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City of Cape Canaveral, Florida (% j BUILDING PERMIT PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 Permit #:4688 Issued: 12/08/20 Permit Type: ROOFING PERMIT Class of Work: 434- Add./Alt. & Reroofs Res. Proposed Use: See specific use - residential Sq. Feet: Est. Value: Cost: 11,293.76 Total Fees: 135 Amount Paid: 85.00 Date Paid: 12/12/2( 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: HIPPO ROOFING AND CONSTRUCTION II Name: TRSTE LLC TRUSTEE Addr: 461 FORREST AVE #105 Address: 501 E SOUTH ST STE B COCOA, FL 32922 ORLANDO, FL 32801 Phone: (321)631-1795 Lic: CCC1326980 Phone: 407-782-1069 Work Desc: ROOF TEAR OFF ONLY - SEE PERMIT #4646 FOR RE -ROOF 0 7 PLANS AVA 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 Ti iE PROiVISIrOiNS OF ANY OTHER STATE OR LOCAL LAW REGULA ING 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. sn rt ,1 ISSUED BY/DATE I RE/DATE City of Cape Canaveral, Florida BUILDING PERMIT /4688 PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 PERMIT INFORMATION LOCATION INFORMATION rtPer—mit #:4688 Issued: 1_2_/_01/_2006 —Address: 7554 MAGNOLIA AV Permit Type: ROOFING PERMIT CAPE CANAVERAL, FL Class of Work: 434- Add./Alt. & Reroofs Res. Township: 24 Range: 37 Proposed Use: See specific use - residential Lot(s): 1 Block: 44 Section: 23 Sq. Feet: Est. Value: Book: 3 Page: 7 Cost: 6,451.76 Total Fees: 85.001 Subdivision: AVON BY THE SEA Amount Paid: Date Paid: Parcel Number: 24 3723CG 44 1 CONTRACTOR INFORMATION OWNER INFORMATION Name: HIPPO ROOFING AND CONSTRUCTION 11 —,,Name: TRSTE LLC TRUSTEE Addr: 461 FORREST AVE #105 Address: 501 E SOUTH ST STE B COCOA, FL 32922 ORLANDO, FL 32801 Phone: (321)631-1795 Lic: CCC1326980 Phone: 407-782-1069 Work Descl: ROOF TEAR OFF ONLY - SEE PERMIT #4646 FOR RE-ROOF � -7 AP—PLICATION FEES ROOF/RE-ROOF 85.001 Inspections Required [Final Roof A_N_S_CJ_H_E_CHECKED BY:---- APPLICATION ACCEPTED BY: PLAPPROVED �BY: __ —NOT �ICE_Tl HIS PERMIT BEco 7ES NULL —AND VOID -IF _WORK O_R —CONSTRUCTION AUTHORIZED IS NOT NOT COM A—ENCED 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. ISS ED BYID IA TEE ',5,-/AUTHORIZED SIGNATURE/DATE YriY37:~. / ~ <<. ~~t ,4~v~ CITY ().F CA['F.. CAN~,VLR~1L . ;;'~str 'fir F3T 71LDING YLRMl"1' APT'LIt'AT'1()N _ C:i[y of Cale l rmavt:rflf L4uilding T)c;p,utme~d I pS folk Flvr. Cape Cun~rvar-,yl. FL. s292(j... )1 ((~i~ r--°- " Permit It (You tltav dnwnlu,fd I:Ilis al~plicalion: ww~v.rnyflo.rida.cot'r,/canc. You ttrny li,Jx to: {3'?1) Ri,5-1247. lrnpurlant: A che~.klist is provided oft the hack of this lixTll. (~nmplete the checklist and Provide ntl,er docurru:ntatit)n as indir:ateil on the ia,ecklist..A copy ol'cnntract rriay he required. Application ptteka4cs will rtr.,l. he acceplc.d unless ec~tllplctc. (:(:)N"1'1Zr1GTt)F2 WILL BE C:AI,LED WY1JiN .PERM~I'I' 1S READY. (C:onti•actnr/Owner-Builder is requirril to sign fi,r (hc hrtildittg permit. unlass indicated ul}u:ru'isc by .d'lidavit. LI). n,.ty be rcquirt:d') A(.iclress nf,lob Site:.'sr~°:~:;~ :.'"~a ,~'~3t'~,~99a_r~~e,r~ ,~-~t,a~~'.. l.e;al desert )l'iim i,f _ - - I Fl ~ propet~ . ~vu: ~ ~.att~°raic ~ SliC:. ,•si>rsu: 13i,1i. r-~ Lem I,H. r(,: :r Name of I'rq,e O'wnca-. ~ ~ 1 'r"•• . ~'~"r:,i~y,~s'd ~~°Jl:~"~Pro!)et'ty owtlet' phi,nc n , 1..~~;~"~•. ~ ~ „4 v.' t..~ Address nfi Pro c,rl. Qwner, t tuber: - ~ h y -~~r'r„~ -~i-~r; v`i,-.. --'u9 :'k~~ ~3°.r ~ ~ cam, ;°~~S k ~ Community Al>pearmcc Board apl)IV>vttl dR'tC: Y. _ Sire Plxn ahpro~al dttlc: -Yl? i~t~ 13uilc 1'crtn _ - it l3ricf description of work: - .elin~ ~„y ' . r•~ .J J', 1~, n Llil) 1 ~ ~ p-""' ~ - - y tVlc(.ha~ll~ u, • ftlC~ '1'y~1C i,f Syuara Coast. f of 4 of dwelling # ol• ~ of • • '1'Olxl valuation of wnrlc v l3t:liliilCt~~ ]=eat 1'Ypc stgries units bcdrnn,»S balhroc,ms t,.grrtrrtCt-e1i11 ~lr It ~ 4 _ ~ 'v Ap~t'tmcrtt - . ~ Other , - rclutect 1-:ns~ineer: - N~utlc of [)uaiitier: . _ _ _ _ et 8 Icense ]'hone office : )agcr.): ra.Y: Pt'Itn3ry t;ptlll'aCtol'. ~•~p ~ ~.">.~y;q`L ~ 't ro r, i• „ - - er~~,~ ~~,~.~~"y; li" ~.~,A'~~__ Na.rnc: of l,~uaf iffier: rl -,~~,~a ~ i t`;_a ~.e., ~ Acldress: d.7 ~ ,:a " ~ r „ ."~r.. _ ::r ~rA•-,.._ State l.,ic:enyc I~ , - ` 1:'ht~pe (oft~ce):.;~.~;$ ~ 1°-~~I hc,t-~z11I,a~~Ll'. - ,t +t ap:_~ ,I "s•~~ r L.Icctric:t.l Contractor: . • Nsrtrc of Qualifier: Address' - . . - btate License Ne,.; ( .---phi,nt.' . . Plume office ~ (relllpager-): l,ax: PlUnlbllt, Chlt[r3Cl.C,r: _ - Name of Qualific;r: - - . Address: ~I<itc. I .IGenSe ~!\i>.: Phollc of"I•ic~ ~ - • I~/1~CCI'IaI1K'itl ~orttt'aCtor: N:~.lllt; (]t ~ll$I111(:C: Address: ~ - . - "'i.itlc~ I •icense Nr~.: Plume {ot~ice): Phone (cell/p:j.~c,r.): _ b'ax: ~pccialtylClther ('c)rttrycl'tit'= _ Name of (;)ualitier: d rctis: StateiLnesl Lice^tse No.: Phone (ofricc): -Phone (ecllh~agec•.): Fay; (ial'ild}~ grrt.f'ont,;l prnnit AI'PI.ICATI[Jn' ]0-fi-flq GnF~'oN rani i~nNisr~nn nt~l~nnH n~~iN u~~G~: i qnn~ • i;'noN ~6~~ ~J uilrling Pcrniit Aphlicatiun (:hecklist (eeHeral rct uirerncnts - om feted Yi;rrntl ~ t lJC,ahcrlt ~ ` _ . _ Cancel r.4il, r.dmnrr t?L Lifd,; Curie U01-j as revised) C Y r. .P... ~v r ('e,rrent curve ~hoavin -rl I tru used ennsl'.ruction Also show an extsuna strucwres, cvsernenrs ulildirs, rrr.. Nntari~etl si:`nature - Owner/fiu l (tier Affi davit a nwoC t l~ ~LC111~, as contro~KO, - . . -Sctvc~t• fm )~n.l FLC, reL.ej . - I ~ ~ f l Nlu Ix dr,felrrd until i'.U. lJnlc:gs.luh is rriuudclin~ - Y -i-:Ctttnt fm tact I'ee fcL'L'i )t May Ue deft=rrcd tudil i' ci, -(::a itrll Cxp:i)sion lrnp.tcl Pi;e receipt tviaybc defeirrd until is [5 " . - Sid • • t.w;i.l . impact t~ce rcuet t • • . _ P, II',idcw~lk cwyl5 un Int kcvurded ~`afral;a Decd LYrool'of i)wr)ershi - - . (:n aY i:f Rccorderl Nu(re•c of Ci,rnr;;fcnccntent over :1;2,Sf1U) J'nortn first iuspcctinn ([ever S~,t)(7i7 1'ur Mcrlt1uical) - . :urret2T Workcr'g ('Urnp. Policy / lrxena )tli 'nn _ ltccor~ wilt !>C huptnn fi1~,tRur initiwl suMnitMi C'utnntunit A caraltcel3uard n ? ).rovall ~ For work viyiblr. flare ~Itblic )tight-Uf--way ~'1 . . S , Plannio~, altd luninS Board 5itc: 1' Ian A ~ t troval for nr'..