,200.00 Total Fees: 97.501 Subdivision: AVON BY THE SEA , All1ountPaid: Date Paid: ~ I Parcel Number: 243723CG 44 1 ~'l CONTRACTOR INFORMATION I OWNER INFORMATlQ.N ". . . Name: KENT, PETER ANTHONY -- , Name: TRSTE LLC TRUSTEE Addr: 1484 CREEKSIDE CIRCLE 1 Address: 501 E SOUTH ST STE B I WINTER SPRINGS, FL 32708 I ORLANDO, FL 32801 , Phone: (407)595-0007 Lic: CBC1250837 I Phone: 407-782-1069 I Work Desc: INSTALL INSULATION & REWIRE ELECTRICAL PER SUBMITTED DRAWING I APPLiCATION FEES 1 iOlLDING OVER 21< 65.00 1 PLAN REVIEW OVER 2K 32.501.. 1 , I I I I 1 I I I I I I , I I I , I I ! I I I. , I , I , I Iii ' . I 1 ..... .. ........ . .... Il1spectiol'lsReqOil'ed _ II I Frnal Electric ! I , Final 'I 1 I I I I i !' I I .. I 1 I I 1 APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVEDl:lY: I NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR I IIF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FORA 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 I 1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI.N OR NOT. GP~NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO ViOLATE OR CANCEL THE PROVISIONS OF ANY OTHER I I STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTiON. I . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF I COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS I TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH I 1 YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF I' 1 COMMENCEMENT. I I , i /..'~ I I /./ I I .' 1 1 /I /~./') / I I ,I J ~ ~ I; 1 1 / / / / .' I, i l(jlr / If//. fi/ C)/ I 1 f. ~ttV1 M7/fc.a4:~ I-:/. /1 I I '~J --~SUED BY~E f' I i '~i i i):H!~i iTi !~L " ""::"":', "1 :i "ic;; i ~,':., i"r, 1 CITY OF CAPE CANA VERAL ., Date: Tracking # ~ BUILDING PERMIT APPLICATION Permit # (321) 868-1222 City of Cape Canaveral Building Department l05 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 bui~ing pennit, unless indicated otherwise by affidavit. LD. may be required) Address of Job Site: J:;-5'l' ,;:tf 4;1#u~ ;;t L Zoning classification: _ Flood Zone: - Legal description of property: WN: _ RN . _ SEC: _ SUBD: BLK: _ LOT: _ PB: _ PG:_ -- . Property Owner Name: ..' Phone: Add (1 ''''an;::< ress: .. v --') / iJ Fee Simple Titleholder's Name (if other than owner): Address: Bonding Company: Address: Mortgage Lender: Address: --J Type of Permit Brief description of work: Building /; , F 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 --J 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 ! .. u i '" I'" ._. r ..-. - Townhouse 1 - U. , $ ff . .. Apartment I I $ Condominiurr $ Other 107400 A/v i Z 7 Z $ ;77 c:<::J ,..,~ ""- Architect/Engineer Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pageL): Fax: I PrimarYContractor1':!.~me: t>rt:::jt'- /~-?/ .-:r-- N~me ofCoJPpany: l;~"'Zf7'- . ; V /~7 1---';-, ",'r::- '('?'P,J/---- Add' . q Cl "-"" , ~ .. t. j /' .. . .. / ,., ~j '"://. ""' ress: 1'1 ~ (.tt",ff K </7) f (i/t- / /1/1 Ie lZ-- . Y,Lld~7 j ,r 1# , :5 L /c/ 0 Fax: State License N o. (~ (7" ,iJ:f?"'t.J /:/5 7 Pho-?