• Consvucnt~u ul' 12ws units ur mnrr. :c t L urellis onus . ~rtttl8ly t.:ontr'~bCtOf`S _ Fug nrw cnns0 ucltun nni pml ul~unPi pvad site Eilaq State I,:IACr15L' - ~l.rii~rtl-wil _ - : _ I he >xcgt mt I ile after iiYil ia] auhmi l t, J 15ubcolZtratapr'S Autlaorizatlnns' he~curd will hi: ):cpt »tt filC ttfter miE Gal aihlniltaJ State Licensa Nattily liaiidin~ Tj~p,,rfuccnt of rontruatnr dtangts - a ~ Plumbing (:ont.rtlClor i lumftin, C-ontt'acli~r ~ ~ Flcctrical C:ortlrac.~tnr - laeclrical (_:otatr:jctnr . „Mechanical (~otalrtctor Mechanical C:ontractt7r ~ ~ - ~ RitUlin~ C-.rn~tt'~t~ac~r _ _ k2oofin~, Conlractnr _ - - SWInLtaltli; Pnctl Conu~ietur Swimming Poitl Contractor -:.-Gas i:onu•aklor (.i~?$ Contractor . ' S ui IIL !C)rher Ca~ntractor S eciah /Other (.'pnlractor " Couslructtnn !.)rtlwin~!s: ~ ~ ~ Per F A.C. 1Q4 , , . K . • - Two se1'.S ol-scaled CUtlstnlc.tlnn di'dWtn s (three Stay if eOtttlrierCial) ret r.t~.c:. Ina _ ` - _ Electrical I,,oi;tl C'tlculatior?s - - _ - L eclncal 12iser • • - Ali new Sctvices mu°1 (ir. located t~>~derground 1''hrgtliinJ; Riser - ' . . . AI(:1• out Twu sets _ ~ ' ~fi;acr~ C:alcu[atiuns - - - i .four sets nff~lre Su>>ressionlSarinklerrAlrttrrt Spectficaliuns Ttegtlrres Flr>r L)e~artuteflT review aJlil tt rova! I.nt Urtunage 5ur'vGy _-P-~' _ Paul T3arriia Rc wrenaznl Fonn sie,ned ' - Pool prunics wilt nql ~ ) be issued without hfuri,i AlJplic:a.l'.ton is hereby 1]iade to nhta.in a pcnnil' to do the work anti iltstallatictns as indicated. I cvatify th;i.t nn work or instrlllation has cofnsrycnced prier t(~ the issuance of a perr,rlil and tha.l. ,all work will tie perfortnod to meet tl•tu: standsrds and Icaws regulatin;; COnStt'pCt1C1J1 ltl tills )LmSCllel`IVII_ liy Slgllill~, ia~ll~llC1r11. a,lfil'IT1S J.1'lii't all affDYe IS tl'UC ialld Crll'rC:Ct rtJld Eha.l heJshe iti art authoricd a.t;ent of lltc ontrac;titr .a.nd the ()wl)er anil has the authority to a.rply t~ this p~~rrta'. /•1))J)IlCalll:~S I~?i711C: y~/yAt1 st~t..~,~-w..j t~.(~ r,,.~t,„.~~$ ~&ri '.:.c~. i ~ ` ~ ~~~;~I)f7I1L'iitlt'.S'~il~nta.rlal'~i ,i- _'-t' 'y"..+ DIfZ: _~`s.i. ~..rd;.a3-A ~ ~~1~. ~ ~L1Cl~E,'.,}~S~ 'i /~°~~°7. Z"o ~~'r t~,..~ T+" y'1~'~a•~ ~~yy ' n ~'~,J ~ '•~i}' w f~oc.Neylttry use only: Mate of 1'Inriil~ County u.fBrevard Sworn vid suhsca-ibecl bc.'fi~rc me this day t~f ~~~fs, bn, ~,yti:' , 20 'L(,• , by i'J ~ -~y 1.1`~;,/'~I,,}'~~~. N;tme uf:~pplit`;tttl ~,...~vh4 produced ic,lentificliic~rt: itr ? is hcr4onally known`,q~\~HAA ~~~,~4 ~ . ?ss o ~ber3r a~ - ~ ~ ~I!/'" .,{g,, f( ~I~ ~V~-~f. ,r 9 >a ` Sip,naturL - VntSCV k'uhE{r. At t,ar .a S~ ~ ADD 61pg56 ~ ~ i y OQ` C i7lrildu.l )rpl.Farrns\p~:rntil Af'Pf~•F(~~` ~L•\~ 1 /s/~~~~t! I!a 1 Il~to~~~\``\ • ills form m;ty Lie. dupficrttcd. ~ Gf1F l • oN Nf11 I'1f1N I ~N~'1 ~ nN I ~f1fJ?I f1rI~I I N WrIG7: I 4(1f17 ' 17.' ~oN City of Cape Canaveral 105 Polk Av. PO Box 326 Cape Canaveral, Fl. 32920 Phone: 321-868-1222 Fax: 321-868-1247 BUILDING CONSTRUCTION PLAN REVISION REVIEW FEE 001-369.2000 PAYMENT RECEIPT fJ ~ Q X l.!:'UI,jV Date: @1 liP / If; 7 {..........l /J,-.... ~ ~ FiAm 1 #11 Project Name: K 1-- {--< ~ Project Address: 7~54 /J1~fJI~/I/l- /!tJ-f ;J t/:f . Building Permit Number (if applicable): 4bF1~ Amount Charged per Schedule "B" Fees (e) (4): $ Z~~ Nanle of Piau Reviewer: t!(J1k~ / / (Note: Review of construction plan revisions shall be charged per hour or portion thereof @ $25.00) r< l-Al IS ~b It ;zm y1 n:;!':/ -- l!'" "0 ~ zs::~ ((trJl~ ,P~L ~'~ <.~ ~> ~~ ./if 50. ~ ~ G:\Admin\FORMS\Building Plan Revision Review Receipt.doc Address: -Z ~.... S--1 111 ~ WO 1.; /I- /hJz.~ BUILDING PERMIT FEES: --~-- Building Permit per square footage:............................................................ - Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): T"') _ , ~ 1 _1" ......... ... 't .. 11.. . ~ D ullUlng rermn Dasea on ValUatIOn:........................................................... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): B~iidi-~;.;~;~i;-~h,~~11~;;;~~~:...~..~../0.~Z~~~~-.!..~~~~~~:~~~..~...~...~~.~~c:::-.--=:.::6o::...~.:. ..... ----...... ~~~~-~:~--- (. l' Total Sq. Ft. (Enclosed Area): EI ectrical.............................................................................................................. ~ PI umbing..,.......................................................................................................... ---- lvlechanical......................................................................................................... . ~ Building Permit Plan Check Fee............................~.!:-.............__.....~.~.(~~.~.~) ';z5"" ~ Fire Dept. Plan Check Fee................................. ..... ....=.................................... .....--- Radon Trust Fund: sq. footage --_.~ ............................................. :=oncurrency l\1anagement Fee.............................. ......................................... ~. - :=a pita! Expansi on Fee.......................... ~............................................................. - --- ~ Total Building Permit Fees:....... <r (3 ~ ~ I). .85- .......- ,EWER PERMIT FEES: . 51:> '1-- f.Y:>rt-~t-~ .- ~-J!o ~u~ V - - - Sewer Impact Fee..................................................................................... - - Sewer Tap Fee.......... ~................................................................................ ------- I Total Sewer Permit Fees............. ~ By: (If;Ik~l Date: 91//o//;J7 I - 60'_0" 3'_0" 54'-0" 688 0 ~I~ / -' ('f) f'\ 1/ 1/ /1/ 11/1/ // // / LV 1/ 1/ / / / / "1/ 1/ 1/ 1/// V/ / /1// 1// 1// 1/ 1/ '1/ 1/ / / / / 1/ L VI/ /1/ 1/1/ 1// I/I/f V ~ /V SCOFE OF WORK v V V L REPLACE DAMAGED 2X8 RAFTERS AT 16" o.c. V V V 2. PROVIDE SIMPSON J-l2.5A CONNECTORS AT EACJ-l II/ II/ END OF NEW RAFTERS AND JACKS. V V 3. PROVIDE 61MPSON LUS21b AT INBOARD END OF / 1/ II/ NEW END JACKS. V V 4. PROVIDE 61MPSON SUL21b AT INBOARD END6 OF '/ NEW CORNER JACKS. / / 5. PROVIDE NEW SJ-lIMS BETWEEN RAFTER6 AND / / EXISTING WALLS WHERE 6HOWN THUS: ,-:_-.-.-_-.', / / I lb. PROVIDE 61MPSON J-l8 FROM RAFTER6 TO WALLS ... / ...... .. ... I I I I I I I / A T 5~!MMED LOCA TIOt~o.. V / 1. REPLACE EXI6TING DAMAGED ROOF SJ-lEATJ-lING V / WITH 1/2" CDX OR OSB. FASTEN WITJ-l 8d AT 4"0.c. V EDGES AND 12" o.~. IN FIELD. I-- r--- ~ V / I XI~ TINe ~B AFi ING WA L => I TIN J-lE Ie ~ Ep<IS ING BE JAR ING ~ALL 0 V , , /. GENERAL NOTES '<t ,~ 1/ ('f) - , "" V / ~ V L REPAIRS J-lAVE BEEN DE61GNED AND SHALL SE / S HIM RA TEf< TC E> ISTI 1/ ERECTED IN ACCORDANCE WITH SECTION R301 T< P :::>L,.::lIT :;,. ",DC H~ - l__ V / 1 1 f?' FLORIDA BUILDING CODE 2004, RESIDENTIAL. I / Ei' JACK 2. DESIGN WIND 6PEED = 130 MPJ-l ( 3 SECOND GUST). 1 - - 1- - I r V (TYP) 3. ROOF LIVE LOAD = 20 PSF. / 1- - -1- -1- - - - - - - - --- I 1/ 4. ROOF DEAD LOAD = 10 PSF. I V 1 WIND It4PORTANCE FACTOR Iw = LO CATEGORY II. / I I ' I I I i V i V WIND EXPOS.URE IS "c". I IV b. I V I 1. INTERNAL PRESSURE COEFICIENT = +/- 0.55 I / I / 8. ROOF COMPONENTS SHALL BE DESIGNED FOR I ~ I I 1 I I / AND PRESSURES OF / I --ti I I I I I / -48 PSF PSF ON 1 I I I , / i ! I / i I I ! ! II ! I II ! ! ! ! I I I ! , , I' '/ i I ~/ I 1/1/ I L/ / 1/ 1/ 1/ / / 1/ / // 1// / 1/ 1/ / / / / / / 1/ 1/ 1/ 1/ / 1/ / 1/ / // 1// Lv 1/ 1/ 1/ 1/ / / / 1/ 1/ VI/ 1/ VI/ /\ I I ~LJ/ I I I I I~ i i I , , , , , , , , , I , 1 1 I 1 I I I 1 1 1 1 1 '-, I I ! I ROOF FRAMING FLAN CREA riVE REMODELING I JAMES E. WALSH P.E. i 1006 KELSEY A VE1"~UE i PE NUMBER 46236 , ALL WALLS ARE NOT SHOWN OVIEDO, FLORIDA 32165 I I ALL NEW FRAMING SHALL BE NO. 2 SOUTHERN PINE. A Alj~ 3530 SUNSET RIDGE DRIVE ROOF REPAIR I I ALL FRAMING IS 2X8 AT 16" o.c. UNLESS i'-JOTED. 1\ .R r- r"'\ 1'*""\ t "T"'..,.... I I*'r r 5. I'lo..T r--. r-' r _ ........ ~ l""". ....... 1554 MAGNOLIA A VENUE a~~/o~ IVI J;;. n n I I I 1.::)\_1-\.1 'It U, r I-. .:;,c.::1:;)':; i END JACKS ARE 2X8 AT 24" o.c. (32 t) 459-3708 CAPE CANAVERAL, FLORIDA I I JOB NO. 9961 DATE: 01/08/01 SCALE: 3/16" = 1'-0"1 DWG. 1 OF 1 c:FN 2on63sa53.z, OR Bk 5721 Page 6312, -~•~~.~~,~.r~ ~ ur Recorde^d 11f2~f2pOG at 01:32 I''M, 5rott Ellis, Gaelic of (`Darts, Csrpv~lydC~un(y ~ !I Pgs~i --"--~..~r.... ~ ~~-h'f fl X10, _ ~ 1A.1.~ i~. . T,e X FO~!C7 NCB'. - -~~.w CORN?'Y OF Bg,,~,.VA.33 ~7 `"~~-23.r G ('3 0'O df ~f r a C3 (11 ~CJ~ `i~.CJ?~U~~ ~I„(,~ic'.P S~ tZ.:f~~-~~J ~ ,{,~7i f 4 c:.-~r,~v.~~at ;~i?i h~ azac t•• ' , ~ _ y tit: . ~ ~ v C,T:ai.Z, ~ - - - .wFtirr~ ^..iat:..a~a~.i~ p~.vi~;: ti~ ~r`C_" ` , ~-d :a :1~: -.~~~9a,~;r. ,~f•: ~11iS ~Ci t?~u~.C:7C:Y1IL';1C ` . i c;a cif sc n'upc,~ ~lzd l..•.5~, adc`;:r;:.; ii rrvkii_~i,c~~7.~ ~ /lig ltir/>~r r ply V ~o ~ ~ - ~ . ~ ~-•---V...~;,,, .cr~si~c~ afi:.~.pro~-..~~ur - - ~ ~Lr~/ :1_ ~J.:rr~-r,•-~o:.~~Fir:~}UO~v y I ff//LL~/~~ ,y~ ~~{a.~ _ ~L_zt_1=~ }]3i~.L?:l~gf T°° F,'TM'~a, ;Y1';.iGI(~4 ~f L~c L.8>1 G'R'ac j; 6 1,-, ~.~C"v~i.Yv~1.i (~rrr,c sed slc:~::) ~y k.... 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Slavers CN::::cnis5ion :~hu55S03"/ 1k[y Gomm.l,:~p1Te5: 'J ~`,f U4I2010 G ~~I Cf1Fl •ON Nf~l I.'1fl?IICN(1:1 ~ hNl~flflN ~~r?IN W~IQ7; I gflfl7. ~ 17.~AON FRL1M ' C 1 TY OF (;Elf'E CANAUf=RAL FAii Np. : 32J. E'E~8 1287 Aug. L~,3 2F1G_I~ 10: 39PM P3 CI~''Y OF CAPE CANA'UERAL City oFCnpe Cnnavero] Building lleperirnenr ltl5 Polk Ave. Cape Cotiavexal, FL 37.9ZQ (321) $6$••1222 F 1 L l-~'~ . {You may dowt{Inad this anthorizatiorl: tvww.rnvl~anda.com/ca~,F. You may fax to: (321) SG8-124?. Q Date: .P ~!4 r„ Permit, ~ ~ ~ 8 a' CUiv't`RACt~oR.S AND SUBCONTRACTORS - PLEASE HAVE YOUR SICsNA"i'UR.F, NoTARIZI?D AND SUBMIT THY5 FORM'~'~ITH TH17 PERMI"1` APPLICATION. P, . s Company Nsme: c r~ 4 .~h ~ ~ ;a • ~ . . _ b . I> '1 0 ',,,aj~`'+r_.''~7r~ ~ C~;-~'3~' ~ 'y k;.~~ ~+'~'`.N''` her~byautharitc _ ..i.~^`:~:lr.. ~ ~i.~'ti t' ~ ~ ~>i~ (Styes IJLcase T-fo{dcr`5 Nnmc PC.~ASL: PRtN~ (A~ydepris~d Pe~ecm _ P1 1 ~ e ~E PRlN7} to obtain a pr.{mit on my behalf under my state license rss i55tteCl by the i3epartment of Business and Professional Regulation, Construction Industz~v Licensing Board I ~ ` J, ESt9ie iicoise Number) for the~c~b site described below. For blAraket autltarizatinn, do rant eornprFte. 7~yge of Permit ~.,~y ' .t;:~,.~+.i"li ~y:_;~.~ Building Name of1'roperty Owner. :~~~'V;'~`~'~~'~`~'~„ Plumbing _ ~ Electricgl ;~'"~,.':,~w..~'"sue°' `,:4r. r~^'~~.i'_ Address of'~'ob Site WMechenical Roofing _ / J Swimming Idol ~ ~ pie w._ S ccialt ;5tructtiuc ~ Sigtt~~t .ot':Li,C~n~~~~o~'d.~r.. P Y , . 4~ , E~t11e{' - SI]ZCI~y.~ d '~'.'._i_4~,'{ 4~",~ ;y'_ ~ 3"'•~ r',. ;f9f~a,. y-,r-1 .uaF~c~°t}:. ,r'~ ~ys> J"' @ r Y ~7''e,,1~, s: a ''.l?o~<~Tp~t%y use ori~y; State of Florida, County Uf Brcva d Swami and subscribed Before me chit ~ ~ ~ day of ~f~~. nLr~'„a°~._ ZO , by : Fjp" ~ ~ ~ ~ ~ T3arne of pp cant who produced idejp~gA~~~_ , or 1s pcrsnnaily k~~i#~ iii ,GOMailssro~~~~% :~JV~tpber3! ~ f~;~ r ;i v Bip456 ~ SignarilrE -Notary Public AL I.ar~e ~~~~~'1-,r~~ Wed tlx+~ rpm ~0~~ G:~B?do;.D~r[.Formy\Anth~~~r~~j'1<~~\\ '[his fomt 1r~ay be dttplicnlesl. I CflFl •ON N(li I'1f1NICNfI:~ ~ hNI~M?I (1rIrIIN W~ICZ: I gflfl7 ' 17'nON RDP9 : C I T`r f~JF CAPE L,ANHt)ERAL FAX Np, : 2 i36t3 1217 Aug. fps ?0l~5.1~:3gAf•t P1 CAPE CANAVERAL BUILpING bEPARTIVIEN7' {~oofin~ Permit Appiication Requirements Cor)fracior ~ 1 i ~ r d~r dt .d; i ~„`:`~°~4, 1 ~ 4' ~ , " ~ ~ " ,r.,. a , , , Phone ,.r t .!w ti °y ~.a, "~s~.~_ Jvb Address ~ v ~ ~ k v. ti 1 Worfr Oest:rt t'1 / }r4 ~ ,p~ p' i 1. Y (7n ,J 1 r~ . '4 ...'FA y;'"• r ~ 4_~ L ~ f { p..,~ qi, y~,. ~ ~ ,:r j`~i~'Iw ,t ~ . »~C~UIR~D 1TfiNlS: 1) One (1} completed APPLICATION FOi~ BUILDING PERMIT. 2) Two (2) copies of the Rnof 5pecifrcaliorrs for each type of roof covering, (Not rAq~.,ireG for #ypicat shinglesj.. Roof pitch (slope): ~:~'z.:.