-e (office): fr.J7- 5"'7'5-::00,)7 Phone (cell/pageL): Electrical Contractor Name: Name of Company: ~ /c Address: . - -c. 3- Lj State License No.: Fti. co/ 00 '1 '7 phone (office): l./tJ '7 0i '(ft, v~hone (cell/pageL): Fax: I Plumbing Contractor Name: ~ Name of Company: I Address: Phone (office): Phone (cell/pageL): Fax: State License No.: Mechanical Contractor Name: Name of Company: Address: State TiCt>:ns~ No,; Phone (office): Phone (cell/pageL): Fax: Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: G:\Bldg.Dept.FonTIs\BP APPLICATION Rev. July 20, 2006 ..; 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 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 Impact 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 offour 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 Notif'y 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.RC. 104 . 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 permit to do the work and installations as indicated. I certify that no work or inst..allation has corrullenced prior to the issuance of a permit and that aU work will be performed to meet the standards of all laws regulati.ng 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 pefIllJit. II -1 j - #1 /J......c::i /J Applicants Name: t:,/Je (u d r::;,l'i.<'j'r: Applicant's Signature: d-IJ:1f J-~ Date:,,?? ,6-.07 Site Address: 7!JS-'-I ,~/VJ/;;'" ~C-.- / ~ ../ ~J For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this 4~ day of c~{_~, Lc ~, , ,200'7 , by iJq,-r-e{( r .~;-- .L- f 'C~'~...J' ---....1.-. '-( .::> I iCel ~WhO produced identification: S 3 (co'~., 173 ~ !co 3- cYlo . Oar Printed name of Applicant is personally kno ~r::;;:;"""" JOY LOMBARDI Q // ~ ,\ '(P ~~ . _. ~,,,r"'\f"'\ \'1 f~~'~~~~ MY COMMIS~IOI~ * lJLJ ^4860v4 / f?/ ______ Seal: ;',=*, "::~ EXPiRES, August 3. ,007 l: o,o;:.~."'..~ d Thru Notary Public UndelWnters /~/ L--"'--.-- ~-") '~1~~1!loF";""o..~" Bonde ~ ( Signature - Notary Public At Large lL..;;-'1111I\~\\ G:\Bldg.Dept.Fonns\BP APPLICATION Rev. July 20,2006 This form may be duplicated. BUILDING PERMIT FEES: Address: 7 S:C;- f V11 U J/I/ L f A- ~~ Building Permit per square footage:............................................................ ---- Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Building Permit based on valuation:........................................................... ---- Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Building Permit miscellaneous:..............?:?~................................. 6 C) --- 2.,..12.. o::D 's- Total Sq. Ft. (Living Area): , LBo .::>- I')(~ ~ Total Sq. Ft. (Enclosed Area): ElectricaL....................................... . .---- ....................................................................... Plumbing... ............. ......... .... ........... . ~ ...................................................................... Mechanical............................. ........ . .....--- ...................................................................... Building Permit Plan Check Fee........... .............. ...... ........ .................. ............ 22. 5-P Fire Dept. Plan Check Fee....................... ............... ................. ......................... -- ---- Radon Trust Fund: sq. footage ~ ................................. Concurrency Management Fee..................... ........ .......... ........ ............... .........~. --- Ca pital Expansion Fee....................................... ............................ ..... ................ - Total Building Permit Fees:...... fl'~ SEWER PERMIT FEES: Se1^ler Impact Fee....................................,................................................ ----- Sewer Tap Fee.......... ~................................................................................ -- Total Sewer Permit Fees............. --~ By: /JrJt;A~ Date: From:ClTY CAPE CANAVERAL BLDG. DEPT321 868 1247 02/04/2007 21:39 #097 P .0011001 - CITY OF CAPE CANAVERAL . AUTHORIZATION Citr of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920 (321) 868-1222 (You may download this authorization: www,mmorida.comlc8pe. You may fax to: (321) 868-1247. Date: o? .s:.o 1 Permit #: '* CONTRACTORS AND SUBCONTRACTORS & PLEASE HA VB YOUR SIGNATURE NOTARIZED 4ND SUBMIT THIS FORM WITH T1!~PERMIT APPLICATION. Company Name: ,h'ihL J!:./z./-;- /~5v I A. D/" ~- ;?/ ~ . / ~. I, ,; /. 7y"/t.... f~~. , hereby authorize ..' . "If! r/l -.JJ;f? c'ff- (Stail' Ucenel' Hoider's Nsml' - PLEASa PRINT) (Authorized 1'<<500 - PLEASE PRIN1) to obtain a permit on my behalf under my state license as issued by the Department of Business and Professional Regulation, Construction Industry LiCf.;;nsing Board C:~~-l j;( 5"'0837, (State License Nllmber) for the job site described. below. * For blanket authorization, do not complete. . Type of Permit ' ~'-J:"/J ////'- //~ ..- /1/t/l:- /7C!/c;//Pl qJ /~..?-. \-' , ~ , / ,/ Building Name of Property Owner Plumbing * 7f?5-tf /1Z1c?F~r;;/k ,Ltc- Electrical ' . /. . Mechanical ,-...." Address of Job Site Roofing a /cr- Swimming Pool .~ Specialty Structure Signa~e of Lie se Holder Other - Specify: Notary use State of Florida, County of Brevard and subscribed before :me this c') day of tckJV'd Of')-_ ,2QJl , by who produced identification: or is personally known to me. T\Tn'TA nu 'Ow.,.",,. ...._ HV UII\I t'UbLlC-STATE OF FLO ~ 1" . . RillA .t ma Hambrick ~oIlfmission # DD4764S0 tXplres' SEP. 27 20 Bonded Thni ),j-b:..:r-;,., . F ~ 09 ". "'~;'lcL La., Inc. G:\Bldg.Dept.l"orms\AullorizlltiOli Form This form Illlly be duplicated. From:CITY CAPE CANAVERAL BLDG. DEPT321 868 1247 02/0412007 21:39 #097 P.DOl/OOl CITY OF CAPE CANAVERAL . AUTHORIZATION City of Cape Ciiln&verai Building Depaliment 105 Polk Ave. Ca.pe CllllliYmll, FL 32920 (321) $68..1222 (You may dO'\i\l:tlloadtWs authorization: www.mvflorida.co:mlcape. You may fax to: (321) 868-1247. Date:.~, S' 0 ? Permit #: "I\- CONTRACTORS AND SUBCONTRACTORS ~ PLEASE HAVE YOUR SIGNATURE NOTARIZED ~ SUBMIT THIS FORM WITH THE PERMIT APPLICATION. C~mpanyName: 0"/6" ~~c;>/,7P/C 7dL!-.~ r~ ~ b '- (; . I,~07T /. ,(.)-/0/2/ , hereby authorize . r9;f;2 c' . }7lE// (Slide Lica.ee Holder's Name - pLl3ASa P:!tINT) (Authorized PllI'300 - PU!ASE PRINT) to obtain a permit on my behaifunder my state license as issued by the Department of Business and Professional Regulation, Construction Lidusuy Licensing Board El< a::> I (X) 9 '7 , (Slate License Nllmber) for the job site described below. It For blanket authorizatio~ do complete. . .. .--1 //'l //. // /J Type ofPemut ... / (~//,,",7Z. /7 C' /C1/d.C; c A"l <--- ~ l' t". Buildino N e of Property Q-vvner i!;;J - - Plumbing . * '/ Electrical Mechw-rical - Roofing I Swimming Pool Specialty StrUcture Other - Specify: Notary use only: State of Florida, County SWOn:l and subscribed before me this (""0,) day produced identification: or personally known to me. NOTARY PU13UC-STATE OF FLORIDA Seal: Tina Hambrick DD476450 SFR 27 2009 G:\Blclg.Dept.Forms\Aulhor'.zaiGll Form This form =y he dt.'PllCllted. .J l5\ ~ ~ ~ ~ 2- ~ t ~ ~ \...:. - - ~ ~, 0,.--...,. D- ~