• fn Roofing Typo Ares Weight or Specificafton Marlufactvr2r Deck lnsul~llon - City of Ca e Canaveral b) Tile: °ERi~iITTE~)~ ]~l R~l(~10N sq• PERMIT No, CC?? ~~77 c) E3uilt-Up: s9- REVIEWED y ~d~~ Revvew oTtKiS-pl~snMant nr~ae-uiolatson~ d) 5ing1~-pry; W_~, Sq, r - i_ any local, state or federal codes, ordinances or statutes e) Cher Type sq ~ ~ - 5) Rooriny shall 5a applied in accordance with the Florida guilamg L""ode 2001 L-dltion, Sectipn 1503, Roof C4vt'rings and Che >utanufacturer'5 Current Puhllshed Rppllcat[on Instrut;tions- INl=ORMATIONAL NOTES: Z) All Asphalt 5hingles Installed 1n City of Cape Canaveral Must Ccmpfy Wlth A57M D 3462 or 5hingies Made With Fiberglass Felt and With ASTM b 2?5 For Shingles Made With ~rgartic Felt. Alf Aspt'talE Shingles Shalt Dave Factory-Applied Sc1f-Seal Strip , ar 6c Interlocking, All types of roofing shat! be installed in accordance with the marsufacturer's gpeclfic3tio~~~ for Niyh Wind Ace~S. vasphdtt strip srstngles sr7atl be fasteners par {F[iC. Sec 7507.3.6 a 7~t71.3.1) '3} Any roller! ;heathiny or fascia 5h211 De replaced, F2ot'ted ratters ar trusses shall afro be replace end will require a licensed general crantractar to obtain a separate structural repair permit. { FaC, 52c 1503.4,1.1) . • 4) Uncverlayrnent for shingle roofing for slopes less tt;an 4:12 dawn l0 2;12 5~?alI be two (2) layers of asphalt saturated fells applied In double coverage, or a self-aQhe'ring polymer rnoditiad tslturninous sheet. {FBC. ,ee 1507,:!.8) 5) Re-RaoGng (recovering) may ba gpplied over oily one {1) existing layer of sound roofing materials fns s maximum tot,31 of lwo (2) layers. (FBC Sec ;s7o.3) A copy of the Rooflrg Spec{ficatiotls shall be kept at the )ob site glong with the permit card at 011 tirtses. Thy pPrR71t card sha[I be conspicuously displayed and protected from the weather- (Fee, see 704.6,3) ' 7) Sv-t7edulP roofing inspections {call one day ahead) so that #hz inspPcfor can see thr rnnf covering Installsfion whim still iri prcgresa, (FBC, bee 704.3 ~ CCO 3©-413) ~-~-A.~y~,s~,_ h• ~ _ PATE: ~r ~_;~-f.~ r r'; tY r CCNTRAGTOR'5 SIGt~lATLIRE: ~ ~~~i .%f~s` ~w R~OFINO_tsc_l,~.T 4f15/02 a cnni•ot~ Nnll~n?II~Nn'1 ~ nr~l~nn~ n~~1N w~4~:i 4nnz •~7•noN ~av 15 06 06:06a DRRRELL STREIT 40~8~59316 ¦f~ Gov- 2DGE S:3~Fn1 HIPFO ROOFING & CO~dSIHUC11Un' rvtl•I~oy r- ~ P•1 l~ ~LL1;~~ ~ 4fi1 Fnrresi Avenue coma, FL 3222 ~y r t'hanc(321) 631-175 CFiiY i~/'S7 $ Y~~o-w ~~,1. ~2k (321) 531-179e _ S,T~ ~~~/A / E-Mail; HippoCorSStructit1nC~msn.com Customer ' r! r rl1f~ .'°r•. r- .i'.?~': i C .S err: D81e 'r h L-_,.,........,. .IObff • RAdresg .3,:Y._ ! !`~`s`• . .`J`'. r'_ C11Y FL Zip 3~ `i';~ cs dome a w - ,.s'` • nrk 1< Y~ ~r=131 ~ Cell $ PsrrRll Sourl.e • r.ousr. of ~~rrlaae a wine rs Gebli, Home Irnprweliiel~f LS.N, vtsnl; (qy ,.tt€') (t h"1 • Hel:ot[er F9no1. whl~ C] `ihrr~IH4's :Ainglcd J r)rncr•. gout Pilnh QJ!en I~p antl Mz+ul OM Roofu Yg Trash D • ~~Ivrp cr t~r,inrylrr: O 3-rrli ArchitaCiurp! ~ tjther_•.__, nnYgnekic t4oll lar Nnils D • i:olnr p1 ChinglC4 ,.r,,. M19• ~'IrGI6C! C~ulte:r3 ti 5hrt)es n 7trsr-Ulf . Ti.:h t:)It LityurfGl R Put Uown Now aqa Felt Gammsn+ er _ ~Jo(= f'`'~' ~ Yrar IY1Hnurptturnr Limited W~rrarly vl~.;r. •"v Ir; x'_..~n_.c. • • ',•,a, . Lt Jj`. • Y~ f . • • Vullrv il'yPti) O soma C] N/Jllp u Other :.~r~.`...t,`< sz.~ . i~ Qa:$CgfPT10N nuwrvfl7Y UNIT OF ME2SUpE UN? COST REOLl4CEMENf cp~7' SPEG/AL f1115TAUGi701VS ' 1Nxlnr.r Nrw r.YUNrIES sa. U 3-TaQ O nrrilneclwal yvLrtJl~c - nKal•Tf;•r,I[ WaIE/r 5r1iH[Ek e[I, ~ Cueminor &Inerna ,Y/95 DNn uP[;Ilnhr -:[nvq op6H.SytNG~E nq• Cv7omer E+IDLrtU Yes QNq wa X410 FOCE ~S tJEEUtD Id _ _ - Golm 11/1'ItjurrrR<a,:ntEEh6ti 1.1. INCLLICIED . I;rrrr sp. 2 1'LNIY t•Q• _ 1i47 Inura vrNT 1.1. D M,lal Ll N,IJ Uvu' . .r>ICVnruT, r,n. nnlvnu.rY 1.r. ~ I] hM.ylr, L'1 r,lnss l.lttrn UCurti nllt tlc)I1 fh tls. INCLWL~ti (111)1 __..~f'-1 --1~•1 -f~•1 LiERiils Fl:MllJal sp. INCLUDED vrFM1T SEE c, , Il+b~ar11C9 ,nz' . Horn d7f;Ctl~fi~! TRIM _ 1.111 MINE ux • MnTrR1At. 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BY ~ ti c~~i •oN Nnl I1f1HI~Nn'1 ~ nNl~nnN n~~(N w~G~, i gflfl7. • ~Z•noN_ I City of Cape Canaveral, Florida i BUILDING PERMIT 4646 I PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 I ............... .......................................... .......................................... ~ PERMIT INFORMATION ~ LOCATION INFORMATION Permif#:4.64.6- Issued: n11672006, Address:-7554 MAGNOLlAAV -- Permit Type: ROOFING PERMIT 1 CAPE CANAVERAL, FL Class of Work: 434- Add.lAIt. & Reroofs Res. Township: 24 Range: 37 Proposed Use: See specific use - residential Lot(s): 1 Block: 44 Section: 23 Sq. Feet: Est. Value: i Book: 3 Page: 7 Cost: 15,000.00 Total Fees: 125.001 Subdivision: AVON BY THE SEA f. Amount Paid: Date Paid: I Parcel Number: 243723CG 44 1 CONTRACTOR INFORMATION i' _n_u_.. OWNER INFORMATION ---- --------- Name: UNIVERSAL ROOFING GROUP, INC. i Name: TRSTE LLC TRUSTEE I Addr: 3920 EDGEWATER DRIVE ! Address~ 501 E SOUTH ST STE B ORLANDO, FL 32835 I ORLANDO, FL 32801 Phone: (407)295-7403 Lic: CCC057165 .. Phone: 407-782-1069 Work Desc: RE-ROOF TORCH DOWN PER SUBMITTED SPECIFICATIONS f"..' -. ........ --- APPLICATION FEES ROOF/RE=ROOF 125.00 I I . ! I I I i I , I I ! i i I I ' I I _ ____ j _I __ ~nt;p~~tionsRe~Mired Roof Sheathing i Fina Roof i I , j Ii I I , I ! ' i I . , I i I I I i ..........._..... APPLlCATIO~ ACCEPTED BY: .. PLA1\lSgtlECKED BY: APPROVEb BY: .......... .. .... l NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR -l IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED. I i HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THiS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL i PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR I NOT. GRANTiNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER I STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF I 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. /~ /) .. /7 /(/ / I ) / , /j _~- i / . ' .".:1.,_, / ' ~/ I / / ~// 1/,</ // . . \/ /t rVi/fad/. \ Ii 1/.-,/"1';/_// /.. _ ~ f/ .../ . / /7 I \~J7!L/ n'iS?JEDASy!I5fFE If/! // -Cl7T <~tJ-tHO~D SIGrfATUREtD:A:T~ Date: ~G,-_~i. CITY OF CAPE CANAVERAL Tracking# BUILDING PERMIT APPLICATION Permit # 4 6 ~ 6 a (321) 868-1222 ~ ~ City of Cape Canaveral Building Deparhnent 105 Polk Ave. Cape Canaveral, FL 32920 Ir! ~3'~ Ci(~, You may download this application: www.myflorida.cotn/caye. You may fax to: (321) 868-1247. All applications mu me u e e 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 BE 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: ~5~ y ~,g~,~,~ f- Zoning classification: Flood Zone: Legal description of property: TwN: RNG: sEC: svBD: sLx: LOT: Ps: PG: Property Owner Name: ~ _ ' , S l L' Phone: yv ~ ;7~i~ - /Ca ~ j Address: ~-'.G; j3~x ~7 G.~~/5 Fee Simple Titleholder's Name (Mother than owner>: Address: Bonding Company: Address: Mortgage Lender: Address: ~ Type of Permit Brief description of work: Building Electrical Plumbin Mechanical Other usC < iN Type of Const. Occ- FPL lines City Sewer Will this Square Type upancy currently available structure # of # of # of # of Valuation of work ,f Building Feet (IA, 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 g ownhouse $ partment $ ondominiu $ Architect/Engineer Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.}: Fax: Primary Contractor Name: " r Name of Company: si £ i Address: 3 ~i~~~ z.~,g~zrr~ / ,r~~ State License No.: CtiO~ ~ ~ cps Phone (office}: yo'7-,~9s°-1903 Phone (celUpager.): Fax: Electrical Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Plumbing Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Mechanical Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: G:~BIdg.Dept.Fotrns~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 Comp. Policy / Exem tion Record will be kept on file after initial submittal Community Ap earance Board Ap royal For all work visible from Public Right-Of--Way Planning and Zoning Board Site Plan Approval For au new construction of Four 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 Notify Building Department of contractor changes Plumbing Contractor Plumbing Contractor Electrical Contractor Electrical Contractor Mechanical Contractor Mechanical Contractor Roofin Contractor Roofin Contractor Swimmin Pool Contractor Swimmin Pool Contractor Gas Contractor Gas Contractor Specialty/Other Contractor Specialty/Other Contractor Construction Drawings: Per F.B.C. 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 Plumbin Riser Plans must indicate person responsible for design f~/C la Out Plans must indicate person responsible for design Two sets of Ener Calculations Plans must indicate person responsible for calculations Lot Draina e Surve Four sets of Fire Su ression/S rinkler/Alarms eClfiCatlOnS Requires Fire Dept. approval prior to issuance of permit Pool Barrier Re uiremerit Form si ed 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 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 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 of the Contractor/Owner and has the authority to apply for this permit. Applicant's Name: ~~2E ~r,~f~i~- Applicant's Signature: Date: tv - ,l --C-4> Site Address: ~"~5 t~1'1Cc;ll~- I<<, . For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this 3 t day of C ~c _~c ~ t' , 20c~~ , by ~~c:~ r v l ~ Yp • `~~r e 1 I- Printed name of Applicant who produced identification: . ~ .(-'~`5 ~ r: `1 3(!~ ~SC.`tCor - is personally known to me. _ Seal: ~ ~ , .cv~~,,~t Signature -Notary Public At Large G:\B1dg.Dept.Fonns\BP APPLICATION Rev. July 20, 2006 This form may be duplicated. IYov 1'~ 06 09; 39a p. 1 Fran:Cl T1' CAPF C~4NAVEI~AL SLUG . UEf' I ~'l l ~ 114 t 11t ? !t"L[kJtf ~uu ? x uu uu i _ cIT~ a~ c~~ c~v~,v~~ A?UT~iORIZATION CORM City of Cape Ceaevernl BuOdin~ I>eperonml 1 DS Pone !\ve. Cape C#Aa.atii, FL 32920 ~3zz~ ~~-~~iz (You uaay download this aut6arization waw.myfloridD.oom/_caaG. You mny fax to; (321) 868-1247. Date: ~t ~ ~ ~ Pc~znit _!~w CONTRACTORS AND SUBCONTRACTORS -PLEASE HAVE XO[JIt SIGNATURfi NOTARIZID AND SUBMIT THIS FORM WITH THE/PERMIT APPLICATION, Company Namo: ~ G-cr ~ ~ U r> ~1r- ~ ~a V~ ~ ' I, ~ v1 l ~ti , h©reby authorize IVY A y ~ ~ ~ ,r.:~ ~9ott. V case Kaae~. H.me - Prise r&nvey G+io~a«iaa Pa.oo - {~'asL' retl{~F to obtaixr a permit an my behalf under my state liccn.Se ~ issued by the D~pattruent of Business attd Proft~siot4sl Regulation„ ConsorucEivn Indu9try Lict~rsiag, Boazd l ~ J (slue tics Numte9 fox the jab site dcsmbed below. For blanket autharizatio~ do not eon~p~etr T e o ®it ' IIvildiag Name of Pmpcrty Owner Pluurb$ng , Plea] Address of Job Sii~ . TMechanical J/ Roofing ~ Swimming Pavl J-` Specialty Structure ~p~ of license 1!~0] der . Otl~cr- Specify: For Notary use only. State of Florida. County of Sworn end subscribed before me this 1'~(~~', day of G '.Ir 20~ by ~ ~ I 1 l f-l who produced ideat~iicatioa: ~ or i9 po~SOt=ally )mown fp me_ NOT.~1iiY r'UR~IC-5'I~FE Dt~ Fi.ORiDA ~ % ~ _ Tura Hambrick ~ ~ lr Seal Commissiarl DD476450 5i - oa~y PehLc Ac 1:ara~: Expires: 5EI' 27, 2009 l3ondcd TLru AiL~nliC ~3undins; Co., Inc. 0:~81~q.r~ep~.FmnV.whmiarion Parm '[bii ti:m may De tlvpiie=say, CITY C1F CAPE CAItTA~ERAL AUTHORIZATION FORM to3ro~~~ c~c.~a~t,~3as~ fir) s6g-isx~ (You may dc~rornload this anthotization: ~mnvmvl2orid~..cc~cx+t~ Yen may fax to: (32l) 868-124. t o ; ~ ~ ~ o~ Permit 4 6 4 6 CONTRACTORS AND SUBCah~ITRACTORS -PLEASE EIAVE YOUR SIGNATURE NOTARIZED AND SUBMIT THIS FORM iVIIIi TEIE PERMIT' APPLICATIOl~d. Ga~pany Nam~_ 1,1 y. ~ ~/.e s.-~~ ~ ~ r~ 'v~ o, r~ e 1, e N t' c.~C , hreehy anthariu ~~y~~ ~ lj'f ~/.e ~ c~timsett~s ~-tt~ttotry cam-et.El~SEt~a.~ to obtain a gamut an my behalf under my state li~ as issued by the Depm~nent of Business earl Professional Regulation, Chan lndustrY L"ta~~ing aaazt~~C~~l`l ~ W ~su~r~rra.~ for the job site described be~~v * For blanket authorization, do not cm/nple ` ! j L- T~e of$dmi; ~ Nsme of Y O ph~lm>g £ ~ Ad of to e~anical - Roam S~~y Snrncdme Signature of L ic~nse Holder Other Specify, Far Natary use only; Stat+c of Ilorida, County of H~a ~ L..J{ 1 1 1 l ~1. ~ l.~ S~r~un anal subsrn'bed be£onc me this~~ day of~~, 20 ~ by [~1. Or is pe~adly lona~n to mc. NOTARY PJT3GICa5`~A`P~ ~L~RtD~ ~ ~'ina Harribrick _ . ~ ~ ~ ~ominission # DD476450 Expires; SEP. 27, 2009 Bonded T~4na Atlanri~ Bonding Co., Inc. 77~~,a„~. {'iaSld~.t?~t.Fam~~oc?awa~ r~acm ~6C 1~1,?Q0~ 07:3it y 3?i 8S8 I2~7 Pa9« Brevard County Property Appraiser-- Online Real Estate Property Card Page 1 of 2 ,lim Ford, C.F.A.. 1~1'O~#3t''~~ Proper#y Appraiser - ~ Brevard Coun#y, FI ~ Res~arGh [Home] [Meet_JimFordj jApp_raiser's Job jFA~ General Info) jSav_e Our Ho__mes] [Exempto_nsJ [fang_ble Pr~e~j [Contact U j [Locations] [Forms] [Appeals] [Property Research] [Map Search ]Maps 8 Dataj jlJnusabl_e P_r~er ] T(ax Authorities ax Facts jEconomic Indicators] jWhaYs New] [Links1 [Press_Re_le_ases] LTax Estimator] General Parcel Information for 24-37-23-CG-00044.0-0001.00 24-37-23-CG-00044.0- Millage Parcel Id: 0001.00 M~ Code• 26G0 Exemption: Use Code: 820 Address• 7554 MAGNOLIA AV, CAPE CANAVERAL, FL 32920 Account• 2434103 Site address information is assigned by the Brevard County Address Assignment Office for E9-1-1 purposes; this information may not reflect community location of property. Tax .information s._available_at_the_Brevard_Count~Tax Collector's web_site (Select the back button to return to the Property Appraiser's web site) Owner Information Legal Description Owner Nam~~TRSTE LLC TRUSTEE plat Book/Page: Sub Name: LOT 1 Second Name: 0003/0007 SEA N BY THE BLK 44 Mailin Address: 501 E SOUTH ST STE g B View Plat_(redures Adobe Acrobat_Reader-file City, State, siz_e_may be lame) ORLANDO, FL 32801 Zi code: Value Summary for 2006 Land Information Market Value: $180,000 Acres: 0.14 A ricultural Assessment: $0 Site Code: 0 Assessed Value: $180,000 ~ Homestead Exemption: $0 ~ (Other Exemptions: $0 Taxable Value: $180,000 This is the value established for ad valorem purposes in accordance with s.193.011(1) and (8), Florida Statutes. This value does_not represent anticipated selling price for the property. Exemptions as reflected on the Value Summary table are applicable for the year shown and may or may not be applicable if an owner change has occured. Sales Information OR Sale Sale Deed ~ ~ Sales V Sales Book/Page Date Amount Type Screening Screening Vacant/Improved Code Source 5570/7341 11/2005 $100 TD I 5495/6404 6/2005 $200,000 WD I http://www.brevardpropertyappraiser.com/asp/Show~arcel.asp?acct=2434103&gen=T&tax=T&... 11 /17/2006 CAPE CANAVERAL BUILDING DEPARTMENT - ~ Roofing Permit Application Requirements - Contractor ->h-,~~ ~ocvF- Phone. ~7 ~S"J ~ 7 ~ ~ _L_~-_- Job Address --~'%.~,-mod _.~LZi ~ ~ c'~ l Work Description Lt f~~a~~r ~/~r°4a / ~ :ai REQUIRED ITEMS: 1) One (1) completed APPLICATION FOR BUILDING PERMIT. 2) Two (2) copies of the Roof Specifications far each type of roof covering. (Not required for typical shingles). 3) Roof pitch (slope): ~ Z in 12. 4) Roofing Type Area Weight or Specification Manufacturer ~ Deck Insulation a) Shingle: sq• b) Tile: sq. c) Bunt-i1p: sq. d) Single-Ply: sq. e) Other Type L sq.. ---~=o"~^' 5) Roofing shall be applied in accordance with the Florida Building Code 2001 Edition, Section 1503, Roof Coverings and the Manufacturer's Current Published Application Instructions. INFORMATIONAL NOTES: 1) All Asphalt Shingles Installed in City of Cape Canaveral Must Comply With ASTM D 3462 or Shingles Made With Fiberglass Felt and With ASTM D 225 For Shingles Made With Organic Felt. All Asphalt . Shingles Shall Have Factory-Applied Self-Seal Strips or be Interlocking. 2) All types of roofing shall be installed in accordance with the manufacturer's specifications for High Wind Areas. Asphalt strip shingles shalt be fasteners per (FBC, Sec 1507.3.6 & 1507.3.7) 3) Any rotted sheathing or fascia shall be replaced. Rotted rafters or trusses shall also be replade and will require a licensed general contractor to obtain a separate structural repair permit. (FBC. sec 1so3.a,1.1) 4) Underlayment for shingle roofing for slopes less than 4:12 down to 2:12 shat! be two (2} layers of asphalt saturated felts applied in double coverage, or aself-adhering polymer modified bituminous sheet. (FBC. Sec 13f17:3.E~ 5) Re-Roofing (recovering) may be applied over only one (1) existin~t~ er.~f`~~ndf offing materials for p maximum total of two (2) layers. (FBC sec 1510.3} ~r., ~i~" , ~",*~,~o,,,_ ~i 4~~ ~Gi 7i~, t~~, ~ 6) A copy of the Roofing Specifications shall be kept at the job site af¢n~~~ ~ rrrctar~t ail times. The permit card shall be conspicuously displayed and protected from the`~'~A+e F secE3'~~, ' ~ ~ ai 7) Schedule roofing inspections (call one day ahead) so that the inspector ca`r~,~s~ ~h roo ov~q installation while still in progress. (FBC, Sec 104.5 & CCO 9&013} `r~, '~i" t0~ a`°s v`'fh . GrGj. ~ / V CONTRACTOR'S SIGNATURE: - DATE: G~~`l~o ~G~ ftOOF3NG_CK_LST 4/151~~ UNIVERSAL ROOFING GROUP 3620 EDGEW A TER DR ORLANDO, FL 32804 407-2957403 CAPE CANAVERAL BUILDING DEPARTMENT 1/31/07 105 POLK AVE. CAPE ACANAVERAL, FL 32920 ATTENTION: DENNIS 1'/"1, , :.y' L( (.: '-[ i.f' /" ( '" - RE: OUR JOB 38659 5'1 ,<) CllC<- ROOF REPAIRS 7554 MAGNOLIA AVE te' CAPE CANAVERAL, Fl 32920 ENGINEERING DEPARTMENT, PLEASE REVIEW OUR SPEC. SHEET ON OUR ALTERNATE DRY IN. OUR ALTERNATE DRY IN IS A BiT MORE EXPENSIVE BUT SEEMS TO BE TWiCE AS DURABLE AND LESS CHANCE OF ANY LEAKAGE ON THIS PERTICULAR FLAT ROOF TfPE. SPEC SHEET IS ATTACHED. PLEASE CONTACT DARRELL IF YOU HAVE ANY QUESTiONS AT 407-592-6588 Sincerely, 504 7/2002 -~ ,,, '"~-'"~"'~'.~ ,..= -= """M~""'~>::'^"= """"""'" "'''''''-='" "'"'''-'' '" ~~= ~ "="~ <'''' """"'3>"==~ "" '7;!*'5o%"'1:~<~"t~"'"~""'W(\" "K"'0"t""""i*"'ti\Y\),,,,"iWV~~l>'i,$....,;.n,,,, n,r'~ii:fi;2""'t"h..;;;Ii"*"~"",t,.t;;;;;;.~",, ~ , ~ " "" ,""" ""'"'>'" , '. J'ECBm I CA~, J"N,e:QaJ~l'~JsJQ:N:""~~$',FrE:E'T."""h'" '.'''' "."." '".~' m;~ t= ,~}~-~. ~ 'I; ""' _ <' , >.- 'f'110~~I~...~ I Sand Surfacing ';BU~l"~C1S00~tMN'l"". M B BASE SA Glass Fiber Mat Firestone Item Code: W71 FSS30SA - DESCRIPTION: Man...faet...Fe~ i!"\; gl\} ti~' $(lQ;~ ~eg:~ste"'edJ;F~~j,I~t~"~_,;; Firestone MB Base SA consists of a Styrene-Butadiene-Styrene . (SBS) self adhesive rubber modified asphalt reinforced with a : .'rD strong glass fiber mat and coated with a fine mineral release ~ agent on the top surface and having an opaque release film on ~~ the bottom surface. Firestone MB Base SA is designed ~$l~$!JII/!t specifically as a base layer for use with all Firestone Torch Certificate Applied Modified Bitumen assemblies. Number 99-1 07 Roll Width 3.3 ft (1 m) Roll length 99.7 ft (30.4 m) Net Coverage 300 sq. ft (27.9 sq. m) "Subject to the conditions of Approval as a Roll Weight 951b (43;1 kg) Roof Cover when installed as described in ..h..... ...., 11"1"....1""1'" .......-.Ii+i......"" .-.~ i-hl""l Ci\/1C,."'''\; r\1"'\1'"'\,........\.I~' APPLICATION METHOD: LIIV" \JUIIV"lll V-UllIUII VI L11V" I lVIllV nt-'t-'IVVo.l Guide" MB Base SA can be installed over Firestone ISO 95+, ISO 300, Firestone Dens-Deck Prime and other properly prepared - Firestone substrates. ~:;U~.. .~ B ',$I. '- ' STORAGE: Type G2 Coated Base / Ply Sheet for Roofing Systems All material should be stored out of the weather in a clean, dry As to an External Fire Exposure Only area in its original unopened packaging at a minimum of 50 of 61P2 (10 OC) and a maximum of 140 OF (60 OC) so that it will be a See UL Directory of Products Certified for Canada minimum of 50 of (10 oc) at the time of application. If material And UL Roofing Materials must be stored temporarily on the roof before application, it must And Systems Directory be elevated from the roof surface on a pallet, stored on end, and R9516 covered from the weather with a light colored opaque tarp in a neat, safe manner not to exceed the allowable live load of the storage' area. ENViRONMENTAL BENEFIT: Pallet Size 48" x 39" (1.1 mx1m) This product contains 0% by weight of post consumer recycled Rolls Per Pallet 16 materiaL Weight Per Pallet 1,580 Ib (775.6 kg) Pallets Per Truckload 28 This sheet is meant only to highlight Firestone's products and specifications. Information is subject to change without notice, Firestone takes responsibility for furnishing quaiity materials which meet Firestone's published product specifications, As neither Firestone PRECAUTIONS: itself nor its representatives practice architecture, Firestone offers no opinion on, and expressiy disci aims any responsibility for the soundness of any structure on which its Take care when transporting and handling Firestone Modified products may be applied, If questions arise as to the soundness of a structure, or its ability to support a planned installation properly, the Owner should obtain opinions of Bitumen rolls to avoid punctures and other types of physical competent structural engineers before proceeding. Firestone accepts no iiability for any damage. Isolate waste products, petroleum products, grease, oil structural failure or for resultant damages, and no Firestone Representative is authorized (mineral and vegetable) and animal fats from all Firestone Modified to vary this disclaimer. Bitumen membranes. Contact Firestone Technical Services FiRESTONE BUILDING PRODUCTS COMPANY Department for specific recommendations. 525 Congressional Blvd., Carmel, Indiana 46032 Sales: 1-800-428-4442 ' Technical: 1-800-428-4511 Internet Address: hltp://www.firestonebpco,com 504 7/2002 ~~ e ~ ~ ,.,." =~ - ~ ~ 'K~ ~ o::.~,-~,;(:'",=~~~~_~,~D"'''~'''''_'''~,<'N''''''>"'''' ""~~""'"" "'''' '7 V:0"~,""-,,,"i;''''1!P "'" '8$!!'!t'W'i;i'il/~:f!%.~'g !iP X ,","".;g;ii'j~"""I'ii,,,,,\\~~j>2X~,,, .",:<~~_{f~"Md__"~")0,,,,.._",,,~_~ v "" ~ '"' ",. ~ I:ECJ!KE:Q~cl~',_,,1 NLEQ,BJ'~~]]]JJi[~~S]JI$;Er~-"~"'-'-" """""'~~~"h"' '': -. '-<"~~~" ",;;;~~~,~""",\!.JMH'l'_ "''i' ~_A ,,^ ~"'""' .~_ _ 0- :j MB ...esti),,'D,It, SlJllOlINS,'PR'ODUCl'SCOMPAN't BASE SA Dim ensions E n 9 lis h Me tri c and Mass Pro p e rty Unit ASTM Firestone Unit ASTM F iresto n e M in im u m Nom in a I M in im u m Nom in a I Product Thickness mil 80,0 45,0 mm 2,0 1.1 NetMass Ib/1 00 ftz 45,0 29.1 g/sq.m 2,197 1,184 Bottom Coating mil N/A 25.0 mm N/A 0.6 Physical Properties Maximum Load, 0 of (-18 OC) MD 100,0 MD 17.5 Ibflin 70 kN/m 12,3 (Tensile Strength) XMD 100.0 XMD 17,5 Elongation at Maximum MD 5.0 MD 5,0 % 1 % 1 Load,O OF (-18 OC) XMD 5,0 XMD 5.0 Maximum load MD 55.0 MD 9.7 73.4 of (25 OC) Ibflin 30 kN/m 5,3 (Tensile Strength) XMD 50,0 XMD 8.8 Elongation at Maximum MD 4.5 MD 4.5 % 2 0/0 I 2 Load, 73.4 of (25 OC) XMD 3.5 XMD 3,5 Elongation at 5% Maximum MD 70.0 MD 70.0 % 3 % 3 Load, 73.4 of (25 OC) XMD 70.0 XMD 70.0 Tear Strength MD 55.0 MD 245.0 Ibf 701 N 155.8 73.4 of (25 0 C ) XMD 45.0 XMD 200.0 I I Strain Energy at Max. MD 6.8 MD 29.4 in*lbflin' Not Stated N *m/m 2 Not Stated Load, 73.4 of (25 OC) XMD 6.1 XMD 26.4 MD -0.1 MD -0.1 Dimensional Stability % Change 0.5 % Change 0.5 XMD 0.2 i'" XMD 0.2 Low Temp. Flexibility OF 0 -40 * b;:j";i' -18 -40 High Temp. Stability OF 215 250 'C /; ..\ 102 121 Granule Loss Not Applicable g >...iF.... Not Applicable Physical Properties After Heat Conditioning M a xi mum Loa d , 0 of (-1 8 0 C ) MD MD Ib f/in 70 kN 1m 12.3 (Tensile Strength) XMD XMD Elongation at Maximum MD MD % 1 % 1 Load,O OF (-18 OC) XMD XMD Maximum load MD MD 73.4 OF (25 'C) Ib f/in 30 kN/m 5.3 (Tensile Strength) XMD XMD E io n g a tio n at Maxim u m MD MD % 2 % 2 Load, 73.4 OF (25 OC) XMD XMD --~_._...__.--_._-_.._.- Elongation at 5% Maximum MD MD % 3 % 3 Load, 73.4 of (25 OC) XMD XMD Low Temp. Flexibility 'F 0 oC .18 Nov 16 06 03:50p DRRRELL STREIT 4078259316 p.2 ' NEF 5agsFRXtion From: GAFUSER 70: Dafrel ua~e: ~ •t ~a~ ~ ~-~-w ~ • gPUnONI awe Sheet #75 B Description Product Data (Approximate) GAFGLAS~75 Base Sheet is a Rall Size ....................39.4" x 97.5' premium roofing base sheet (1.Om x 29.7m) constructed with a strong glass Coverage Per Roll.,,.....,3 squares mat that is coated on both sides Roll Weight ..............751bs.(34.1 kg) [o assure aclosed-sheet design to prevent asphalt bleed-through. The sealed sheet also serves as an effective flame retarder for the application of torch-applied modified bitumen membranes. Uses GAFGLAS#75 Base Sheet is engineered for use in the construction of GAFGLAS built-up and RUBEROID® modified bitumen roofs. It is suitable for nailable specifications, such as plywood, v~rhere bleed-through is a concern, Advantages • Extra strength for excellent nail-holding ability. Superb tensile strength and resilience and no bleed through, thereby reducing risks of splitting and cracking of membrane. Will not rot, curl, or shrink; dimensionally stable For improved membrane performance. _ M Designed to meet UL Class A - ratings. . Rolls out flat for easy installation. Applicable Standards • Ul approved for use in the construction of Class A, 6, or C roofs (Type G2 BUI~) . FM Approved • ASTM D-4601. Type 11 • Dade County Product approval Rod~st Data Sheets 28 N,ov OF3S06 08:46p DARRELL STREIT 4078259316 p.2 ® cnF?eareauus connoannon TC)RCH Description Advantages (Continued) RUBEROID Torch membrane is a •Durable-specially formulated tough, resilient modified bitumen modified asphalt for lasting membrane manufactured to strip- pertormance. gent GAF Materials Corporation • RUBEROID TORCH is backed by specifications. Its core is a strong, GAF Materials Corporation, a _ resilient, non-woven polyester mat company with over 100 years in that is coated with weather resistant, the roofing business. APP polymer modified asphalt. The • Available in smooth surface and membrane is available with smooth six granular colors; black white, or granule surface. burnt sienna blend, cedar b end, slate blend, weathered wood blend. Uses RUBEROID TORCH is designed Applicable Standards for new roofing and reroofing • ULApproved for use in construction applications as well as flashings, of Class A, B, or C roofs." RUBEROID TORCH is also an • HUD Material Release No. 1216a ideal product for repairs of built- • BOCA Listed: Report No. 359 up roofing membranes or other • SBCCI PST & ESI Listed modified bitumen systems. • FM Approved _ Advantages • Dade County Product Approval • Guarantees are available for up 'New York City MEA's: 79-89-Gravel Surfaced to 15 years. g1-ag-Graves Surfaced • Cost effective--the installed cost 8z_gg.-Field Coated of RUBEROID TORCH is less .Meets ASTM D-6222, Type than most single-ply systems on the market Coda 'See Ruberoid Application and y' Specification Manual or UL Directory • Lightweight-installed roof for specific approval. designs weigh less than 2 pounds Prodt~ctData (Approximate} per square foot. RoII Size .........:..............1 square • Resilient-RUBEROID TORCH's ' (107 gross sq. ft.) (9.9rnz) polyester mat core allows it to resist product Thickness.........0.160" (4rnm) splits and tears due to its pliability Rallyllt.(Srrrooth).:~:-:_.-.i~7~lbs_(39._5kg) and elongation characteristics. i~RoIIWt_(Granule}.,.,,,..102Ibs.(46.4g'}:° Typical Physical Properties - - property Test Method Values - - Tensile Strength @ OF (nom.), Ibflin ASTM D5147 90 Elongation @OF (nom.), % ASTM D5147 45 Low Temperature Flexibifrty (max.), F ASTM D5147 7 Tear Strength (nom.), Ibf ASTM D5147 98 " Dimensional Stability, % ASTM D5147 <1 Product Data Sheets 21 . I Nov 17 U6 09:20a DRRRELL STREIT 4078259316 p.l Fax Cover Sheet UNIVERSAt ROOFING GROUP 3920 EDGWATER DR ORLANDO, FL 32804 407-295-7403 Send to: From: CAPE CANAVERAL BUILDING DEPARTMENT DARRELL STREIT Attention: Date: DENN15 1 1 /08/06 Office Location: Offiice Location: CAPE CANAVERAL, FL ORLANDO, FL Fax Number: Phone Number; 321-868-1247 407-592-6588 Urgent Reply ASAP Please comment Please Review For your Information Total pages, including cover: t~'' Comrnerrts: DENN15, RE. 7554 MAGNOLIA AVE. HERE ARE THE DATA SHEETS YOU REQUESTED FOR THE TORCH DOWN UNDERLAYMENT. PLEASE FEEL FREE TO CONTACT ME iF YOU HAVE ANY QUESTIONS OR NEED ANYTHING ELSE. SINCERLEY, DARRELL STREIT BUILDING SUPERINTENDENT „ p. ~i~~,~~ PLUMBING PERMIT ~ Q. i'~ 1~~' CITY OF CAPE CANAVERAL PERMIT 98-00267 MASTER PERMIT - PROJECT 98- BL DATE ISSUED: 06/26/98 PROJECT ADDRESS: 7554 MAGNOLIA AVENUE PCL#: LOCATION: 7554 MAGNOLIA AVENUE LOT 1 SUBDIVISION: AVON BY THE SEA BLK 44 OWNER NAME: JOHN MC GUIRE PHONE: (407)-453-6940 ADDRESS: 7554 MAGNOLIA AVENUE CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 GEN. CONTR: KALM,DAVE QUAL. FOR DAVE KALM PLUMB PHONE: (407)-783-1122 ADDRESS: 1185 CANAVERAL BEACH BOULEVARD LIC CFC048308 CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 WORK: REPLACE SEWER LINE WITH PVC FROM HOUSE TO TAP (4"). DESC: ELEC. CONTR: PLMB. CONTR: MECH. CONTR: SPECIALTY: VALUATION: 500.00 BLDG: PLAN REV: SQ.FT. ELEC: FIRE IMP: OCC. TYPE: CONST TYPE: PLMB:aS',Oo RADON: FIRE ZONE: USE ZONE: MECH: CONC: TOTAL DUE: 25.00 TOTAL PAID: 25.00 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY K .CT. s ume samre.. N O T I C E 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. (SIGNATURE OF CONTRA TOR OR AUTHORIZED AGENT) DATE (AP ED B ~ DATE ~8-ooab"1 BUILDING PERMIT APPLICATION lv_23_ ~ ~ ~ City of Cape Canaveral THIS IS NOT A PERMIT TO START WORK. IT IS AN APPLICATION ONLY AND WILL BE PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE THE INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING: (OWNER/BUILDER PERMITS SHALL COMPLY WITH F.S. CHAPTER =189): State License (State Certifed and Registered Contractors) General Liability Insurance ($100, $300. $25 Thousand) Workers Compensation or Exemption (3) Sealed plans when required Copy of Contract and Sub-contracts Type of Permit: Building. Electrical Plumbing Mechanical Other (specify) Propem- Owner: /R¢~g~y~ 4 _ , , 4J ~"©f~~c.1 /zi ~ c ,~r~c Address: n ,c~ /i!, Street Address of Job Si ~ , rI r~' /yl/-l .r~~ c ..rr v s _ ~ _ Propem~ Owners(s) Phone ~ ~ - G ~ S' T~~pe of Construction: Size of Building (Total Sq. Ft.) # of Stories: # of Dwelling Units: Zoning District # of Parking Spaces Type (check one): SFR: T/H: Apt: Condo: Commercial: Other: Date Project Approved by the Community Appearance Board if applicable: General Contractor Company Name: Address: State License No.: Phone Electrical Contractor Company Name: Address: State License No.: Phone Plumbing Contractor Company Name: ,DA i~ f_ iK,~ t,,, ~O i_ y~,rs iu Address: S,' ~ ~S'" C /9'-rJ . t_,,~ c_ ~ - State License No.: cF~ c~,ce~(.3 3~~i Phone 7e' `3 --%l i Z Mechanical Contractor Company Name: Address: State License No.: Phone Specialty Contractor Company Name: Address: State License No.: Phone Description of work to be Performed (Be Specific): X24 ~ S v << u Total Valuation of Work: $ SAD, (Copyy of Contract shall be submitted w/application) Date: (c -ZS~ "1Q Applicant's Name (Print): i4 /L L Sty ~ ~ ~}u`..r- G ° ~ i Applicant's Signature: C'.~.,(~~ ~~~..[~,c~ 1 ' Building permits per square footage Total Sq. Feet (Living Area): Total Sq. Feet (Enclosed Area): Building Permits based on valuation: Total Sq. Feet (Living Area): Total Sq. Feet (Enclosed Area): Building Permits miscellaneous: Total Sq. Feet (Living Area): Total Sq. Feet (Enclosed Area): Electrical: Plumbing: " %r''' lj r '7L-~;~; i;% 1~lechanical: Building Permit Plan Check Fee: Fire Dept. Plan check Fee: Radon Trust Fund: Sq. Ft Assessed: Concurrency Management Fee: Capital Expansion Fee: Total Building Permit Fees: . ~ Sewer Impact Fee: Sewer Tap Fee Total Sewer Permit Fees: