HomeMy WebLinkAbout8801 Astronaut Blvd
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INSPEC TOR
4:00
OAT
OWNE
ADDRESS ~
e Canaveral, FlO!i~~."
o RMITNo,~
Ipsp~ns
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2, Rough Plumbing
3, Lintel
4, Rough Electric
S, Final
Other
Rejected
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3'.00
INSPEC TOR
C it of Cape C anaveral, Fl~~ ::0
- - I PERMIT No, :5
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Other'
Rejected
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INSPECTOR
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OWNE
ADDRESS
1. Foot..
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3. Linte
4, Rough Electri
5. Fina
Other
Rejected
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INSPEC TOR
City of C a~e C anaveral, Flori~aOO
DATF\'~-fr~ .' ERMITNO.:
OWNER -:J\: ~ Ie f\ VI, ' ~ \ ct
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ADDRESS a ) ~.:...- .
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Inspec Ions
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1. Footer
2. Rough Plumbin
3, Linte
4. Rough El ~ .
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Rejected
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INSPECTOR
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City, of Cape C anaveral, FlqrW~
DAT~I - 'i q ~ PfJ?r1T No.1(ti- -
~:::ESs3~~5 ~1)1~~d-
Inspections
1. Footer
2, Rough Plumbing
3. Lintel
4, Rough Electric : '\
@n~~~~Gf\Oki:"-^mq \~~
Rejected
INSPEC TOR
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OAT
OWNE
ADDRESS
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Inspections
1. Footer
2. Rough Plumb in
3. Linte
4, Rough Electric
5, Fina
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Rejecte
Ci\; of Cape Canaveral, Flor~56
DATF .\2'i . ~"M',"~~~
~:~~ ~o~~~B .
Inspections
1. Footer
2, Rough Plumbing
3, Lintel
4. Rough Electric
5, Final
~ C(')\t ,mn
Rejected
-vo-tO" r:s
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INSPEC TOR
\',20
OAT
OWNE
ADORES
Inspections
1. Footer
2. Rough Plumbing
3. Lintel
4, Rough Electric
~naltrQ tic> Nft) I ~
Rejected (")q HIT
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INSPEC TOR
f Cape C anaveral, Flr~O
I P. RMIT No 0
.
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Inspections
1. Footer
2. Rough Plumbin
3. Linte
4. Rough Electri
~naJuEi' ~
t~er \ iriU~ L( n~~ L
Rejected \
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~INSPECTOR
-
Cit~O! Cape Canaveral, Flo;i.~
~:T:E: - ~_ ~~~~~o,loL1=O
ADDRESS i7\~~
Inspections
1. Footer
2. Rough Plumbin
3, Linte
d'.?D
INSPEC TOR
City of Cape Canaveral, Florida
~;:,,~~ .~~50
ADDRESS 0 ~ K.fVa.
Inspections ~
1. Footer -:tr- I
2. Rough Plumbing ~ ~ Y{)rtAf'r110
3. Lintel 'j' ~--
4. Rough Electr~r \. j ~ k' , . -:.# .
5, Final i2JdJ.f.A ffU _. ~
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Other
Rejected
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INSPEC TOR
O' .'''__ ,._ ,_>>___'_"_'___"~_~_
p!y of Cape Canaveral, Florida 0
~:':'"]'-""~ iPlf~N~hq~.
ADDRESs~21~I~
Inspections
1. Footer
2. Rough Plumbing
3, Lintel
4. Rough Electric
f1;
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INSPECTOR
OAT
OWNE
ADDRESS
Cape Canaveral, FlorilUi
MIT No, tol\5D
Inspections
1. Footer
2, Rough Plumbin
3. Linte
4, Rough Electri
5. Fina
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Rejected
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INSPECTOR
City of Cape C anaveral, Fl~A~,.,.
~:='a ~(6'jC;U
ADDRESS~ . Cl__ ~
Inspections
1.Footer ~ S
2. R,ough Plumbin~ ~ ,
3, Lmtel _A f:(' _"_
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4. Rough Electric
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Rejected
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INSPEC TOR
Ci~P' Canav.nd, FIO~
DATF~ ~ERMITNO' ~
~:::ESS ~ l~. ~~ ~.
Inspections
1. Footer
2. Rough Plumbin
3, Linte
4. Rough Electric
5. Final
Other
Rejected
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INSPEC TOR
Citr offap.e Canaver.al, Flor'.{a
DATF 5jt\{U~ P~MITNO.__
OWNER -'3: Vf\\C~\X~.t~ WCt~e-
ADDR.ESS r '. x.~ ~SlIjO '
ls'1SO\~-, 0(')0,,,",* 8\vd,
Inspections -
1. Footer
2. Rough Plumbing
3, Lintel
4. Rough Electrk
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Rejecte
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City of C ap,e Canaveral, Flori4<! !5f::)
::,:;:l..q,~'l! ~l ~:NO(O'-I .
ADDRES~S\_(~*- ~
Inspections
1. Footer
2, Rough Plumbi
3. Linte
\ ',00
/j~R
OAT
OWNE
ADDRESS
Inspections
1. Footer
2. Rough Plumbin
. e C anavera:l, Florida
RMIT No, ~) 9 fiO
5. Fina
Other
Rejected
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INSPEC TOR
.-City of C4pe Canaveral, Florida
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Inspections ~ ./D
1. Footer
4, Rough Elect '
5, Fina
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Rejecten
1',45
~~:~?f~~~e c7a~~~I~ :~~~56"
ADDRESS ~\ h~~:+ ~
Inspections n ~ ()
1. Footer ~_~
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Rejected
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INSPECTOR
~ it!!. <If CaRe C anaveral, Fl~W~, 1 1
DATE ::s - Pi -OJ I PERMIT No.~
OWNE "31 \I \e.. ~
ADDRESS()~ S
Inspections
1. Footer
2, Rough Plumbin
3, Linte
4. Rough Electrk
5. Final
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Rejecte
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City Cape
BUILDING PERMIT
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Section: 15
Page:
TRAXX FAMILY FUN CENTER
371500 817
,
185 COCOA BEACH CSWY
COCOA BEACH, FL 32931
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Final I ' :
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I APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:-~' I
I uNOTlCE: I Hi::; I-'t:KMi I I::lt:CUMt:" NULL AND VOID iF WORK OR CONSTRUCTiON AUTHORiZED IS NOT COMMENCE:D WITHIN 6 MONTHS, OR iFl
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
I PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WilL BE COMPLIED WITH WHETHER SPECIFiED HEREIN OR i
NOT. GR,i\NTING OF l\ 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.
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, l'A~p~/JtwaJL 9 J7/0r /fa... ~J
1t.~'~ISSUED BY/DATE / AGTH~IZE IGNATURE/DATE
_____(CITy OF CAPE CANA VERA-rJ
Cityl~~~~~~~n~~~I~o~~~~;e~!~~~ J2920
(32j) 868-1222
Date: fJ 15 Pennit#~
(You may download this a plic ion: www.myflorida,com/capc. You may fax to: (32j) 868-j247,
Important: A checklist is provided on the back of this fonn, Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete,
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Owner-Builder is required to sign for the building penni~ unless indicated otherwise by affidavit 1.0, may be required)
Address ofJob Site: 1)(()( Ab/5UD/M"d, 81 fel.
Legal description of property: TWN: _ RNG, _ SEC: _ SUBD: BLK: WT: PB: po:
Name of Property Owner: 'be i fit/8m Property owner phone number: 'fret -'71&> '/t-
Address of Property Owner: , c;..(Jc.o~" . Ich C ..., <13
Community Appearance Board approval date: Site Plan approval date,
-J Type of Permit Brief description of work:
Building
Electrical
Plumbing
Mechanical
Other (7~ .. r""v Jv,flr.>,r ttDV'e1"l/(
,
Type of Square Const. # of # of dwelling #of #of Total valuation of work
-J Building Feet Type stories units bedrooms bathrooms
Commercial $
SFR $
Townhouse $
Apartment $
Condominium $
Other $
ArchitectlEngineer Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cejl/pager.): Fax:
Primary Contractor Name: Name of Company:
Address:
State License No,: Phone (office): Phone (cell/pager ,): Fax:
Electrical Contractor Name: Name of Company:
Address:
State License No,: Phone (office): Phone (cell/pager.): Fax:
Plumbing Contractor Name: Name of Company:
Address:
State License No,: Phone (office): Phone (cell/pager,): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager,): Fax:
Specialty Contractor Name: Name of Company:
Address:
StatelLocaj License No,: Phone (office): Phone (ceIl/pager,): Fax:
G:\Bldg.De.pt.Fonns\BP APPLICATION
~ Building Permit Application Checklist (geneml requirements) Notes
Completed Permit Application Current code edition: FL B1dg, Code 200t (as revised)
Current survey showing all proposed construction Also show any existing structures, easements, utilities, etc.
Notarized sllmature - 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 CO,
Capital Expansion Impact Fee receipt Maybe deferred until CO,
Sidewalk Impact Fee receipt If sidewalk exists on lot
Recorded Warrantv Deed / Proof of Ownership
COpy of Recorded Notice of Commencement (over $2,500) Prior to first inspection
Current Worker's Comp, Policv / Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For work visible from Public Right..of-Way
Planning and Zoning Board Site Plan Approval For new construction of four units or more
Concurrency Forms For 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
Roofing Contractor Roofmg Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty Contractor Specialty 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
Electrical Riser AU new services must be located underground
Plumbing Riser
AlC layout
Two sets of Energy Calculations
Four sets of Fire SuooressionlSprinkler/ Alann Snecifications Reouires Fire Denartment review and annroval
Lot Drainage Survey
Pool Barrier Reouirement Form (sil!Ded) 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
and laws regulating construction in this jurisdiction, By signing, applicant afftrms that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the authority to apply for this pennit.
1
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Date:
)//V10C1
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Applicant's Signature:
Applicant's Name:
Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this 15 day of <;-";7(
H who produced identiftcation: G 'it:o-.=o-. ,p.?-d(,.~-O
D is personally known to me.
,2001 ,by It! '''''0/
Name of Applicant
or
Seal:
(i)..~
~'\, ,,,,
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.YJY DAJNE
MY COMMISSION # DO 23n71
EXPIRES, Augus13, 2007
BondedThn,tl'4ollryPullicl/nderwrlte!B
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----
. Signature - Notary Public At Large
G:\B1dg,Dept.FonnsIBP APPLICATION
This form may be duplicated.
. '
Brevard County Property Appraiser-- Online Real Estate Property Card
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Page 1 of3
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[Horn!:!] [MeEl't JimFord) [Ap.Qraiser's Job] [FAQj IGenerallnfo] LSav~ OurJiome~ LE~Jl_m..PtiQnsl [f.!ffi9ibJ~ PrQperty]
[Contact Us] [Locatiorru [Forms] [l\pp~als] [prop~IlY R~searc!1J [Map SeaJGhI [MaPsJ\J)aJ'!J IUD!!sa~l"-prOPJ;rtyllIax
Authorities] [Ta:)LFact!;illEC(H_lomi~Jndi_~t9~1 [Offil:::_e_ Audi.tl r\tVtl~,t'S N~w] [WOks) LPres~__Re~_$esl fI<;1X I;stimator}
General Parcel Information for 24-37-15-00-00817.0-0000.00
Iparcel Id: 124-37-15-00-00817.0- ~ Millage 126QOI Exemption: ~ luse Code: 1135QO I
0000.00 Code:
* Site 8801 ASTRONAUT BLVD, CAPE CANAVERAL, FL 32920 Tax 124412641
Address: Account:
Owner Information
'" Site address assigned by the Brevard County Address Assignment Office for mailing purposes; may not retlect community location of property.
IOwner Name: IlxTREME FUN LLC I
ISecond Name: II I
IThird Name: " I
IMailing Address: II~~~COA BEACH I
City, State, ICOCOA BCH, FL 32931 I
Zipcode:
Value Summary for 2004
1** Market Value: " $1,998,3901
IAgricultural Assessment: " $01
IAssessed Value: II $1,998,3901
IHomestead Exemption: II $01
IOther Exemptions: II $01
ITaxable Value: II $1,998,3901
Legal Description
PT OF RECLAIMED LANDS AS DESC IN
ORB 3064 PO 2885
Land Information
IAcres: II 51
ISite Code: II 3401
ILand Value: II $1,089,0001
.. This is the value established for ad valorem purposes in accordance with s.193.01Itl) and (8), Florida Statutes. This
value does not represent anticipated selling price for the property.
Sales Information
OR [;] Sale ~ * ** Sales *** Sales
BooklPage Date Amount Type Screening Screening VacantlImproved
Code Source
1530511185115/200411$2,500,00011 WD II II I
13260/07261111199311 $531,70011 NN II II I
13082/1280 119/199011 $450,00011 WD II II
13064/2885116/199011 $360,00011 WD II I "
... Sales Screening Codes and Sources are from analysis by the Property Appraiser'S staff. They have no bearing
on the prior or potential marketability of the property
http://www.brevardpropertyappraiser.comlasp/Show jlarcel.asp?acct=2441264&gen=T &tax=T &... 09/15/2004
-- ---
--- -- -- - ----- --- I
I .-. City of Cape Canaveral, Florida - hA4'4/. 1::J/3((J-:2..j I
I BUILDING PERMIT 899
I '--~-~- PHONE:IS3s21u;e;d~:;;i;9:/:2;-0-;1_2;ioA-0:;;h2// ::iii!!iii/:A-;SdmiPdii:riie:si;s:i~.!..-.:!;8-;'8&0;;i~;9"T' ~%\ ... .,"'":~
F~~~~i:ii~~~'b~r: 899 ---~-~----_. ~ 4
Permit Type: ACCESSORY STRUCTURES I CAPE CANAVERAL, FL I
Class of Work: NEW INSTALLATION Township: Range:
Proposed Use: BUSINESS I Lot(s): Block: Section: I
! Sq. Feet: Est. Value: Book: Page:
liir~.J06_'Ot"~~::;~\i&~:CE:ER~~
Addr: Address: 7086 TATES CREEK RD
LEXINGTONN KY 40515
Phone:
--WOrk Desc:
,7:.'.,..,,';;F:.-}.!; """W'Vi",,-,,-,'" ".- We!
BUIL61~G8J~~2K'
Lic: OWNER/BUILDER 1 Phone:
RELOCATE & ENCLOSE DUMPSTER SLAB-
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- ----P;PPLICATIOJ ACCEPTED BY:~-Pl.ANS 6HECKEIJBY:/Q') APPROVEb By:}(7j
NOTlCE:IRlS PERMIT BECOMES NU[[75NITVOID IF~I(OI(CONSTRUCTION AUTHORIZED IS~OT COMMENCED WITH1N6MONTHS, Ol'l--
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 1 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.
DUMPSTER PAD AND ENCLOSURE REQUIREMENTS A TACHED
su~p L1IIlI'I
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CITY L. CAPE CANA VERAL ..... .
, .' BUILDING PERMIT APPLICATION . ~9q
STATE CERTIFIED AND REGISTERED CONTRACTORS MUST PROVIDE:~ed
Copy of State License, General Liability Insurance ($100,$300,$25 Thousand), Worke~e.}~Z),=Jm
Commercial (4) Sealed plans when required (3 for al\ others),
YOU WILL BE CALLED WHEN YOUR PERMIT IS ISSUED.
;t(~ $1
Type of Permit: _ B g,
Property Owner: a
Address: / y.;.;
Prop<:rty owner(s) phone# 2~-o1u
Job SIte address: f}t;/ '
7iJ3 - osq~
Legal Description:
NEW CONSTRUCTION: Construction Ty
# of dwelling units , # of bed roo # of baths
Occupancy class: SFR T/H_ Apt._ C
Date Project Approved by Co unity Appearance Board
# of stories
Commercial other:
General Contractor cn- ~ /)
Name: ,p4/,</e? /.l<-,/tf/y
Address: '
State License No,
Phone:
Email address:
Electrical Contractor Name:
Address:
Phone:
State License No.
Email address:
Plumbing Contractor Name:
Address:
Phone:
State License No,
Email address:
Mechanical Contractor
Name:
Address:
Phone:
State License No.
Email address:
Specialty Contractor Name:
Address:
Phone:
State or County License No,
Email address:
Architect Name:
Phooe#:
Engineer Name:
Phone#
Email address:
,
^
f6"LOCA Tc 1 E!'f(!ilJSE %-12. o~. rIo. I7-V8
;7-/('-oL
D:scription of Work: t~.r:/tY'At-
/ '-~n.-
Total Valuation of Work$ '7' ~ v'{/ - ~ '--' L/ (A copy of contract may be required) Today's date:
-\ppliciltion is hereby made to obtain a permit to do the work and installations as indicated. 1 cenify that no work or installalion has commenced prior to the
issuance ofa pennit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction.l understand that a separate
~ennit or hard card be secured for ELECTRICAL WORK. PLUMBING. SIGNS, WELLS. POOL, FURNACES, , RS. HEATERS. TAN S, and
AIR CONDITIONERS, Etc,
Applicant's Name: ~~d L~ Applicant's Signature:
WARNING TO OWNER: Y UR FAILURE TO RECORD A NOTICE OFCOMMENC EN MA RE I.;T IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
(You may E-mail your application: bubb-cape@cfl.rr.com or fax at: 868-1247)
&~hWJW~lp
~iiJ. 17-<18
~,,, 2002
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51712002G:\Admin\FORMS\NEW Permit.doc
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BUILDING PERMIT FEES
Building Permits per square footage. . . . . , , . , . . , . ,
Total Square Feet (Conditioned): , , . . , , , . , ,
Total Square Feet (unconditioned): , , . , , , . .
Building Permits based on Valuation: . . , , , , , , , , , ,
Total Square Feet (Conditioned): , , ' , . , ' , ,
Total Square Feet (Unconditioned): , , . , ' , .
Building Permits Miscellaneous: , , , , , , , , , , , , , , , ,
Total Square Feet (Conditioned): , , ' , , , ' , , ,
Total Square Feet (Unconditioned): , , , , , , , '
Electrical: , , , ' , , , , , , , , . ' , , ' , , , ' , , , , , ' , , , ' , , ,
Plumbing: , , ' , , , ' , , ' , , , , , , , , , , , , , , , , ' , , , ' , , ,
,-
Mechanical: , , , , ' , , ' , , , ' , , , , , , , , , ' , , , ' , , , , , ,
Building Plan Review Fee: , , , , , , ' , , ' , , , ' , , , , , ,
Fire Plan Review Fee:, , , ' , , , ' , , , , , ' , . , ' . , ' , , ,
Radon Fee: Sq, Ft.
Concurrency Fee: , , , , , . ' , , . ' , , . , , , , , , , , , ' , , ,
Capital Expansion Fee: , . ' , . . , , , , , , , , , , , , , ' , , ,
Total Fees: , , . , , , , , ' , , , , , , , , , , , , , , , , , , , , , , , ,=============
SEWER PERMIT FEES
Sewer Impact Fee: , , , . , , , , , . , , , , , ' , , , ' , ' , , , , ,
Sewer Tap Fee: , , , . , , , , , . , . . . , , , , . . , . , , . , , , '
Total Sewer Fees: , , , . , , , , , , , , . , , , , , , , ' , , , , , , =============
"t 'I ,
01
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City of Cape Canaveral
OWNERjBUILDER AFFIDAVIT
STATEMENT OF FACT
The Foregoing statement must be read and signed by the property owner. The
property owner must sign the affidavit in front of a Notary Public.
Florida State Statute, Chapter 489, requires construction to be done by licensed
contractors, You have applied for a permit under an exemption to that law, The
exemption allows you, as the property owner, to act as your own contractor even
though you do not have a license, You must supervise the construction yourself,
You may build or improve a single family or two-family residence, or a farm out-
building, You may also build or improve a commercial building at a cost of
$25,000 or less. The buildings must be for your own use and occupancy, They
may not be briilt for sale or lease, If you sell or lease any building you have built
yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as your contractor, It is your responsibility to
make sure that anyone employed by you has the property licenses required by
State law and by County or Local Ordinances, Any person working on your
building who is not licensed must work under your supervision and must be
employed by you, which means that you must deduct F,I.C.A. and withholding
tax and provide workers compensation insurance for that employee, all as
prescribed by law, Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations,
I have reag,aIJ.d' fully unders and the Provisions of this instrument and agree
to the cot'!4ifions listed t ein:
" r
/ ho/ ~I/o/V~j ffd
Address of Job Site
/ (6 #..
day~'
Notary Seal:
Notary Public
State of Florida, County of Brevard
\ \Cape_nt\co_Ul.5fjll9J:~XlinI.'6uk~JtJf!ff~~fut\<ciwN&otlNEDl!R~~tl.R?,6
-"'j";:lephone (321) 868-1200 . FA5i:'(21) 799-3170 . fcn.state.fl.us/capel
e-mail: cape@iu.net
.
Il~
/bn
~
~
C i:'fl/r ot gt./llltl"tf;:AJ7'S.
/ --- CAu- f J/UZSE r:;p
tW. rNwrL aIIo-Jd ~
(l1jw CrJ;J/ fa 1M
(/cJa.-J eu/r;rtlK
Sr1'l~wrufJr~
Pit' /7rUM 11Jftn)''&~J
_ City of Cape Canaveral, Florida
BUILDING PERMIT
-</Vt/4.f. ? /t:2/0-:Z
A20
PHONE: 321-868.1222
INSPECTIONS & FAX: 868-1247
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
820 Issued:
ROOFING PERMIT
REPAIR/REPLACE
BUSINESS
Est. Value:
500.00 Total Fees:
Date Paid:
60,00
Address: 8801 ASTRONAUT BLVD
CAPE CANAVERAL, FL
Township: Range:
lot(s): Block: Section:
Book: Page:
Subdivision: TRAXX FAMILY FUN CENTER
Parcel Number: 24371500 817
Name: OWNERfBUILDER
Addr:
Name: JAYBAR AMUSEMENT INC
Address: 7086 TATES CREEK RD
LEXINGTONN KY 40515
Phone:1Z3-0' 9'8' lie: OWNER/BUILDER Phone:
Work Dese: REPLACE 4 X 8 SHEET 3f4" PLYWOOD ON TILE ROOF
APPLICATION ACCEPTE BY:
N T E: HI PER TBE M NUL A D OlD F RK CON TRU 10 UT RI EDI N C M N DW1 HIN 6 MONTHS, OR F
CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED,
t 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.
.?Y'AUG 01, 2602
YfbATE
GtS~
,-...
-
Permil# 8ZD
J
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
STATE CERTIFIED AND REGISTERED CONTRACTORS MUST PROVIDE:
Copy of State License, General Liability Insurance ($100,$300,$25 Thousand). Worker comp or exemption
Commercial (4) Sealed plans when requiFed (3 for all others),
YOU WILL BE CALLED WHEN YOUR PERMIT IS ISSUED.
Type of Penn it: _ BId
Property Owner:
Address: li
Property owner(s) phone#
Job site address: ~
Legal Description:
NEW CONSTRUCTION: Construction Type Size ofBldg, # of stories
# of dwelling units , # of bedrooms # of baths
Occupancy class: SFR_ T/H_ Apt._ Condo,_ Commercial_ other:
Date Project Approved by Community Appearance Board
General Caactor~.I' ):,f!.
Name: ~e/ 4!lV/ ~
Address: r
State License No.
Phone:
Email address:
Mechanical Contractor
Name:
Address:
Phone:
State License No.
Email address:
Electrical Cnntractor Name:
Address:
Phone:
State License No,
Email address:
Specialty Contractor Name:
Address:
Phone:
State or County License No.
Emall address:
Plumbing Contractor Name:
Address:
Phone:
State License No,
Ernail address:
Architect Name:
Phone#:
Engineer Name:
Phone#
Email address:
~.
,
Description of Work:
7f~
(A copy of contract may be required) Today's date: ~~OZ
Total Valuation ofWork$
-\pptication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or inSli1llation has commenced prior to the
!ssuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in s jurisdiction.J understand that a separal
~ennit or hard card be secured for ELECTRICAL WORK. PLUMBING. SIGNS, WELLS, POOL, FURNACES, RS. HEATERS. NKS, and
-\IR CONDITIONERS, Etc,
fl ' ~ c
Applicant's Name: (j~ ;I: J~ ie-., Applicant's Signature: ~
WARNING TO OWNER: Y R FAILURE TO RECORD A NOTICE OFCOMMENCEMEN MAY RESULT IN YOUR PAYIN(
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
(You may E-mail your application: bubb-cape@cfl.rr.com or fax at: 868-1247)
morrisr
Page I
SnI20020:\Admin\FORMS\NEW Pennit.doc
~
-
BUILDING PERMIT FEES
Building Permits per square footage. . . . . . . . . . . , . .
Total Square Feet (Conditioned): , . , , ' , , . . .
Total Square Feet (unconditioned): , . , . . . . .
Building Permits based on Valuation: . . , , . . , ' , . . .
Total Square Feet (Conditioned): . . , . . . , , ,
Total Square Feet (Unconditioned): . . , , , . .
Building Permits Miscellaneous: , , , , , . , , . , , . , , . ,
Total Square Feet (Conditioned): , , , . , , , , , '
Total Square Feet (Unconditioned): , , ' , ' , , .
Electrical: , ' , ' , , , . ' , , , , ' , , , , , , , . , ' , , , , , , ' , ' ,
Plumbing: , ' , , , , ' . , . , . ' , ' , ' , , , , , , , , , ' , ' , , , , ,
.'
Mechanical: , ' , , ' , ' , , , . . . , ' , ' , . , , , , ' ' , ' , . , ' .
Building Plan Review Fee: , . ,
Fire Plan Re,ie\\ Fee:, ' ,
Radon Fee: Sq Ft.
Concurrency Fee: . ' , , , .
Capital Expansion Fee: ' , , , , , ' , ' , ' , , ' , ' , , . , , , ,
Total Fees: , . ' , , , , ' , . , ' , , ' , . , , ' , ' , , , , ' , , , , , ,========
SEWER PER1\1IT FEES
Sewer Impact Fee: , ' , , . , , , , ' . , , , . , , , , , , , , , , , ,
Sewer Tap Fee: , , . , , ' . , , , , , . , . , , . , . . . , , . , . . .
Total Sewer Fees: , , . , , , . . , . , , . . . . . , . , . , , , , . .
...,
\ ~
-
""-
City of Cape Canaveral
OWNERfBUILDER AFFIDAVIT
STATEMENT OF FACT
The Foregoing statement must be read and signed by the property owner. The
property owner must sign the affidavit in front of a Notary Public.
Florida State Statute, Chapter 489, requires construction to be done by licensed
contractors. You have applied for a permit under an exemption to that law, The
exemption allows you, as the property owner, to act as your own contractor even
though you do not have a license. You must supervise the construction yourself,
You may build or improve a single family or two-family residence, or a farm out-
building, You may also build or improve a commercial building at a cost of
$25,000 or less.. The buildings must be for your own use and occupancy. They
may not be built for sale or lease. If you sell or lease any building you have built
yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as your contractor. It is your responsibility to
make sure that anyone employed by you has the property licenses required by
State law and by County or Local Ordinances. Any person working on your
building who is not licensed must work under your supervision and must be
employed by you, which means that you must deduct F.I.C.A and withholding
tax and provide workers compensation insurance for that employee, all as
prescribed by law, Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
d the Provisions of this instrument and agree
ff.?/ ~~~/ 4tL
Address of Job Site
The foregoing instrument was aCknowle~ before me on thi~
of Au.o 200Z. , by JLb +\' 'Sn-J~J
who is ers ally known to r who produc
as ident r did not take an oath.
B
day
L,
Notary Seal:
Notary Pub ic
State of Florida, County of Brevard
\ \Cape-nt\Co-W5Ij 'B>J.4,h\~Ii/]I'll~d)Rl~t ~~~\CCiwNfll'DID'ffi\k%<:f\b'MlIT>M6
ul'~lephone (3tl) 868-1200' FAX'(321) 799-3170 . fcn.state.fl.us/capel
e-mail: cape@;u.net
',,-
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 01-00211 MASTER PERMIT #: -
PROJECT #: 95- AP DATE ISSUED: 05/30/01
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD PCL#:
LOCATION: 8801 ASTRONAUT BOULEVARD LOT #:
SUBDIVISION: JUNGLE VILLAGE BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BARf INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: OWNER/BUILDER PHONE: ( ) - -
ADDRESS: LIC #:
CITY: STATE: ZIP:
WORK: CONSTRUCT POND AND HOOK-UP PUMP TO EXISTING ELECTRIC PER SUBMITTED
DESC: PLANS.
ELEC. CONTR: '0 ,f) /~,; 1 '
}\y(t~r 1 i!t'riYl C
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 4500.00 BLDG: PLAN REV:
~--~
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON: .'--------
FIRE ZONE: USE ZONE: MECH: '---~ CONC: ~---
CAPITAL EXPANSION: ~-_. TOTAL DUE: 142.50
TOTAL PAID: 142.50
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
* * * * * NOT ICE * * * * *
THIS PERMIT BECOMES NULL AND VOID IF WORK ~ CONSTRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 6 MONTHSf OR IF ('~ :TION OR WORK IS SUSPENDEDf
OR ABANDONED FOR A PERIOD OF 6 MOv~ ~IME AFTER WORK IS STARTED
II THIS DOCUMENT AND KNOW I
I HEREBY CERTIFY THAT ~
THE SAME TO BE TRUE ~~ONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE l .rLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. GRANT 11 DOES NOT PRESUME TO GIVE AUTHORITY
I TO VIOLATE OR C~~JCEL 1 _~ONS OF ~~JY OTHER STATE OR LOCAL LAW I
REGULATING CONSTRUCTI01 ~clE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT I~Y
RESULT ~N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
INTEND~ OBTAj4 FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
BEFORE_ECORDIN Y UR NOTICE OF COMMENCEMENT.
il &..-
I 114 " /I <;;, ~-- 1 . . I
I It. It, ~ ) / '# I / cJ /
(SIGN T RE 0 OR AUTHORIZED AGENT) DATE
S / :sD /<0/1',1
(L~'-
CITY OF CAPE ~VERAL - BUILDING PERMIT APPV<'ATION
, .
lIS. 1'5 NOT ;\'PERMIT TO START WORK YOU WILL BE CALLED WHEN THE PERMIT IS READY.
WN~UILDER PERMITS SHALL COMPLY WITH F.S. CRAPT. '189): 01- o OJ. 1 1
ATE CERTIFIED }\ND REGISTERED CONTRACTORS MUST PROVIDE:
'py of State License,General Liability Insurance ($100,$300,$25 Thousand) Worker Comp or e,."(empti
Sealed plans when required (all commerClal and new construction)
'py of Contract and sub-contracts .5 ~ (.1 Y1C
j'j.t-;,fJ'-u}'lY /t;J'.f-2(f1-p,<y(/
( ( (
NEW CONSTRUCTION: Construction Type SIZe of Bldg,
it of stones ' # of dwelling umts , it of bedrooms # of baths
Type: SFR_ T /H_ Apt._ Condo,_ Commemal_ other: Po^,R
Date Project Approved by Commumty Appearance Board
General Contractor Co, Name: OWNi.!, J \1,;: Ine(
Address: '
State License No,
Electrical con2jctor N a,me: R '1.9. if f:.( 4-f-r/ c..
, .' /' X
Address: ,OJ LO
State License No, Ec..-o 00,)676
Plumbing Contractor Name:
Address:
State license No,
Mechanical Contractor Name:
Address:
State License No.
Specialty Contractor Name:
Address:
State or County License No,
in''Sk(( f'c\"lci
Description ofWork:~ r-
hoo+,- '. \'1\ W ~ i hri
Total Valuation of W ork$
Today's date: j- f) -<I
Phone:
Phone:
61.2- {,.f'Jo
Phone:
Phone:
- -.........
Phone:
, ,I p-O~k~l~~
I"c.rr,(.
oo,~
(submit copy of contract)
Applicant's Name(Print): a~ ~
Applicant's Signature: . ~ .
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE (
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER O~
ATTORNEY BEFORE RECORDING YOUR NOTICE OF ~ ~
C~~ENCEMENT.,. ~ e~,~if Fax:. (321.)783-8193 (j)IJ~~ '",
'~~":!..\u~~", .. .....,;,... '<'7.:. ,,~,.., ",;~,,_,_ .. .~.... "'.'" ".__ __, __.':_ ._.__ .', ".,. .. :~S, 1
--
.-.
BTTILDING PERMIT FEES:
--.-:
Building Permit per square footage:............................................................
Total Sq. Ft. (living Area):
Total Sq. Ft. (Enclosed Area):. '.
Building Permit based on valuation:..........0:a.o.......~~...~...~~~~.......
15-~
Total Sq. Ft. (living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit miscellaneous:, '..,.." ......" ,.,..... '. .......,., .... ......"...... ..""""" '.
Total Sq. Ft. (living Area):
Total Sq. Ft. (Enclosed Area):
Electrical.,.......,.,..........",......,.....,....,.......,.........."........"....."..,....,...................., .
t7"D
-30
Plumbing,..,..................................................................................................,......
MechaniCal....................................................t.................................................
Building Permit Plan Oleck Fee..............~..r1.[)........................................
37~
Fire Dept. Plan Oleck Fee................................................................................
Radon Trust Fund: sq. footage
Concurrency Management Fee,......... ............ ..................................................,
Capital Expansion Fee.........................,.............................. .......................... ,.....
/~ jo
Total Building Permit Fees:......
SEWER PERMIT FEES:
Sewer Impact Fee.....................................................................................
Sewer' Tap Fee...........................................................................................
TotalSewer PennitFees..............
*..,
-
./
City of Cape Canaveral
OWNERfBUILDER AFFIDAVIT
STATEMENT OF FACT
The Foregoing statement must be read and signed by the property owner. The
property owner must sign the affidavit in front of a Notary Public.
Florida State Statute, Chapter 489, requires construction to be done by licensed
contractors, You have applied for a permit under an exemption to that law, The
exemption allows you, as the property owner, to act as your own contractor even
though you do not have a license, You must supervise the construction yourself,
You may build or improve a single family or two-family residence, or a farm out-
building. You may also build or improve a commercial building at a cost of
$25,000 or less, The buildings must be for your own use and occupancy, They
may not be built for sale or lease. If you sell or lease any building you have built
yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption, You may
not hire an unlicensed person as your contractor, It is your responsibility to
make sure that anyone employed by you has the property licenses required by
State law and by County or Local Ordinances, Any person working on your
building who is not licensed must work under your supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding
tax and provide workers compensation insurance for that employee, all as
prescribed by law, Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations,
wner(s) Signature
fft;/ ,~~~ 4%d
Address of Job Site
d db f hi ""oJ d
The foregoing instrument was acknowlea~e e ore me on t 's ~ ay
of mo..y ,20 01 , by Go. "1 SOl ,+h
who is personally known to me or who produced
as identificr1l::' d who did or did not take an oath,
m.4J~"'''' Susan L. Chapman
~ / 'aCommlaslan#CC9!llll5!l8
c::::---.. \ ~ '=-- Notary Seal:f i~Explre. Man:h 23.2005
. ~ ~~ BODded Tbra.
Notary Public "'i'l.~'" _tic Iloodlaa Co., IIIIl.
State of Florida, County of Brevard
\ \Cape-nt\co~~~1t~:~~n~~~r~~1~~1~~!!~!~6
e-mail::cape@iu.nec:
--
-
rl<- -p ~c.f GrAA /(-1'1- '11
PERMIT #: 98-00393
PROJECT #: 95- AP
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
MASTER PERMIT #:
DATE ISSUED: 08/21/98
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
PCL#:
LOT #:
BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: OWNER/BUILDER
ADDRESS:
CITY:
STATE:
PHONE: (
LIC #:
ZIP:
)-
WORK: DISPLAY BANNER FOR LAZER TAG GRAND OPENING FOR (~O) DAYS ONLY.
DESC:
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
CONST TYPE:
USE ZONE:
CAPITAL
BLDG:(D,DO
ELEC:
PLMB:
MECH:
EXPANSION:
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
10.00
10.00
APPLICATION ACCEPTED BY
6-:::r K
PLANS CHECKED BY
SOJ1\L.
* * * * * NOT ICE * * * * *
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
APPROVED FOR ISSUANCE BY
3:Ul1Q__
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
RESULT IN
INTEND TO
BEFORE R
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
NA CING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
OU NOTICE OF COMMENCEMENT.
OR OR AUTHORIZED AGENT)
8 / CZI / 98
DATE
---t-/ Zf / 9 rf'
DATE
"8-21 731,
Ii S 1: 1 0, n n
I,.{ C4S~
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 01-00210 MASTER PERMIT #: -
PROJECT #: 95- AP DATE ISSUED: OS/29/01
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD PCL#:
LOCATION: 8801 ASTRONAUT BOULEVARD LOT #:
SUBDIVISION: JUNGLE VILLAGE BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: OWNER/BUILDER PHONE: ( ) - -
ADDRESS: LIC #:
CITY: STATE: ZIP:
WORK: CONSTRUCT 4 FT. HIGH CHAIN LINK FENCE AROUND POND PER SUBMITTED
DESC: PLANS.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 500.00 BLDG: PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
CAPITAL EXPANSION: TOTAL DUE: 30.00
TOTAL PAID: 30.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
rYH2.
* * * * * NOT ICE * * *
THIS PERMIT BECOMES NULL AND VOID IF w~ STRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 6 MONTHS, OP r OR WORK IS SUSPENDED,
OR ABANDONED FOR A PERIOD OV AFTER WORK IS STARTED
II I HEREBY CERTIFY THAT I _.~.tm THIS DOCUivIENT AND KNOW
THE SAME TO BE TRUE AND ".,-vVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF we ~~ COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. GRANTING O. _ ~ERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ~~Y OTHER STATE OR LOCAL h~W
REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WAR1{ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~~Y
RESULT IN ~PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
INTEND TOO' ," N FINAN~G, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
BEFORE RfC~;ING X9DR N I~F COMMENCEMENT.
I /. /'" --- Y , I
10"4 A~ J- / Y// 0/ I
I (SIGNAT~E/<5F CONTRACTOR OR AUTHORIZED AGENT) DATE
/ 3l) /e\, ~
,-\Y
CITY OF CAPE C '""-TA VERAL - BUILDING PERMIT A~CATION
'HIS I!\.NOr A PERMIT TO START WORK YOU WILL BE CALLED WHEN THE PERMIT IS READY.
JW~E~;{BUILDER PERMITS SHALL COMPLY WITH F.S. CHAPT.489):
ef~O{-OO;(IO
,
TAtE CERTIFIED AND REGISTERED CONTRACTORS MUST PROVIDE:
:opy of State License,General Liability Insurance ($100,$300,$25 Thousand) Worker Comp or ernpti
~) Sealed plans when required (all commercial and new construction)
:opy of Contract and sub-contracts
(oJ,
1,).1- It/-(J J"I.Y' /?'f.f-.l.f!7 -P'<9 (/
I ( (
NEW CONSTRUCTION: Construction Type Size of Bldg,
# of stones , # of dwelling umts , # of bedrooms # of baths
Type: SFR_ T /H_ Apt._ Condo._ Comrnemal_ other: Po",tf
Date Project Approved by Community Appearance Board
General Contractor Co, Name: OUJN!.!, lhui IrJe(
,
Address:
State License No,
Electrical Contractor Name: .. l
Address:
State License No,
Plumbing Contractor Name:
Address:
State License No.
Mechanical Contractor Name:
Address:
State License No,
Specialty Contractor Name: Cvdorr. reNc.<(
Address:
State or County License No,- , "
1n'.,,\.z..U f7o~d , c."pi. {,,,I:. FeHCe"\ ')
Description of W orkt-- F. e'\l C e. 4 +r. f ._', /
. ~-" . ~
T otal Valu~ti~n of W ork$ ~ ~ ' ~
Today's date: j- f )-01
Applicant's Name(Print): a~ ~
Applicant's Signature: ~
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE (
COMMENCEMENT MAY RESULT IN YOUR PAYING 1WICE FOR
'"
IMI?ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO ~
OB'PAIN FINANCING, CONSULT WITH YOUR LENDER OR AN,
ATTORNEY BEFORE RECORDING YOUR NOTICE OF t- ~
~~MMENCEMENT. ~~ F=(321)_,., II ~I , ,
"'."" ,,1... il!
.:'\.:.\~:.,;..' ~. '.'.';~~'.' ~..,..~--~. '~~~-:' ,.~. ._--':... -"''''"- _.." ',.' ...~..., -..
-,
Phone:
Phone:
(,].2- U.}o
- --. - - -
Phone:
Phone:
Phone: ~ ~J.{
7Zt/-. I~
(subnut copy of contract)
-
-
BUILDING PERMIT FEES:
Buil'!illg Permit per square footage:............................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:.........~.:......................................
~ 3J,c;Q.
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Buildi P . . 11
ng ernnt IDlsce aneous:.....................................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical,......."".,.,.....,..,....,.........",..,.,.".....,...................,............,."......,.......... ,
Plumbing.........................,..,................................................................................
Mechanical.........................................................................................................
Building' Permit Plan O1eck Fee.....................................................................
Fire Dept. Plan Check Fee................................................................................
Radon Trost Fund: sq. footage
Concurrency Management Fee........ .......... ......................................................,
Capital Expansion Fee.............. ..........................................................................
..:::WPJ!- .3O.!!l.
Total Building Permit Fees:......
SEWER PERMIT FEES:
Sewer Impact Fee.....................................................................................
.
,
l Sewer Tap Fee...........................................................................................
I
r
TotalSe.wer PermitFees..............
-
CITY OF CAPE C \VERAL - BUILDING PERMIT AP-CATION
fHJS\IS NOr A PERMIT TO START WORK. YOU WILL BE CALLED WHEN THE PERMIT 15 READY.
,QWNEpliBUILDER PERMITS SHALL COMPLY WITH F.S. CHAPT. 489):
3T A TE CERTIFIED AND REGISTERED CONTRACTORS MUST PROV1DE:
:opy of State License,General Liability Insurance ($100,$300,$25 Thousand) Worker Comf' or
4) Sealed plans when required (all commercial and new construction)
:opy of Contract and sub-contracts
Type of Permit: _ Bldg, K EI ct._ P umb._0E1c ,_Other (Specify) Jo.J.
Property Owner: m II " \
Address: v ro/>J..v
Job site address:
Property owner(s) phone#
NEW CONSTRUCTION: Construction Type Size of Bldg,
# of stories , # of dwelling units , # of bedrooms # of baths
Type: SFR_ T /H_ Apt._ Condo,_ Cornmercial_ other: Po",;
Date Project Approved by Community Appearance Board
General Contractor Co, Name: OlDl\.Q./' hwi Ider
,
Address:
State License No.
. Electrical Contractor N~me: ,- I
Address:
State License No, _ _ -_. - - _
Plumbing Contractor Name:
Address:
State License No_
Mechanical Contractor Name:
Address:
State License No.
Specialty Contractor Name: Cvsfom reN<.-'<-
Address:
State or County License No,
1n-.,,\-"U f/o\'\d
Description ofWor~:_ Fe/1/CfL
--
Phone:
Phone:
6j.2- 6f.:l-o
Phone:
Phone:
Phone:
(~P;" I,M/;' Fence
4-f1; ~ -" .
I .
. I""' I _.J,.'.
TotalValuationofWork$ J";c,oo
Today's date: J-{J-<JI
Applicant's Name(Print): ~ ~
Applicant's Signature: .'
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE {
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
(submit copy of contract)
Flferk-r
Fax:, (3~83-8193
---'.... ....:. ,. . ,......-.. _....~
...,.. ~ ,,_,,~L_' ..,;_.,......._'> .:.oJ.._"'......,;:'~1;. ......--"-- ...,"'..,."';,;."....~.~~. ~;----""" ,..~;...,,,,
--
City of Cape Canaveral
OWNERjBUILDER AFFIDAVIT
STATEMENT OF FACT
The Foregoing statement must be read and signed by the property owner. The
property owner must sign the affidavit in front of a Notary Public.
Florida State Statute, Chapter 489, requires construction to be done by licensed
contractors, You have applied for a permit under an exemption to that law, The
exemption allows you, as the property owner, to act as your own contractor even
though you do not have a license. You must supervise the construction yourself,
You may build or improve a single family or two-family residence, or a farm out-
building, You may also build or improve a commercial building at a cost of
$25,000 or less, The buildings must be for your own use and occupancy, They
may not be built for sale or lease, If you sell or lease any building you have built
yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as your contractor, It is your responsibility to
make sure that anyone employed by you has the property licenses required by
State law and by County or Local Ordinances. Any person working on your
building who is not licensed must work under your supervision and must be
employed by you, which means that you must deduct F.LC.A. and withholding
tax and provide workers compensation insurance for that employee, all as
prescribed by law, Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations,
a and fu ly understand the Provisions of this instrument and agree
ditions isted ere in:
/1ZJ/ M~~ A~
Address of Job Site
wner(s) Signature
The foregoing instrument was acknowle~ed before me ~n this b/;;l12J day
of YYleA. f ,20 01 . by 80. V' Y ';;::::,;m ,+h
who is personally known to me or who produced
as ide~ntifica ' d who did or did not take an oath,
_ _ . .V~"% Susan L. Chapman
//ifj ~COlllJlltsslonIlCC!l!lllli!l8
~ Notary Seal::' ~iExp!reo Moroh 23,200S
. ~ ~~
Notary Public ',r,\l AlIaotlo lloud!IJB Co.,.!IIe.
State of Florida, County of Brevard
\ \Cape-nt\Co-lQ5'1~JkA~IiU\%ALEm.. ~~~\<dwN~lWf51!R~~1l~6
u1:;leph';;;~ (311) 868-1200. FAX'(321) 799-3170 . fcn,state.fl.us/capel
e-mail: cape@iu.net
B8/19/1998 11:29
4B7783]i93
CIT\' CAPE CAHAVERAL
-
PAGE 82
Bt]lLDING PERMl'l' APPLICATION
Cll)' of ~pe Canaveral
THIS IS NOT A PERMIT TO START WORK. rr IS AN APPLICATION ONLy AND WILL BE PROCESSED AS SOON AS
POSSIBLE, YOU WILL Bll C4 T T F.D WHEN rr IS READY COMPLETE THllINFOllMAnQN BELOW AND INSURE 'MAT
YOU HAVE ON FILE A COPY OF IHB POu..OWlNG: (OWNllRlBUUl>ER PERMITS SHALL COMPLY WInf F,S,
CHAPmIl. 489):
State LiceDBe (StaIC Ccttiftcd I1Id Rcptered CollbacIon)
Ocoeral Liebillt11n1unnce ($100, 5300, S2S ThollSllld) I A.-r L' _ < II" 0"'-- 0)
Workers ColI'p""-OII or ~ Jt-r \ " . L u . . lY
(3) Sealed plalll wbaII nquilecl
Copy of CoDlJll:t I1Id SukollU8Cll
T)lIe otPmll.i1: BuildiI.Ig. _ EIeclrical_ Plumbllll _ M-""'~ _ Other (speci1)-) '0,", n" ~ r
PropertyOwncr: ~r("'lIC>~ ..A\\.e>(\ r{ 1/--1.\ """'\C.1r-..~\e- \ll.\\ricV'
Addn:ss: ~~~ C""'d.r~\e\d -'2.0M \-, r"'('l~ ~~c.:~ ~I.>. ~7<-\31
So=tAdcbcssolIobSitc: ~9--,(\\ A~('r'\~ll+- 'f1\I.JA. cr-Irfl C.r\f\Ai"'~r~\ Fl. '~?c;L(\
!'rQpeTty Ownm(S)Phoneill: l-4Dll''i',:,-c) '>.0.,,,, ~ "-Ie,) \7; <, ....\'-\1::'L I / b<',,\ 75'\, "" \"\'"
Type of Coastruction: '-J 11\ ' Sizuf Building (Total Sq, Ft.) ~" i'J I R-
hfStorios: Z. .. otDweIliJlg Unilll; ZoIlilIg DiJlrict j ofP~ S)l8CCS
Type (cbcck oncj: SFR: _ TIH:_ Api: ~ Condo: _ Co1lllllCldal: _ Odler:
Date Project AppRMd by tile Commllllity Appearance BoanI if applicable:
OeIIetal Colllraclor COlnplll)' Name:
Ad4rcs$:
Slate License No,:
Electrical CODIJDCtor Compa\y N_:
Addn:ss:
Stale License No.:
PlulIIbin, CollO'a<:tor Complll1)' Name:
Address:
State License No,:
Phone
PhOIIe
Phone
Mechanical ContnlClor Company NlIIM:
AcIdn=sI:
State License No,:
Phone
Specialty Conttactor CoIIIpIIIy Name:
Addnlss:
Stau: License No.:
Phone
Description of work 10 be Performecl (Be Speciftc):
1)\)y~ ~.<. J'", tA2.er "\'^i f!\\A-^&. Df'''','';'
Total Vliuation otWork: $ ~
DlIlC: '? -2A>-C) ,
Applicant'. N_ (1'r\Bt):
Applicant's Sijplllt\lR:
(CoPY of Contnct Ihal1 be submitlCd wlapplicauOll)
~
\
rl;, 0'
":It- (1) ,-
l>(l...
~"~rMf" :"'~
_.. ._-
-,
-
I)
tI-\O'/'
bt57'7
(Lt'i
1* 00
\bTAi- \ /)-~
-
,
-
-
PERMIT #: 98-00304
PROJECT #: 95- AP
BUILDING ALTERATION
CITY OF CAPE CANAVERAL
MASTER PERMIT #:
DATE ISSUED: 07/09/98
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
PCL#:
LOT #:
BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR:
ADDRESS:
CITY:
HAYNES, DONALD C. DBA LAUREN HOMES
52 COUNTRY CLUB ROAD
COCOA BEACH STATE: FL
PHONE:
LIC #:
ZIP:
(407)-783-7691
CGC027852
32931
WORK: ADD HANDICAP BATHROOM,
DESC: NON-BEARING PARTITIONS
ELEC. CONTR: ~ er .
PLMB. CONTR:
MECH. CONTR: i~
SPECIALTY:
BREEZWAY, INSTALL
A/C UNIT ON ROOF PER PLANS.
VALUATION: 11500.00 BLDG: 100.00 PLAN REV: 50.00
SQ. FT. ELEC: 55.00 FIRE IMP: 1.f,.5O
OCC. TYPE: CONST TYPE: PLMB: ...~,OO RADON: N/,4
FIRE ZONE: USE ZONE: MECH: 55.00 CONC: N/A
TOTAL DUE: 331.50
TOTAL PAID: 331.50
APPLICATION ACCEPTED BY
~.G.
PLANS CHECKED BY
So.me.
APPROVED FOR ISSUANCE BY
sa.me
* * * * * NOT ICE * * * * *
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
INT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
OR REC~IN YOUR NOTICE OF COMMENCEMENT.
-/,.
ATURE OF ONT TO OR AUTHORIZED AGENT)
1(L~ql
~/ 1D /C(8
DATE
.:;L/ DigE / ~
CooL
-
-
leu;,' 783 - fWi3
"
.
BUILDING PERMIT APPLICATION
City of Cape Canaveral ~ 3::>lI
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: (OWNERlBUILDER PERMITS SHALL COMPLY WITH F,S,
CHAPTER 489):
State License (State Certified and Registered Contractors)
General Liability Insurance ($100. $300. $25 Thousand)
Workers Compensation or Exemption
(3) Sealed plans when required
Copy of Contmct and Sub-contmcts
Type of Permit: Building, v'Electrical ~lumbing _ VMechanical _ Other (specify)
Propem' Owner: ::::J.4; J3Ar ,-')1 '" S C "1'\ c ,,'f S
Address: '8 Po c IV C' A /"c' ,vV', f'I, :1 2920
Street Address of Job Site: $" /><{
Property Owners(s)(~9ne #: . 0 ,;P
Type of C"nstruction: ck MO ,. t-/ me Size of Building (Total Sq, Ft.) r y",o
# of Stories: 2. # of Dwelling Units: t Zoning District C' -I # of Parking Spaces
Type (check one): SFR: _ TIH:_ Apt: _ Condo: _ Commercial: ~Other:
Date Project Approved by the Community Appearnnce Board if applicable: rJ /,q.
Geneml Contractor Companv Name: 00 tV
Address: S 2., . C"'"..'1/i (' 1",6
State License No,: C Ceo ( l? :5 L...
4.+'/ /I.C .::5
Rei
Phone ;S i 3 cr s <>r ~
Electrical Contractor Company Name:
Address:
State License No,:
tC J J.e.... f k cc. f.R , e
Phone
(, 3l.. G- 'ti'3o
Plumbing Contractor Company Name: r;".,
Address:
State License No,:
WAf 0 t- tJ/cnnb-'/O'7
Phone
Mechanical Contractor Company Name: IC :;, d..e I-
Address:
State License No,:
E /.ec'f..-,'c
Phone (., 3'l Goof' 30
Specialty Contractor Company Name:
Address:
State License No,:
Phone
p.fJ Ifl ",w""'V l;> "'~... . ,
Description of work to be Performed (Be Specific): If!-< "" 0 <ie( <Du7-S' d 'eel.... "'-'4'J I,., ic, f?4l? f;; Ii?vo'7\C
a,,~ 6 (lc <I 1.(0 4et'Z.;~ i2,,>t- "..{ 13<<"/),'7 {.,r '74me5. NoN-&w.~f~
"'let "tJd hi?.,) 10 Tcov 4/(' un;-\- 0'1 ~".( I hwl.sIA~ SLJl", ""tJ~, ~ 7\"'55,
Total Valuation of Work: $--/J. ' i..'1fJ IJ .rJ{J (Copy of Contmct shall be submitted w/application)
Date: / II i II I 9 'R
Applicant's Name (Print): i)Q.~ l-\ ~ ( vt.e ')
Apphcant's Signature: _~,( ~
-
Plc.,,,,,b'll"j
t;(;c\f;~
~/C
Cl!t?~,,'k,
$"00, 0 ()
~ooo.rc>O
S"Ou Q (.)
,<>eJo,oo
QIIP,..t.-{
:f I').s () 1), 'II
-
-
l,.", ,'... uf ....,
i
to
.
Building permits per square footage
Total Sq, Feet (Living Area):
Total Sq, Feet (Enclosed Area):
Building Permits based on valuation:
'I Total Sq, Feet (Living Area):
l; S-OO$rotal Sq, Feet (Enclosed Area):
Building Permits miscellaneous:
Total Sq. Feet (Living Area):
Total Sq, Feet (Enclosed Area):
trJo.r10
5 (} -t;I;{/
Radon Trust Fund:
Sq, Ft Assessed:
~tJ. (70
,Q, 1). 00
57;; or;
/lcl. (70
~.5(J
TJ/lrr
Electrical 3, (/ rJ(1, r()
Plumbing ~tjrJ,(}()
Mechanical], O(j(), DC
Building Permit Plan Check Fee:
Fire Dept. Plan check Fee:
Total Building Permit Fees:
W/1r
tjlFJ
:3 3 It 50
Concurrency Management Fee'
Capital Expansion Fee.
SEWER PERMIT FEES
Sewer Impact Fee:
1V1f!
I
Sewer Tap Fee
Total Sewer Permit Fees:
-
-
--
PLANS REVIEW
fiLE COpy
Address:
8801 Astronaut Blvd,
~
Building
Jungle Village
Date: July p, 19j;l8
The remodeling plans have bee" r~'fiewed a"dall fire Department requirements ha~been met.
Plans Review Fee:
1860sqft, X 0.025 - $46.50
P/~
James Watson
Fire Marshal
Cape Canaveral Fire Department
190 JACKSON AVENUE . CAPE CANAVERAL, FLORIDA 32920 · (407) 783-4777
\.fL1~'Y r-
ELECTRICAL PERMIT
CITY OF CAPE CANAVERAL
MASTER PERMIT #:
DATE ISSUED: 06/26/98
-
PERMIT #: 98-00270
PROJECT #: 95- AP
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
PCL#:
LOT #:
BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: RYDER, DOUGLAS T.
ADDRESS: 316 CLEARLAKE RD.
CITY: COCOA
DBA RYDER ELECTRIC PHONE:
LIC #:
STATE: FL ZIP:
(407)-632-6830
ER0000472
32922
WORK: SPLIT
DESC:
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
OF AND ADD 200 AMP PANEL AND NEW A/C UNIT
~ '7~2--ttS--
&)-I~Qr/ <-r:J ~({a-1
1)0"9 "Ryder
tblX:f K,/rlPf
VALUATION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
7000.00
BLDG:
ELEC: 55.00
PLMB:
MECH:~O.CD
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
115.00
115.00
CONST TYPE:
USE ZONE:
APPLICATION ACCEPTED BY
K.er.
PLANS CHECKED BY
SaJYle
APPROVED FOR ISSUANCE BY
Scune
* * * * * NOT ICE * * * * *
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 COMMENCEME
? / 2- / ~,p.
DATE
~ / 5-0 ;9~
DATE
CAi7fldlO)
-.. r;
-
I~\ , \,
[fN C'r,i""
.- '(l' "'I
CITY OF CAPE C.ANA VERAL. FLORIDA
81111 DING DEPARTMENT
(407\ 868- 1222
NOTICE
ill:
INSPECTION REJECTION
DATE:
ft II~ S'r
ii.tlfiL
PERMIT# 1~ f)(J 'f17rJ
TYPE:
PROJECT:':r(1 (I'fir 'f
ADDRESS: YYf)' /
)/;/!~8-e
ft5t'rCJn?\1( B(lId
REASON FOR REJECTION: c5 J t(2.- Q;~~ (h-uTJU!"'/"W-......
/JPAha.b /~...c ()tJ-l;/#"2- (A:J~t..i fi-z,e.D
eK.-r. 'P /S G , () lf1</e-b AU:;- /J. t'Je.I4J:> _
I<JC U ;.}'I a-( tJCJT .se.Cd~ To ~+,
J/o II~ rI ~fUAJ, OcJ7'f<i:f PoM,) eO €LJ
CODE SECTION:
REINSPECTION
IS~ ISNOT
REQUIRED
A REINSPECTION FEE OF $25.00 WILL BE ENTERED INTO THE
PERMIT FILE - ALL R INSPECTION FEES MUST BE PAID PRIOR TO
F L INSPECTION REQUEST.
DATE: !i:-/B"'-1t'"
nH';'21 731
05 *2~OO
/d ~'i.
"
-
--
t:19"- ~O?-7D
BUILDING PERMIT APPLICATION
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. (OWNERfBUILDER PERMITS SHALL COMPLY WIlli F,S,
CHAPTER 489):
State License (State Certltied 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 v" Plumbing _ Mechanical V Other (specify)
PropertV Owner: {, '(I ~ ~ .fl..fk~
Address: '2(0 -f 0 nrilJ ~ tJ2 vd
Street Address of Job Site: ./ '" "'-
Propeny Owners(s) Phone #: 7fSj. 6 Sq~
Type of C~nstruction: 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: Kyrl'i"i?: 1JA:..-/9 .><1lc~
Address: ~, VJ tJ ~ r t"'.-i
State License No,: "'"~ "OM '-172.- Phone (;,?.;; d "'So
Plumbing Contractor Company Name:
Address:
State License No.:
Phone
0) ,......'--' I......
Mechanical Contractor Company Name: If }, <'leA> ,E '/~ ( t ..0 A.;
Address: :;)J(!)~- Co I<' !?.,..l
State License No,: 1"# "'0 ~/~/13 Phone f..'?IJ J./pYi:!>
Specialty Contractor Company Name:
Address:
State License No,:
Total Valuati~ of Work: $
Date: . /;1.(, 18
I .
Applicant's Name (Print):
}trdJ
Phone
It.--
Description of work to be Performed (B:Jl1.ecifiC):
L 'I IW'-
(Copy of Contract shall be submitted wfapplication)
;(yY-~
Applicant's Signature:
,-
-
BUfLDING PERMIT FEES
Building permits per square footage
Total Sq, Feet (Living Area):
Total Sq, Feet (Enclosed Area):
Building Permits based on valuation:
j!otal , Feet (Living Area):
..,\~_ Feet (Enclosed Area):
""'1!I\t~ ~' miscellaneous:
\, 'fotal Sq. Feet (Living ,\rea):
Total Sq, Feet (Enclosed Area):
3 &~o.II'DElectrical:
,
hh, Cf
Plumbing:
r CJ,rl(
It &~o, JiMechanical:
,
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:
( 6. rJO
SEWER PERl\ilIT FEES
Sewer Impact Fee:
Sewer Tap Fee
Total Sewer Permit Fees:
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RIDER ELECTRIC TELEPHOIE: 632-6831
, 2305 COli 00110
AIR COIDITIOIIIG COCOllrlOnllll\ 32m DATE:
CUsroBER IABE:
~-- rY
ADDRESS: 0 ,
PHOIE KUBBER:
JOBDESCRIPTIOH
PARTS USED
.....-\,
HOURS,
TOTAL HOURS
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BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
Bf~ 14,5/1f
1(, G.-
PERMIT #: 97-00453
PROJECT #: 95- AP
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
MASTER PERMIT #:
DATE ISSUED: 09/30/97
PCL#:
LOT #:
BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR:
ADDRESS:
CITY:
SMITH, GEORGE DBA CUSTOM FENCE
738 SCALLOP DRIVE
PORT CANAVERAL STATE: FL
PHONE:
LIC #:
ZIP:
(407) -799-2087
FENCE
32920
WORK: 1400 L.F. OF 6 FT. HIGH GREEN VINYL CHAIN LINK.
DESC:
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
14200.00
BLDG: l'io,QO
ELEC:
PLMB:
MECH:
EXPANSION:
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
140.00
140.00
CONST TYPE:
USE ZONE:
CAPITAL
APPLICATION ACCEPTED BY
K. CT
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
:5Ctf't'\..t. "C; GU'Y1..Q_
* * * * * NOT ICE * * * * *
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 0 TAIN FINANCING ONSULT WITH YOUR LENDER OR ANY ATTORNEY
BEFORE RE DING YOU NOTI OF COMMENCEMENT.
RIZED AGENT
\C) / ---k-/ .9L
DATE
/(.1E~~~D
BY)
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DATE
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PLANS REVIEW
tILE
COP,
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Building
Jungle Village
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Address:
8801 Astronaut Blvd,
Date:
September 24, 1997
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The fence and gate plans have been reviewed arid the following shall be met,
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1. The"gate shall be able open' giving no less than 20' clear access for the 'fire trucks,
:'....':~L ,,{";';"i.~"r,...' ~.. ," ...'
,.:...",!,;~ i;'i~."';;IT>:, .':;:... ..' ... ' . . ..:'
2, Th~~gate shall r';-ihairi lock~d .open at all tirp.es when the building is occupied, A letter
fr~iri th,,;~o'Y'ner~hall he se~bmitted to this office agreeing to the above prior to
CopstructlOn of the gaty' " ,
t,,,,,,;'" ;;,:J 1\
"~,:.:~~ .>,
Plans Review F~e: $25,00
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James Watson'",;"
Fire Marshal "it;,:,
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Cape Canaveral Fire Department
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190 JACKSON AVENUE . CAPE CANAVERAL, FLORIDA 32920 · (407) 783-4777
t ! I" 1)... ..J,;ol" l-,""N."'."<Ar
~UILDING p~rrr APFLICATI~
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:cr!T~ I~ Nn,. .1 l'r.~MTT Tn ,;;J.R'r wnRK rr T!i AN AP"l,/rJ.TTnN nNT,V AND ,WILL I3F.
l'~OCE.S.Siro AS SOON AS l.'QSSJ3tE. vOIr WIT.!, R~ ('.1 /,/.!m WHEN rr I." RTU nv COMl'll"'!Enm
INFORMATION l3ELOW AND INSc.JRE THAT yoa RA YE ON FILE A COpy OF TEE FOLLOWING:
(OWNERlBllILDER PERMITS ARE E:tElYIPT.)
~.
~.J.t;:: ~,:.r::~C"l m~A~~~:
Sc= !.!=:
- , Ol1wy~..licn::l tie-'==iC.~. i'~-.:l .
Gc::c:l t.!::biiiry l=:::nc ~ICO.!.= ..,~ iI=1, Wcri:m= Camp. cr E:=pUClI'
~.Jr-~t _~jl"",.~rn~Ar-:-nQ~:
Sl:l.l: !.!=: .
C=l t.!::biiiLy I=r--= (SICO..$O~ Thc=cl, Wcd:= Cc~. or E::=pucn
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__~____._____s__________~___________________=______=~=~===-=_=a_
TIPS OF P.;:\MIT: BLDG. _ ~ =.- _ PLt1MB. _ M"'-a_ O"I'HE ----F"E,u cG'
p~~p::ry OWNS: 3"" v IV ')....tC' '. V ( _S '-.'+''1 e . PHON~ '7 g> 3.- 0 3> 'l:?
,; qPJeh ' .
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'ADORSSS: R'??o/
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.':ll 1< ~-l ADORES OF lOB SITE:
:5/1 /'J-)~-
TIPS OF.CONS'il\UCTION:
Sri: OF SUlL!l[NG (TOTAL SQ. FT.)
. . '
NO. OF SiORlE!_ M.AX.OCc.!..OAD
NO. OF DWE-LING UNITS
l!SE: ZONE
. .'
. NO. OF ?,._'t.'<ING SP.'("':~ ~ ....- ...... ,
.'
TIPS OF OWNE:>.sHIP (CHE-::< ONE: DETACHED SiNCiL.E FAMII. ~ .RE.:sIOENCE
TOWNIIOUSE AP.dJl.1'ME;; CONDOMINIUM
,COrrrRAC!OR (' i J, S--r-D/n Ft=/UL G S"rATI:: LIe. I
COMME.'~OAL L
-5-9 '30/ S- '-
ADDRESS S'2S (..;, (;O)v U C4-iET-K/)/?
PE.ONE
-iu:CTRlC.U. rCIIT (" A>v4v E IU\.... , r L S7A:n: LIe. .:
ADD~S PHONE
PLUM13lNG
S7ATI: LIC. /:
ADORESS
PHONE
MEClIANlCAl.
S7ATE LIC.:
ADORESS
PHONE
OTHER
S7ATE LIe. :
ADO R..ESS
PIlONE
/LfOO t..../f""T
NATURl!: OF WORK TO 13Il: DONE (llESi'Il:CIFIq
A ,---p /1/ /) I "'-' ( c C /1,4 /"'-' Li/V t::
~L{ ,
or
&, PT /-It (,-1-(
VALUATION OF WORXICOl'mtAC! PRICE: S
;;l.. Dc> ,<", C>
NOTE: 'T1Us :p~r.=dan r. Y:~d (0' ~ ""rXinc ""7' =lI... ..lie!: lIm.. anlcs " p.....m b= h.... do:...... lI>ls (arm ...d :lI':u=duncn<s ri1 be
d.......1d. .' /
1;;;'23/'17~
Signe:!: >8" ~ C).
D:1te:
SEer ~ LIVING ENe ,SED TOTAL
AREA AREA
,
BUILDING PERMIT
~~~~~ 8ZA
BUILDI1"lG PERMITS .
BASED ON Y ALUA TION 82A
.
BUILDING PERMITS
MISCELLANEOUS 82A 5"C1..f---b~ :- 11,.~[Jfl .
Ft'11;i' J re; :1A' /7'r _
ELECTRICAL 8Zt . I
PLUMBING 8211 " I ..
I . .
MECRANICAL '82D .
- ,
. BUILDING DEPT. 82E
PLAN CllECK FEE
.
1i1R.E DEFT.
PLAN alECK FEE 1~94 dr/I}
BOTTLED GAS INSPEctION FEE 38-5
. 1/2 FOR BUILDING PERMIT ~m: .. .
1/2 FOR FIRE INSPECTION FEES
.
. .. ..
RADON TRUST FUlofD F.A.C. lOD-91 PER SQ. IT. UNDER ROOF
. DCA 1/2 CENT PER SQ. IT.
DElR 1/2 CENT PER SQ. IT. I
.-
CONCURRENCY
MANAGEMENT FEE 90-22
~ -..
CAPITAL
EXPANSiON FEE 2-231
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:rOTAL~BUILDlN~PERMIT;FEES: I tfo/P
..,"" ,f ll.~ PERl\iIIT
SEWER IMPAcr FEE ' 94'23 I
~EWER TAP FEE 82-3 \
rr0TAL-;SEWER:~:
-
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PLANS REVIEW
FIL E COpy
Building
Jungle Village
Address:
8801 Astronaut Blvd,
Date:
September 24, ~997
The fence and~ate plans have been reviewed and the following shall be met,
1. The gate shall be able to open giving no less than2p' clear access for tlte, fire trucks,
2, The gate shall remain lOckedopeI!' at a1ltim~ whetl the building is ocqupjed, A letter
frotI) the owner ~hall be'suqm1tted to this offiye agreeing fO the~bove prior to
COtlstruction of the gate.
Plans Review Fee: $25,00
~
ames Watson
Fire Marshal
Cape Canaveral Fire ~artment
190 JACKSON AVENUE · CAPE CANAVERAL, FLORIDA 32920 · (407) 783-4777
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PROPOSAL
(!u.~tOJn genae E nte'l./n"i~
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Proposal No, / OP :2
[P att (!alUWEra!, 9fotida
(407) 799-2087
Sheet No,
Date 7h /97
Work to be Performed at:
Street _y €. i' , "" ,- ,...cr;> /-- E -vo:.:.,,-
City State
',;
Proposal Submitted to::
Name ::\, ) Ie} ~ l .- iJ .. ~ .... A 'j ~
Street ~9?DI tlS71i,'Anl/u-r 3(....D
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City '-- "'r'; - MI\.)>\ll" t<A,
State F' L ZiP 3;< ~~ 0
Phone 7l?3- 039f?
Comments:
We hereby propose to furnish the materials and perform the labor necessary for the completion of:
J:: MSjA 1'- i '-lDr)
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All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars ($)
with payments to be made as follows:
.~
Any alteration or deviation from above specifications involving
extra costs will be executed only upon written orders, and will
become an extra charge over and above the estimate, All agree-
ments are contingent upon strikes, accidents or delays beyond
our control. Interest atthe rate of 18% per annum will be added
to the outstanding balance over 30 days old, Customer agrees
to pay all costs of collection, including attorneys' fees if this
account shall be referred to an attorney, or if court action is
necessary for collection, Customer is responsible for all under-
ground utilities, sprinkler systems and property lines.
Respectfully submitted
Per
Please Note: This proposal may be withdrawn by
us if not accepted within days,
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the
work as specified, Payment will be made as outlined above,
Signature
Date
Signature
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PROPOSAL
{!u.~tom gE.ME. E ntE.'l.IJ'l,iU
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90" (!=wf. 9lo.ida
(407) 799-2087
Proposal No, :<.. 0 F ;{
Sheet No,
Date 7/7/97
Work to be Performed at:
1 City
Proposal Submitted to;;
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Street
City
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Fe-vc",
Street
State
LA P€"" CA~")A(J~f<.ft"-
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Comments:
State
Phone
I=-~
ZIP 3.;1." 2u
793- "::>?'9~
We hereby propose to furnish the materials and perform the labor necessary for the completion of:
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f specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Ii '//.y, "<.:)0 '00 Dollars ($)
I with payments to be made as follows:
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Any alteration or deviation from abo~Jspecifications involving
extra costs will be executed only upon written orders, and will
become an extra charge over and above the estimate, All agree-
ments are contingent upon strikes, accidents or delays beyond
Dur cDntrDI. Interest at the rate Df 18% per annum will be added
to the outstanding balance over 30 days Did, Customer agrees
to pay all cDStS Df cDllectiDn, including attorneys' fees if this
account shall be referred to an attorney, or if court actiDn is
necessary for cDllection, Customer is responsible for all under-
grDund utilities, sprinkler systems and property lines.
Respectfully submitted
Per
Please Note: This propDsal may be withdrawn by
us if nDt accepted within days,
ACCEPTANCE OF PROPOSAL
The above prices, specificatiDns and conditions are satisfactDry and are hereby accepted, You are authorized tD do the
wDrk as specified, Payment will be made as outlined above,
Signature
Date
Signature
-
-
C E R T I F I CAT E
o F
COM P LET ION
This Form Was Printed On 07/18/97
F8e~ $;;?5. CO
Date Completed: 07/18/97
This Certificate issued pursuant to the requirements of the
Standard Building Code certifying that at the time of issuance
this structure was in compliance with the various ordinances of
the Jurisdiction regulating building construction or use.
PROJECT #: 95- AP
PERMIT #: 97-00174
MASTER PERMIT #:
PROPOSED
USE: BATTING CAGES
OCCUPANCY TYPE:
CONSTRUCTION TYPE:
FIRE ZONE:
PROPERTY OWNER: HARRIETT ALLEN/JAY BAR, INC.
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL
STATE: FL
ZIP: 32920
PROJECT ADDRS: 8801 ASTRONAUT BOULEVARD
-; / fer> 01
DATE
<<<<< P 0 S T
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CON S PIC U 0 U S
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BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 97-00174
PROJECT #: 95- AP
MASTER PERMIT #:
DATE ISSUED: 04/29/97
PCL#:
LOT #:
BLK #:
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR:
ADDRESS:
CITY:
HAYNES, DONALD C. DBA LAUREN HOMES
52 COUNTRY CLUB ROAD
COCOA BEACH STATE: FL
PHONE:
LIC #:
ZIP:
(407) -783-7691
CGC027852
32931
WORK: CONSTRUCT A CONCRETE SLAB AND FENCING FOR SEVEN (7) BASEBALL
DESC: BATTING CAGES.
ELEC. CONTR: ACrEMT F-iLC./Rf( (;.('(l()(lg/1'j 10;;;2.-0080
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION:
SQ.FT.
OCC. TYPE:
FIRE ZONE:
52000.00
BLDG :~G.6,OO
ELEC: Co!o',C:O
PLMB: N/A
MECH: N/A
EXPANSION: ~/A
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
13,-\00
Z50:>
Nlf\
100. =
592.00
592.00
CONST TYPE:
USE ZONE:
CAPITAL
APPLICATION ACCEPTED BY
h.c:.,
PLANS CHECKED BY
",.Cr, ~ C'.C\!Ft>
APPROVED FOR ISSUANCE BY
'3<>-me-
* * * * * NOT ICE * * * * *
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
B ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
CONTRACTOR OR AUTHORIZED AGENT
iipp~i:~/??;Qrl
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5/:2 /'ii
DATE
-#-/ ,.1 fJ /22
DATE
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CITY OF CAPE CANAVERAL
APPLICATION FOR CERTIFICATE OF OCCUPANCY/COMPLETION
Certificate of Occuoancy
(Habitable Space)
Certificate of Comoletion ~
(Non-Habitable Space)
Application is hereby made by the undersigned for a Certificate of Completion at the
below specified premises as reflected on Building Permit Number
Street Address: Q(?o( A $ tRoY) 4uf 6(C4,
Type and/or Name of Building: '\ 64 +1-: -1'7 C' ':iJiP .S
Legal Description:
Zoning District: c... - (
Special Conditions:
Name of Owner:
"3'"<.A.'t 5 (c f/ ! fa?
Mailing Address of Owner:
'J"\....... S ( ~ V; / fa ~ f? 0 II-s l;e rJ/it?<<f
Street Address or P.O. Box
C/l-P (' fI!) ,J(/6(00./ ,r?/
City, State and Zip Code
Y'o7 If 3 oS??
Area ~ and Telephone Number
~ ~ CC, 7//?/5' 7
Owner(s) Signature Date
BUILDING AND FIRE DEPARTMENTS APPROVAL
Building Inspector:
Fire Inspector:
Building Official:
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FINAL INSPECTION CHECK LIST
FOR ISSUANCE OF CERTIFICATE OF OCCUPANCY/COMPLETION
1, Architects or Engineers statement that
building is built in accordance with
approved plans and specifications on
file with the City,
Date
2, Engineers or Architects statement that
site construction is in accordance
with the approved Site Plan and that
all construction has been in compliance
with applicable codes.
Date
3. Letter from City Attorney on maintenance
of Retention (if Applicable).
Date
4. Plumbing Final
Inspector Date
5, Electrical Final
Inspector Date
6. Air Conditioning Final
Inspector Date
7, Roof Permit Final
Inspector Date
8. Building Permit Final
Inspector Date
9, Dune Crossover (if applicable}
Inspector Date
10, County Impact Fees Paid
Inspector Date
11. Sidewalk/Driveway
Inspector Date
12, Sewer Connection
Inspector Date
13. All debris removed from site
Inspector Date
14. Approved for Electric Service
Inspector Date
15, Approved for Hydrant Service
(City of Cocoal Inspector Date
-
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CITY OF CAPI': CANAVF.RAI.
BUILDING PERMIT APPLICATION
O,I-cony
TillS IS NOT A P~RMIT TO START WORK IT IS AN APPlICATION ONLY AND WILL BE
I'ROCESSEU AS SOON AS I'OSSIHLE. VOl! WI!.!. Bl.; CAI,I.lm WHEN IT IS REAllY COMI'LIl.'TE TIlE
INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING:
(OWNER/BUILDER PERMITS ARE EXEMPT.)
STATE RFGJSTJ:RFD ~nNTRAC'TORS:
St:ue Uc::cnsc
County OctupaLional License and Competency Card
Ol::t\eral Liability Insurance (StOO.S300.S2S Thousand), Work.meas Comp_ Oc' E.'tempdon
STATF. C~RTtFtF.n CONTRAcrnR~:
State License
Gc..",1 Li.bility 1nsuronce (SIOO.S300.S2S TIloUSl1lldl. WorkcllS Compo or Exemp'ion
~
==~=__s=_s_=__==s~~=.==.==_==_==s=_==_==_===.=_=.___===_==a===_=
TYPE OF PERMIT: BLDG. _ ELEC. _ PLUMB, _IrlECH. _ OTHER
(];9rf r Jlz.r, T4
fl'bl 4P/7ItvAvl' //J
PROPETY OWNER:
PHONE: ?P-dJP.I"
ADDRESS:
STREET ADDRESS OF JOB SITE: ~ &:(,f' >(/,</(:
TYPE OF CONSTRUCTION: de~ePf- SIZE OF BUILDING (TOTAL SQ. FT,)
NO, OF STORlES_ MAX,OCC.LOAD_ NO, OF DWELLING UNITS
USE ZONE
NO, OF PARKlNG SPACES_
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNIlOUSE APARTMENT
CONTRACTOR O"I"\?lld UA.{"e5
CONDOMINIUM COMMERCIAL
STATE LIC. # cae tl2'1~:S2.
O.d J:.f PHONE Sr3pO:)"12 / 7~3 7r;9(
ADDRESS S 2. COurt f'J
ELECTRICAL A <:U4{
c.{",6 RJ
~ Ie. c. tr,C-
STATE LIC, #
ADDRESS
PHONE
I'LUMIJING
STATE LIC. #
ADDRESS
PHONE
MECHANICAL
STATE LIe. #
-
ADDRESS
OTHER F..... ~ ;"'i \' 0
PHONE
'I: .6 A
STATE LIC. #
ADDRESS PHONE
NATURE Of WORK TO BE DONE (BE SPECIFIC) C'C>Vl sth"e. + e.. (!()'l(';.(tt
S\...~ A-"d F-..." c:<.;'<j -+01"' 1 ~1\5F})..11 t",tf-:"", Q"S'e:s
VALUATION OF WORK/CONTRACT PRICE: S _I ~ ~..!);!2, ()Jf')(), CO
I
Date:
'r.;~#. ~
NOTE: 11", lIppllc:ldon t1 wild for IS working d11ys after which tlm~. unless ., pennit 1~ beel1 dt:lwn~ this ronn :and al1lltt:1dlmcnt5
t1t$lruye.d.
\-0. )<.
-
(Cff -3 \10
Signed:
- -
SECI'ION LIVING ENCLOSED TOTAL'
AREA AREA
BUILDING PERMIT
BUILDING PERMITS
P SQUARE FOOTAGE 82A
82A b:L
BUILDING PERMITS
MISCELLANEOUS 82A
ELECI'RlCAL ~ ,(
S'G+ 'I j
PLUMBING 82B
MECUANICAL 82D
BUILDING DEPT. 82E
PLAN CUECK FEE
FIRE DEPT.
PLAN CHECK FEE 18-94
BOTrLED GAS INSPECTION FEE 38-5
1/2 FOR BUILDING PERMIT REV~'lYJ;;..___
1/2 FOR FIRE INSPECTION FEES
-
--'--'~'
RADON TRUST FUlWD F.A.C. 100-91 PER SQ. FT. UNDER ROOF
DCA 1/2 CENT PER SQ. Fr.
-----
OUR 1/2 CENT PER SQ. FT.
CONCURRENCY
MANAGEMENT FEE
90-22
! Dr/Pi)
CAPITAL
EXPANSION FEE
2-231
7?1/1
:rOTAVBUILDING:PERMrFiFEES':
~-
EWER IMPACT FEE
94023
----------
EWER TAP FEE
82-3
C'
lI'OTAL""SEWER.-PERMlT"FEES:
-
--
.-.
BUILDING PERMIT INTERNAL CONTROL FORM
Pennil No. 97- Don ~ Date 4' ':>5- ql
Property Owner: ~ ~
StreetAddressofJo Site: Bao, <1-D~o...u..:t ~ck
DescriptionofWork:("b<)i:::>-+r~ /C:>roc.v..e:t.A. ~~4' -tor ( lo~
Valuation of Work v: So ':> I or:;:t::) ..- ~
.
BUILDING: V:
CALCULATIONS FOR PERMIT FEES:
S ~ J 000---
5) DcD-
FEE:
':)~'B -
~S -
ELECTRIC: V:
FEE:
PLUMBING: NEW/ALTERATION: V:
FEE:
MECHANICAL: V:
PLAN REVIEW FEE: ;)~ - /2 =
FEE:
FEE:
L~+-
RADON SURCHARGE:
SQ, FOOTAGE @ ,01 =
FEE:
CONCURRENCY:
NEW FEE: LOb -- ALTERATION FEE:
FEE:
WELL PERMIT
STREET EXCAVATION FEE:
FIRE IMPACT FEE: $200,00 @
FIRE INSPECTION PLAN CHECK FEE:
SEWER TAP FEE:
UNITS = FEE: / 0
O/,a. SQ.FT.@,025= FEE:~5 - \;IiI11I~Il~
1/2 FIRE:_1/2 BLDG:_
BOTTLED GAS INSPECTION FEE:
SEWER IMPACT:'
RESIDENTIAL UNITS @ (1i>.2,274.13
COMMERCIAL UNITS @
FEE:
SEWER IMPACT:
FEE:
CALCULATIONS VERIFIED BY:
DATE RETURNED:
PERMIT APPROVED AS SUBMITTED:
COMPLIANCE COMMENTS:
PERMIT,DOC
-
'5::>-
~~
~ '.? 2-
-,L<-t
;::::V
1-;;;' L/
\<--fO
l~
/'Q.u> f>
-
-
,0
-
-
c~ty of Cape Cana~eral
105 Polk Avenue, P. O. Dox 326
Cape Canaveral, Florida 32920
CONCURRENCY EVALUATiON CERTiFiCATiON
.-..- _-""'0- ..-.._.. ......... ...-----.-.-D-~1\]::-:N~G-:i;;~-..-.------------
, .
~ ' /'/'
project Name:___....k~6"~g- V,/a.4b'F . .."
Project Addre::;::;:,,{/U/Y A-/-A- c?;I/Jo eA1PA~.4~
Application II..
The fOllowing certificate must be SICNEO and SEALED by a State of
Florida registered professional engineer.
"
,
1. Does on-sitesto~ter'management facilities
adopted LOSS? YES NO
.. .
comply with the
2. Approved
I
J. 'Comments:
Disnpprovqd
.
I .4~ ~.(?tO
'. (titlel ;:? ~
,aUt:; / .Aff;:r-c:lC/~
.
.'
, Company Name and Address:
.
..-------.
hereby certify
rrect.
Signature:
Engineer Seal:
,
0,
,,'
-
-
; ',,; I
..
,
c~ty of Cape Cana~eral
105 Polk Avenue, P. O. Box J26
Cape Canaveral, Florida ' J2920
<;;:.9)~,,~_V_~_~,;I;;N.9Y-2~YJ.\._y_v._.?\.T.XQJ\'_g..~~''1;" I Jf I_C~ T:1; OJ\!.
D ~~~ N J),.G 1;;.
. .
Project
Name: ___._:Z;;~6~c,~' Y:a~bF .
Address :RtWY ,,4-/- A - C4//O e4PA~AJ~
Project
Application II..
1'he follol-d.n<< certificate must: bo SIGNED and SEALED by ,,!itatc of
Floridn regi5terad professional onginoer.
"
1. Does on-site sto7ter'managemont facilities comply with the
adopted LOSS? YES NO
I' ' .
2. Approved
,
J. 'Comments:
iDlsapprovqd
~ ; , l
I .4~ 6'.t?IO
ltitlel ;-? ~
,61U<:J -" 4p-t:fe/.H~
.
.'
, Company Name and Address:
.
.,----------
hereby certify
Signature:
En<<ineer Seal:
,
'.
PROPOSAL
-
-
Don Haynes CGC027852
8570 Commerce Street
Cape Canaveral, FL 32920
S'-\:::' , S'S '1 '2.,
Page ---L.. of ---L..
PROPOSAL SUBMITTED TO: ATTN:
NAME: Jt(f\Sk V: Ira'3 e PHONE:
STREET: c?fo ( A s{" O<tll4-l.l.i- e, \ v~ JOB NAME:
CITY: C A >Pc Q4tW_ ~\, STREET:
STATE: J'2. q '2...0 CITY:
DATE:
,L\ /1.4/ q '/
Cc. S c s
~+F,VI":J
We hereby submit specifications and estimates for:
\. OJ/.. '" 0 b'><.":;-+ ~ ,,") (Y1 A LC
'2. . f\I\C<. Af'oY.. 'OJ 000 S'3 4'-\. 0+ 4'/ 2.Soo f's\ COil C I-e- 1:<.-
-- -' ' ~
3, f ~l/.d III (\ ~,,'^, j '50 po -'VI. f fbNl I \T)j () oJ 0 - {lIT
cc.l";,^ \ C<"'c\
4, S u. ft' ''?t., i-; "'7
ex... -1-+ l " S C A$JlS ,o,..cl I\J..Q +\-~ ^J
$, ".J ^ s-\~ II
We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of:
payment to be made as follows: UJ eQ \{ \'1
In oel( rorn,'''.[I-kc\
c4~4ws.
a<:c
dollars ($ ~ '2. 00 0
,
~ou'tiGp
} with
o(
c..
All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard
practice, Any alteration or deviation from above specifications involving extra costs, will be executed only upon written
orders, and will become an extra charge over and above the estimate, All agreeme contingent upon strikes, accidents or
delays beyond our control. This proposal subject t ac ptance within days and is void thereafter at the
option of the undersigned,
Authorized Signature
Accepted:
f:- .2./- 97
Signature
Date:
Signature
LH_PRS_B,DOC
-
-
II
PERMIT #: 96-00353
PROJECT #: 95- AP
BUILDING ALTERATION
CITY OF CAPE CANAVERAL
MASTER PERMIT #:
DATE ISSUED: 08/30/96
11
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
PCL#:
LOT #:
BLK #:
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC. PHONE: (407)-783-0398
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN, CONTR: OWNER/BUILDER
ADDRESS:
CITY:
STATE:
PHONE:
LIC #:
ZIP:
) -
WORK: REPAIR EXISTING RETENTION WALL.
DESC:
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUA'rION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
1000.00
BLDG: .;I1i.on
ELEC:
PLMB:
MECH:
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
25.00
25.00
CONST TYPE:
USE ZONE:
APPLICATION ACCEPTED BY
KGrin*~
PLANS CHECKED BY
'5O-m€-
APPROVED FOR ISSUANCE BY
~<:Une-
* * * * * NOT ICE * * * * *
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
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
CORDING UR OTICE OF COMMENCEMENT.
CONtRACTOR OR AUTHORIZED AGENT) ~
,il.ovA.~ ",>>:/"
~U
q / 5 / %
DATE
~ /?d /t;(;
~
'-_111 \11" M..I,' ......."M..I,I\.,.-,.I,
~
_ BUILDING PERMIT APPLICATI~ ~~~ C()353
TIIlS IS NOT A PERMIT TO START WORK. IT IS AN AI'I'I",CATION ONLY AND WILL BE
.I'IWCI~SSED AS SOON AS I'OSSIllLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE TIlE
INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING:
(OWNERIBUILDER PERMITS ARE EXEMPT.)
"
STATE REGISTERED CONTRACTORS:
State License
County Occupmional License and Competency Card
General Liability Insurance ($IOCLS300.$25 Thousand), Workmens Compo or Exemption
STATE CERTIFIED CONTRACTORS:
Slale License
Gelleral Liability Insurance ($100,5300,$25 Thousand). Workens Camp, ur Exemption
:::::':::;'2iJ~5ii7f;:j\;~f~1~;;E:,:~::.;;=::"""
ADD'RESS: cf,5#/ A :hA-.{~7' 4'/u!,
STREET ADDRESS OF JOB SITE gff/;/ ~~.-....t~ -/' //uI
TYPE OF CONSTRUCTION: r:A/C7~ SIZE OF BUILDING (TOTAL SQ, FT,)
NO, OF STOR1ES_ MAX.OCC.LOAD_ NO, OF DWELLING UNITS
USE ZONE
NO, OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
CONDOMINIUM
STATE Lie. #
COMMERCIAL ><
TOWNl10USE
CONTRACTOR
APARTME~T
I)CUnp.(!bu, e.(
j
ADDRESS
PHONE
ELECTRICAL
STATE Lie. #
ADDRESS
PHONE
PLUMBING
STATE LIC. #
ADDRESS
PHONE
MECHANICAL
STATE LIC. #
ADDRESS
PHONE
OTHER
STATE LIC. #
ADDRESS
PHONE 6 - r/:t. j
4' ;1 '/ left :;,..'!J. /'
Pfecp.4,nwV /V?-?",c.-v
~t(
NATURE OF WORK TO BE DONE (BE SPECIFIC)
V ALUA nON OF WORK/CONTRACT PRICE: $
~
(f'a:>t:J -
NOTE: This application Lc; valid for 15 working days arter which time, unless a l)crmit has been dramt, this form and all aUachmClIlc; will be
destroyed.
no,,, ~$~
Signed: " ~
-
-
.
SECTION LIVING ENCLOSED 'rOT AI,
AREA AREA
BUILDING PERMIT
BUIWING PERMITS
PER SQUARE FOOTAGE S2A
BUILDING PERMITS
BASED ON VALUATION f2~" ",Ar) &s.cC
BUIWING PERMITS .
MISCELLANEOUS S2A
ELECTRICAL S2C
PLUMBING S2B
MECHANICAL S2D
BUlWING DEPT. S2E
PLAN CHECK FEE
FIRE DEPT.
PLAN CHECK FEE 18-94
BOTTLED GAS INSPECTION FEE 3S-5
1/2 FOR BUILDING PERMIT REVE1'llJE --- .. -----'.. --.---. ~_._-------_.
1/2 FOR FIRE INSPECTION FEES
---
RADON TRUS1 FU~ID F.A.C 100-91 PER SQ. Fr. UNDER ROOF
DCA 1/2 CENT PER SQ. Fr.
DBR 112 CENT PER SQ. Fr.
CONCURRENCY
MANAGEMENT FEE 90-22
CAPITAL
EXPANSION FEE 2-231
Cl'OTAIJiBUlLDING;l'ERMlT-iFEESI ~t: (11
SEWER PERMIT
SEWER IMPACT FEE ~23
SEWER TAP FEE S2-3
IfOTAL-sEWER-PERMIT~FEES:
-
.
City of Cape Canaveral
o'w N E R BUILDER AFFIDAVIT
STATEMENT OF FACT
STATE STATUTE CHAPTER 489 REQUIRES CONSTRUCTION TO BE DONE
ENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN
MPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF
OUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO
NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE SINGLE FAMILY OR TWO-FAMILY RESIDENCE OR A
FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL
BUILDING AT A COST OF $25,000 OR LESS. THE BUILDINGS MUST BE FOR YOUR
OWN USE AND OCCUPANCY. THEY MAY NOT BE BUILT FOR SALE OR LEASE. IF
YOU SELL OR LEASE ANY BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE
YEAR AFTER THE CONSTRUCTION IS COMPLETE THE LAW WILL PRESUME THAT
YOU BUILT IT FOR SALE OR LEASE, WHICH IS A VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT ANYONE EMPLOYED BY YOU HAVE
THE PROPER LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR LOCAL
ORDINANCES. ANY 'PERSON ~WORKING ON YOUR, BUILDING WHO IS NOT
LICENSED MUST WORK UNDER YOUR SUPERVISION AND MUST BE EMPLOYED BY
YOU, WHICH MEANS THAT YOU MUST DEDUCT F.I.C.A AND WITHHOLDING TAX
AND PROVIDE ,WORKERS' COMPENSATION FOR THAT EMPLOYEE, ALL AS
PRESCRIBED BY LAW. YOUR CONSTRUCTION MUST ALSO COMPLY WITH ALL
APPLICABLE LAWS, ORDINANCES, BUILDING CODES, AND ZONING REGULATIONS.
I HAVE READ AND FULLY UNDERSTAND THE P.
AND AGREE TO THE CONDITIONS LISTED T
'e/""
OWNER SIGNATURE
yf;C7/,A-~ /4
ADDRESS OR PROPOSED CONSTRUCTION
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS
DAY OF z,,~ Av"!us+ , 19 9(, , BY Crcu-v s"",--+-h. .
WHO IS PERSONALLY KNOWN TO ME AND WHO PRODUCED dr\ll-OX~ \\CQ<i\>.J1--'
~~~WHO DID (DID NOT) TAKE AN OATH.
. ""I<Y p(;~ OFFICIAL NOTAIlY leAL
NOTARY SIGNATURE 0) ,. ~'fo SUSAN L CHAPMAN
STATE OF FLORIDA COUNTY OF BREVARD ~ ~I{ " COMMISSION NUMBER
, ~ ; ~ CC3U601
""'", <f' MY COMMISSION EXP,
OF fCO MAR, 23 1997
105 POLK AVENUE. POST OFFICE BOX 326 . CAPE CANAVERAL, Fl 32920-0326
TI=It:pl-If'll\n:: 140'71 Al'lA.,?nn.. l:^V Idn'7\ .......n ...~...n
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-
BUILDING PERMIT INTERNAL CONTROL FORM
Permit No,96- (JCY~S 7J.,
Property Owner. \-ku ( re + CLLkn 1 ~O->-. \ ~o...( Lnc...
\
Street Address of Job Site:8 80 l 0..s -\-ru {'\o.........:t ~ \\/6-
Description of Work: ~ p~ (<<e...~-\--.oy-., u..:JcJ....\
Valuation of Work V: \1 000 .02>
Date,g :~C)'''1~
CALCULATIONS FOR PERMIT FEES:
BUILDING: V:
l,oOO.<.:>'::'>
FEE:
:;:l.. " . "'C:,
ELECTRIC: V:
FEE:
PLUMBING: NEW CONSTRUCTION 1YPE:
FEE:
ALTERATION: V
FEE:
MECHANICAL: V:
FEE:
PLAN REVIEW FEE:
/2=
FEE:
RADON SURCHARGE:
SO, FOOTAGE @ ,01 =
NEW FEE:
FEE:
CONCURRENCY:
SIGN: $10,00 (+)
WELL PERMIT
STREET EXCAVATION FEE:
ALTERATION FEE:
SO.FT, @ ,50 cents =
FEE:
FEE:
SEWER TAP FEE:
FIRE IMPACT FEE: $200,00 @
FIRE INSPECTION PLAN CHECK FEE:
UNITS = FEE:
SO.FT. @.025 = FEE:
1/2 FIRE:_1/2 BLDG:
BOTTLED GAS INSPECTION FEE:
SEWER IMPACT:
RESIDENTIAL UNITS @ 1Bl2.274,13
COMMERCIAL UNITS @
FEE:
SEWER IMPACT:
FEE:
CALCULATIONS VERIFIED BY:
DATE RETURNED:
PERMIT APPROVED AS SUBMITTED:
JJ
~ . 30. "i <e
'--(tD .......p
COMPLIANCE COMMENTS:
--
-....
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
,
~,l!1\,5 ,ti '6
1/3/ 77 k~
PERMIT #: 95-00266
PROJECT #: 95- AP
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
OWNER NAME: HARRIETT ALLEN/JAY BAR, INC.
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL
GEN. CONTR: HAYNES, DONALD C. DBA LAUREN
ADDRESS: 52 COUNTRY CLUB ROAD
CITY: COCOA BEACH
WORK: MOVE SNACK BAR FROM WEST END TO
DESC: PLAN. NOTICE OF COMMENCEMENT
ELEC. CONTR: ~
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
MASTER PERMIT #:
DATE ISSUED: 07/17/95
PCL#:
LOT #:
BLK #:
PHONE: (407)-783-0398
STATE: FL ZIP: 32920
HOMES PHONE: (407)-783-7691
LIC #: CGC027852
STATE: FL ZIP: 32931
OF BUILDING PER SUBMITTED
ORDED PRIOR TO INSPECTION.
9850.00
BLDG:
1,5oav ELEC:
3,8COVPLMB:
MECH:
EXPANSION:
90.00
50.00
60.00
PLAN REV: 45.00
FIRE IMP:~5.OC' 2fi.T!
RADON:
CONC:
TOTAL DUE: 2..'10.CO liB. 76
TOTAL PAID: 2'10.00 1~1 ~s
CONST TYPE:
USE ZONE:
CAPITAL
APPLICATION ACCEPTED BY
S, mOIl
PLANS CHECKED BY
J".mor ~ Qc"IfFD
FOR ISSUANCE BY
CVFD
* * * * * NOT ICE * * * * *
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
R IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
I TO OBT IN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
B RECO D NG YOUR NOTICE OF COMMENCEMENT.
AGENT
-; / /8" /75
DATE
~..5,~~
AP ROVED ~
7 / It / ?S-
DATE
1./
----"' \"
I '7 J IJ
OY-- fJ) -"'\, \
, t
--
,"
" '
CITY OF CAPE CANAVERAL 95- ooa~~
BUILDING I'ERMIT APPLICATION
.:'\\t...
. .
THIS IS NOT A PERMIT TO START WORK. IT IS AN APPLICATION ONLY AND WILL BE
PROCFSSED AS SOON AS POSSIDLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE TIm
INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING:
(OWNER/BUILDER PERMITS ARE EXEMPT.)
..
STATIl RI!OISTI!RI!D q)NTRACTORS:
. Slalo Uccnse
Counly Occupalional License and Compelency Can!
Den....1 Liability Inmrance ($100,$300,$25 Thous.,nd), Workmens Compo or Exemplion
STATE CERTlI'II!D CONTRACTORS: .
Slalo License
Deneral Liabilily Insurance ($100,$300,$25 Thouslnd), Workens Compo or Exemplion
------------------~~--------------------------------------------
TYPE OF PERMIT: DLDG. _ ELEC. _ PLUMD. _ MECH. _ OmER cL mo~ $" <\or
. . ;~A
PROPETYOWNER:J404<2~;~i+ A.\\e.J / 'J"A,"i f>,..t€?::r1C!.PHONE:# . o3Cr"
r1 .Il...
ADDRESS: agD f Ad {!q:ttil- -Afl vcl '
STREETADDRESSOFJODSITE: ~~DI Ast~o(IJcu<,f-.. ,6(1/0 (l4~ ("-t!'it/.
TYPE OF CONSTRUCTION: SEE 41!,.1J l SIZE OF BUILDING (rOT AL SQ. FT.)
, SlUiclt.
NO. OF STORIES MAX.OCC.LOAD NO. OF DWELLING UNITS
"
USE ZONE
. NO. OFPARKING SPACES
1 TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE
APARTMENT
CONDOMINIUM
COMMERCIAL
CONTRACTOR CbtD' ~ l'U'5
ADDRESS 52.CCa4 ~k. & C.c.o4 del.
ELECTRICAL (l1ite kS rEhCU,' (
STATE LIC. I CG' c 0,2, 7 "5' 2-
r(. "- pnONE) I' :') Ie, 91, ft'l.3?5 9 ~
STATI;: LlC. I
..
PHONE
WA (~I" PIG/Wf,b. ',,- STATE LlC. I
PHONE 7990Sc li'
ADDRESS
PLUMnING 'n:> rJ.t
ADDRESS
MECIlANTCAI.
STATI;: LlC. I
PHONE
ADDRESS
STATE LlC. I
pnONE
OTlmR
AnDRESS
NATURE OF' WORK TO DE DONE (DE SPECIFIC)
{'itloll'l W~ $;'. Co1.cl -\, Il:Ji5f-
VALUATION OF' WORK/CONTRACT PRICE: $ ,
mov F '
end
~ .r SI71?cK 841'
P( dL,' rei.... ~
q ?SO.OD
J
NOTE: ",ts ~pplk.tton Is ".nd for 15 warktnc days .nrr \Villela tIme-, unless a ptrlnll bas btf'n dr.wn, Ud's form and all aUaclnnenl' wW be
",:' ' ......,.... 01- \\~<j<, ~L
-' 'fox I ',83-8\CL3
Dalc:
7/r'Z./9~
&J~~~
-----
Signcd:
-
-
.
SECfJON
LIVING
AREA
ENCWSED
AREA
TOTAL
BUlLDIl\lG;PERMrr,l
.,....".",~'"~.,.,...,,,. ".,.,.,~.,,,.....,.~ , ' ....,
BUlWING l'ERMJTS
PER SQUARE FOOTAGE 82A
BUlWING PERMITS
BASED ON VALUATION 82A
BUIWING PERMITS
MISCElLANEOUS
82A
J:>~,
, [' J tt,-,,-_
,t>>
2fJ''!'''"V
~. 0 ' ef)
ELEC1'RICAL
82C
/~-O<; t~
J ~ ~ ~
J 8iJ() "'if J
PLUMBING
82B
MECHANICAL 820
BUIWING DEPT. 82E
PLAN ClIECK FEE
.ys:#2-
,~'5.tC'
~'IRE DEPT. O,,}Jb (;I.'
PLAN CJIECK FEE 13-94 '~ Jtu'il2.W
BO'ITLED GAS INSPECTION FEE 38-5
1/2 FOR BUILDING PERMIT REVE~E
1/2 FOR FIRE INSPECTION FEES
RADON TRUST FUND F.A.C. 100-91 PER SQ. FT. UNDER ROOF
DCA 1/2 CENT PER SQ. }T.
DBR 1/2 CENT PER SQ. lIT.
CONCURRENCY
MANAGEMENT FEE lJO.-22
CAPITAL
EXPANSION FEE 2-231
~'''!r-Y'''''''''''''''''~D''''''"'l''-''''''''<<
UlrIIIf'~J:iU,.DJ.I.LI,"u:J"''1~Y''''!.~
t ~~PERMIT~.
"........'.,'.,J Q;.,..,..",.:..,.;..""
EWER I PACI' FEE ~23
EWER TAP I'EE 82-3
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-
-
-
BUILDING PERMIT INTERNAL CONTROL FORM
Permit No.95-
),h~
:rAT
Date
)~
( 0 - 7.;-
Property OWner
D~^ 1f-JfJc.
g 8 d 1 1'10 t (d 1\ ~-"+
,(f'l-'tc(-::, b~,,-
D )J(}
Street Address of Job Site
Description of Work
Valuation of Work V:
Mav<!..
q'i?SJ Ou
./
BUILDING: V:
CALCULATIONS FOR
q, .$J(j dU
1 Jdo
PERMIT FEES:
ELECTRIC: V:
FIj:E:
FEE:
1 Q cJJ
S d (/e)
PLUMBING: NEW CONSTRUCTION TYPE:
ALTERATION: V: .3 ~ d ()
)
FEE:
FEE:
6d,cJu
MECHANICAL: V:
FEE:
I;s d J
PLAN REVIEW FEE:
1 J do
\2= FEE:
RADON SURCHARGE:
SQ. FOOTAGE @ .01 = FEE:
CONCURRENCY:
NEW FEE:
ALTERATION FEE:
SIGN: $10.00 (+)
WELL PERMIT FEE:
SQ.FT. @ .50 cents = FEE:
STREET EXCAVATION FEE:
SEWER TAP FEE:
FIRE IMPACT FEE: 5200.00 @
FIRE INSPECTION PLAN CHECK FEE:
UNITS = FEE:
J.S,du
BOTTLED GAS INSPECTION FEE: 1/2 FIRE:
1/2 BLDG:
SEWER IMPACT:
RESIDENTIAL UNITS @ 52210.04 FEE:
SEWER IMPACT: COMMERCIAL UNITS @ 5 FEE:
CALCULATIONS VERIFIED BY: l- L DATE RETURNED: 7 - I K --1"", ~
PERMIT APPROVED AS SUBMITTED:
~ C .)
COMPLIANCE COMMENTS:
-L
-
PERMIT #: 95-00149
PROJECT #: 95- AP
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
MASTER PERMIT #: 95-00149
DATE ISSUED: 04/21/95
PCL#: 13 i1
LOT #:
BLK #:
PROJECT ADDRESS: 8801 ASTRONAUT BOULEVARD
LOCATION: 8801 ASTRONAUT BOULEVARD
SUBDIVISION: JUNGLE VILLAGE
OWNER NAME: HARRIETT ALLEN
ADDRESS: 8801 ASTRONAUT BOULEVARD
CITY: CAPE CANAVERAL
PHONE: (407) -783-0398
STATE: FL ZIP: 32920
GEN. CONTR:
ADDRESS:
CITY:
HAYNES, DONALD C. DBA LAUREN HOMES
52 COUNTRY CLUB ROAD
COCOA BEACH STATE: FL
PHONE:
LIC #:
ZIP:
(407)-783-7691
CGC027852
32931
WORK: POUR 42 SQ.
DESC: COUNTER AND
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION:
SQ. FT.
OCC. TYPE:
FIRE ZONE:
SLAB; & INSTALL
SUBMITTED PLAN
og
5000.00
BLDG:E15.DD
ELEC: f.5.o0
PLMB:
MECH:
EXPANSION:
PLAN REV:
FIRE IMP:
RADON:
CONC:
TOTAL DUE:
TOTAL PAID:
90.00
90.00
CONST TYPE:
USE ZONE:
CAPITAL
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
S. Ch \'Y1OS"\T hlevlf\"t~ (C.VFD T h le.vl'nC{ ? G.c.V F:D
* * * * * NOT ICE * * * * *
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
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
TO OBTAIN FI ANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
EC t~~~ YO NOTICE OF COMMENCEMENT.
~. S / 3 /<75
SIGN RE CONT CT AUTHO DATE
~"""6. ~- ~v-
O-"~- (APPR6VED Br)
'II ~ t..f / 'Ie;-
~
C k .;2J la 1
D\~
\f1 P -'\.', '1', .
.-
-
. .
INS P E C T ION
R E QUE S T
Permit #: 9500149 Inspection Type: BNDN
Type: BN Request Date: OS/26/95
Location: 8801 ASTRONAUT BOULEVARD District:
Contrctr: HAYNES, DONALD C. DBA LAUREN HOMES Insp. 10: TOM
Date Inspection Desired: 05/17/95 Time Inspection Desired: 11:30:AM
INS P E C T ION
RES U L T S
Vehicle ID: TOM Inspection D
site Odom: I
Insp. Date: 05/17/95 Reinspection D
RESULTS~F INSPECTION
---------- ------------
Pass Correction
IF CORRECTION IS REQUIRED
D
Reinspection
Required ?
Reinspection Fee
Required ?
D
D
CORRECTION CODE OR COMMENTS
ADD I T ION A L
NOT E S
DRYWALL
------------~~~--------------------------------------------------
.
-
.-
INS P E C T ION
R E QUE S T
Permit #: 9500149 Inspection Type: BNFN
Type: BN Request Date: 07/31/95
Location: 8801 ASTRONAUT BOULEVARD District:
Contrctr: HAYNES, DONALD C. DBA LAUREN HOMES Insp. 10: TOM
Date Inspection Desired: 06/16/95 Time Inspection Desired: 02:00:PM
INS P E C T ION
RES U L T S
Vehicle ID: TOM Inspection D
site Odom: I
Insp. Date: 06/16/95 Reinspection D
/
~~~:~_:~~~~~::~~ p
Pass Correction D
CORRECTION CODE OR COMMENTS
IF CORRECTION IS REQUIRED
Reinspection
Required ? N
Reinspection Fee
Required ? N
D
D
ADD I T ION A L
NOT E S
FINAL REPAIRS/MODIFICATIONS
-----------~~~------------------------------------------------
-
-
q5-CO/49
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
. ,
TIUS IS NOT A PERMIT TO START WORK. IT IS AN APPLICATION ONLY AND WILL n:E
PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE TIll
INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COpy OF TIlE FOLLOWING:
(OWNER/BUILDER PERMITS ARE EXEMPT.)
STATE REGISTERED CONTRACTORS:
Slale Licen...
County Occupalional Licensc and Competency Card
General Liabilily Insurance ($Ioo,$300,$2511lOusand), Workmcns Compo or Exemption
STATE CERTIFIED CONTRACTORS: '
State License
General Liability Insurance ($100,$300,$25 Thousand), Workcns Compo or Exemption
, .
-=-==-=~=====~================================================-=
TYPE OF PERMIT: BLDG. _ ELEC. _ PLUMB. _ MECH. _ OTHER........
PROPETY OWNER: 44.Pe 'I t: t{ A (Ie tV PHONE: 7!::5 03 '7 J'
ADDRESS: 7?? 0 ( .Jl", Ie 0 f)I /}<< f d/ vel 04/2-k2 (O~ YO, R.3 2 S' 2 0
STREET ADDRESS OF JOB SITE: 5'1J,>>e,
TYPE OF CONSTRUCTION: cl - f1)t)JL';: SjZE OF BUILDING (TOTAL SQ. FT.)
NO. OF STORIES
(
MAX.oee.LOAD
NO. OF DWELLING UNITS
USE ZONE (' t
NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACflED SINGLE FAMILY RESIDENCE
TOWNHOUSE
APARTMENT
CONDOMINIUM
COMMERCIAL ' ~
CONTRACTOR
DOI!J
8"" {.u5
,
STATE LIC.// C!Gc oc. 71'S 2-
ADDRESS .("/_ rAG< n flY (/fu /;
ELECTRICAL mAtt '( \~ EhdrlQ.
Oef].
fr-
PHONE
J tf 3 16'71 - .)Cf3 6S72.-
STATE LIC. //
..
ADDRESS
PHONE
PLUMBING
STATE LIC. //
ADDRESS
PHONE
MECHANICAL
STATE LIC. //
ADDRESS
PHONE
OTIIER
STATE LIC. //
/Let<> Cell ..Tit'" ~ .1(1
PHONE
-j:J#"'?c.4c/ fJ/J'/><..S ~I-
(, / /, :.';; ~- ~C)~
5:J 000, 0 \:l
ADD~~
"'v11O/PP Oi/
NATURE dir WO
VALUATION OF WORK/CONTRACT PRICE: $
. '
NOTE: Tbis application is 1'slid tor 15 working days nfll"r which tillie, unless a permit bas been drawn, this foran and all aUaclnnents wiU be
dtstrorecl. I. ~' J
0'\-""\'\-")\
- .
t''''-", V\')jI",.h,\
Date:
s
~Y-
Signed:
-
-
SECTION
LIVING
AREA
ENCLOSED
AREA
BUlLDING,PERMIT
.',.".... . .
BUILDING PERMITS
PIm SQUARE FOOTAGE 82A
BUILDING PERMITS '\1\
BASED ON V.i~JJ~:(A.{f J G
BUILDING l'llilMITS
MISCELLANEOUS 82A
ELl!Llljd~AMYYU 1'U1'MIA
If atJ() ;.;----
PLUMBING
82C
82B
MECIlANICAL 82D
BUILDING DEPT.
PLAN ClIECK FEE
82E
FIRE DEPT.
PLAN CIIECK FEE 18-94
BOTI'LED GAS INSPECTION FEE 38-5
1/2 FOR BUILDING PERMIT REVENUE
'---.--..--.
1/2 FOR FIRE INSPECTION FEES
RADON TRUST FUND F.A.C. 10D-91 PER SQ. Fr. UNDER ROOF
DCA 1/2 CENT PIm SQ. Fr. "
DBR 1/2 CENT PIm SQ. Fr.
CONCURRENCY
MANAGF.MENT FEE
90-22
CAPITAL
EXPANSION FEE 2-231
m0m~l!illGII!.DlNGfJ,>:ERMlT~m.&S;
SEWER-PERMIT.
.. ,t. "
SEWF..R IMI'ACT liEE 94:23
SEWER TAP liEF.. 82-3
o."0:nA:L'iSE~lU\llX':mEES:
TOTAL
-tJr ~
dS~
;/jIJ
.Nj It
I
,
/1/
/W I
!90~ ~\1~
/"',
-..
BUILDING PERMIT INTERNAL CONTROL FORM
Permit No.95-
Date
4 - ~ 1-1J-"
Property Owner
P-t 1
~\k.J 8fj{fi~H
)
Street Address of Job Site ig.~ \ A\t {JII AI\-
Description of Work yJ dJ( ( d I) ( h' t ~ ,\ I Jj 1,
SIJI
fJeJ
Co,Hd ({
Valuation of Work ' V: ,~ d d d
../
CALCULATIONS FOR PERMIT FEES:
FEE:
Cs oJ
;)S <lJ
ELECTRIC: V:
S cT d()
/
Ljd <l
FEE:
BUILDING: V:
PLUMBING: NEW CONSTRUCTION TYPE:
FEE:
ALTERATION: V:
FEE:
MECHANICAL: V:
FEE:
PLAN REVIEW FEE:
\2= FEE:
SQ. FOOTAGE @ .01 = FEE:
RADON SURCHARGE:
CONCURRENCY:
NEW FEE:
ALTERATION FEE:
SIGN: $10.00 (+)
WELL PERMIT FEE:
SQ.FT. @ .50 cents = FEE:
STREET EXCAVATION FEE:
SEWER TAP FEE:
FIRE IMPACT FEE: 5200.00 @
FIRE INSPECTION PLAN CHECK FEE:
BOTTLED GAS INSPECTION FEE: 1/2 FIRE:
UNITS = FEE:
1/2 BLDG:
SEWER IMPACT:
RESIDENTIAL UNITS @ 52210.04 FEE:
SEWER IMPACT: COMMERCIAL UNITS @ 5 FEE:
CALCULATIONS VERIFIED BY: t-. L DATE RETURNED: lj - 2 I -1I
<-
PERMIT APPROVED AS SUBMITTED: ( ':J
COMPLIANCE COMMENTS:
BUILDINu PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 868-1222
N~ 7766
JOB ADORESS
8801 Astronaut Boulevard
LOT NO.
LEGAL P arce 1 B17
1 OESC R.
Owner
2 James Allen
Gen. Contr.
3 Donald Haynes 526 Jefferson
Elec. Contr.
4 N/A
Plmb. Contr.
5 NjA
BLK.
o
~
"
m
"
~
o
..
l>
o
o
"
m
'"
'"
Sec. 15/24S/3l.E___.,___
DATE:
July 27, 1992
le Vil1age
(0 SEE ATTACHED SHEET)
Mailing Address Zip Phone
Same 783-0595
Mailing Address Phone License No.
Avenue Ca e canaveral FL 783-7691 CGC027852
Mailing AOdres5 Phone License No.
Mailing Address Phone License No.
---~
Mailing Address Phone License No,
Mailing Addreu Phone License No.
Mailing Addretls ----
Phone L.cense No.
Mech. Contr.
6 NjA
Rooling Contr.
7 NjA
Specially Conlr. (Other)
8 N/A
USE OF BUILDING
9 Commerc i a 1
11 Describe work:
Construct 42.75
o REPLACE
10 Classofwork: NEW OADDITION OAlTERATfON OREPAIR OMOVE OREMOVE
1 an.
12 Valuation of work:
SPECIAL CONDITIONS:
SETBACKS: F
R
RS
LS
Approved f'"or lssu..nce BV
Application Accepted By: Plans Checked BV:
J, Morgan Same
Same
NOTICE
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS }..FTER PLACEMENT OF SLAB.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6
MONTHS.
I HEREBY CERTIFY THA Tl HAVE READANO EXAMINED THISAPPLICA lION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
lAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPLIED WITH/NHETHER SPECIFIED HEREIN OR NOT, THE GRANTING
o PERMIT 0 S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
N ELTH P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGU-
TI G CO DCTION OR TH ANCE OF NST C ~
n rac or AuthorIzed Agent
(Date)
(Date)
gnature of Owner (If Owner Builder)
City of Cape Canaveral, Flori{dt
I q lL PERMIT No, f)1)1I.'
,0
DATE
OWNER
ADDRESS
InspeCtions, /,,!. -J.
I,Footcr ~~
2, Rough Plumbing -J---
3, Lintel '1
--
4,ROl:ghElectric_____ ~_ -- ,~-
5, Fin'~.:-..: ______,--__ -- ---------
e~~~
,"'co, ~
I 0: cC~-------- INSPECTOR------
Building
Eleclric
Plumbing
Mechanical
l,,;uu.:.:s
, n
Southern Sjandard~
National Electric"
Standard Plumbing"
Standard Mechanical"
Other
TOTAL
"as adopted by ordinance.
"AWUOA"O'. WH" """0. ",OOM" "".";0 "A", WO"" ~ ':?;
n ~ ~f1~~
It#lll/ 7 BUI DINGDFFlCIAL ','
.
-.,."""
City of Cape Canaveral, Fl~is1.~
~=.!I-~~~ \ .IWn<M,""TNO~~f:...
ADDRESS 1--1- ~cud:: _'
Inspections
I. Footer
2, Rough Plumbing
3, Untel ~_
4, Rough Electric--B1.lL--.-
~
Other
~
Rejected
[NSPECTOR
-...
1'ft
(!
,-
-
PERMIT NO:
fj 0 fc/.p
,
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT.)
State License
County License and Competency Card
Certificate of Insurance Liability ($100,000; $300,000 & 25,000) and
Workman's Compensation
surety Bond ($1,000) payable to the City of Cape Canaveral (On1v if city
Occupational License is reauired
....................."......."...............................................................................................................................................................................................
...........................,....................................................................................................................................................................................................
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
SECTION: 15
TOWNSHIP: 24 S RANGE: 37 E
TYPE OF PERMIT:
BLDG
ELEC
PLUMB
MECH
OTHER c/
~~ 183-05CfS
PROPERTY OWNER:
ADDRESS: *'~ 0 (
~,~LCS Alle-G1
.p,.. ')+ iOIl.4<<'l- A \ V l
STREET ADDRESS OF JOB SITE: S fjvn.f
LEGAL DESCRIPTION: LOT BLOCK PARCEL 1)11
SUBDIVISION ~~~ V~
TYPE OF CONSTRUCTION: SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF STORIES MAX. OCC. LOAD NO. OF DWELLING UNITS
USE ZONE C - I NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE APARTMENT CONDOMINIUM COMMERCIAL OTHER
CONTRACTOR Do,v \4 "I<::),u'" .
ADDRESS S ~<;,. 'J--I.I" S;i)~_/ 11 vi'
ELECTRICAL
STATE LICENSE NO. (} rc: t'J? '7 f'S<:
0, C PHONE INO. )/t'Y/0 <i I / '2 $ J> ') '] Y 3
.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
ADDRESS
PLUMBING
ADDRESS
MECHANICAL
ADDRESS
OTHER
ADDRESS
NATURE OF WORK TO BE DONE c.onsh-tJct
.
~e(" 'Submitted plan
VALUATION OF WORK/CONTRACT: $ ~I)DO.
NOTE: This application is valid for 15 working days after which time, unless
permit has been drawn, this form and all attached material will be destroyed.
LJ 'e../S C2(
q ir~f"rc:=..
Date:
Age"'~ r;)~1.~O'l.~ <l'tl> _
~1.~o_. ",,,,n\\
.d,,",~
-
J;.\?1
Signed:
L c
~
- --
---
-
-
-
PERMIT FEES
LIVING
AREA
ENCLOSED
AREA
OTHER
BUILDING PERMITS CHAPTER 547-A
Based on Square Footage
BUILDING PERMITS CHAPTER 545
Based on Valuation
ELECTRICAL PERMIT 547 C.1
~
~/'
ID ,tr(}
BUILDING PERMITS MISCELLANEOUS
Based on 547-4
'~.
PLUMBING PERMIT 547-B.1
MECHANICAL PERMIT 547-0
PLAN CHECK FEE
.37
TOTAL PERMIT FEE
II
II FIRE IMPACT FEE 537-03
RADON TRUST FUND (FLORIDA STATUTES)
One cent per square foot under roof
II
II CONCURRENCY MANAGEMENT FEE
SEWER IMPACT FEE 535.01
SEWER TAP FEE
TOTAL SEWER FEE
I
lj~~1~gi~llll~~1;~i;~~l;;i;;;1;;11;;:1;li;;jl;;1;;ii;;;;;;;;;;;;;;11;;::;;;;;;;;;;;;;;;;;;;1;;1;;1;;;;;;;;;;;;j;;:~;ji;j;;j;;:;;j;;:;;:;;ji;jl;;ii;:j;jj;;j;;;j;;:i;l:;;;:;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;:;ill;;;;
OFFICE USE ONLY: VERIFICATION
GENERAL CONTRACTOR ELECTRICAL PLUMBING MECHANICAL
COUNTY LICENSE
COMPETENCY CARD
INSURANCE / " '\\ \,0/
'iii
SURETY BOND (~ ~l\J\ ~\\ \
CITY LICENSE 1\\
STATE LICENSE 1/
WORK FOR A LESSEE, RENTER, MANAGER, OR AGENT MUST HAVE APPROVAL OF LEGAL
OWNER OF RECORD. HOMEOWNERS, CONDOMINIUMS, TOWNHOUSES OR OTHERS*, WITH AN
ASSOCIATION CONTROL, ARCHITECTURE AND BUILDING CRITERIA, MUST HAVE APPROVAL
SIGNED BY THE GOVERNING BODY.' '
HERS IS TO INCLUDE COVENANTS, CONDITIONS AND RESTRICTIONS AS RECORDED o~1
THIS OFFICE IS RESPONSIBLE ONLY FOR OBTAINING COMPLIANCE WI~
BUILDII~G ~-2RMIT APPLIC'::;'ION
CITY OF CAPE CANAVERAL 0 ~
~ 0
N~ 7663 z ~
105 Polk Avenue '" l>
TELEPHONE: (407) 868-1222 D 0
Sec. 15/24S137E 0
D
- ------- '"
JOB ADDRESS ".
8801 Astronaut Boulevard DATE: "
Mav 20. 1992
I LOT NO. I BLK. I TRACT
LEGAL (0 SEE ATTACHED SHEET)
1 OESCR, Parcel 817 Junale Vi 1l.M:.e-
-- '"
Owner Mailing Address Zip Phone '"
2 James Allen 931 Bali Road Cocoa Beach FL 32931 0
783-0595 ~
Gen. Contr. Mailing Address Phone License No. :t>
3 Donald Havnes 526 Jefferson 7R1-7hQ1 v>
Avenue Cane Canavprel FL CGC029852 M-
-s
Elee, Con'" f )~';;l[., lP . ~ M~I~n. Addres> /l'!a!l d~II'i'i2 Phone License No. 0
::l
4 te Be se 1 ccted I OlA :., 'rI-, w~(' < p,
{ --- e
Plmb. Contr. Mailing Address Ph one License 1\10. M-
5 c:c
----- 0
Mec;;h. Contr. Mailing Address Phone License 1\10. e
6 ~
(1)
- <
Rooting Contr. Mailing ACldr..,. Phone License No. p,
7 -S
Cl.
Specialty Conlr. (Other) Mailing Addreu Phone L.~~~----
8
110 Classolwork: q,NEW - --- ---~~----
USE OF BUILDING o REPLACE
9 Commerc i .1 OAOOITION OALTERATlON OREPAIR OMOVE o REMOVE
- -
11 Describe work:
Construct 12 X 36 Concrete Block Storage Shed (432 sq. ft.) , ~lace sign on elepha~__
one wall sign, Construct 4 ft. wood fence, construct a 96 sq. ft. golf shed, and
one elephant per submitted pl ans. Conc. ADD1. No. 91-017 Dreviouslv annroved on 12 -18- 0)
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: $11 388.00 lEL: 1168-1222 . ALLOW 8 HOURS RESPONSE TIME
-- --- -- - -----
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
- --~-
Size of Bldg. No.ot Mall.
(Total) Sq. Ft. Stories Occ. Load
---. ' - --- --
SETBACKS: F R RS LS Fire U.e Fire Sprlnklers
Application Accepted By: Plans Checked By; Approved f-'or Lssu..nce By Zone Zone Required [JYes 0 No
J. Morgan Same Same OFFs'i'"R-EET PARKING "PACESREOtJiiiEO-
No. of
OwelllnQ Units COYflred unco\lere~
NOTICE ~~pecl~_1 Approvals Requ Ired Recelvt!d Not Hequlred
----~ ~~-- ---
~OUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS A'FTER PLACEMENT OF SLAB, -------
HEALTH DEPT.
--- --- -----
THIS PERMIT 8ECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT.
AI)THORIZED IS NOT COMMENCED WITHIN 6 MONTHS,OR IF CONSTRUe- -,----
SOIL RE.PORT
nON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 --
MONTHS, OTHER (Specify) ----
-..---
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHISAPPllCA1ION I 1/1/1/1/ 1/ 1/ 1/ II 111111111 11111111
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS.,. FEES cooes
$f;LIEO WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING Building 1$147.00 Soulhern Slandard'
F A l>~~fOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR Electric 20.00 National Electric*
N\ EL TH VISIONS OF ANY OTHER STATE OR LOCAL LAW REGU,
L";.oJ.or. ST UCTION OR THE PERFORMANCE OF CONNi~~~N\'ll Plumbing Standard Plumbing"
Mechanical Standard Mechanical'
~ature of ontractor r AuthorIzed Agent (Date) " I~ 52.50 Plan check Fee
Olher
Signature of Owner (If Owner Builder) (Date) TOTAL $224.78 'as adopted by ordinance.
Jurisdiction of
Radon Trust Fund: $5.28
'ilS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
~.. ~.\v, r-'
BU . ING OFFICIAL
""'-
-
City of Cape Canaveral, Florida
DATE If -.:.1 h - q 8'- pERMIT No, _________
OWNER __:Junctl; v(1 \ili)J'-~- II/d-----
ADDRESS <i31ill.l_~trQ ~____
Inspections
1. Footer
2, Rough Plumbing ____
3. Lintel
4. Rough~
5. Final
(~h~ t-~.rr\i ' =~ID______
/1,00
INSPECTUR
Cit30f caSe Canaveral, Flryida
~~~ES~- -~=D~-{Q-fQ ~-
ADDRESS ~~n~~~~
Inspections
1. Footer _____________~___________________________
2, Rough Plumhing ___________~__________
3, Lintel ---------ri~----;-~--------
2{ :i~~~',~iC ---+-,' '-,-L------------=
~ 5 ~~------\,L-------------
Otller _______________________________
Rejected _ ,-------------
---7\V---~----~------
\/ INSPECTOR
--
City of Cape Canaveral, Florida
DAT> 4 - ~q?- ~IT No__ _._
OWNER swn~ ()~ ___
ADDRESS' ~QL I .
Inspections
"
ak-/
~-w7~ __
______ ~'T
~-~-------
5, Fina~tr;-';:-~:;r-:;
~~---S-~ fllit;I~ ---
RCjcctc~~~___ fJJ4-~~
Q:,30 '~R
1. Footer
2, Rough Plumbing
3, Lilllel
4, Rough Electric_
City of Cape Canaveral, Florida
~::p'~~~~=NO~
ADDRESS __~___ 6.twiJ .
Inspections
1. Footer
2, Rough Plumbing
3, Lintel
~lectriC
, Final _~
Other
Rejected
INSPEctOR
......
NO: l~lc3
-.
PERMIT
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COpy OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT.)
State License
County License and Competency Card
Certificate of Insurance Liability ($100,000; $300,000 & 25,000) and
Workman's Compensation
Surety Bond ($1,000) payable to the City of Cape Canaveral (Onlv if citv
Occupational License is reauired
TYPE OF PERMIT: BLDG
ELEC
PLUMB MECH OTHER
ADDRESS:
q31
..J:A,II'US
fh~ !/Wary'
fj~~ 7'03 -059.5
C"JCOCL &Ch Pi- :;213 (
;>)(;0 j A~ tlClnoo+ B!vd '
PARCEL '8 j /
-jI1A,i /1(/
PROPERTY OWNER:
STREET ADDRESS OF JOB SITE:
LEGAL DESCRIPTION: LOT BLOCK
SUBDIVISION ~ 11C;Jl II(' //(1 oj.-.-
TYPE OF CONSTRUCTION~ ~~ SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF STORIES MAX. OCC. LOAD NO. OF DWELLING UNITS
USE ZONE NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE APARTMENT CONDOMINIUM COMMERCIAL OTHER ~
CONTRACTOR Q,,.; lit:! r ~,.fl5 STATE LICENSE NO. C'~ 6C 50'$.c...
ADDRESS S 2. Go i'e-.4.eSD>U (' . Q. f(. .k')'0PHONE NO. ~ f 3 7 t: 5'1 /c. S T 5' 3' Y )
ELECTRICAL~ IoQ .Il~,f ,
STATE LICENSE NO.
PHONE NO,
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
ADDRESS
PLUMBING
ADDRESS
MECHANICAL
ADDRESS
OTHER
ADDRESS
l.l I
~~ \.\1/)(1 It!iIJ. loJX3C. o#J. =- '/3..1
. 'I'W'Nf 6.J D
0A(( 5::'J,v o/L (j,Ji~1ft. tf) tf,,(k<j'olrsiJ ?t
/~I()S3, ~ + 3@~o '~r-
NOTE: This application is valid for 15 working days after which time, unless
permit has been drawn, this form and all attached aterial will be destroyed.
PHONE NO.
WORK TO BE DON~o<(:;fet=-I-
~TURE OF
Sr;;/lJ o.u ~,&kHi.
0),
VALUATION OF WORK/CONTRACT: $
/-
Signed: I ~
Licensee, Agent 0 Record, or Owner
Date:
BP.91
.__~_ ~><L.._~
-
-
PERMIT FEES
LIVING
AREA
ENCLOSED
AREA
OTHER
BUILDING PERMITS CHAPTER 547-A
Based on Square Footage
BUILDING PERMITS CHAPTER 545
Based on Valuation
PLUMBING
IT 547-B.1
-=--
ELECTRIC
tJC
'~ ~~
J)..g Il.!rl.J~ -- V. ()gg,~ ~
y~ ' 32l!eJ
-~' 0 -
BUILDING PERMITS MISCELLANEOUS
Based on 547-4
547-0
PLAN CHECK FEE
TOTAL PERMIT FEE
II FIRE IMPACT FEE 537-03
RADON TRUST FUND (FLORIDA STATUTES)
One cent per square foot under roof
0-11
II CONCURRENCY MANAGEMENT FEE
SEWER IMPACT FEE 535.01 -j 0 --
SEWER TAP FEE Ly) -----
TOTAL SEWER FEE ,LU ---
02
~;~I
. . .' . .. . .. .. . .. ... .. .. . .. ..... .. .. .. .. .. .. ... ...... . .... .. . ...
........ .......... ........ . ............................................ ............... ............................................................ ............. ...........
.... ........... ......... ......... ............ .............. . .......................................................................................... ............
.. ....... .... .. .. . ....... ............. . .... ...... . .......... ........ ........ ...... ........ ......
OFFICE USE ONLY: VERIFICATION
GENERAL CONTRACTOR ELECTRICAL PLUMBING MECHANICAL
COUNTY LICENSE
COMPETENCY CARD
INSURANCE
SURETY BOND
CITY LICENSE
STATE LICENSE
WORK FOR A LESSEE, RENTER, MANAGER, OR AGENT MUST HAVE APPROVAL OF LEGAL
OWNER OF RECORD. HOMEOWNERS, CONDOMINIUMS, TOWNHOUSES OR OTHERS*, WITH AN
ASSOCIATION CONTROL, ARCHITECTURE AND BUILDING CRITERIA, MUST HAVE APPROVAL
SIGNED BY THE GOVERNING BODY.
*OTHERS IS TO INCLUDE COVENANTS, CONDITIONS AND RESTRICTIONS AS RECORDED ON
DEED; HOWEVER, THIS OFFICE IS RESPONSIBLE ONLY FOR OBTAINING COMPLIANCE WITH
THE ZONING ORDINANCE.
.
BUILDINu PERMIT APPLIC,ATION
UriS IctlOn 0
CITY OF CAPE CANAVERAL 0 ~
~ 0
N9 7580 z '"
105 Polk Avenue m p
TELEPHONE: (407) 868-1222 D 0
Sec. 15/24S/)7L______ Q
"
m
JOB ADDRESS '"
880.1 Astronaut Boulevard DATE: '"
April 9. 1992
T LOT NO. I BLK. I TRACT .
LEGAL 817 Junqle to SEE ATTACHED SHEET)
1 DESCR, Parce 1 Vi 11 aqe
- --
Owner Mailing Address Zip Phone
2 James Allen Same
Gen. Cootr. Mailing Address Phone License No.
3
Elec. Contr. MalJlng Address. Phone License No.
4 Bon accorso Electric P. D. Box 180.6 Titusvi 11 e, FL 267-14'lL-,__ FROQQ11iQL____
Plmb. Contr. Malllng Address Phone License No.
5
--
Mech. Contr. Mailing Addless Phone License No.
6
-
Rooling Contr. Mailing Address Phone License No.
7
Specialty Conlr. (Other) MaIling Addreu Phone ------
l.cense No.
B
110 Class 01 work: - .---- ~-_._---
USE OF BUILDING o REPLACE
9 Commerci~l l<<J'IEW OADDITION OALTERATlON OREPAIR OMOVE OREMOVE
--
11 Describe work:
Construct 200. amp. 3 phase service (5) 40. amD circuit via conj:actor . 20.. 1.00.0. watt
--,
h.p.s. fixture, 3D h.p. 3 phase pump. Per ~bmi tted plan.
N/A rerer ~ rerml-~ No, NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: 1 abor on ly 150(" la: 868-1~ ' ALLOW 8 HOURS RESPONSE TIME
---- --... .------- ~-
SPECIAL CONDITIONS: Type 01 Occupancy
Const. Group DjvisJon
-
Site of Bldg. No. of Mal<-.
(Total) SQ. Ft. Stories Oce. LO<id
--- --
SETBACKS: F A AS LS Fire U,. . Fire Sprinklers
Application Accepted By: Plans Checked By: Approved For Issu"nce By Zone Zone ~~ired [JYcS 0 No
OFFST-ifEET PARKING PAC ESRE olJjReD'-
J. Morg an Same Same No. of
Dwelling Units COVf:red ":Jnco\ler!.~
NOTICE I-~peclal Approvals Requ ired Rcce!vl;!d l---':'Iot_l:..eQulre!:_
O' ~____
FOU, -NlATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS i FTER PLACEMENT OF SLAB, ,
HEALTH DEPT.
--- -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT. --
AUTHOOIZED IS NOT COMMENCED WITHlN 6 MONTHS, OR IF CONSTRUC- SOIL REPORT
TlON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 1-------
MONTHS, OTHER (Specify) ,-,-- f-----~-
I HEAEBYCERTlFYTHA T' HAVE READ AND EXAMINED TH1SAPPUCAllON 1/1/ '1/111 '71rT711'1 II/II/II '11111111
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS II< FEES CODES
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Building Southern Standard'
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR ElectriC $52.50. National Electric.
\;;1,J EL THE PROVISION~~F~~Y OTHER STATE OR LOCAL lAW R,EG'I-
~~TI~CTlO"" 0 E PERFORMANCE OF CONSTR~7'1 '7 Plumbing Standard Plumbmg"
,,--' 'I '1 C.C_ Mechanical Standard MeChanical.
.fi9Q.it re of Contractor or Authorized Agent (Date) Oth., AI F 1$52.50.
Signature of Owner (If Owner Builder) IDate) TO TAL mD5.DD "as adopted by ordinance.
J 'd" f
~ul9'\
,. ,1
,
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
-
-
DA. "
OWN," ,
ADDR ;S
Inspections
,
1. Footer
2, Rough Plumbing ~
3, Lintel ~ /] /
4, Rou h Electric ---- V
, -- /7
5, mal ~)
Ot er \ ~ /
Rejected \ \
INSPECTOR
.
L
..-.... ~
-
,
PERMIT
NO: 15&3
. ,
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT.)
State License
County License and Competency Card
Certificate of Insurance Liability ($100,000; $300,000 & 25,000) and
Workman's Compensation
Surety Bond ($1,000) payable to the City of Cape Canaveral (Onlv if citv
Occuoational License is reauired
SECTION:
TOWNSHIP: 24
RANGE: 37 E
TYPE OF PERMIT: BLDG
PROPERTY OWNER: ~
ADDRESS: fOreO\
PLUMB
MECH
OTHER
phmu :
~\.V ~
STREET ADDRESS OF JOB SITE:
~N
~o.o~
~€.
LEGAL DESCRIPTIO", LOT BLOCK PARCEL 'i\ I f) ~ t~
SUBDIVISION Cf umf'l V
TYPE OF CONSTRUCTION: t\Pi"'t SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF STORIES MAX. OCC. LOAD NO. OF DWELLING UNITS
USE ZONE NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED ~NGLE FAMILY RESIDENCE
TOWNHOUSE APARTMENT___ CONDOMINIUM ~ COMMERCIAL ___ OTHER
CONTRACTOR
STATE LICENSE NO,
ADDRESS PHONE NO.
ELECTRICAL ~~<"':;>'O>.::.<:::> r 20dctG STATE LICENSE NO. E.Q.. t::X:lO~
ADDRESS ~b~_\'OO\,o 1'tvsv'llle. f0PHONE NO. ~ -\l.\.\\
~TII
PLUMBING STATE LICENSE NO.
ADDRESS
PHONE NO.
MECHANICAL
STATE LICENSE NO.
ADDRESS
PHONE NO.
OTHER
STATE LICENSE NO,
ADDRESS
PHONE NO.
NATURE OF WORK TO BE DONE bo,~ ~CO~ '2:>'ts.( ~\5~
~ ~~"" ~ '1\0, ~ 0 \0(;010.,)
VALUATION OF WORK/CONTRACT: $
NOTE: This application is valid for 15 working days after which time, unless
permit has been drawn, this form and all attached material will be destroyed.
Date: ~'P.\C\d--.
Signed: ~ ~~
Llcensee, Agent of Record, or Owner
BP.91
-
. .......,
,
PERMIT FEES
.
LIVING
AREA
ENCLOSED
AREA
OTHER
BUILDING PERMITS CHAPTER 547-A
Based on Square Footage
BUILDING PERMITS CHAPTER 545
Based on Valuation
ELECTRICAL PERMIT 547-C.1
--
BUILDING PERMITS MISCELLANEOUS
Based on 547-4
PLUMBING PERMIT 547-B.1
MECHANICAL PERMIT 547-D
PLAN CHECK FEE
TOTAL PERMIT FEE
II FIRE IMPACT
FEE 537-03
II
RADON TRUST FUND (FLORIDA STATUTES)
One cent per square foot under roof
II
II CONCURRENCY MANAGEMENT FEE
SEWER IMPACT FEE 535.01
SEWER TAP FEE
TOTAL SEWER FEE
. .............. .. ......... .. .. .. . . .. ............... ..... ................... ... ... ... ... .... ... . . ... .... .......
......... ............ ..... ............ .' ............................. ........................................ ............................ .................
........................................................... ....,........................................................................................................................................................
............ ......... ........... .. ................... . ......................... . .................. .... ................. ...
OFFICE USE ONLY: VERIFICATION
GENERAL CONTRACTOR ELECTRICAL PLUMBING MECHANICAL
COUNTY LICENSE
COMPETENCY CARD
INSURANCE
SURETY BOND
CITY LICENSE
STATE LICENSE
WORK FOR A LESSEE, RENTER, MANAGER, OR AGENT MUST HAVE APPROVAL OF LEGAL
OWNER OF RECORD. HOMEOWNERS, CONDOMINIUMS, TOWNHOUSES OR OTHERS*, WITH AN
ASSOCIATION CONTROL, ARCHITECTURE AND BUILDING CRITERIA, MUST HAVE APPROVAL
SIGNED BY THE GOVERNING BODY.
*OTHERS IS TO INCLUDE COVENANTS, CONDITIONS AND RESTRICTIONS AS RECORDED ON
DEED; HOWEVER, THIS OFFICE IS RESPONSIBLE ONLY FOR OBTAINING COMPLIANCE WITH
THE ZONING ORDINANCE.
-
{.-
J;~,
l),,:\'\.\~
*""~
."""b 01 fJi)
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-
~
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"
'.
- ---'.....,
BUILDINL ,,-.:RMIT APPLll,J.\ .ION
un IC Ion 0
CITY OF CAPE CANAVERAL 0 ~
~ 0
N9 7506 z ..
105 Polk Avenue rn J>
TELEPHONE: (407) 868-1222 II 0
Sec. 15/24S1}7E 0
"
-- rn
JOB ADDRESS "'
8801 Astronaut Boulevard DATE: February~ 1992 "'
c... en
LOT NO. I BLK. I TRACT '" en
LEGAL Parcel 817 Jun9le Vil~ <<0 SEE ATTACHED SHEET) 3 0
1 DESC R. ro ~
,-- Vl
Owner Mailing Address Zip Phone :P
2 James Allen Same 783-0595 :P Vl
~ M'
~ ..,
Gen. Contr. Mailing Address ,,"000258_ 5343 License No. ro 0
3 Donald Haynes 526 Jefferson Avenue Cape Canaveral, => =>
FL 32920 783-7691 CGC027852 '- '"
c... e
Elec. Contr. Mailing Address Phone License No. e M'
4 N/A ~ '"
0
Plmb. Contr. MalJlng Address Phone License 1'40. ro e
N/A ~
5 <: ro
--- ~. <
Mech. Contr. Mailing Address Phone License 1\10. ~ '"
6 N/A ~ ..,
9 0.
- --
Rooting Conlr. Mailing Addr8U Phone lIcense No '"
7 N/A
Specially Conlr. (Other) Mailing Addr8!Os Phone License No. --
8
110 Class of work: ~EW - , --------
USE OF BUILDING o REPlACE
9 Commerc i a 1 OADDITION OAL TERA TION ORE PAIR OMOVE OREMOVE
- -
11 Describe work:
Construct 36 hole mini oolf coarse per submi tted pl an.
--
COND ITIONS: Must comD 1 v with letter dated F ebruaLL12. 1992 from James E. Mor.g.an
Buildino Official
000.00 NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: $120 TEl: 866-1222 . ALLOW B HOURS RESPONSE TIME
----- ;.---, ,
SPECIAL CONDITIONS: Type of Occupancy
Canst. Group Division
stated -
as above. Size of Bldg. No. of MaJ(.
(Total) Sq. Ft. Stories Occ. Load --
--_.
SETBACKS: F R RS LS Fire U.. ' Fire Sprinklers
Application Accepted By: Plans Checked By: Approved For ISSUgnCe By Zone Zone Required DYes 0 No
J. Morgan City Engineer OFFST'REET PARKING 'PAEES REOUiRED'-
& J. Morg an No. of
James Mornan Dwelllno Units CovE:red Uncovered
NOTICE _~ecl~_1 Approvals Required Recelv~a ;-~ot_~qulre~_
.-----
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB, -
. HEALTH DEPT.
--- -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT. --
~UTHDRIZEO IS NOT COMMENCED WITHIN 6 MONTHS,OR IF CDNSTRUe- SOIL REPORT
.TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 -
MONTHS, OTHER (Specify) ,-- ----
I H~REBYCERTlFYTHATI HAVE READ AND EXAMINEDTHISAPPLlCA110N 11' , , " , " " " " ""'''' , , , , , ,
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
~ AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS II< FEES CODES
M LIED WITH ~;:'ETHER SPECIFIED HEREINr=~T, THE GRANTING Building $435,00 Southern Standard'
6F A ERMIT 0 S NOT PRESUME TO GIVE AUT TY TO VIOLATE OR Electric National Electric"
~~ oL THf1fj,. VISIONS OF ANY OTHE8..8'r'I('fE OR LOCAL LAW REGU-
II G CO S ~ UC!!ON OR THE~RMANCE OF CO~~rl:l1')t Plumbing Standard Plumbing"
~,of~onyactor..)r Authorized Agent (Date) Mechanical Standard Mechanical"
Other t?17 ~O p"n F""
Signature of Owner (If Owner Builder) (Date) TOTAL $652 50 "as adopteabv ordinance.
J 'sd' r f
OIL:iJ- fftJ
,?; . 'J-y-, l"rL
B LfllNGpHICIA~ ~
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
~-
"I City of Cape Canaveral, Florida
DATE "'t'-!tD, CJ2- PERMIT No, 'J50(P
OWNER 1-'; ( \ ' o.I 0_,
ADDRESS </~: (
tnspections
I :Footer
Rough Plumbing
3, Lintel
4, Rough Electric
5~Final lilt .I(\L-:
Other
Rejected
-,
~~
"
INSPECTOR
I . \.... \._
--
Inspections
1. Footer
2, Rough Plumbing r' --------------
:: ~~'lcl E~cctric -=~~~-=============
~-----------------------------
Other
Rejccted ~_ ___________
--------_/\ /
l
INSPH:TO\'..
City of Cape Canaveral, Floiida
DATE :'3 - ,~z.. - q f?_ @PERMITNO'
OWNER ] lIYI~- 0 p \ " 1
~DDRESS t'8"60( ~1)~I'rP- BlLJ).
'InsD~ions
C~ Footer ,-.
A
~, Rough Plumbi
3, Lintel
4, Rough Ele tric
5, Fin
Other
Rejected
(/ . :3D
,
'?Jtt7;;-------
INSPECTOR
_.
-
PERMIT NO:
f) 5()0
CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT.)
State License
County License and Competency Card
certificate of Insurance Liability ($100,000; $300,000 & 25,000) and
Workman's Compensation
Surety Bond ($1,000) payable to the City of Cape Canaveral (Onlv if Citv
Occupational License is reauired
...... .... . '" ...... ........... .... ..... ......... .. ....
.... .......... ...... ....... ..... ..... .......... ......... . ...... ... n.. ...............
..................... ............ . ........ ..... ..... ................. ........ ........ .... . .......... .. ............ . .................
..... .... .... ... . .. 'n ........ . ............ ......... .n n. . ....... .... ..........
SECTION:
TOWNSHIP: 24 S RANGE: 37 E
TYPE OF PERMIT: BLDG ELEC PLUMB MECH
PROPERTY OWNER: '-;'" Aile rJ
.J ..q rlA..{ S
9) / II ;/ ~. 'f.(.J()I'L, "l-<.c f ,6/ c>cI
ADDRESS: . J',,---)
STREET ADDRESS OF JOB SITE: .J- rJ p1..-J-..
OTHER ~
PHONE
LEGAL DESCRIPTION: ~ BLOCK
SUBDIVISION ::) a ltXo Vr O'Oa/(\~
TYPE OF CONSTRUCTI~: sizE OF
NO. OF STORIES MAX. OCC. LOAD
USE ZONE
TYPE OF OWNERSHIP (CHECK
TOWNHOUSE APARTMENT
PARCEL 5Q~ 01 ()
BUILDING (TOTAL SQ.FT.)
NO. OF DWELLING UNITS
NO. OF PARKING SPACES
SINGLE FAMILY RESIDENCE
COMMERCIAL OTHER
ONE): DETACHED
CONDOMINIUM
CONTRACTOR D c~ ,,; l-\ >'1( , I\i 5
J
ADDRESS;; ,(, '41't..J<:>uil..i i'<,J-i(
ADDRESS
. uv<# -
WORK TO BE 0 E :') <0
cry[ (h~
STATE LICENSE NO. 0<;:(' o27,f's <:
PHONE NO. 7r.P j 7G <;( /S5 rf S 3 Y :3
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
1.(' (~-u '
C".c.., '-1
/-,
ELECTRICAL
~.I
ADDRESS
PLUMBING
N.4
ADDRESS
MECHANICAL
NI9-
ADDRESS
OTHER
NATURE OF
VALUATION OF WORK/CONTRACT: $
//
/'"
NOTE: This application is valid for 15 working days after which time, unless
permit has been drawn, this form and all attached material will be destroyed,
Date:
,/'.
/
BP.91
Signed:
Ll.censee,
-
,-
PERMIT FEES
LIVING AREA ENCLOSED AREA OTHER
BUILDING PERMITS CHAPTER 547-A
Based on square Footage
BUILDING PERMITS CHAPTER 545
Based on Valuation
BUILDING PERMITS MISCELLANEOUS 13>. oV
Based on 547-4
ELECTRICAL PERMIT 547-C.1
PLUMBING PERMIT 547-B.1
MECHANICAL PERMIT 547-0
PLAN CHECK FEE ~17, :>0
,
TOTAL PERMIT FEE f G J:;.;{ , !;; '0
II
II FIRE IMPACT FEE 537-03
RADON TRUST FUND (FLORIDA STATUTES)
One cent per square foot under roof
II
~ CONCURRENCY MANAGEMENT FEE
SEWER IMPACT FEE 535.01
SEWER TAP FEE
TOTAL SEWER FEE
. .. ... .... ..
... .... ... ......... ... .' .
........ ... ........... .. . .... ..... ... ....... .. ...... . .......
o . ...... ..... .' ... . .
OFFICE USE ONLY: VERIFICATION
GENERAL CONTRACTOR ELECTRICAL PLUMBING MECHANICAL
COUNTY LICENSE
COMPETENCY CARD
INSURANCE
SURETY BOND
CITY LICENSE
STATE LICENSE
....
.-.
. ,
City of Cape Canaveral
105 POLK AVENUE. P.O. BOX 326
CAPE CANAVERAL,.FLORIDA 32920
TELEPHONE 407 783.1100
February 12. 1992
32931
RE: Jungle Village located at 8801 Astronaut Boulevard. Cape
Canaveral, Florida
Dear Mr. Allen:
The fOllowing conditions must
completed prior to a final
Occupational License:
be satisfactorily addressed and
inspection and the issuance of a
1. All setbacks must be verified by a legal survey.
2. All structures must be certified by a design engineer.
3. All debris must be removed from the site.
4. All items completed that are specified in the letter
dated October 9. 1991, from Thomas Kleving. Building
Inspector. (copy attached)
5.
Must comply with
Engineers. letter
attached)
Briley, Wild &
dated February
Associates,
22, 1992.
City
(copy
In addition to the above. the Building Department
copy of your filed Notice of Commencement within
of the Building Permit issuance date.
must receive a
seven (7) days
An additional Building Permit must be pulled by a licensed
electrician prior to any electrical work being started.
Should you have any questions or desire additional information,
please contact the Cape Canaveral Building Department. 105 Polk
Avenue. P. O. Box 326, Cape Canaveral, Florida 32920 Or
telephone (407)868-1222. fax 799-3170.
~SinCerel!'
O,~
ames E. Morgan ~
Building Official
JEM/sln
cc: Don Haynes, General Contractor
THE CITY OF CAPE CANAVERAL SUPPORTS RECYCLING
PRINTED ON RECYCLED PAPER
--
......
City of Cape Canaveral
105 POLK AVENUE . P.O. BOX 326
CAPE CANAVERAL. FLORIDA 32920
TELEPHONE 40~ 783.1100
October 9. 1991
Mr. James Allen
931 Bali Road
Cocoa Beach, FL 32931
RE: Jungle Village located at 8801 Astronaut Boulevard. Cape
Canaveral, Florida
Dear Mr. Allen:
Prior to the issuance of any further permits for Junale Villaae.
located at the above address, the following items will have to be
addressed.
1. The electrical work performed on the maze needs to be
permitted.
2. The electrical work for the pit area needs to be
permitted.
3. The three (3) 8' X 8' signs on the maze need to be
permitted.
4. The observation deck for the racetrack needs to be
,permitted.
Prior to the final inspection on planned future improvements at
Jungle Village, the following items need to be addressed.
1. All dead trees are to be removed and new trees replanted.
2. All debris and rubble are to be disposed of off site.
3, All building materials on the site and adjacent property
is to be either removed or stored out of sight in an
enclosed area.
4. All landscaping and attending irrigation systems are Xo
be completed. Present landscaping is to be maintained
on a regular basis.
5. All areas are to be sodded as per site plans.
THE CITY OF CAPE CANAVERAL SUPPORTS RECVCUNQ
PRINTED ON RECYCLED PAPER
-
--
, <
James Allen - Jungle Village
Octqber 9, 1991
Page 2 of 2
A reinspection fee will be charged on al~ reinspections made on all
further permitted work.
In addition. all completed site work will be si9ned off by both
your engineer, Walter Bowman. and the City's enaineer, Briley, wild
and Associates.
If you have any questions or desire additional information, please
contact the Cape Canaveral Buildin9 Department. 105 Polk Avenue,
P. O. Box 326. Cape Canaveral, Florida 32920. or telephone:
(407)868-1222.
.
TK/sln
I
I.
I
I.
I
I BRILE~ WILD
I ,NP f'~SOCIATES
1 I I I
I I
, February 7, 1992
, '
-
__ <t:< (JO If I - {),I./I
, DISTRIBUTION
M"Yor
Cily Council
Cily Mnr, L-
.f!ly Airy.
Pub. Work~ Oir
DUj'di.." Off.~~ "u.or-
l"I,:..rll(.:C Oil. ....... .
,
11'
I
I
I
i-
CC 92022-9CE
; , I
, I ,
, I '
I I I
I Mr. J~es E. Morgan
I Building Official
I City of Cape Canaveral
1105 Polk Avenue
, Cape Canaveral, Florida 32920
! I I
,
; Re; Site Plan Review: Revised "Jungle Village" Dated January 24, 1992
: I
Dear Jim:
, ,
I I
I We have reviewed the revised site plan for the referenced project and offer the following
comments:
, I
II.! The locations of the mitered endwalls should be examined now that the side slopes of the
I I retention ponds have been modified. This examination would have a direct bearing on the
I I Ifngth of culvert required.
12.1 We question the invert elevation of the endwall within the small trac~ layout adjacent to the
I I ~art shed. Should not the slope of the culvert be toward the large retenl10n pond?
I ,
I '
13.: The invert elevation of the proposed storm manhole off-site should be 1.4, not 2.4 as called
I 'out.
Iii
I Once these items have been satisfactorily addressed and incorporated onto a revised site plan our
I re~ie\\! of this project will be completed. The cost incurred for this review is $150.00.
I I '
, I
I Sincerely,
Ii!
I BRILEY, WILD & ASSOCIATES, INC.
I CONSULTING ENGINEERS & PLANNERS
'eve: ' ,
i I I
I
i Scott R. Spoon r, .E.
I Assistant Direc of Engm' cering
I I i
I ,
! SRS/dma
I Enclosure
! i I
I '
t.
Briley, Wild and Associate_, Inc.
Coneulting Engln..... and Pl.nn....
1040 North U,5, ,Highway One
P.O, Bo, 607 '
Ormond Beach. FL 32175
904/672-5660 ~ FAX 904/673-8264
Offlces in 8rsdenton, ~
~IBucf' ~ & Dmond 8Hch. Fl
, '
//VV//
110. (
:"":;:~ .1:~-:JOHNfJ\RI\I.F"jJt~':
t~;~~!::~:":";ji~'0;f:~;:
~i'~fY'j~4.;.....>t\l# ,'~A\l ;".';;
~''!1l~~;Ji,,~,"\,.,.,'1;li'''''i''i'' WATER
MANAGEMENT
DISTRICT
Henry Dean, Executive Director
John A. Wohle. Assistant Executivo Direclor
", ~~~
POST OFFICE BOX 1429
TELEPHONE 904/329-4500
PALATKA, FLORIDA 32178-1429
SUNCOM 904/660-4500
FAX (EXE~UT1VEllEaAl) 3~""125
(PERMITI1NG) 3zg-431~
FJELD STATIONS
(ADMlNISTRATION/ANANCE) 32~4S00
November 20,
1991
618 E. Soulh SIre'"
Orlando, Florio.. 32801
<4011894.5423
7775 Baymeooows Way
Sullo 102
Jacksonville, Florida :12256
9041730-6270
PERMITIING;
JOS Easl Drive
Mebourne, Florida 32904
4071964-4-940
OPERA TION$:
21JJN.WidlhamAO,1d
Mebouroe. Florida 32935-8109
407f2~1762
CERTIFIED NO.:
~ 745 187 454
DISTI,lllUTION
._ ..,om__.__
Mr. Jim A:!-len
931 Bali Road
Cocoa Beach, Fl. 32931
Re: Jungle Village
Section 15, Township 24S, Range
Stormwater Permit #42-009-1343N
37E - Brevard County
Mayor
.(-"ily--(:(;;~;t-it
C:ily Ml~
City Alty.
~~~I~W~:j(s 617.*-
-(11~fclT;~I;OIJ-:- .
.j~,~~.;(~i5T~
Dear Mr. Allen:
On November 18, 1991, Perry Jennings and Garry Cook of the District
staff met with you and your engineer, Mr. Walter Bowman, i.n regards
to resolving the flooding problems associated with the above site.
On-site inspection of the facilities revealed the unauthorized
construction of a 460 sq. ft. golf tunnel and pond located within
the southeast corner of the site. Please be advised that, with the
exception of adding concrete to the existing wire shell, no
additional construction may occur on the property without an
approved permit issued by the District.
As discussed, your engineer will submit an application and all
supporting information required to obtain the permit modification
approval. The application is to include both the proposed golfing
facility, as well as, addressing the current ponding problem
existing within the permitted portion of the site.
please be advised that further alterations to any part or the site,
not authorized by permit or written approval from the District, may
result in the District seeking additional permit modifications, and,
a consent order which could involve the assessment of a monetary
penalty for constructing without a valid permit.
If you have questions, please contact Janice Unger or Garry Cook at
(407) 984-4940.
Sincerely,
a ~ d ~-'l'
~ce v. Unger, Compliance Coordinator
Department of Resource Management
G-~7 ~c;;:;/L..
Garry L. Cook, Fld. Rep.
Dept. of Res. Mgmt.
JU:gc
cc: John Juilianna
Records (P. Comas)
Saundra H. Gray.
DE BARY
Jesse J. Parrish, III
TITUSVILLE
CHAIRMAN Joe E. Hill, VICE CHAIRMAN
LEESBURG
Ralph E. Simmons
FERNANDINA BEACH
Joseph O. Collins TREASURER
JACKSONVIL.lE
Patricia T. Harden
SANFORD
Lenore N. McCullagh
ORANGE PARK
MarrH! C. Fore SECRETARY
OCALA
James H. Williams
OCALA
--
-
'7/tJ6 7'1- lilt
--- - - - - _w - - - - - - - - - - -
-- . - - - - - - .. -. --- - - . - . - - - . - - .-. - .. - .
.-. ... - - -"'! .- -- ... - - - -- - ... - -"'! -
...- - -- -- - . . - -- - :.. -. -- -- J - - - - .. -
-- .. - - - - - - I. . - - .. - _L - - - - - .. - - - IL -
-- - -----..-.- - -- - -- - - --- - - - -
ElVGllVEERS lJt PLAlVlVERS
DISTRI8UTION
--~
,\A,,,-Y(Jr
CUy ~C()unciJ
Cityy.1gr. &.-
01Y--,^.I!X...
Pub. Works Oir.
Nov. 18, 1991
City of Cape Canaveral
Building Official
Subject Jungle Village, sKateboard ramp.
Gentlemen:
I have this date inspected the referenced
structure and find that it has been built
substantually in accordance with the plans.
Yo~
:f/:c. Warren
104 WEST PARK LANE' COCOA BEACH, FL 32931' (407) 784.1633
.--.
BUILDINu r-cRMIT APPLI(;k ,'ION
r- -
CITY OF CAPE CANAVERAL 0
~
N~ 7390 105 Polk Avenue Z
..
TELEPHONE: (407) 868-1222 Sec. ;D I
15-24-37 ,
,
- --,--- P
JOB ADDRESS "
8801 Astronaut Boule\f~rd DATE: Novpmhpr "
1.5~-1qq1
1 LOT NO. k~LK. il TRACT .
LEGAL 817, Section (0 SEE ATTACHED SHEET)
1 DESCR, P arce 1 1 Townshi 24 South. Range 37 Fast
Owner Mailing Address Zip Phone
2 James A 11 en, 8801 Astronaut Bou 1 ev ard Cane r''''vera 1, FL 7R1-0~q~ c... co
-- ~ co
Gen. Contr. Mailing Address Ph one License No. D
(1) ~
3 Don a 1 d Haynes, 526 Jefferson Avenue Can" r,n 7R~_7hq1 rr.r V>
;p
Elee. Contr. Mailing Aadress Phone License No. ;p V>
~ M-
4 ~ ..,
-- (1) 0
Plmb. Contr. Mailing Addre5S Phone License No. ::s ::s
'"
5 c
M-
Mech. Contr. MalUng Address Phone License No.
CO
6 0
- c
ROOling Cantt. Mailing Aadreas Phone lIcense No. ~
(1)
7 <
-- '"
Specialty Conlr. (Other) MaIling Address Phone llceose No. ..,
0-
8
110 Class of worK~ - --,-
USE OF BUILDING D REPLACE
9 Commercial ONEW OADDITION OAL TERATIOt-l OREPA1R OMOVE o REMOVE
,- --
11 Describe work:
Construct concrete tunnel. Phase I accordi ng to attilr.hpd cJrrt,^/in9"
--
and conditional nermit letter for Jungle Vj~ Tunnpl/{;olf Sitp
NOTE: Electrical work requires separate Dermit.
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: $8,000 TEl: 868-1222 . ALLOW 8 HOURS RESPONSE TIME
-- -- ,-----
SPECIAL CONDITIONS, Type 01 Occupancy
Canst. Group Oivi'ilon
-
SI...-e of Bldg. Na.of Ma)t.
(Total) SQ. Ft. Stories Occ. Load
.--. - -- ~------
SETBACKS, F R RS LS Fire U,. . FIre SprinklerS
Application Accepted By: Plans Checked By: Approvod f-or lssui:lnce By Zone Zone ~~jred [JYes 0 No
J. OFFSTREET pARKft-lcf PACES REOUfRED'-
Morgan Same Same No. of
Dwellln.... Unlt'i Covt:red Uncovered
NOTICE _~ed~,1 Appro'la\s Required Rccelvl;:o Not r-<equlred
----- --------
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB, -
HEALTH DEPT.
---- ---. i-----
THIS PERMIT BECOMES NULL AND VOID /F WORK OR CONSTRUCTlOt-l FI RE DEPT. ~---
~UTHORIZED IS NOT COMMEt-ICEDWITHIN 6 MONTHS. OR IF COt-lSTRUC- SOIL REPORT
_'ON OR WORK IS SUSPENDED OR ABAt-IDOt-lED FOR A PERIOD or 6 -,
MONTHS, OTHER (Specify) ,--- ----
I,HEREBY CERTlFYTHAT I HAVE READ At-ID EXAMlt-IED THIS APPLlCA liON n rn f I'" , "'"" " , ,/I /I /I 1111'
AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS l!o FEES CODES
COMPLIED WITH WHETHER SPEC/FlED HEREIN OR NOT. THEGRAt-ITlNG BuUding ,^ Southern Slandard'
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR Electric National Eleclric*
~~~~~~~F At-IY OTHER STATE OR LOCAL LAW REGU-
LING TI R THE PERFORMAt-ICE 0')'..7-''' ~N, Plumbing uLl----:F+OV'l RO on Standard Plumbing'
r, U '1~1 Mechanical t h IJ T;; ('T Slandard Mechanical"
atuca of Contractor 0( Authorizad Agent (Date) Other 40_00 Dlo~ D~"'~L'
Signature of Owner (If Owner Bullderl (Datel TOTAL ?OO nn *as adop\ed by o,dinance.
Jurisdiction of
(2k If bcf7
~H~_ 6-
B lJDlNG10ff1Cfl'l
~~7
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
-
City of Cape Canaveral, Florida
~:T:E-QS7.a~_~"'M<T N,,'l5-'lO~_
ADDREs;-i2~cJi~-;n~-P,~~---
Inspections
I. Footer
------------------~--~--
2. Rough Plumbing ____________________
3'Lintcl ....
4. Rough E1::tric -1Z-~, tt-==============
~-----U ---=---------------
Other _____________________________ (
Rejected -=~==--==_-L~~-=/====~====
INSPECTOR
..
PERl'._ r
- NO: '1390
--
CITY OF CAPE CANA VERAL
BUlLDlNG PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COpy OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT.)
State License
county License and competency Card
Certificate of Insurance Liability ($100,000; $300,000 & 25,000) and
Workman's compensation
Surety Bond ($1,000) payable to the City of Cape Canaveral (Onlv if city
Occupational License is required
..............................................................................................................................................................................................................................
....................................................................................,...........................................................................................................................................
..............................................................................................................................................................................................................................
................................................................................................................................................................................................................................
SECTION:
TOWNSHIP: 24 S RANGE: ~
TYPE OF PERMIT: BLDG ELEC PLUMB MECH OTHER L./'
- -
PROPERTY OWNER: ' :::r ANlR <; -A\~~rtJ PHONE
ADDRESS: 'il'(O( .p,\i.(lod~"; ~I vr/.
~
STREET ADDRESS OF JOB SITE: S''''~
LEGAL DESCRIPTION: LOT
SUBDIVISION
TYPE OF CONSTRUCTION: SIZE OF
NO. OF STORIES MAX. OCC. LOAD
USE ZONE
TYPE OF OWNERSHIP (CHECK
TOWNHOUSE APARTMENT
BLOCK
PARCEL
BUILDING (TOTAL SQ.FT.)
NO. OF DWELLING UNITS
NO. OF PARKING SPACES
SINGLE FAMILY RESIDENCE
COMMERCIAL OTHER
ONE): DETACHED
CONDOMINIUM
STATE LICENSE NO. Q Gc :?o I"p's 2-
PHONE NO.
SD~WSTATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
STATE LICENSE NO.
PHONE NO.
PLUMBING
ADDRESS
MECHANICAL
ADDRESS
OTHER
ADDRESS
NATURE OF WORK TO BE DONE Q{)P2Si1t>u<,-I
tk f\ S'.e '"1:: ~\'.,.e.e If ffAC~ J
VALUATION OF WORK/CONTRACT: $ ~ 00 V.
NOTE: This application is valid for 15 working days after which time, unless
permit has been drawn, this form and all attached material will be destroyed.
. to I{ C/"7'f 4. J -ft < VI ru fl
J E''Ife.<.I,',( 5'
Date:
Signed.
Licensee, Agent
BP.91
<'., (' I~;' ,
'I t......
-
-
,
PERMIT FEES
LIVING AREA ENCLOSED AREA OTHER
BUILDING PERMITS CHAPTER 547-A
Based on square Footage
BUILDING PERMITS CHAPTER 545 ..<i,; (j"u
Based on Valuation fr-rl , Fo ,).,;;
BUILDING PERMITS MISCELLANEOUS '<j1'/ tit) ,[7)
Based on 547-4 /JC
ELECTRICAL PERMIT 547-C.1 In.,. J&' ft" /, "" 770
PLUMBING PERMIT 547-B.1
MECHANICAL PERMIT 547-0
PLAN CHECK FEE
TOTAL PERMIT FEE
II
II FIRE IMPACT FEE 537-03
RADON TRUST FUND (FLORIDA STATUTES)
One cent per square foot under roof
II
II CONCURRENCY MANAGEMENT FEE
SEWER IMPACT FEE 535.01
SEWER TAP FEE
TOTAL SEWER FEE
.....................................................,........................................,..........................................................................................................................
........................................................................................................................................................................................................ .......... .....
..........................................................................................................................................................................................................................
...........-. ........................................ .......................................... ..........................-........ .............................................. ........................ .......... ...
OFFICE USE ONLY: VERIFICATION
GENERAL CONTRACTOR ELECTRICAL PLUMBING MECHANICAL
COUNTY LICENSE
COMPETENCY CARD
INSURANCE
SURETY BOND
CITY LICENSE
STATE LICENSE
- '
BUILDINC PERMIT APPLllATION
Jurisdiction of
CITY OF CAPE CANAVERAL ~ u
. N~ ~
7380 105 Polk Avenue l>
0
TELEPHONE: (407) 868-1222 Sec. 15/24S137E D
-- "
'"
JOB ADDRESS '"
8801 Astronaut Boulevard DATE: '"
11-8-91
I LOT NO. r BLK. I TRACT
LEGAL 817 Junale (0 SEE ATTACHED SHEET) c.. co
1 DEseR, Parcel Villaqe c: co
:::l 0
Owner Mailing Address Zip Phone c.c ~
2 James Allen Same ~
783-0595 -- m :lo>
II>
Gen. Contr. Mailing Address Phone License No. <: M'
3 Don Haynes 526 Jefferson Avenue Cape Canaveral . FL 783- 7/;Q1 r.r.;r.n ~, ..,
32920 ~ 0
~ :::l
Elec. Contr. Malllng Address Phone License No. '" '"
4 N/A c.c c:
m M'
Plmb. Contr. Mailing Address Ph one License No. ro
5 N/A 0
c:
Mailing Address Phone --,- ~
Mech. Contr. License No. m
6 N/A <
'"
- ..,
Rooling Conlr. Mailing Address Phone LIcense No. el.
7 N/A --
-,
Specially Conlr. (Other, Mailing Addrell$ Phone License No.
8
110 Cla.so/work: qNEW - -~-- ----
USE OF BUILDING o REPLACE
9 Commercial OADDlTION 9ALTERATlON OREPAtR OMOVE o REMOVE
---
II Describe work:
Construct skate board ramD. Modify canopy for skate iNard prQ~~ ConstrtJct____,
storage room. Construct observation deck. AFTER THE FACT.
Per submitted plans.
$15,000.00 NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuarion of work: TEL: 868-1222 , ALLOW 8 HOURS RESPONSE TIME
---- --, , -
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
-
Size of Bldg. No. 01 Ma)t,
(Total) SQ. Ft. Stories Occ. Loao
- --
SETBACKS: F R RS LS Fire U,e . Fire Sprinklers
Application Accepted By: Plans Checked By: Approved f"or Lssu..nce By Zone Zone Requireu [JYcs 0 No
OFFST'R-EET PARKING "PAcE:SAEOtTIREI)'-'-
J. Morgan Same Same No. of
Dwelling Units eOI/Erred Uncovered
NOTICE Special Approvals Required Received _':'4ot_l~qujre~_
-"---. ._----~
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB, -
HEALTH DEPT.
. --, -.--. f-----
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR tF CONSTRUC- SOIL REPORT
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 -,
'MONTHS. OTHER (SpeCify) -- ~----
, ?,HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLlCA110N II II II II '/111///// 111111111 II 1111/
AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMtTS 110 FEES CODES
~OMPLlED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING Buikiing $105.00 Southern Standard"
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR Electric National Electric'
U C~CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU,
. P. TI G CON;l:(RYCTlON pR THE PERFORMANCE OF C9~S~RI"J,<J:ff' Plumbing Standard Plumbing'
Mechanical Standard Mechanical'
IJ~ nat re acto ,,~ uthorlzed Agent (Date) 105.00 AFTER THE FACT
J ,^ V.v , ( r- .... Other
S ature of Owner (If Owner~ullder) (Date j(l())(Jj(,U,X 52.50 Pl n',,( ~I!l!ll by@@nance
TOTAL 262.50
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
awh ;F~,~()
Of<dff3<;"- ;JjtJ,-
u
< tv.
IjlIl'JG t'JPFlqlA'l:'
~-
.'~ .,-
,
.-
I
-
City of Cape Canaveral, Florida
DATEIL.---.l51 -~
OWNER Ji /Y:k;
ADDRESS ; f
, Inspections
.J, Fookr
2, Rough Plumbing'----L_
}, Lintel
Other_______jt_ ~________
Re 'celt.'d r
J ________ -;___________'
______. _____--.L __,
If ty:.. 1~ Y-'\/
. \.eV' /. ) lNSPfl'TOR
-
-
. ,
CITY OF CAPE CANAVERAL
..
.
BUILDING PERMIT APPLICATION
:rJILS~l,~.__N9'I'_A_PERMU'-:r'0_S_T}\~LWORK:_I'LI~__A.N_JI,IT_U<;Nl.'..1-9JLQt:{I,.X AND WILL BE
PROCESSED AS SOON AS POSSIBLE. Y.o.u_J~JLI._,BE__C;ALLEIL~lIlF.N_J;'l.'_J;.s_RFAD,L..
,
COMPLETE BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT) 'Y(2;j':380
State License
County License and Competency Card
Liability ($100,$300,$25 Thousand) and Workman's Compensation
Insurance
Surety Bond payable to this City {$1.0001 lQ~~Y i~<;j~Q2_~~Q~~tQnal
;~;~-~;~~;~;;~~;;;;~.~;;r-~;~~~------;;~~;~-----_~c__L~Jt:~~~~-~
PROPERTY OWNER:~AlYtes
[>?/fn (
.p.. \ ~e..n)
,45+1'01/ !1.<lf
PHONE 7.13057'S
ADDRESS:
41114
STREET ADDRESS OX ~~Q>> ~lY1E:
lCt' . St'
LEGAL DESCRIPTION: BLOCK
s~
SUBDIVISION SLtt19\t" IJillap
OTHER
TYPE OF CONSTRUCTION:
SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF STORIES
USE ZONE 001l1nu>o<';- .'4{
MAX. OCC. LOAD
NO. OF DWELLING UNITS
NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FJI,MILY RESIDENCE
TOWNHOUSE__
APARTMENT CONDOMINIUM
COMMERCIAL
CONTRACTOR Oo,u ~(\,QS STATE L,IC.1t C CC 02 '? '1 S' Z.
ADDRESS S 2(,.. 0-e t4.~S'O,,) C~ 041,>/1/- F{. PHONE11 '/'1' J 7& "7f ,/ C;;S () 7'.3YJ
ELECTRICAL ---. STATE LIC.n
ADDRESS PHONE11
PLUMBING STATE LIC.it
ADDRESS PHONE It
MECHANICAL STATE LIC.n
ADDRESS PllONEIt
OTHER STATE LIC. 1/
ADDRESS PIIONE1t
NATURE OF WORK TO BE DONE:LV COrlS'1,(!u(' -f- sh- tP .6b4/f'cI k-lnn/l
-'l..O..e A t/t1cIJd I EM/-,1M~5 ..GJ fI1 0 d'l. (l"J'~..kAk 6oa.,d pf!O $L~jO
VALUATION OF WORK/CONTRACT: $___i)~ 000, o~....:.._~~~oVY\.. 0.8.9{.{Jf/,nL
~~ Ob ~tIJA~ ,0/0 ilel:'.lG
NOTF:..;. This application is valid for 15 Horking days after which time,
unless a permit has been drawn, this form and all attached material
will be destroyed.
Signed:
Record or Owner
Date:
-
-
. ,
4
Liv.Area
Encl.Area
Other
Building Permits Chapter 547-A
Based on Square Footage
Building Permits Chapter 547
Based on Valuation
.,; J ()5, g()
I1TjI! ~
r ,~ I 0 ~.1)
t1:lVn dtjfJ~ Ji~, 5 L ,~O
Building Permits Misc.
Based on 547-4
Electrical Permit 547-C.1
Plumbing Permit 547-B.1
Mechanical 547-0
Plan Check Fee
Total Permit Fee
Sewer Impact Fee 537-03
~
Sewer Tap Fee
Total Sewer Fee
Fire Impact Fee 537-03
Fire Impact Fee 537-05
Total Fire Impact Fee
Radon Trust Fund (FL Statutes)
1 cent per square foot under-roof
---------------------------------------------------------------------------
OFFICE USE ONLY: VERIFICATION:
General Contractor
Electrical
Plumbing,
Mechanical
County License
Competency Card_
Insurance
Surety Bond
City License____
State License
Work for a lessee, renter, manager, agent must have approval of legal owner
of record. Homeowners, condominiums, townhouses or others", with an
association control, architecture and building criteria, must have approval
signed by the governing body.
" Others is to include covenants, conditions and restrictions as recorded on
deed; however, this office is respons~le only for obtaining compliance with
the Zoning Ordinance.
-'
.-
flA. 1911 lAWS
fS713.1J
NOTICE: OF COMMENCEMENT
SEMINOLE FORM 408
State of Florida
County of
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of tho Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT.
}
IPRIt"AA~ .'" OU,.l.ICATE:1
Legal description of property (include Street Address. if available) .... ............ ......... .......... , . . . .. . . .. . . ... . . . . . . . .
'" fN ,(.~,~".,"" ~ ,\ ~l""""""" ,~,~"'" !,~"'" T"",,' ,9..'1.5,.., ,..",...t.", 3. </,~",."""
~?o.,\"" ,fJ$,fr/) /?~,f."", 8. (.rid..".."", ..0.,4/P?:-.", .c!/J. /'/?!:",.f?,.., ,J.?:,9. ,? q""".""""",
General description of improvements ,P.~,'J,S: \2"".J:"" ,.:r.c""" Il:J,.."""" 9:9,\f', , <;:;;>,,I),f'J...5;?:......, , '" " " '" , , . , , '" " " , ' ,
Owner ,:::r.:1~<?,..""" ,A (L~I1)",..",..,..,..",..""""",......,.."..,...., ,.,.... ,...""""""."""""",
~ess '" ,2,8:.~.r." ,1.,~,~r;,(l(,(I,l.{?::" ,$, ,t.,..;I,..fj)..".., Pt'!.C?.'?", ,(/t4.~t1. ,V~M.<, j' F<.-", .:J~5,~P=
=
Owner's interest in site of the improvement........................................................... . .. ..... .... .. .. . .. . . . ..-...,
Fee Simple Title holder (if other than owner)
c::,
Name ........................................................................................................................c..:::.')
Address,..""""""""""....,..""..,..,..,..",..,..,..""""..,.."".."" ,..,...." ,...."""""""""""""
Contractor, .D,Q,() , A.l.d""""".. ;l-I~, flP":;"..""""",,,..,..,..,..,.. ,.", ,..,...... ..,..."""""""""""""
Address ,$,~,~" :I.f.~~9X~", A.,~"", ,(l,!4-(:'-e.", C>>..f:If/.." ,//,'" ,:n...7.2. ,<?, """""""','"
Surety (if any) """"""",....,"""""""""" '11S~'!lt,Of"""'''''''''''''''''''''''''' ,....."""""", ,.,.'"", ,1;;1 ,.2
. 1-i12~ F(O ',' _ '"
Co "tel' F/ID~ ... ",' . ~,; . '1
Ad.dress """"""",.."",..""""""""""",!'X <If, t"i!C.S!i'ft..'y'~ ,<"OlJln~'''''''' ,.. ,Amount of bond S ,if:)::,,"" ,;::; ',' :'.:
Any person making a loan for the construction of the improverRtmt.....!. thi1f th OF (jn. _ ,I: ::':> ' __. ,~\'
. '<"fl' e.6 .'t'" I ',""i '.-' /,
^ J~ 0 'ed . 0" V~i/D. " .'. ,.:. .'.'~ .
I VJ A ~/t;D f? C. ~ ',n th,s ~ dnd f. " 't :". . f:.\~ ", '~~ '...~,
Name.............. ....................................~..... ........ '~/"'(S'" .Of.f,c'. ..Oreg. ............... .,.... :-,"\........... J. .....'.,
,/ r[~D e, OIOg , . '.. ,..., ,;::: ,,'4.;
lJy ./ -. . JfT 1& .iJ t.. ;..' . ..x,IIP .."....,,: ll'~-::,
Address.................................................. ... ......--:- J=:.. .~.... .... ':. C;{e.r/r. p.. ....... :'~:... .....:....'~.......n.. ,'<:;:;:.~~.J;:'/'
\ ''; >"-Irel"" .' ....... -!"-,, ,",
Person within the State of Florida designated by owner upo m ices ther documelTl5cJD8Y b~:-'serv~:..........:'-/ ;',i'~-,f"
lit .:- .....' ~ (".:--1,. '"/.
Name........................................................... ......... ....... . ..........._..~.... :...:J"\
Address",,"""""""""""""""""""""""""""""""""""""""" '" ".Q,n..", (, ':,(,~c, I::;, ./};'
In addition to himself. owner designates the following person to receive 8 copy of the Lienor's N~tice as.-:~rovid(d in S.~~t1.o.ft<;"::
713,13 (1) (h), Florida Statutes, (Fill in at Owner's option), ,~;,.,>"",., '. ..' <.\',.i:;'
,.l . .."
Name......................................................................... ... ............. ........... :~::.~..... ~.. :r..:\~~'~. ~..
. ~ ~" >:
Address T~I~'~~~~~';~~~'~~~~~~'~~'~'s~~'~~""""""""""" .;p:"" ,:;;;,~::: :72;P~,',::::,,: ';:"::r:~
--5 #N~t ~/
rr'-U . :----- /"f~ ARD CD fl . Owner
.THU'" FUi'~ ~ = BREV , ..
< 01 " $00 ClEP.~, CIRCUIT CT,
'RtC fEE _'--
DOGST _. J ~ ~ sworn/t~ndsubscribebdbeforemethis ...-...........................
IN'~ TAX ole" /..f~;t /-<. -' / '0 . l. Q I
i~~;~~~ ~ r/O ........................day /1 (~ '.Jt~c;;;:L.. ~If"" ,19..1, ..,
REFUND "/,"."N '.(; .!d:~.;;;{/' .~,I^--"",'"
aK3 I 61PGlhl61 ~b.!.4'Y PUBliC/STATE
MY C:OMMI~SION OF FLORIDA, AT tARQ'
aONQ.tD tHRU AGEEXPI~ES APRIL 01. 1995 .
NT S NOTARY BROKE.l.AGi
,,'
j..
BUILDING PERMIT APPLIC,ATION
urtS tC Ion 0
CITY OF CAPE CANAVERAL 0 ~
N~ 7359 ~ 0
z ~
105 Polk Avenue rn )>
TELEPHONE: (407) 868-1222 Sec. 15/24S/37E ~ 0
0
- -- ~
rn
JOB ADDRESS V>
8801 Astronaut Boulevard DATE: 10-17-91 V>
I LOT NO. I BLK. I TRACT
LEGAL 817 Jun9le Vi 11 age (0 SEE ATTACHED SHEET)
1 OEseR.
Owner Mailing Addre55 Zip Phone (Xl
James Allen 931 Bali Road Cocoa Beach, FL 32931 (Xl
2 0
~
Gen. Contr. Mailing Address Ph one License No.
~
3 V>
M-
Elee. Contr. Mailing Address Phone License No. -S
All County Electric P.O. Box 560603 Rockledge, FL 459-9180 ER0011211 0
4 '"
-- '"
Plmb. Contr. Mailing Addren Phone License No. C
M-
5 ~
Mech. Contr. Mailing Addre55 Phone License No.
6 [
Rooling Canlr. Mailing Address Phone License No
7 ~
SpecIalty ConlL (Other) MaIling Addre!is Phone license No. --
8
110 Class of work: - ----
USE OF BUILDING o REPLACE
9 Commercial ON EW DADDtTtON DAL TERATtON DREPAIR DMOVE o REMOVE
---
11 Describe work:
Install 4 lights on three poles to maze. Flourescent fixtures~o-cart entrance wa~
-
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valua1ion of work: $950.00 TEL: 86&-1222 , ALLOW B HOURS RESPONSE TIME
----;.-_. - --,---
SPECIAL CONDITIONS: Type of Occupancy
Canst. Group Division
Size of Bldg. No. 01 Max.
(Total) Sq. Ft. Stories Occ. Load
.--. -- i--- --
SETBACKS: F R RS LS Fire U.. . Fire Sprinklers
Application Accepted By: Plans Checked By: Approved For Issu"nce By Zone Zone Requirel! C]Yes 0 No
OFFST'REET PARKtNG "PAcES REOtTIRED'-
No. 0'
E. Hutcherson Same Same Dwelling Units COVElred uncover!.~
. -
NOTICE ~~peCI~J Approvals Requ Ired Rocelvt!d ~ot.!~equlre~_
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB. -
HEALTH DEPT.
..--. ----
THI~ PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT.
----
AUn RIZED IS NOT COMMENCEDWITHIN6 MONTHS,OR IFCONSTRUC- SOIL RE.PORT
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 OTHER (Specify)
MOt1THS. ~- ~--~--
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPlICA1ION I 1/1/1/ I 1/1/11/1/ I I IIII I III/II
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND OADINAf>:lCES GOVERNING THIS TYPE OF WORK WILL BE PERMtTS ll< FEES CODES
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Buik:ling Southern Standard"
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR Electric $20.00 National Electric'
CANClij.- THE PROVISIONS OF ANY OTHER SlATE OR LOCAL LAW REGU'
LATJr~~) CTlON Or /\'Pi,P,:RFORMANCE OF CONSTRUCTION. Plumbing Standard Plumbing'
Mechanical Standard Mechanical"
Signature of Contractor or Authorized Agent (Date) Other
Signature of Owner (If Owner Builder) (Date) TOTAL $20.00 'as adopted by ordinance.
J 'd' r f
THIS APPLICATION, WHEN SIGNED, BECOMES A PER~T TO START WORK: ~* ~-d~:tA'..,4~.r( ./
C~ d<<t) ~lJlLpl - pHlC1tt \ ':~. 0 1
-
-
"
City of Cape Canaveral, FlorJda q
:~~~="~35
ADD\ESS , ~
"',
Inspections
,
1. Footer
2, Rough Plumbing
3, lintel
VIL
:-------
~EJ~ ~
Fma i aYl.()
-
Other
Rejected
1 () : 30
J.
.
-,
-
CITY OF CAPE CANAVERAL
. .
BUILDING PERMIT APPLICATION
T-'~J S_l.S__N9,T-^_[lJ:;RJ1U~:r:9_$1']\R.'LW_0!t~;_J_'LI_$_A!LAERkt<;,A_T..1..91LQN.kY. AND WI LL BE
PROCESSED AS SOON AS POSSIBLE. yg,lJ__W,Il.r,__BE31tIel.fo:r:U-IIIEN_J:T_J;,S_RJ;;,AD'y_"
.
COMPLETE BELOW AND INSURE THAT YOU HAVE ON FILE A <::'V,KR)::.N1'. COpy OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT)
"If 0359
LEGAL DESCRIPTION: LOT '{; 11 BLOCK
State License
County License and Competency Card
Liability ($100,$300,$25 Thousand) and Workman's Compensation
Insurance
Surety Bond payable to this City ($1,000) lQQ~y__~~<;j~Qs_~)Q~~tQna1-
l.tt;.~I!l3.L:r:.f~gui:r:.~_c;1J_ ~ . J J
;~;;-~;-;;.;~~;~-;~;~~------~~~~~---~------~;~~~ ~~~;;~~----
PROPERTY OWNER: 'JQ..mG \=tHe\(} PHONE
ADDRESS: ct3\ ~\\ Baud C 6 FL 3z..qg i
086/ 0xlPtmcuJ- BJ ud
SUBDIVISIONlX)/)'\c;C1 I) OQa.f1Q
STREET ADDRESS OF ~QA_$l1'~;
OTHER
TYPE OF CONSTRUCTION: V- \ "<'.L--., SIZE OF BUILDING (TOTAL SQ. FT. )
NO. OF STORIES
MAX. OCC. LOAD
NO. OF DWELLING UNITS
USE ZONE
NO. OF PARKING SPACES_
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE
APARTMENT_______ CONDOMINIUM
COMMERCIAL
~
t\e. \,,'~
\< co,,\. \ Sl.C2
j
STATE ~IC. It
PHONEII__
STATE LIC. It to;: Roo \ \ 0-- \ \
CONTRACTOR
ADDRESS
ELECTRICAL f\ \,\ (<J ~ _ \-+
ADDRESS vc::, ~~)( -:;;-<;; 0 6 o~
PIlONElt
~<~~~\~a
PLUMBING
STATE: LIC. It
ADDRESS
PHONE1t
MECHANICAL
STATE LIC.1I
ADDRESS
PHONEII
OTHER
STATE LIC.1t
ADDRESS
J~
,.
"-
I~~A"~
DONE: \ "",.\. ""\\
,
PHONEII
.\- \ '" ~",,'<" lSoc:<:, ___\- ~'\'>' \.~~"'-:, ~ (,-'" c c...~ \-
ii)
'1"-0 ,C>_ _____
\,~e. \, '.l\-"\~
"'- '" \~-C~
\..,
\t~ "'~<::.. ,
/
NATURE OF WORK TO BE
'-"-.J '"
[------
VALUATION OF WORK/CONTRACT: $
N9_TK.;. This application is valid for 15 IwrJdng dllYS llfter which time,
unless a permit has been drawn, this form and all attached material
will be destroyed.
Date:
\~\\\\'\\
, \
~~~~
Licensee. Agent of Record
Signed:
or Owner
-
,-
Liv.Area
Encl.Area
Other
Building Permits Chapter 547-A
Based on Square Footage
Building Permits Chapter 547
Based on Valuation
Building Permits Misc.
Based on 547-4
CO
20 ---::::=-
Electrical Permit 547-C.1
Plumbing Permit 547-B.1
Mechanical 547-0
Plan Check Fee
Total Permit Fee
Sewer Impact Fee 537-03
Sewer Tap Fee
Total Sewer Fee
Fire Impact Fee 537-03
Fire Impact Fee 537-05
Total Fire Impact Fee
Radon Trust Fund (FL Statutes)
1 cent per square foot under-roof
---------------------------------------------------------------------------
OFFICE USE ONLY: VERIFICATION:
General Contractor
Electrical
Plumbing
Mechanical
County License
Competency Card_
Insurance
Surety Bond
City License____
State License
Work for a lessee, renter, manager, agent must have approval of legal owner
of record. Homeowners, condominiums. townhouses or others*, with an
association control, architecture and building criteria, must have approval
signed by the governing body.
· Others is to include covenants, conditions and restrictions as recorded on
deed; however, this office is responsible only for obtaining compliance with
the Zoning Ordinance.
--
. City'Log tiQ. 91-181
Certifiec ). P 646 283 989
"
City of Cape Canaveral
105 POLK AVENUE. P.O. BOX 326
CAPE CANAVERAL, FLORtOA 32920
TELEPHONE 407783-1100
November 20, 1991
Mr. James Allen
8801 Astronaut Boulevard
Cape Canaveral, FL 32920
RE: Jungle Village - Phase Construction
Dear Mr. Allen:
The City of Cape Canaveral held a meeting with Mr. Bowman, P.E. and
the St. Johns Water Management District, after the Jungle Village
Permit Letter, dated November 12, 1991, was signed by the City,
Walter Bowman, P.E. and yourself.
Please note that you began constructing the Phase I (golf tunnel)
without the appropriate building permit and it was permitted by the
City after-the-fact.
At that meeting, the St. Johns Water Management District
recommended that Phase III (Total Site Drainage and As-Builts) be
completed prior to Phase II being started. The City of Cape
Canaveral agrees and will make all efforts to make you comply with
that recommendation.
Be advised, that after the gunite of the cave, Phase I is complete.
If any additional construction is begun without you first obtaining
the appropriate permits, the City will then pursue all legal
ramifications and contact all regulatory agencies having an
interest in your project to make them aware of the situation.
You must obtain written verification from the St. Johns Water
Management District before any additional work is started.
Should you have any questions, please contact the Cape Canaveral
Building Department, 105 Polk Avenue, P. O. Box 326, Cape
Canaveral, Florida 32920 or telephone: (407)868-1222.
Regards,
~ ~. '\-..-. ~
(g.k.~~~ E. Morgan tJ
Building Official
JEM/sln
cc: Walter Bowman, P.E.
St. Johns Water Management District
Edward Spenik, City Manager
Scott Spooner, City Engineer
,-
-.-
SENDER:
. Complete items 1 Jftd/or 2 fOf additiom
. Complete item. 3, ..-d 4tI 6: b.
. Print your name and address on the reverse of this form so that we can
return this card to you.
. Attach this iorm to the front of the ma'llpiece, or on the back if space
doe. not permit.
. Write "Return Receipt Requested" on the mailpiace below the article number.
. 'The Return Receipt Fee will provide you the signature of the person delivere
to and the date of delivery.
3. Article Addressed to:
ices.
I also wish to reCf"
following services ltor ~ Jxtra
fee):
1. 0 Addressee's Address
the
2. 0 Restricted Delivery
Consult ostmaster for fee.
4a. Article Number
Mr. James A 11 en
Jungle Village
8801 Astronaut Boulevard
Cape CanaVeral, FL 32920
P 646 283 989
4b. Service Type
o Registered
IXJ Certified
o Express Mail
7,
o Insured
o COD
o Return Receipt for
Merchandise
6,
8,
. No_1990 *U,!> GPO,'''' 267_ DOMESTIC RETURN RECEIPT
.....,
~... '
p" "" '-" J ~
'~
-
-
WALTER
ARCHITECT
BOX' 320369
C. B 0' W MAN
. ENGINEER . PLANNER
COCOA BEACH FL 32932-0369
November 12, 1991
:.1
Mr. James E. Morgan
BUilding O~~icial
CITY o~ CAPE CANAVERAL
i05 Polk Avenue
CApe Ca~~veral, Florida, 32920
DlsmlBUTION
Mayor
CHy Council
City Mgr. ~
-City Atty.
Pub. Works Oir.
Buildiog Off, -==
~- -
Finance Oil. " ,
."
.1
Re: CONDITIONAL PERMIT LETTER
JUNGLE .VILLAGE - TUNNEL/GOLF/SITE
BBOl Astronaut Blvd
Cape Canaveral, Florida
/
Dear Mr. Morgan;
Based on our review o~ the requirements for permitting the next
three phases of the above project; I have documented below the
scope of those phases and the permitting requirements to be met
at each stage. It is my understanding that this letter,
identifYing these requirements, is to be signed by me and
countersigned by the Owner, Mr. 3im Allen and yourself to confirm
this conditional permit for the record.
E!:L~~t;:__1.
GOLF TUNNEL PERMIT:
1. Certification of the revised foundation structure of
the Go Cart Shed by the undersigned as Engineer of
Record. (refer to the next to last paragraph)
..4
2. . This letter stipulating the permitting conditions and
sCOPe of construction to be allowed within each phase
to be signed by the three parties identified above.
"-60 D'! bAdC'J--
3. The scope of construction covered~ this permit is for
a Golf Tunnel not exceeding ~ square feet to be
constructed at the corner along with the pond and hill
construction detail related to the waterfall.
4.
The final
modification
requirements
form of the pond may require some
to satisfy the stormwater retention
of the next phase
5.
The City will require final
by the undersigned for the
accepting and documenting
permitted tunnel design.
construction certification
structure as constructed;
any modifications to the
1980 N. ATLANTIC AVE 11411 * ,COCOA BEACH, FLA 32931 * 407-799-2502
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11/12/91
JUNGLE VILLAGE PERMIT LETTER
PHASE II GOLF COURSE & SECOND TUNNEL:
1. This phase must encompass a stormwater control and
retention system for the one acre encompassing the
Waterfall, Pond, Golf Course, and a Second Tunnel at
the South West corner 01' the site. This system is to
be acceptable to Mr. Scott Spooner 01' the Briley, Wild
and Associates firm; for which you will require a
telephon,e call from him confirming its adequacy.
2. ,This stormwater s,ystem must have its own outfall...to"
Central Boulevard and function independently of---aTl-
other existing site stormwater systems. This will
eliminate the one acre parcel from the overall site and
its impact on the existing system allowing the it to
function more efficientlY.
3. As required, the existing stormwater system draining
around and through this corner 01' the property must be
rerouted away from this corner to connect with the
current system through transfer swales.
4. In conjunction with the conceptual layout of the Golf
Course holes, for quantifying the impervious area, an
additional structural drawing for the second Golf
Tunnel will have to submitted; locating and identifying
its size, estimated to be under~~ sq. ft." as a limit
for this permit. (/~"U p'.t &./!> ~.9---
S. The City will also require a final construction
certification by the undersigned for this area of the
site and the structure; accepting and documenting any
modifications to this permitted tunnel design. Also
the golf course and waterway through, it will have to be
adjusted to agree approximatelY with what is built.
rH~~~ TOTAL SITE DRAINAGE & AS-BUILT:
1. A total site engineering submission to the City, the
City Engineer, and the ST Johns River Water Management
District will be required for this Phase.
2. All modifications and planned changes to the impervious
surfaces on the site will be required to be considered
in the new set of drainage calculations; along with all
the physical revisions to the stormwater drainage and
retention systems on the site.
3. The train track and its associated construction should
be included with this Phase; along with a cross section
of its construction and clearances for occupant safety.
Also any additional construction such as a Bumper Boat
Pond should be located and sized in this submission.
1980 N. ATLANTIC AVE #411 * COCOA BEACH, FLA 32931 * 407-799-2502
. ;'Y;'Jf;'l 't.
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JUNGLE VILLAGE PERMIT LETTER
3
11/12/91
4. The additional parking area will be permitted with this
Phase; since' it includes the interruption 01' the
current drainage swale to outfall. Also the surface of
the additional parking is to consist 01' a pervious;
such as a blend of marl and coquina shell, which will
provide for percolation in this area of the site.
)
Through an accepted arrangement with Mr. Firkins, the
Owners representative for the adjacent property, the
STJRWMD, and the City Engineer; an outfall from the
stormwater retention area at the North West corner of.
the site has been established. This outfall will~flOw-
North to a wetland area draining to the river.
5.
6. Once this Phase has been permitted and constructed in
accordance with the approved design; a final certified
as-built of the total site and certification by the
undersigned Engineer of Record will be required.
At your request I have also reviewed the structural foundation
conditions that were modified during the construction of the Go
Cart Shed. After exanining the structure, I have determined that
even though the West two columns were cut into the existing
concrete slab, the structure will withstand the wind load
requirements stipulated in the current 89-90 Edition of the SBCI
Code, chapter 1205.2a. Therefore I hereby certify that by this
letter, bearing my signature and seal. this structure is designed
in conformance with this code.
I trust this submission fulfills the requirements you stipulated
for permitting the next three phases of construction at this
site. Please contact me at (407) 799-2502 if any further data or
action our part is required.
Respectfully submitted,
7~~
Walter C. Bowman, AIA/PE
WCB/wb
Mr. Jim
AUeoW ~
d' wner Property:
Date:
Mr. Jim Morgan
Date: II- /'1-11
1980 N. ATLANTIC AVE #411 * COCOA BEACH. FLA 32931 * 407-799-2502
....~...{;'"":"t-",'"
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-
-
,
W A L T E R
ARCHITECT
BOX 320369
C. BOW MAN
. ENGINEER . PLANNER
COCOA BEACH FL 32932-0369
November 13, 1991
Mr. James E. Morgan
Building O~~icial
CITY of CAPE CANAVERAL
105 Polk Avenue
CApe Canaveral, Florida, 32920
Re: JUNGLE VILLAGE - FIRST GOLF TUNNEL
8801 Astronaut Blvd
Cape Canaveral, Florida
Walter C. Bowman, PE
Certifying Engineer
Dear Mr. Morgan;
'.
Based on my review of the attached pictures taken of the footing
steel with upset bars and my visit to the site to confirm the
layout and size of the poured footers; I am tendering the
fOllowing certification.
I hereby certify that by this letter, bearing my signature and
seal, the structural ~oundation as constructed is in compliance
with my design and is in conformance with the current 89-90
Edition of the SBCI Code. Since this structure will be incased
with additional earth and concrete to create the balance of the
waterfall mountain and event; it is important that the concrete
shell be allowed to cure and reach a reasonable level of strength
before it is fullY loaded. Towards this end more stringent load
factors were used to determine the components and configuration.
I trust this sUbmission fulfills the requirements for a
Certificate from a Professional Engineer and sincerely hope that
further structural activity at this site will be viewed first
hand by your inspectors or that I be given a call in advance to
confirm the material and configuration being constructed. Please
contact me at (407) 799-2502 if any further data is required.
RespectfUlly submitted,
/&D~~, -
--
Walter C. Bowman. AIA!PE
WCB!wb
cc: Jim Allen, Client
1980 N. ATLANTIC AVE #411 * ,COCOA BEACH, FLA 32931 ~ 407-799-2502
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"JUNGLE VIllAGE
GOLF ruNNEL FOUNDATION" noon +/- on 1/13/91
Pictures of reinforcing in footings PJ::i9!=. to pqur:ing conc,r.ete.
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City of Cape Canaveral
105 POLK AVENUE . P.O. BOX 326
CAPE CANAVERAL, FLORIDA 32920
TELEPHONE 305 783-1100
407 AREA CODE CHANGE EFFECTIVE 4/16/88
October 8, 1991
Hr, Garv Cool:
St. Johns River W~t2r Manaaement District
]05 East Drive
Helbourne, FL 3~904
SUBJECT:
Junale Villaae - located at 8801 Astronaut Boulevard,
CapE Canaveral. Florida
Dear Hr, Cool::
As per our conversation today, it is my understandina that you
pould have no problem with an out-fall to the drainaae ditch that
is located lust west of Junale Villaqe that meanders mostly north
and a bit "cst, This could be a partial solution to pondina
problems until the enaineerina for the overall solution is found.
Of course, this Hould have to be Hi th the permission of the
proper tv o;"rners.
If the above is not your und0rstandino of our conversation. please
advise as soon as possible at the Cape Canaveral Buildinq
Department, 105 Poll: Avenue, P.O. Box 326, Cape Canaveral, FL
3~9~O, telephone: (40"1)868-122~ fax: (407)799-3170.
Sincerely,
~.~110~
Buildina Official
JEH/sln
cc: Edward Spanik. City !1anaqer
Sco~t Spoener, F.E., Briley, Wild & Associates
Walter Bowman. P.E., Bowman & Associates
J~reGR All~n. Owner. Junqlc Villaae
Georae Firkins. V.P.. Cevesco Company
-
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BUILDING '->>ERMIT APPLIC. .TION
Jurisdiction of ~,
,
CITY OF CAPE CANAVERAL (
,
~g 7277 105 Polk Avenue
TELEPHON~: (407) 783-139~2~XllIlXX_15fl4Sn].L____ "I t
r
JOB ADDRESS l
l
8801 Astronaut Bou 1 ev ard DATE: 8-23-91
---~
I LOT NO. I BLK, - r TRACT .----~-~
LEGAL (o SEE ATTACHED SHEET) c... ex>
Jun.9.kJ'i 11 ~ ~ ex>
1 OESCR, 817 -,--,-- 0
Malting Address Zip Ph one ro ~
Owner II>
2 James Allen 931 Bali Road Cocoa Beach . Fl 783-0595 '"
- ----- '" II>
Gen. Cantr. Mailing Address Phone License No. ~ M'
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3 Virginia Construction & Siqn Co. 601 George King Blvd. CC, FL784-0?65 RBOOO1005 ro 0
- ::I ::I
Elec. Contr. Mailing Address Ph one License No. '"
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4 to be selected M'
~----~~----_._----~----- -.,.---
Plmb. Cantr. Mailing Address Ph one License I\l(). '"
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Mech. CantT. Mailing Address Phone License No. ro
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6 '"
-----" ~.~- -<
Roofrng Conff. Mailing Address Phone License No. e.
7 ,,--------
Specialty ConIc (Other) Mailing Address Phone lIcense No.
g
110 Class of work: ~.__.~--_._-_.
USE OF BUILDING
9 Commercial [XNew OADDITION DALTERATJON OREPAIR DMOVE o REMOVE
- ~-~~~-
11 Describe work:
Construct open accessory structure (shed type) per ~_l!.bmitted_p.@Il~,--_________
NOTE: Complies with approved Site Plan dated :~QY.,_ZB.Jj9.9.L ~J)1z..___
Complies with orevi ous Concurrency Mananement Annl Citv l~r~~l!d ~~
$37,800.00 NOTE: REQUtRED INSPECTIONS MUST 8E ARRANGED
12 Valuation of work: TEL: 783-1391, AllOW 8 HOURS RESPONSE TIME
- '---
SPECtAL CONDtTtONS: Type of Occupancy
MIIC::T D RnnF MATFRTAI SPECIFICATIONS. Canst. Group Division
51'e of Bldg, 1,800 No. of Max.
(Total) Sq. Ft. __ Stories Dec. Load
-- --
SeTBACKS: F R RS LS Fire U'" F,re Sprinklers
Application Accepted By: Plans Checked By: Approved For ISSUlmce By Zone Zone ~~ired DYes 0 No
J. Morgan Same Same oFF'ftifeETPARKING PACES REQUlREO-
No. of
Dwelling Units CovE:red Uncovered
NOTtCe ~~.' Approvals Required I Rec.I"" _,_~ Not RequIred
--, ---
FOUNDATION SURVey SHALL BE SUBMIITED NO LATER THAN FOUR ZONING
bAYS AFTER PLACEMENT OF SLAB. ~~ TH ?EPT.
---'----
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUe- SOIL REPORT
T10N OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 -
MONTHS. _<?THER (SpecifY) -~-,.. -- ._.__.~--
\ HEREBY CERTfFYTHA T! HAVE READ AND EXAMINED THIS APPlICA liON 11/1/ 1/11 I 11/ III I I iI/TTn '111 I . I
~AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE peRMITS ljr Fees CODes
CO~'~: WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING Building $197.00 Southern Standard~
OF PER I DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR 20.00 ,-
CA L T ROVISIONS OF ANY OTHER SlATE OR LOCAL LAW REGU- Electric National Electric'
I~~G J< T~TJIilNJO'lJTHe PERI'ORMANCE 01' CONST~<;l~-'l/ Plumbing Standard Plumbing'
Mechanical Standard Mechanical~
. nitlhfre of ntractor 0 (Date) Other 98.50 Pl an cher~ fep
Signature of OWner (If Owner Builder) (Date) TOTAL t~~~ ~n 'as adopted by ordinance.
RADON TRUST FUND $18.00
THIS APPLICATION. WHEN SIGNED. BECOMES A PERMIT TO START WORK:
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City.?f,C~p~ Canaveral, Flo~ida n
DATEoc~-qsdg~~~<.\. PERMIT No, '10 ~___
OWNER 0,,!!:~, -~4+
ADD~ES;- ~()l ~~ .
In.spections
l. Footer ___________________________________________
2, Rough Plumbing _____________________
3, Lintel ------P-tf----------
4, Rou h Electric ---f--4--------------
F' \ \S
, IIlll ________,,~-----------
Other __________________;:-______
ROjeclcd-====--==== -:~~\HS ========
L \ \ \
I" INSPECTOR
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Inspections
1. Footer
,2, Rough Plumbin
<s.linte
4" Rough Electr!
Rejected
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CITY OF CAPE CANAVERAL
.
BUILDING PERMIT APPLICATION
TJfIS l.L_NQ',L~_!'ERMU~_J:Q_$TAR1'_WQJ~K;_I'I'_I_~-AI'LAE.I>_L..1.~}lY.]:OJL9.NJ,!,Y. AND WILL BE
PROCESSED AS SOON AS POSSIBLE. Y9,l-'-X[!>Id~F,_<;AyI,.J1=.!LWllf.~LJ;LJ;LRJP\I>.Y_,_
state License
County License and Competency Card
Liability ($100,$300,$25 Thousand) and Workman's Compensation
Insurance
Surety Bond payable to this City ($1,000) 19n~ iZ-C~Occup'~~ional
license required!l . J ) C
- -- (6 ZL/5 30 c-
------------------------------------------------~~----------------
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TYPE OF PERMIT: BLDG.
ELEC.
PLUMB.
MECH.
OTHER
PROPERTY
OWNER: :JOImM
Cf31 B000
ClO~
Rd C5 r:L ~G931
<630 I GofrGt'o.v\- ~h.d
SUBDIVISION.;"j ~
PHONE
0S3-0SQ5
ADDRESS:
STREET ADDRESS OF ~Q~~tT.~~
LEGAL DESCRIPTION: LOT <311
BLOCK
Vill~
OTHER
TYPE OF CONSTRUCTION:
SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF DWELLING UNITS () &:'f) Q '"
NO. OF PARKING SPACES
NO. OF STORIES
MAX. OCC. LOAD
USE ZONE
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE __ APARTMENT CONDOMINIUM COMMERCIAL R. COO l.L[J:;JC,
CONTRACTOR~rWL(' 0'1J.clr1(U'J76n 4CJs1rATE LIC. # .3ityY)0IC05 f@Jt
ADDRESs(nOl ~~, (If! FL~mIIONEII -rOc( - 02-05
ELECTRICAL fu k ~~~ STATE LIC. U
ADDRESS PHONEI!
PLUMBING STATE LIC.!f
ADDRESS PHONEU
MECHANICAL STATE LIC.ff
ADDRESS PHONE#
OTHER STATE LIC.II
ADDRESS PHONE!!
qQ -0\8
NOTE~ This application is valid for 15 wor}<ing days after which time,
unless a permit has been drawn, this form and all attached material
will be destroyed.
Date:
2ce see, Agent of Record or Owner
Sign
-
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Liv.Area
Encl.Area
/
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Other
Building Permits Chapter 547-A
Based on Square Footage
,Ql.OO
Building Permits Chapter 547
Based on Valuation
Building Permits Misc.
Based on 547-4
Q....D. 00
Electrical Permit 547-C.1
Plumbing Permit 547-B.1
Mechanical 547-D
98.50
Plan Check Fee
Total Permit Fee
Sewer Impact Fee 537-03
----
/
Sewer Tap Fee
~/
~/
~/
---
Total Sewer Fee
Fire Impact Fee 537-03
---
~
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,--
-- ----
Fire Impact Fee 537-05
~----
Total Fire Impact Fee
Radon Trust Fund (FL Statutes)
1 cent per square foot under-roof <$ i8.{D
-7:iL0( ~~~-~\ $ 333,50
---------------------------------------------------------------------------
OFFICE USE ONLY: VERIFICATION:
General Contractor
.'
-
Electrical
Plumbing
Mechanical
County License
Competency Card_
Insurance
Surety Bond
City L~cense____
tate License
-k for a lessee, renter, manager, agent must have approval of legal owner
record. Homeowners, condominiums, townhouses or others*, with an
ciation control, architecture and building criteria, must have approval
'd by the governing body. .
~rs is to include covenants, conditions and restrictions as recorded on
however, this office is responsible only for obtaining compliance with
'ing Ordinance.
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Spac8 AejrTliIllstr ,:i!:im
John F. Kennedy Space Center ,-,
Kennedy Spi'lce Centpr, FlrJflda 3<::.809
KSC FORM 4 544 (REV 8/87)
NJ\S^
*U.S. GPO, 1991-531-017/21094
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W A L T E R C. BOW MAN
ARCHITECT · ENGINEER · PLANNER
BOX 320369 COCOA BEACH FL 32932-0369
August 26, 1991
DISIRLBUIiON
Mayor
~~c;ouncil
~~IY MRr, ....
Cily AllY,
Pub. Works Oir.
BuildinR Of I. , ...-
finance Dil,
Mr. James E. Morgan
Building Official
CITY of CAPE CANAVERAL
105 Polk Avenue
CApe Canaveral, Florida, 32920
Re: JUNGLE VILLAGE - GO CART SHED
8801 Astronaut Blvd
Cape Canaveral, Florida
Walter C. Bowman, PE
Certifying Engineer
Dear Mr. Morgan;
Based on my review of the requirements for the roof material and
the "Appearance Ordinance" of the City Cape Canaveral the Client
and I are submitting the following specification for you
concurrence.
1. The roof material is being changed to match the
existing "thatch" covering found on several other
elements constructed on this property. In accordance
with the fire code, this must be sprayed with a fire
retardent coating and resprayed annually.
2. The coating is to be "Ocean 441 Clear" fire resistant
coating for shakes and shingles;#R-0441 as manufactured
by " Ocean Coatings".
In response to your request, I looked up the code related
dimensions for setbacks between buildings on the same site.
Based on the type of construction and the "Fire District"
question; Table 600 of SBCI creates a jUdgement call, which we
discussed. Therefore, with your concurrence we will establish
the distance between overhangs at 30' and between walls at 40'
for the shed construction permit we have requested. To
facilitate this the client has reduced the structure in length by
one bay, or 12'..
1980 N. ATLANTIC AVE #411 · COCOA BEACH, FLA 32931 . 407-799-2502
-
-
. .~,
JUNGLE VILLAGE GO CART SHED
2
8/26/91
Also I hereby certify that by this letter, bearing my signature
and seal, this structure is designed in conformance with the
current 89-90 Edition of the SBCI Code, chapter 1205.2a. For
this site the windload requirement for buildings 0-15 feet high,
is 25 psf for 110 mph wind condition sd modified by the required
shape and exposure factors. In case this structure were to be
inclosed; the more stringent load factors were used to determine
the components and connections.
I trust this submission fulfills the requirements for a
Certificate from a Professional Engineer as required. Please
contact me at (407) 799-2502 if any further data is required.
Respectfully submitted,
~~
Walter C. Bowman, AIAIPE
WCB/wb
cc: Jim Allen, Client
Virginia Construction Co., Contractor
1980 N. ATLANTIC AVE #411 · COCOA BEACH, FLA 32931 . 407-799-2502
......
.-..-
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BUILDll\lb PERMIT APPLICATION
N<: 7266
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391 S
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JOB ADDRESS
8801 Astronaut Boulevard
DATE:
15/24~lJZE________
8-15-91
LOT NO,
BLK.
TRACT -----.-~-
IOSEE ATTACHED SHEET)
LEGAL
1 OESeR.
Parcel 817
Owner
Jungle Vi 11 age
Mailing Address
Same
Phone
Mailing Address Phone
CO. 601 George King Blvd. CC, FL 784-0265
Mailing Address Phone
Mailing Address Phone
Mailing Address Phone
Mailing Address Phone
Mailing Address Phone
2 HJR Cor oration
Gen. Contr.
3 Virginia Construction
Elec. Contr.
4
Plmb. Contr.
5
Mech. Contr.
6
Rooting Contr.
7
Specialty Conlr. (Other)
8
USE OF BUILDING
9 Commercial
11 Describe work:
Rel at
Zip
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783-0595
License No.
RB0001005
License No.
License NO.
License No.
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10 Class of work: DNEW DADDlTiON Cjf.LTERATiO_~_I?REPAIR
DMOVE
DREMOVE
r track per submitted plan.___
12 Valuation of work:
SPECIAL CONDlTtONS:
$5,500.00
SETBACKS:
F
R
RS
LS
F
Approved F'.)r 15SUi>nCe By Z
Same
Application Accepted By:
J. Morgan
Plans Checked By:
Same
NOTtCE
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IFCQNSTRUC-
TION O~ WORK IS SUSPENOED OR ABANDONED FOR A PERIOD or 6
MONTHS.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHISAPPLICA 110N
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS A ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
caMP D ITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING
OF A RMI DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
L TH PA VISIONS OF ANY OTHER Sl'ATE OR LOCAL LAW REGU-
CO T UC IQ Q,R TblE PERFORMANCE OF CON UCTIO
l.i I~
e of C ntr or ze ent (Date)
Signature of Owner (If Owner BUilder)
(Oatf:!)
--- ,,~~ity of Ca;;>e Canaveral, FI5\rida
-~~~ """ du ~DB"~~~. ~dtJo
T ADDRESS _ig6~
c
Inspections
5
r I. Footer
2, R~ugh Plumbing _~. _ . ._
3, LmteJ -%_~
~ectric .~/
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2 Other
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Rejected
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INSPECTUR
PERMITS & FEES
B,"djog 60. 00
Electric
Plumbing
Mechanical
CODES
Southern Standard'
National Electric'
Standard Plumbing'
Standard Mechanical'
Other
TOTAL
$60.00
'as adopted by ordinance.
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK: ~ ~
Ck# 4:{0 @iE";';'~.,,~,"
,~
~
_.
CI'I'Y OF CAPE CANAVI':RAl,
.
.'
llllJLDING I'ERHI'J' APPI,TCA'I'ION
1!t!.:>._IS,.NOT A I'ERl'IIT..'I'O,STAR'I' HOJ{K: 1'\' I:; MI AI'I'LJC:AT:I:QN.,Q",l,'{ MID liIl,L IlE
PROCESSED A:; :;OON A:; I'O:.;:;UH,E, YOUIlll,J, III'; CALLI.:n HIIEN..T:I' ,,}:;,_I(EADY,
COMPI,E'I'E lIELOH MID Hl(;UJ(!': 'I'IIA'I' '{Otl IIAVI': ON 1,'11.1': A (;Ul(ln:wl' COI'Y OF 'I'IIE
FOl,LOWING: (1I01~EOVINER 1'1':IUl1T:; ARE 1.:;,1':1'11"1')
\!j 7200
StoL~ I,icen~~e
County License t1nd fompet:enev Cnr"d
Linbility (S100,$JOO,S:~'"l Il'hOl1~:;\lnd) illHl H()r}(miln\~; Compc!1!;Cltion
Insurilllce
Surety Bond pilyahle 1:0 I:hi,; Cil:y (ST,OOO) (011 Jy,_i J" C)"ty....OCClll'il,tjO!1il1.
l,ic;el,,,c..J:,eCjuXEcd) ~, IS}:2<fS!:Y7E-
;~~~-;~- ~~~~~~, ~- ~~~~ '," ~~~=..'''-~~,~;:~ .,- - "" - ,.. ~ ~,~;~~," "....:.. ~~~;; ~ :.=~-~= -~*-"m~ AJ
PROPERTY OWNER:_..JI.JI!-_.. CtJJ2jJ ... TI' 1'1~~-9J.~~--..f=--- .
ADDRES S : j!!!..'?_L _,ds..1J~f) !?/It:l.r " /3L IIJ, lAfz' _ ___ifleMi r'-(-..~-
STREET ADDRESS OIR'IOB. S[1'E:"... ..,,~'/l721C-. ''"''--...''''''..... -.....,-..,,--- ,,,_..--,
J,EGAJ, m:SCRII'TION...8f!l" nl,OCI< ,. ';UIlIl[Vl :;]ON.s:IM~~~_._
OTJlER
TYPE OF CONSTRUCTION:
:; 17,1: 01' 1.11.1 1.I.DINC (TOTAl, SQ, FT, )
NO. OF STORIE:'
MAX, OCC, I,OAD
NO, OF I1WF!,LING UNITS
USE ZONE
NO, OF I'AJU<TNG ~;PACF:.',;
TYPE OF OHNEf(SIIIP (CIIECI< ONE): DE'I.'ACIIJ':n ~;l tlGl.!': r,'AHn,y RE~;IIlENCE
'I'OWNIIOUSE r.f. 1II'AI('J'Ir1\' CONIlOHTNIIIH
CONTRACTO;~DJ"ri..j~ to'lftLD~;I,0Q I ~.;TATI:
lIDDRES s~t?1 {;tR/YljeiY(!1c:;i3/vd {!t!.- 1'1I01lE II"
COl1HERC J A I,
1,lC ' II, .."il6I!_ rXj)e~.J=._,,_
_715..!J.:-O Z ~ :?_~__..""..-_
ELEC1'RICAl,
:;TA'l'E I. TC , II
lIDDRES~;
1'1I00'H:II
PLUMBING
~;'I'ATI:: L rc , II
ADDRES~;
1'1101'11';/1
.~...._._"._.--~-~-_.~~-----~----- ----.
~-~-~------,~----_._.~_.__.-
MECIlllNICAL,
~;T^,I'E LIC, tl
_. _____.._.___n___"__.._____..~ ___.~..____
~_ ___________u______.... .".. u.__..
. 'ADDRESS
1'1101'11,;/1
-..----.---..----- ~_._-,--_._......._---------~_._-----
__ _________.._. _ __...____ __ __._.__n_O_....
OTIIER
:~TA'I'E LIC, II
----------~--- -.--..------.. -.--...-----.-
::::::::S OF -WORK -:~:I;~~~~E~"~K;~;~i;. j);6)-;;~~""~t:djJj;;L~~:"==,,..~
V;~~~~~AC~~ {YfJO.XO .,,"...- _____'n
NQ'I.T:: 'l'lii.~; <_Ipplicill inn i~, Vi1l1d Ill!
t.1nle~;5 (l permit hit!; been fll'dHIl, Illi,~;
will be dc~troycd,
1 r) hi rl r Irj Jl q ,I i:l Y~; il r I' (~)' \111 ,i. (' h ,"j 1I\f.~ ,
r f) r HI nil d <'I -I 'I i\ t t il C h f~ d JIl n t: e r i <'\ 1
tL~-_::---=
l{eCOl:.d or Ownet-
-
,-
.
~
:1 '
"'j
1.,1 v. Al:(~;'
E;ncl, Anon
OJ:I18J:
Uuilding PermitD Chapter 517-A
Oascd 011 ::;qlJ(lrf:~ [tootilqc
nuildillg PerIni Lr. Chtlplcr ~}4"1
nascd 011 VClluatiol1
uuilding Pf'rmi ts l~isc,
l1aDed on 517-4
1b~.~_
Glcctrical Permit 517-c,l
Plumbing l'eJ'mi t 51'/"1) ,1
l'lcchanical 51'/, I)
Plan Cheel, Fcc
Total Permit Fcc
Sewer Impact Fcc 5J7-0J
~;C\"Cl.- Tap Fee
'ruta1 ~;cy'cr Fcc
Fire Impact Fcc
5J7 -OJ
F'irc ImpilcL F'f~e ~')J'{-OJ
Total Fire Impact Fcc
Radon Trust fund (fL statutes)
1. cent per square loot Ut"]CI>l'<)Of'
----.---------------------------------------- --~-----------------_._--------------
,FFICG USG ONLY; VERIFICATION:
~.~-'..!,~-c!_r_~.~J ....._~ ~?_I~l..~-. ~~ ~l (.-~'"!; O.l.~
";.l cc I: l'ic.J I.
L~l!~!11.~?Ln ~J
Mecl1t1l1:icn I.
- U__'H _ _ _ ___._.
:ouo ty L,ic:cJlsC
:ompeteney Can]
nsuJ:unce___ m'_ __.._
urety Bond
it y t, i c r~ 11 S (! _,'
La l.c I.,icense
orlc [OJ: i.1 J f?,r.;see, renLer, ll1illlaqer. .aqcllL Inu~;L h~lVC approv;ll o( lcqal oWner
[J:ccol-d. lIomeuwllc,--::" cOlldomi"n:ium::, L()WllhUl'~;(~~ fJ'. others., wi.tll <.111
.::~...:~ucj{ltiUI1 (:11111.:1."01, al.c:l\i.tr~ct"I-I~ ;'\1\\\ l,'li IIlI,lIt( '-'1'11 r;1"j,'l, IIlll:-:' lli"lVr:' i'PP1-nv-ll
iqncd by thc qovcl.'l1illg body,
Ol:..hel.~; i~ to include coveni.lllts, cOlld.i tj 011.'-; (lOci l.-r~!:;tt:icL.i.OI1.s ;l!:; rrcordccl on
ccd; hOWCVC1:, Lhis o[ [i.cc i ...~; rCf;POI}...;;ib.1.r~ ull1 y rn,- nhL.,-j 11 i.1\(I cntllpOl, ;'nc~ wl \ 11
he '/.on.l.llq Ol:di llilI1CC'.
.
-
.......
BUILDING PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391 Sec. 15/24S137E
Nl!
7241
JOB ADDRESS
8801 Astronaut Boulevard
LOT NO.
J BLK,
-C:;~-~-~iJ~
Mailing Address
Same
LEGAL
1 OEseR.
Parcel 817
Owner
2 HJR Corporation
Gen. Contr.
3
Elec. Contr.
4
Plmb. Contr.
5
Mech. Contr.
6
Mailing Address
Malling Address
Mailing Address
Mailing Address
7
fj(>~~J8(>X'X General Contractor M..'m9 Add.."
Vir inia Construction Co. 8980 DiScoveLY-Road
Specialty Conlr. (Other) Mailing Address
8
USE OF BUILDING
9 Commerc i all 0 Class 01 work, NEW DADDITION
11 Describe work:
Construct Maze er Submitted Plans.
12 Valuation of work: $10,000.00
SPECIAL CONOlTlONS,
SETBACKS, F
R
RS
LS
Approved f"or Issu..nce ,
Application Accepted By: Plans Checked By:
J. Mor9an Same
Same
NOTtCE
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
TloJlS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC110N
A'tJTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6
MbNTHS.
,
I HEREBYCERTIFYTHAT I HAVE READ AND EXAMINEDTHISAPPLICA1ION
AND KNQ THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS A ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPlI D WITH HETHER SPECIFIED HEREIN OR NOT. THE GRANTING
OF A P RMIT DO S OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
NC 1.: HEPR V IONSOF ANY OTHER S1ATE OR LOCAL LAW REGU-
LATI C NS,r 10'l'~~~MANCE OF CO ST U ION.
of Cont ctor or Authorized Agent (Date)
Signature of Owner (If Owner Builder)
(Oate)
DATE:
8-1-91
(0 SEE ATTACHED SHEET)
Zip
Phone
783-0595
Phone
License No.
Phone
License No.
Phone
-~_._----'----- 0
LIcense No. ='
Phone
License hiD.
CC, FLZM:J)2.65-__~.-RBD001005
Phone L,,;-.ense No.
Phone
License No
DALTERATION DREPAIR DMOVE DREMO\lE
1
0 c,
~ 0
Z '"
~I )>
0
0
:0
m
co
co
CO
CO
0
~
)>
'"
M'
-S
0
:::l
0>
C
M'
OJ
0
C
~
(1)
<
0>
-S
Cl.
::c
c....
'"
n
o
-S
'tJ
o
-S
0>
M'
..
nr;~ity.-.,o! C}l)2.e Canaveral, Fl~ida
DATE~~' 'f-I5-' PERMITNo,-1..~4-(
OWNER ~~ ---
ADDRESSo80I' -~-
Inspections
1. Footer
----------------
2, Rough Plumbing _
3, Lintel
C ~ ;;~':.~~lectric --(1=--------- 0
Other
Rejccted
Building
Electric
Plumbing
Mechanical
Other
TOTAL
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
Cash
~
INSPECTOR
PERMtTS l!< FEES
CODES
Southern Standard~
National Electric*
Standard Plumbing'
Standard Mechanical~
$40.00
12 00
~~AC~O"
Pl ans Check Fee
"as adopted by ordinance.
,
."....
"
-<
'-CITV OF CAI'I, CANAVI,:rtAI,
-
nUH,DIN<; f'EHHT'I' Af'I'I,TCA'I'TCHI
. .
~I')[I,:;,__l,;;. NOT A 1'I';ltHI'I' TO,..:;TART,HOHK: 1'1' I:; ^,,1...API'I,I(:A,:r;[9,~LQN.I!Y. MID IHI'I' IlE
I'I'O('I",,":.','I",ll A:; ,','()(ll" A.',' 1.'('),",,',"J.'111.,I", , '{(III 1'1'1 II
,~ .. " , . L ,I, Itl'; CAJ. ,;;1) HIIEN ..D'._T:;_HEAIlY,
COHI'I,E'I'I'; 11EJ.OH Mill HJ(;UI\I'; 'I'IIAT .{tHI IIAVI.; ON FTl,t,; A (;.t}I\HENT COpy OF '1'111';
~; l:i1 t.f~ I"j c'en~;e
County I,:i Ccn!;f~ illld [olflpcLcll(:Y e,ll d
l,iilbi.li.l:y (;:;lOO,;:;JOO,~:?'.J 'l'holl!;,IlHl) €IIHl HOl.km.lll'~; Compcll:ii1l:ion
rll:.Ul"ilIlCe
:; " reI: V n" n d p ~ V it hI" I. " I. " i 'j C i I. V (~I, 0 () f) )
ttc;c Il!! e__r_f?q~l_iX_~~_(J)
?~::f 4F 7 J- cj /
FOl,l,OWTNG: (II0HEOWNER I' ,.: R 111"1':; A 1\1,: 1,;;n;I'11"1')
(Onl,yu,:LL_ City__OC(;l1 pit !:.i,nIl it J,
TYPE OF l'EIUHT:
nl,IlG,
EI.EC,
I'I,UHlI ,
SQC' . \.i=)J~qs\ ~//2-:::_ '
",.. .,... - ~;~~~ '~:-~~_~ - ;,~~ ~~=tf!iir?~_
."d'HO':ci!~~f- 0i+-
". .., -,,~----,---""-- .--t-'-----
::::::;' O,j;>1J!~-2:ef' {oJ
,g~,__"""__"____.....m"..'.... - li....",
STREET ADIlRES:; OF ,JOn S I'I'E: ~ /9?n E...
I,EGAl. Dr:"c,nl',~;~~jr2 __."IJJ.;CI( Sl)lllllVT;;J~)~:;[i~~~&_:j(dG~~L-~"~_
.'j
OTHER
TYPE OF CONSTRUCTION:
;;1;1,10; 01" DUl],UJ NC (TOTAl,
~Q. F'I'.)
NO. OF ;;TORIE;;
MAX, oce, I.OAD
NO, OF DWEJ.I,ING UNIT~;
USE ZOlH:
NO, OF' "AI(KTNG SI'ACE~,;
TYPE OF OHNER.',;IIT1' (CIIECI< ONI':) nr';'I.'ACIU';1J :;ltH;I.I.; F"H.ll,Y RE~;IJ)ENCE
TOWNIlOUSE A "A!(,I'I1l"N'I' cnNllOHTtJlttH
CONTRACTORU; {L+:.~~fJ, OvNs/ (YI!: ... ::'I'A'l'I;
^OORE~;sJ-!g4&~i5l;f-~t~//I" "IIOIII: II
l"1,ECTRIC:.r......".._......,,,..,,,....,.., .., :;'I'A'I'I': 1,IC, II.,
C0I1HERCJ"I,
1,IC,IIRl3j)()QJ.J2?J.C__
11ct=-rJ_~-..LL-----,,-
ADORE:;:; PIlOI~I':1/
[,1,U~1I1ING :;'I'A'I'E LIC, II
ADDRES:;
PIIONI':II
MECHANICAl.
;;'I''''I'E IOIC, II
'ADDR ES:;
I'II0Nl.;II
OTIlI,R
;;'I'A'I'I'; LTC, II
: ~::'::::::" ~;:"~01~~I.O~~I~~0;:I,:",'.3~I:L.dri:7h1~~I;.,I.-~..~
_ 1m
db{ ,..,.. .()0
/~~(/O-
VAT.IINI'TON OF lTOIU<lCON'I'HAC'I': ~;
NOTE: Thi~; flllpli,("ilLilllli~~ Villlfl flit 1'1 \"1111'111'1 (lilY!; ilrl'(~J- HII-i.r-Il 1'.iJll'_~.
\I111(!~;~j n IH.!t:Hli.l: hi\:.; IH~ell r1t'ilHll, IlIi.'; Ir11"1I\ il1\d id.l. nLI.i1chl":rl mClt:(~rii'l.
wi.ll he de,;Lroyec1,
~:;i',I'::':"1 :-';-~Zb=-~k--cr+-/--- -----,--"
~,....~~"..,
I,j C"Il';I,~'~, ^(.1l~T1l: or HeC01."I! nr' Own'~l-
-
--
, ..
, ,
1..iv. ^rf~;.l
1;:ncl,}lt'c(1
ot,1'.".1:
}}\),i.ldinq l'cI:miU; Cl1ilpl:CI: 'j4'/..,^
1J.,[iCd 011 :;qUi1J:f.~ 1"'UOtilQC
Iluildinq PcnniLr. Ch;:lpLcl- ~-,1.1
ll;Jt;r!d 011 V~l.l.\I..\Lion
Iwi IdinG l'cI:mi L~' Hi"c,
IJoscd on J4'/~1
gD'VQ
Elcct~icol Pc~mit 51'/-c,l
Plumbing ['cl.'mi t 51'1--}}.1
~//o.c1J
'.'___' m'~~-'-'---'
--''''--'''-'4j 'L'''; ;'~OV
.__._-_._-_._-~,-- - -~~
Ilccl1onic,ll 54'1--1)
plan Chccl( Vcc
Totol ['c~mil: Vce
~;CWC~ Imp.lcl; Fce ~):r/-OJ
~i U\-1e r '1' a}) l;'u c
Tota] [;cwcr F'cc
fi~e Impncl; Vee JJ'/-OJ
fil~c lml)~ct feu SJ1--0~
,
Total ('j.l.'c ImpClcl: t'ec
Radon Trust Fund IFb ~totutcs)
J. ccnl; pc~ squol.'c IooL undcl....I.'ooI
--------------------------------------.----..-..-------------------------------
OFfICE U~G ONLY:
VhRIl'IC^'J'ION;
~L!~_~~L!..-.!.~J_._~_Q_I:I.~~.~:~::l_C to 1.-
I'),r;,,,t, r i r:, "J,
p)l.ln~I!,in\l
f1~s.l'i'.l!,i C;,n.l
Coullty '-,icellse
Competency Con]
IIlSUJ:i1I1Ce
~..;\u:c ~~V Bont\.
ci Ly t.J.cenr-;o,
0lntc \,icellue
.._...._1...
Woe}/;. (or n :1 F!r';Sf!C. rouLer. 11l..111.;lper. ilqC'IlL IIlUt.L hilve OPPJ:ov;;ll oC lcgn.l. (")\o1l1Cl*
C1[ 1:p.co..d. II0I11COW11(~1:5, c~,"Hlomi.'l1i1Jfll:';, l:oWl1hUI1:':c;. 0'. otlJc I:::. '" . w.i.l:h all
" s!,;nci H 1:.i. 011 CQI\ l.: 1."0.1.. .lrell i.1' CI..: 1111:C .llld 1,11 il d i.IH' 1": I j I.r:: ,..i .1 , Inll:,; 1. h;lvr ,'PI1I'O\1.-:1.1.
~;;iql1ed l,y the qov81:rd.ng body.
.. OLhcl:~; i:; Lo inr:.1.udc COVCIFlnt5, condJLi.ul1!-j ~llHJ l:C!.;l.:1:.i.ctiol1s flS reconJcd on
der.cl: hO\OlCVCl.-, this (J[(icc i!; rc::,;p()\l:,:;i.ble only fnl- Obt.;1il1ill~_1 compl:1.tlT1Cf! wi.t.h
the /.ollill~1 On.l.i.l1i\l'Ice.
--
........ ..---
.BUILDINli PERMIT APPLI~ATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391 Sec. 15/24S/37E
N~
7106
JOB ADDRESS
8801 Astronaut Boulevard
LOT NO.
BLK.
TRACT
LEGAL
1 DESC R.
817
Jungle VjJ.lMle
Mailing Address
Zip Phone
Owner
2 James Allen 931 Bali Road Cocoa Beach FL
Gen. Contr.
Mailing Address
3 Donald Ha nes 6505 Ri ewood Avenue Cocoa Beach
Elec. Contr.
Mailing Address
o
~
Z
m,
col
DATE: 4-22-91
(OSfE ATTACHED SHEET)
Phone
783-0595
License No.
258-9343
CGC027852
Phone
License No.
4 Jae er El ectri cIne. P. O. Box 372314, Satell ite Beacb._, 773-8921_.._ER0008442_________
Plmb. Contr. Mailing Address Phone License No.
5
Mach. Contr.
Mailing Address
6 H
Rooting Contr.
7 N/A
permit No. 7089)
Mailing Address
Specialty Conlr. (Other)
8 N/A
MaIling Address
USE OF BUILDING
9 Commerci al 10 Class a/work: XlNEW DADDITION
11 Describe work:
Finish 2nd floor er submitted drawings.
12 Valuation of work:
SPECIAL CONOlTlONS:
$8,000.00
SETBACKS: F
Application Accepted By:
J. Morgan
A AS
Plans Checked By:
Same
LS
Approved F-:r Issuance Byl
Same
NOTICE
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
Signature of Owner (If Owner Builder)
(Date)
Phone
License No.
Phone
License No.
Phone
L,cense No.
DALTERATION DREPAIR DMOVE DREMOVE
l
Rejected
~rr.
\'~
-- '1
q/
Building
ElectriC
Plumbing
Mechanical
Other
.as adopted by ordinance.
CODES
Southern Standard.
National Electric.
Standard Plumbing'
Standard Mechanical.
TOTAL
"" AWU,^"O", .,," "G"'O, "GOM" A '''NO; '0" ^" .0.., ~ ~
r.J - . J_ "-- ..-. U
Lfld-r) B LDING OFFICIAL
-.-. .....
-- -
{1M City of Ca.E.e Canaveral, Florida
DATE tM: . a.3 )q06( PERMIT No, f} I ok,
OWNER ~Wrla I
ADDRESS
,
Inspections
l'/:;'oocer
2, Rough Plumbing -~-ti'---
3, Lintel L-~
4',R~tric (':..-, ..-
<3, Final .Y
Other
Re jccted
/
'~~/
L
INSPECTOR
.ft
.
--
-
,
C I'I'Y OF CAI'I:: CMJAVI':IIAI.
IltIIl,IJ'J NC 1'1:111'11'1' AI'1'1.1 <:11'1'.1 ON
NO'J' ^ ,I.'t-:IIHIT '1'0 ':'J'^I('I'.llflHI\: 1'1' I:: MI ^1'1'1.'JCA't'JON(}NI,'( Mill 1/11,1. Ilt':
PI{OCI.:., <I) ^~; ~;(){JI~ !\.'; I'(),'::i 1.111.1':.
'{fill 111.1,1, 111-: ,'I,I,I.I.'1l t/lll."" 1'1' I:; 1(I':^Il'{,
COI'II'I,!,:'I'j': It!':I,O\I Alii! 1/,/(;11111': 'J'IIA'I' '(<lll IIAVI: flJj '.'11,1,: A CUJ(III.:N'I' I:UI'Y (W 'J'11t-:
Hll,LOIHNC'
(1I0I'IIWflNJ.:11 1'1':1t/11'j':: Alii': I'::H:I-II"I')
X 7/Dro
1/'. ~. 15f;2'1si3'7'<-.
\-JClI l~lIlilll'~; CnJllp(!Il'~i\ l: iOll
:;t:i\l:l~ Li'-'I~Il~;e
CO\JIIl:y I.i'-'(~n~;e {11l{( ('olllpe{'Pll/'V ('dl II
I.idhilit:y (~]OO,~~J()O,s:~r, 'l'I\tHl';dIHI) i.\llcl
J n ~~ 1I r i\ Il C l~
~;\I)-(~t:y Bond p;:lyi\hle Ln t1d_~; Cil:y (',;1, ()(ltl)
J.1 ~:(~I\~;(~ 1'(~'<J\I)_r~~(J)
(UII J'y .JJ".n/; -i. l: y_. q(,('\lpi\ Li._Ollil I
--
PIWeJo:H'I'Y OflNI':lt :~/!7.7z''!!::3
ADDRESS: 'H~..$fm8.Il.h-/
H/!LLE/l./'
;;;tJ~L~ -li,/ d41~7lc9.~~'!_~,rz
I,WCII, ... ,--D'I'W;J!.."
lJJ - u::>'15 '
"IIONI':"H,,~-'I~R~
;f~ c!OC'tJ 11 JJ'~&d"
<i!i? CJ / IlSTe.O /l/ /) uT /J J- rJ [)
l'I.III'IIl,
,~,~~~ - ~~ - ~~;;~~:l: ~-;; ~~t; ',-><~";~ ~ ;;;: ',"
S'I'REE'I' Allllltl,~;~: 01' ,mn:;t'I'E'
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...
BUILDING PERMIT APPLICA nON
"
NC?
7089
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391
Sec. 15-24-37
c
~
Z
,n )
~I c
c..... oo~
'" 00
---~~-~~--- ------_._---_.~._--- ,
JOB ADDRESS 3 =
8801 Astronaut Boulevard DATE: Apr il 16, 1991 ro ..".
v>
I LOT NO. I eLK. I TRACT ,- -" ---" ,
3:
LEGAL Sec. 15, Twp 24 S, If{j~E3tETACHED SHEET) e :t>
1 OE.SeR. n. " 017 '" v>
---,----,----~,-_._-- "" <+
Owner Mailing Address Zip Phone '" '"
James A 11 en, 931 Bali Road, Cocoa Beach, FL 32931 783-0595 543- 3321 => e
2 =>
- ,---- '"
Gen. Cantr. Mailing Address Phone LIcense No. e
<+
3 -- I",
Elec. Contr. Mailing Address Ph one License No. e
e
4 ~
-~._- _._----~- --- -~-- ro
Plmb. Contr. Malling Address Phone License No. <
5 '"
------ ~-------- '"
Cl.
Mech. Contr. Mailing Address Phone Ljcense !\Jo.
G H & M Sales & Service, 275 MaNOR Drive, Me,rritt Island, FL 32952 CaC 035512
-- ----------
Rooting Contr. MaIling Address Ptlone LIcense No
7
Mailing Address -----------. -------
SpeciaHy Conlr. IOther) Phone LICense No.
B
110 Class of work: ----.--- --~
USE OF BUILDiNG
9 Commerical DNEW DADDITION DALTERATlON DREPAIR DMOVE o REMOVE
- ,----
11 Describe work:
Instal1 A/C unit on second f1 oor ----~_.__.__...------ ---,-- .--.
2-565 BJ1014 and 2 - 517 ENOX 18 SEER 8.7 Bryant
-,
'1:1 qq~ NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: TEL: 783.1391, ALLOW B HOURS RESPONSE TIME
- .-.--- ,----
SPECIAL CONDITIONS: Type of Occupancy
Canst. Group Division
-
- Size of Bldg. No. of Max.
(Total) Sq. n. Stories Occ. Load
----- '-'-
SETBACKS: F R RS LS Fire Use Fire Sprinklers
ApplJcatlon Accepted By: Plans Checked By: Approved For Issu..nce By Zone Zone ~~Ired [Jves 0 No
OFFSl"REET PARKIN'; SPACESREi'ftJJREO-
J. Morgan Same Same No. of
Dwelling Units Covered Uncovered
NOTICE _~pecl~1 Approvals Requ ired Received _~ot ,::quired_
--------
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
J~DAYS AFTER PLACEMENT OF SLAB. -
HEALTH DEPT.
--, - --- -- -----
-THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT. -- ------ -~--
.~<UTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS,OR IFCONSIRUC- SOIL REPORT
- \ ,bN OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 ,- -~._~-
"~QNTHS. OTHER (Specify) ~--~-
----.-..-
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHISAPPLICII.lION , 111/ 'III I IITTTTT '1/1/ 1'1 ' III I ' / /
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF
LAtvS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS ~ FEES CODES
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Building Southern Standard~
;g.; A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR Electric National Electnc*
I~~~?EL HEP~gN~pOTHERS1ATEORLOCA\~}f~~ Plumbing Standard Plumbing*
CONSTR ON 0 E PERFORMANCE OF CONSTR T 0 ~ /
/, ' Mechanical
-- -- Standard Mechanical*
~ignaf'ur~ CoKtracto"""~uthorlz:ed Agent (Date) 'I J Other ,v.vv
Signature of Owner (if Owner Builder) (Date) TOTAL 4r1.00 *as adopted by ordinance.
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:~ _ ..,. ~ .
~-1f b 3,;)-? B L'O~OF~ltIA '7
-
If\,,~ City of Cape Canaveral, Florida,
DAT~,L.d3J9.<i~ PE't~JJ'io 'JeBEL__
OWNER J~------~7PlOO,~'jl,.7----
ADDRESS ___~i'Sq-C.L~=X;l~-,
Inspections '
1. Footer
2, Rough Plumbing __________________'
, ~~M~
: ~::::::~~~tri:====t~=========-====
~--------------------------~---------
Other
Re'lccted ~
. --------- ------------------------------
---------t-
--
INSPECTOR
In~pections
1. "'~oter
2. R".ugh Plumbin
3, Linte
Other
Rejected
/1fyrL
INSPECTOR
11.00
. ,.~,' ''.,..
-- -
In,.pections
1. \>ooter
2, /tough Plumbin
3, Linte
4, Rough Electri
(
9~co
/~R
ape Canaveral. Florida
PERMIT No, 1oRQ_ ,
r
Inspections
1.11\' )ter
2, R?ugh Plumbing
3, Lintel
4, Rough Electric
5, Final
~~
~~
I'~fu
(Jjfv
/'
/
/Yi~{
INSPECTOR
~
-
-
,
CITY OF CAPE CANAVERAL
1tJ87
BUILDING PERMIT APPLICATION
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 BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE
FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT)
State License
County License and Competency Card
Liability ($100,$300,$25 Thousand) and Workman's Compensation
Insurance
Surety Bond payable to this City ($1,000) (Only if City Occupational
license required)
~~;;-~;-;;;~~~;------------;~;~~------;~~~;~------~;~~~--x---~~~;;-----
UtLLAbG PHONE 783 - {Y5q('
STREET ADDRESS OF JOB SITE:
PROPERTY OWNER:
ADDRESS:
LEGAL DESCRIPTION: LOT
BLOCK
SUBDIVISION
OTHER
TYPE OF CONSTRUCTION:
SIZE OF BUILDING (TOTAL SQ.FT.)
NO. OF STORIES
MAX. OCC. LOAD
NO. OF DWELLING UNITS
USE ZONE
NO. OF PARKING SPACES
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE
APARTMENT
CONDOMINIUM
COMMERCIAL
CONTRACTOR
STATE LIC.#
ADDRESS
PHONE#
ELECTRICAL
STATE LIC.#
ADDRESS
PHONE#
PLUMBING
+ ~~VICt:
y)(2 tV;: -Yr1. (SL
,
STATE LIC.#
PHONE#
STATE LIC.#-..r..rl-C () :''5~(L
PHONE# LJ-<)J.- - ~ uf
ADDRESS
STATE LIC.#
PHONE#
NATURE OF WORK TO BE DONE: ( fl) ,) TA L-L A Ie
I
d- ~ ,5'G. '>~ (~:r \0 'Lj f- ::1-., I 7 ~~-I p, -
VALUATION OF WORK/CONTRACT: $_[0 Cj ')t:Jo
() IJ I"
~ IV Sf'C(J tv (J tC-f'Jd J1
~ ,7 n;.. 'B~-'t/q /VI -
SrP'n
NOTE: This application is valid for 15 working days after which time,
unless a permit has been drawn, this form and all attached material
will be destroyed.
Date:
Signed:
-
-
---
\,'
-
-
012
4-t/{)' ~
;
'\
I~
-
-
City of Cape Canaveral
105 POLK AVENUE . P.O. BOX 326
CAPE CANAVERAL, flORIDA 32920
TELEPHONE 407 783-1100
April 15, 1991
Mr. James Allen
Jungle Village
8801 Astronaut Boulevard
Cape Canaveral, FL 32920
Dear Mr. Allen:
RE: Spill-Over Lighting
The purpose of this letter is to confirm our conversation regarding
your area floodlighting'fixtures which transmit excessive spill-
over beyond the boundaries of your property lines. Please be
advised that Chapter 713, Spill-Over Lighting Control, prohibits
spill-over lighting in excess of .2 foot candles greater than the
existing light (i.e. moonlight) that transmits beyond the property
boundary line.
You are requested to shield or redirect your floodlight fixtures to
comply with this Ordinance. Your cooperation in this matter is
appreciated. If you have any questions or desire additional
information, please contact the Cape Canaveral Building Department,
105 Polk Avenue, P.O. Box 326, Cape Canaveral, FL 32920 or
telephone (407) 783-1391.
Sincerely,
g ?
.,...........,&."a_c....')~ "")-y-., 9-f-~
'es E. Morgan r
Building Official
JEM:ebh
THE CITY OF CAPE CANAVERAL SUPPOATS RECYCLING
PRINTED ON RECYCLED PAPER
~
- .
. ,~
BUILDINC:i PERMIT APPLILATION
N?
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391
~ T;::;l-~-~illage
Mailing Address
Cocoa Beach, FL 32931
7051
JOB ADDRESS
8801 Astronaut Boulevard
L.OT NO. I
1 ~~~~~, Port i on of P arce 1 750
BLK.
Owner
2 James Allen 931 Bali Road
Gen. Contr.
3
Elec. Contr.
4
Plmb. Cantr.
5
Mech. Contr.
6
Rooting Cantr.
7
Mailing Addr'ess
Mailing Address
Mailing Address
Mailing Address
Mailing Address
Specialty Contr. (Other)
Marling Address
8 Custom Fence 739
USE OF BUILDING
9 I(l! Commerc i a 1
11
Drive Port Canaveral,FL
10 Class of work: CXNE~
DADDITION
Descri be work:
Install 1 300 linear feet of 4 foot hiQh
12 Valuation of work: $3 500.00
SPECtAL CONOlTlONS,
SETBACKS, F
R
RS
LS
Approved For IS5u..nce B
Application Accepted By: Plans Checked By:
J. Mar an Same
Same
NOTtCE
~OUNDATlON SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
THIS PERMIT BECOMES NULL AND VOID tF WORK OR CONSTRUCTION
A.'<JTHORIZED IS NOT COMMENCED WITHIN6 MONTHS,OR IF CONSTRUe,
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6
MONTHS.
Signature of Owner (If Owner Builder)
(Date)
Sec.
DATE:
o
o
co
to SEE ATTACHED SHEET)
Zip
);
V1
rl
-s
o
:::>
'"
c
M
cc
o
c
~
'"
<
'"
-s
0..
Phone
543-3321
Pl10ne
License No.
Phone
License No.
----_._~--~------~-----,~-
Phone
License No.
Phone
License No.
Ptlone
License No.
Phone
li.::e'lse No.
799-2087
008930152
DALTERATlON
DREPAIR
DMOVE DREMOIIE
chain link fencp_
n. _City of Cape Canaveral, Florida
~:~E~~~r t\n::'E~1>Jr:: Noj_O:=2L___ -
ADDREss'K~61 ~K~-==W 1==
Inspections
I. Footer
-----------------
2, Rough Plumbing _______________
'.Umd ._._~ _~_
4 Jh Electric ! _ ! _______________
5, Final ' ______________________________
Othn
'";0"'" -'=--=::. ,,~_ ____ _
INSPECTOR
I
PERMITS l!< fEES
.'''d'09 Fence $50.00
Electnc
Plumbing
Mechanical
Other
National Electric"
Standard Plumbing"
Standard Mechanical"
CODES
Southern Standard"
TOTAL
"as adopted by ordinance.
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
--
-.
,"
.. -
~
Cl'l'Y OF C^!'I,: C^N^VI':IlM,
ntiTl.DTNC 1'1':IUn'I' ^I'I'J, I C^'I'lotl
l.'JLL~;,_,\,~;. ,N!)'I', ^ 1'1-:1(1-1.1'" TO :;'J'^I('}' \-InRI(: 1'1' I:: M} ^I'I'I.IC^,I'ION.ONI,y /\tID \Hl.oI., liE
PROCES~~En ^~; ~;OON ^~) PO,I,;:; rlIL/';.
YOII 1'11.1, III.: ('I\I,I,r:1> ,JIIFN 1'1' .,1:; _J(Jc^IJY,
COI-II' 1 01':'1' r: 1ll-:1.0H /\t1lJ INCVI(J': 'I'II^'I' '{tlll II^VI': !IN 1,'11.1': ^ (,:tJlO(J':N'I' COI'Y OF Tille
~; La L(~ J. j. CI:n~;I!
'ff 006)
FOl,r.OWTNG: (IIO!-II':OWNER 1'1,:1(111'1':; M(I': I:XI':I'll''I')
County IJ-Lc'cn!;t~ <1lltl ('ompl.:(:p[\<,v CilJd
l,iilbiliLy (SlOO,SJOO,S:~') 'l'ilOll';C\ll<\)
[nsurclllCC
Sllrel~y /lond PilYilble
]),.l;;.Q _I~~'!.~__"l;~ (~_ rJ \1.). l~_t.~[;\J
ill\d H()I'l~mi1n l~; Cornpcn~;()l:'l_OJ1
(0" Iy_iJ .. C,i.\:y...Of'CIl ['01,1 ion 011
_ ___ _ __ _ ,,_ __...... _ _ _ _ ___ __ __ '., __.. ____ ._n. ,.. __ __. _ ".,... _ _.. _ ..__~_J51c?i~/;3,7 E-
!'1,Ul'll\" l'fECl!, ",_, ..., o'rlfr-:R_,,@-',~C
PIWI'ER'I'Y OW:ER:_~....f:.~ , .. ~. ..v~!'I.~ONE. 5_~~=..3.::2~1 ~.
ADDRESS:9BJ, ____ ,_,__-.J\O_Qd..~. ~~I fl:-:a~,~c::l~J ....-____
S'I'REE'I' ^Dltt7-l7~?lO~ '~~?~"A;f(750000 I aoincryt~'~/:()f;''' ,-.
I,EGM. OESCRII"l'IOrtJ f\!o,~.... ., IJIoOCI( ~;Ullll iVI:;ICJN(-lJ;~__H,)!JI...(]i:~
to 1:1>;'; I'i Ly (')\, ()O())
'I'YPE OF PERMIT: IJLUC,
ELEC,
OTHER
TYPE OF CONSTRUCTTON:
~; ,1. Z I.:
OF IJUrJ,UiNG (TO'l'^L ~;Q,F'!',)
NO. or ~;Tor~Ir:;
H^X, Dee, J,OMI
NU, 01.' nWICLLINC UNT'!':;
USE 'loON"
NO, ew 1'^J</O!oJ(; 'sPM:E.'.:
TYPE OF OWNER:;lll!' (CIIECK ONE)
IlE'I'M:lll':U :;11'1(:1.1.: 1,'Al-IIT,Y In::; TllEr.rn:
'l'OWNIlOV,SE
^J'^lt'l'111':N'I'
('()NlJnl'lllll tlJ./
COI-II-Ir:F.c:r ^ I,
CONTR^CTORQ_~~_..A.~ :;'1'1,'['1: LIC ,1I___fi.1.J..C)/~3"o__
^DDRl,,'; s 23 t,~_..~_- ~...~ 1'11()1I1'~ II ,,2f1:::.~e:>Jf_7.__ _.___..,..______
ELECTRIC^I,
:;'I'^'J'I'; LIe, II
MJDRE,,:;
J'IIO!oJFII
I'I,U~1DING
::'I'^'I'I,: I, Ie, II
ADORES:;
I'IIOI'iE/I
MECIlANICH
:;'I'^,I'E I,IC, /I
'. ^DDRES.';
!'IIONl.:1I
OTIlER
::'['^'I'!': 1,le, /I
^DDI(E.'i:;
I' linN 1': II
....,-..,.--.."------"-,,.--...-,,.......-- ...... ~
.L~i'r.~~~/)
'g::'.~~'...~
-----
V^L\lNf'rON OF HOF.K/CONTI(M:'I': :,:
/}&o,
].s-.n> '''1;,
N~?TI':~_'I'II\.~; ;lpplici\lil)l\ i~; villi.!1 JIll
unlc:;.s il permi.t lii\~i IJf~I~n drilhlll, l'll'i~j
will be destroyed,
II) \"111 II i 1\(1 dil y.'; il r l.el- Ht,-j (OIl 1- 'i,Hle:,
r ())' III i) 1\ d .11.1 f\ I: l: it C h r~ d IfI n I: (~r -i. (\ J
DdLc:
...m '?brl1./__.
!{ec'ol,.cl or Ownet"
~; i,l!lH~('l : -~. -
'~^;i'~,!;\.t:'"
'"
-
-
..
..
. ..
Liv.l\l,'C;1
I':ncl, ^J:C,'
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n,l~;f~d 011 DqU;lJ."C ''"OOLiJqC
IJ \I i 1 d .i. 11 ~J P r: I" In i L Chill' L C~ J ~'" tJ 'l
n~)!;r:d lJll V,:t.l.Uil L.tun
Iltti Jrlill<:j l'cl.'Irti L,; I'lic;c,
nil~;cd ull ~j4'1-t1
I() . ffD
--d-~---~
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I'Jltll1l')IHi ['crm,L ~)~'/"IJ,.1
r'lcc!ltlll.i C;J 1 f)I1."/-_1)
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'I'{} I~ ill jJ r: I-Ill i \: I.'l~ c
=;Cl'lCr Imptlcl~ F't::r.~
:..:1'1...0 J
~;CHCl__ 'f;ip V~'c
TaLa'l ;;CHC1: F'c(~
I.' i "c 1.10\1,' c: L [.',,,,, ':' J '/ ,..0 J
Fi I.-C Imp;\cl. I"cc ~}J'I--()~
'1,'0 t.:.a 1 t.' i I.-\~ Ilnp;H. L V(~C
!Zildoll 'l't:u:; L Fltllrl
1. cen L pf~ I." ~;q\l;l rc
(1'1, 0LilLltLr,,;)
[IJuL uIH1Cl"'--ru(lf
_ --- ------ .--.-- - ---- -'-'-~- - ---~+"_.."..."- .-. _.-- --..
0\,'1'1el': IJ:;I'; ONI,'f, V 1':1(,1 F.l.C^T.l.ON:
r;Cll!;l:;lJ Con L )";\I.'! ,'I."
I:; lr'ct I. If ;,1.
p 1 \J~lhill~1
~1r. c It ;.111 j C i1 1
CO\lI1f.',' L.lccn:-.~e
Cornpc Leney C;1rd.
111!;\II.-aI1C(::
~i\ll:e t.y l\qlH\
C.i. tv JI i r:(~Jl!;C
~'j l <l \.1.; l,j c i:11:-; I!
\..]01-)( [t1I- ;.1 l,r:!~::l~e, l:CllLcl:, lHilll;ttlt!I', dqCll1. 11l\l!;L h,IVe> ;lj'JPI.'OV;l-j o( lC~J;ll. O~"11CI-
or J-r!col-Il. Ilnll1p.UWllcr:.>. c:(!lltlomilli\,llll:;, 11/\,111111'\I;:r-:: OJ' nlllr;I";,"', w\t,h ;'11
,1;;!:\Jl:i,\I,i('JII "11111.J'l,l. ;11 r-'[Ij 1 1!1"1 Ill,f' 'lllll 1!lli [llilll! 1':l'i 1 l'l"j;l, 11l11~;1 11,lVP i1IlI11-!)\!,11
:_;j qllcd llV LllC ql)VI~'-ll i nq hodV.
" OLlier:; i:~ to .include CClvell;.ll1l.~;, cnlllli.l.il)Il!-; ,.Inti l:f~!;l t'i.cL.lOJl':-; ;l!~ T:pconJI;d 011
(lcc,,1: l\r-J\oI~V(:\-, ~-,I\_,s nr.ricc .\~., 1"j"-;;'.'I)\)11:;\\-''.\(; ()111y flll- l,lI1.-1illil1(/ C()lIl\)'j'l;lllr:r; \oJi.tll
tilr~ /,Clll i Ilq OJ-d i 1'I:111CP.
,
\
\
\.
_.""
.--
BUILDING PERMIT APPLICATION
JUrISdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-139~--.-J>~ 15/24~37E___,___
JOB ADDRESS
8801 Astronaut Boulevard
I LOT NO. 3171BLK. -(-TRACT --.-
1 6~;t~, IParion of Parcel 750 I Jungl~ Vil~~
Owner Malllng Address
James Allen 931 Bali Road Cocoa Beach, FL 32931
7024
2
~! ~
~I r
o
~
'"
VI
Vi'
-'---
DATE:
3-5-91
Zip
(o SEE ATTACHED SHEET) c..... co
'---------- ~ gs
Phone ro ......It.
V>
543-3321
".
". V>
~ rt
~ ..,
o
:::l
'"
C
rt
Gen. Contr. Mailing Address Phone
3 Donald Haynes 6505 Ridqewood Avenue Cocoa Beach, FL 32931
Elec. Contr.
Mailing Address
License No.
258-9343
CGC027852
ro
:::l
Ph one
License No.
4 Accent Electric 1800 S. Huntinqton Lane_Rockledqe--EL_Ji32-6083
Plmb. Contr. MalJing Address Phone
5 N/A
Mech. Contr.
Mailing Address
6 N/A
Rooting Contr.
7 N/A
Specially Confr. (Othen
Mailing Address
Mailing Address
8
110 Class of work: [}NEW
USE OF BUILDING
9 Commerc i a 1
11 Oescri be work:
Instal1 new sinn ner
OADDITION
submitted specifications.
12 Valuarion of work: $5,000.00
SPECIAL CONDITIONS:
SETBACKS: F
R
RS
LS
Approved For Issuance By
Same
Application Accepted By: Plans Checked By:
J. Morgan Same
NOTICE
~ FOUNDATION SURVEY SHALL BE SUBMIHED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
. A~ORlZED IS NOT COMMENCED WITHIN 6 MONTHS,OR IF CONSTRUC,
TlON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6
MONTHS.
I fiEAEBYCERrlfY THAT I HAVE READ AND EXAMINED THISAPPLiCA liON
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVIS'ONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING
~OF A PERMIT D.?.!:S NOT PRES'-"1E TO GIVE AUTHORITY TO VIOLATE OR
EL THE PRp/'VI:W;>NS,~FI~~ YOTHER STATE OR LOCAL LAW REGU,
I) TI~j3 CO~.'I/..J\! ..JiN O~ERFO~CE OF CO~T~~2~1
I /5j9r\w'C&ntractor o\- Authorlz1f~nt (Date)
Sig ure of Owner (If Owner Builder) (Datel
___ ECOOQ087L_____
LiCense No.
OJ
o
c
Phone
------------
License No.
ro
<
'"
..,
CL
~
Phone
License No.
Phone
--
LIcense No.
OALTERATION
[JREPAIR OMOVE
[) REMOVE
-----
------------ -----
NOTE: REQUtRED INSPECTIONS MUST BE ARRANGED
TEL: 783-1391, ALLOW 8 HOURS RESPONSE TIME
Type of
Canst.
Occupancy
Group
Division
--
Size of BIClg.
(Total) SQ. Ft.
No. of Max.
Stories. Occ. Load
-- ---
Use Fire Sprinklers
Zooe Requirect DYes 0 No
OFFSTREET PARKtNG ~ES REQ01RED'-
Fire
Zone
No. of
DweHlnQ Units
~~I Approvals
ZONING
HEAL TH DEPT.
FI RE DEPT.
SOIL REPORT
~C?THER (Specify)
Covered
Requ ired
Uncovered
- "
RecelveCl ____~~ot R~_
--1--,---
------ e--
/7 IIIIII '11111
PERMITS lj. FEES
B"'d;09 $73.75
Electric 20.00
Plumbing
Mechanical
Other
I I /I /lIT I /I
111111
CODES
Southern Standard*
National Electric.
Standard Plumbing'
Standard Mechanical-
TOTAL
~q,\ 7<,
.as adoptE!d by ordinance
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK: ~ ~ .Yv\.
C~ B l: TiOF Itl~l ~<;? ,
r
-'
1
!
(\ CitY10f C.ape Canaveral, FIR~9,~
~~~~"~~NO'1lliO
ADDRESS __ ~~ I
Inspections
I. Footer
2, Rough Plumbing __
3, Lintel -4-\
I
, City of Cape Canaveral. Floridll., i (
DATF -; :l3-q~1T No,?OL'I
OWNE ",It
ADDRESS~~~ .~~ ~,
In
4~L(
3, Linte
4, Rough Electr;
5, Fina
Other '
Rejected
~
Other
Rejected
INSPECTOR
4,'DO .
6! l1!jM/1.D' A JYl
INSPECTOR
'.
4, Rough Electri
5, Fina
Other
Rejecte
....
9 /Ic;~
-If/!(
INSPECTOR
-
.-.
.
$'" ~.sre15Z a:l{.uHN
~ I
~
. .
':t
I
~
~
,
...
I" $TEet. ~ATE /MIROF.Il
71:> _~r;- BPrn:JM '<'.,An"
4...1""~T$' J.W.Q 2:.1r"~Z~.
/It./:/z" M6TAG IfIASJIG'e
"'5 BAA$ 6/'-0" a.C.
&,A, "''''V TOP'" 6fJTnJM
~
.
----
1~4"'M&'_OIiW 10'-0" CONC.
I='OOTIA/G
10". O'
SlECTION 4-A
[ .
.
t 'G"
BAStE PLA7tE
N.T-S.
Cat.VNA/
10N'Il IS"I( I" S7EGI..
PUlTE
'" '" ,",OLE" (TYPo)
1
~
~ ~-- @]
. .
C <:\
-' -'
III ~
-
" -- @]
'll
....
t 5'...0" -r S'-/?#J !
la'~o"
I,
PLAN VIEW
\YiW~~~rnlNl ~ ~~~@~D~li'rn~
E:NGINEERS a PLANNERS
10f WE$TPARK!ANE COCOA BEACH, flORIDA ~t9J1 PiI.(3(J$)7S4.,6JJ
01 Jj" '-.'--
^. A./ V1{()toJv .
?V
'y~/'7/
.-
>-
-
CITY OF CAPI, CANAVEltA!.
BUI!.I1TNC PEJU,Il'I' APPL ICATION
~\'II.I,:;_I:;,., NOT A PEltHIT..'I'O :;TAJ('I' HOI(.K: 1'1' :; MJAPI'I.H:ATIQ.N,.QNI,Y !\tIll III I.!. 111':
rltOCI~SSI~I) AS ~OOI4 AS l'OS~]:I)J.II~.
YOll Ii II.!. Itl': ('ALI,I':DI'IIIJ':N..rT.,I:;._IU,AIlY,
COHPLE'I'E HELDH !\tID JNCUJ(E TIIAT YOII IIAVI': or~ 1,'11.1': A (;.t}ltltEWI.'. COPY OF Till';
FOI,LOWING:
(IIOI-IEOHNER PEIU1T'1'~; A!(Jo: 1.:XI.;r'II"I')
~ ~OJ 4-
~_; t" i\ t (~ IIi. cen~; e
County (J:i C(~n:;l~ "nl! fornpe(:f~Il(_'V Cill d
[.iilbilil:y (S100.S.100.S:~'; 'j'!low;ill1e1) ,,,,ei \)O)'}'lOill1''; (otnpew;ilt:iol1
J:nsuri1llcc
Surety nond payahle 1:0 LI1.i.~_; CiLy (~~,1 ,/Jon)
Jj,,,cl";". .':,,<]uj n(,U,
(011 Iyjr..\~ i\.y...OC'C\lpil \.;,.0111\1
-------------------------------------
."." __,~ _ _..1 ~ l_ ~.:~~l:?ls
TYPE OF PERMIT: IlI,DG,
ELEC,
I'I.IJI-IH,
1'll'CII,
o'rIlER
PROPERTY OWNER':JQ,~_n B It-g.. VI
ADDRESS :9~l..~-~~ "C.b..
5u::<: - ;2j'" (
l' II 0 1>1 E ,. '1 '<_,,:::;:;;""
S'I'REET ADDRE,,:; OJ' .lOB "I'I'E: <s" "60 r
Y61' . "~r 056\
J,EGAl. DESCR J I"!'ION :~...,,_..... Ill,O(1(
~.._--'~._....
~;UIlJlI Vl ~;l ON_:::j~___r~,
OTIIER
TYPE OF CONSTRUCTION:
~'; J Z I,;
01;' I\lIT1.IJINC
(TOTAL ~;Q, 1"'1', )
NO. OF ~;TORIE~
MAX, OCC, I,OAD
NO, OF nHEl,LJNC UNIT:;
USE 7.01'11-:
L
L
NO, ()Jo' l'AIZKTi'H; :;PACF:~:
'l'OWNIlOU:.E AI'AIt'I.111':N.I...,
CONTItACTO~~,m~'
A[)~[)RE:;S~.?~<:Q B\.A.Q.".C5
a . z,- ,
EL', 'RT '^"._..,... .,............. ......cCJf,m 'c~~ ,:;'1.,,'1'1': LIC, /I
AllDItE:; :;Lw$.~baJh,:~cj/I"~ft;.1l0NJ.: II
('l1NIlOI-ITtlltIJ.l
RF::;IllEl.ICl':
COI1I-1F:JtCTAI. ~
TYPE OF OWNEIC31l1l' (CIIECK ONE)
J)F:'I"ICIll.:n :; 11'1(;),1': r:MII1.Y
I' 1I11111;: /I
I.IC, II c.. Ere 0 zfl'C}52-
o ?B~i3;r.i"Z~8'j.i~; (
....E..,CQQQO Q2'^1.
J;3~~6uP g 3.
:.;'1'11'1'1':
P I,UMIJ I NG
:;'I'A'I'I: 1,1 C, /I
ADORES ~;
PIIOIH:/1
MECHANICAl,
~;'I'A'I'I': LIC, /I
. ADORES:;
1'1I0Nl.:/I
OTIlER
~;'I'A'I'E LIC, /I
__.____________~______ ._______..____ _ _ _._..n__'__.___...
ADDRES:;
1'1101.11.:11
'----~.. _ '
NATURE OF WORK '1'0 Ill-: DONE: ,,~LI.,.? ,'SlqrL
f2M..l./l4.~/ti:clAp~-
,
'. ...... I ' ,
VALUA'I'JON OF HOltl(/CON'I'I(AC'J': :f S' )'000,
!'l~?'rl';~_ 'I'h,i~; ilppl.1Cd1.11l1l 1:. villld Illl 1'1 \.,r/llkll1lJ dilY.'; ill'tel- Hl1il'lI l-iJ[\I~,
\I1l1(~':'jS II permit II(J~; })I:I:11 (11'"(\"111, 111i:. !'CII"11l ;111(\ .11,1. nl"!:ilc!l(:tl mntc:r-iill
will be cteslroyed,
::'j',t,:tl;V f11!ifE'---- -" _nn..__.._..m__'__~"__'
(\'\f'I'Il';Pl:, AfJl'nl of I{t)('o)"d or Owner-
-
l\uiJr1 i no Pr~I:ll1i L...-,j ChrlpLer ~.)/l"--^
lJil!;cd Oil ;iqU;lJ. c FooL,ute
Jl U i 1 d i 11 U P r. I: lH.i L~; C h;:\ p L c 1'- ~'J il "
11;.1!;cd OIl Vi.l.!.""I.:I.Ull
l1u:i.Idil1u I'cnn:i. Ls 1'1:i.,c;c,
l1ilL;cd Oil ~1'1-4
?~
I'; J" C L J:.i C il J 1.'" J'ITl:i. I. ~,~ 'I "C , I
l'IulTll,.i 11C/ pct:mi I: CJ~'I"I1, J
l'lcch'll1iCi\J CJ~'I'-\I
PI;HI CIH'C)( Fcc
Tot,ll PC1^m.i. L f(~c
~;~\'l~l: Itnp....\ct~ F<c.c
~J :J'1 -, 0 :J
~il.~hlCl- Tilp Ff~f~
'1'0 L;'11 {;c\./cr F'c c
Fire Imj)ilCL Fcc
',:J '/ ,-0 J
,"'i l~C Lmpact. !'~PC ~jJ'{--OS
'J'OL~ll Fire 11l1pilct F(~C
Ril\lon Tnt:;\, Fund
.1. cent pel- !,;qlli.1J:r~
\l'IJ ;;L<lL\lh,,;)
Lou!: \I1J(lt~r'~'ro()r
-------------------------.-.---.--
OFFICI'; 11:;1:: ONI,','; VLI(JYJ CNI'ION:
C;CI1C 1:,:1.1 CUll! r:lC' 1 pl-
C:O\lIlLy l,i,ccl1:;e
Camp'::: Cc.ncy \: t\ l:d
I11tiUI. "nee
:;Hl.(~ty })olHl
C j L y I,i. C (~ n !; c
:.i L i1 L r:; I, i. CCIl:-;'~
-
. .....
t,.1 v. J\rc;1
QLhcl'
}~;licl, ^n;i1
0'
/cr,-1lO
t31S-
,---_. -----.---..
,02tL'P_
,)27
")
-tl:}:.~
1< I ! ~ r: I t: i r+;1 I
P t\1~'~?) ~~q
t1p.ch;11\.1.Ca I
111\1:;1, 11;IVf; ._lPlll:OV;ll (If J.f'::~J;:11 Ol---lllel."
\ \'}\>Il)hl)\\";(~:~ \11" pl.hf;l:::;"', wi \:11 ;111
ldilltl (Tii'.'I'I'-l, 111\1::1 h,lVP ;--q--ql1"l1v;,1
\o/O!+!c {"OJ- ,1 J'~~:::;ee, l"f.!lltCI:, 11l~111;J~!f?I'-, i1QC:IIL
or: I-r~cnl 11. IlcJlllr~nvJl\l:-:t::.~. c:~ll,dumi"l\ i \\1\\,-"
,l:'":;:;ur: i ;1 \. i (/11 r fIll I. ru I, ill r:l1.i 1- "I.. llll-P illlll 1/\1 i
~-;l.qncd hy i.he qnvcl'l1inq body,
Ol~hcr~j .i.;:; 1.:.0 incllldf: COVel1i.lI1t.~:;, I.'Olld i.l.i.(}J1~; 'lIH] l'c~;l.I' i cL lollS n:-; r~c:ocdcrl 011
r1cr:r1; hUI---JCVr~I-, tli.is u[r..ice i.~; l.l~;;11I1Il:.;-i.IJ1{~ (1111'1 rl'l- (J!Jl,l,illi.llCl (+{lmp'li;-jllr~r' \oJi,lh
Lllr~ 1.011 \ I1q ()J-r:J i \l,lncc.
-
BUILDIN,.:i PERMIT APPLh.;ATION
..
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391
N~ 6977
Joe ADORESS
LEGAL
1 OEseR.
Part of Parcel 750
o
~
2
m
nl
Sec. 15-24-37
DATE:
January 22~99~_____
<0 SfE ATTACHED SHEET)
Owner
Malllng Address
24 Rg:g,3L.-..__
783-4482
, ~--------
2
Gen. Contr.
3 Owner
Elec. Contr.
4
Plmb. Contr.
5
Mech. Contr.
6
Rooting Conlr,
7
Specialty Conlr. (Other)
8
USE OF BUILDING
9 Commercial
11 Describe work:
931 Bali Road, Cocoa Beach, FL
Mailing Address
Mai1Jng Address
Mailing Address
Mailing Address
Mailing Address
Mailing Address
Zip
Phone
w 00
~ ~
C1> ~
V>
".
". V>
~ M-
~
C1> 0
:::> :::>
",
c
M-
OJ
~
<
Cl-
Phone
License No.
Phone
License No.
P/1one
License No.
Phone
License No.
PtlOne
license No.
Phone
Llce~se No.
10 Class of work: ONEW DADDITION OALTERATION
OREPAIR DMOVE OREMOVE
Tem
Si n
12 Valuation of work:
SPECIAL CONDITIONS,
SETBACKS, F
R
RS
LS
Approved For Issuance By
Application Accepted By: Plans Checked By:
J. Morgan Same
Same
NOTtCE
,FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
,THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
, AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6
MONTHS.
I HEREBY CERTIFY THAT I HAVE READ AND EXAM1NEDTHISAPPUCA110N
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THtS TYPE OF WORK WILL BE
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU,
LATlNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
51
ed Agent
(Date)
" r)
(Date)
-
"" M"''''''O'. ".ON "ON". "'OM" ",,",nO nA", "0", d- _ (,.,~
~h~~I,![)HtG20F.IiIS;IAL 0.00
Cit~ o~ <:4p.e Canaveral, Flori~n n
~~T:E~j5 .~ l'()rr;.R~11NO (D\.{' f' 1-
ADDRESS ~~~
tnspections
1. Footer
2"Rough Plumbing
3, Lintel
~R~Electrk
5. Fina
Other
Rejected
Ot(~
(!fJ1~
PERMITS llo FEES
CODES
Building
Southern Standard"
National Electric.
Standard Plumbing'
Standard Mechanical.
Electric
Plumbing
Mechanical
Other S.
TOTAL
.as adopted by ordinanc.e.
,
...
-
.'Y OF C!II'!: CIINIIVER!II,
-
~971
BUH,DING PERHI'l' IIPPI,TCII'I'ION
TJ!!.L};S_, NOT II PEI(I.q:LJ'O,STIIR'!',,\'IOIU<: 1'1' I~; 1It1.,IIPPLIc:II'1'I()!L9NI!Y, IIND IHI,), I1E
PROCESSED liS SOON II:; .PO:.;SIllLE, YO'I Ii 11,t, Ill.: CALI,I.:n "H'IEN,.)'I'.,I~;"READY,
COMPI,ETE IlEI,OH MID IN(;UI(E '1'1111'" '{Ot, IIAVI,: ON I' '1,1': A (;IJ.HREI'(r', COPY OF 'I'IIE
FOI,I,OWING: (1I0MEOHNER PERMI'I'~; liRE 1'::U:11P"')
State License
County IJiccn~;e and Competency Card
Liability ($100,$)00,$2', 'I'ltou';,tnd) and HOl'kmoln'" Cornpcn"olt:ion
Insurilncc
Surety Bond ,,"yab1e to Lhi." City ($J, 0(0) (OJlly~iI.Cit'y...OCClll",'i.oni\).
!,t <::,C;!!~; C; _,l~ elJ ~t.i.X ".ct) ,
,
" 1'1ECII, ...__,.. OTIIERu~.__..
PROPERTY OHNr::R:,~_ ~.........1'1I0NI,:.J~~~$~~
ADDRESS: .--.1(2j) ,f...,ad2_t}dto~Z;C~..~__"C:...._..d,.... _...._,,_
TYPE OF PERMI'I': OJ,DG,
ELEC,
PJ.IJHIl,
STREE1' IIDDRESS 01" .J91L.SI1'E:."......~~
LEGAL DESCRIP'I'ION: 1,0'1'
I1I,OCI<
SIJBDTVI:iION
OTIIER
TYPE OF CONS'I'RUC'I'ION: :;TZI:
0" BUn,DING ('1'0'1'111, :jQ, FT. )
NO. OF STORIES
MIIX, OCC. I,OIlD
NO, 01" DHELLING UNITS
USE ZONE NO, 01' PARKING SPACE~
TYPE OF OHNERSIIIP (CIIECK ONEl: DE'I'ACIII::fJ ~;nIGI,I': FIIHll,Y RESIDENCE
TOWNIIOUSE , IIPIIR'I'111,N'"
CONIJOHINJtlJ.!
COl111ERCI III.,
CONTRACTOR
~;'I'^TE I,Ie."
ADDRESS
PIIOIIEII
ELECTRIC!II,
~;'I'II'1'E I, IC , II
ADDRESS
PIIONEII
PLUMBING
~;"'II'1'I': I,Ie, II
ADDRESS
PIIONEII
MECHANICIII,
:;'I'IITE I,IC. /I
. '.ADDRESS
PIIONEII
OTHER
:;'1'11'1'1-: 1,:rC. 1/
ADDRESS
1'1I0NEI/
NIITURE OF WORK TO BE DONE:
..~.~._-----_..
---.1,..,.,
VALUIITION OF HORK/CONTRIICT: $
NQTJ;,.;. Tld.~; .'.Ippl'i.cati.on i,~; vi'll.ic.l l:/l)" 11,) h'(lr'J~.inq cldY!; ill'tcr HIl-i.cll till\l.!,
unle!;s Cl permit hil!3 been draHn, l.:1l"j~.i !:Ol:'"1ll and alJ. attilched materi.al
will be destroyed,
Dilte:
:; ;1]11"'1-:"'''"---. ...".,'n--..--''~-Z7~.-~~
.cell:Jee, ^~Jl:nl: of Record nr Oh'ner
.-
-
It
J.,i v. ^rf~;l
Enc:!., ^,:en
o LheJ:,
Uuilding Permits ChnpLer 5~1-^
n~sed 011 ~(IUare footage
Uuilding PermiLs Chapter 541
Ilased Ull Val.uaLloll
Duilding Permits Misc.
Based 011 54'/-4
Electrical Permit 541-C.l
Plumbing Permit 541-0.1
l'le chani ca 1 54'/ - J)
Pliln Check Fcc
Total Permit Fcc
Cewer ImpacL Fcc 531-03
~cwcr Tap l"ce
Total ,;ewer ['ee
Fire Impact Fee
531-03
fire ImiJilcL fee 5J'/--05
Totnl ['ire ImpilcL ['ee
Radon Trust Fund (fL Statutes)
1 cent per square loot under-rool
-------------------------------------------------------------
OfFICE USE ONLY: VERlflC^TION:
S~_gJ]_~~_I.~.~).)._..~.S)}!__I~.I:;.l c.~5)}--
1::.1"" L I.'';' <:;, I.
1~): _~I~~J:)_L~.~ g
f1ccl1i.1Jlical
County L,.lc:cJlse
Competency Card,
II1SU1:i111Ce
-_.---_.._--~
Surely Uand ,_...._..,
Ci Ly td.ccns('!
:; La te t,icense
Work [OJ: n lessee. renter, m<1ll~lqer, aqenl ml1!.;L h,lve ilpprov<:11 or lCQul O"'I1C1:
of rcr:ol-d. IIOlneowI1CI::-:~, condom.i."JIi_urn:-,;, t()wllll()ll:;(~S Il'- olllCI~.s", w.ith an
ast;oc.i.iltioll cOlll:ro1.. .11-cill.lcc1.\.IJ:e ;llld b\l.i.ldil1~ c:l-il'--'I-.Iil. 1n1l:-:1. h<lvr; ilPPl"Ov<ll
siqned by lhe qovel:n';'llCj body,
'" others is to include covenants, C01H.1.i.l.iol1~.; and J:c~;tl:i.cl.:..i.olls 'l!.':; rr'!cordcd on
deed; however. this o[[ice .i!; rer:;pon:,;iblr: ollly rIll' nhL..il1in(j cnm\ll.i.<lIlCC wi.th
the i'.oning Ordinance.
......
......
CITY uF CAPE CANAVERAL
DATE January 4, 1991
WELL PERMIT
FEE: $20.00
N~
234
OWNER James E. Allen
ADDRESS 931 Bal i Road Cocoa Beach, FL 32931
LEGAL DES,
Sec. 15. Twp. 24S, Rge. 37E, a portion of _.!:,~!,cel 750
APPROX, LOCATION OF WELL FROM PROPERTY LINES 300' S, 100' W
DEPTH (Est,) 200 , SIZE OF CASING~"
PUMP 0;
FREE FLOW 0;
USAGE - HOUSE 0;
SPRINKLER [];
AIR CONDITIONER 0
OTHER
__ SPECIFY
IF USED FOR AIC SPECIFY DISPOSITION OF WATER
Permission is hereby granted to drill well as described above. lVells for hlJuse useage require water test.
Drilling contractor must have Occupational License and Bond.
DRILLING CONTRACTOR
Summers Well Drillinq
1228 S. Hopkins Avenue
Titusville, FL
c, c, 0, L. # 1762
J.ee Co. - C;:OC9~
-
,-
~
APPROVED - CITY OF CAPE CANAVERAL
----~ ~~~~ ~ .2~Oa 5
-
-
..
BUILDING PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391 Sec.
-
N~ 6956
JOB ADDRESS
8801 KXXKX Astronaut Boulevard
LOT NO. eLK.
DATE:
Jl
~
z'
ml
15/24Sl~LE..__ __ ____ "I
12-26-90
LEGAL
1 DESC R.
Parcel 750
-, TR~~~_~~: V,i 11 age \ 0 SEE ATTACHED SHEET)
Mailing Address Zip Phone
Owner
2 James Allen 931 Bali Road Cocoa Beach, FL 32931
Gen. Contr.
Mailing Address
783-4482
c.... 0
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3 C
ro
'"
;p
;p '"
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~ -S
ro 0
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-S
Cl.
Phone
License No.
3 Don Haynes 6505 Rid ewood Avenue Cocoa Beac~FL 32931 258-9343
Elec. Contr. Mailing Address Phone
4
Plmb. Contr.
Mailing Address
5
Mech. Contr.
Mailing AddreSs
6
Rooting Conlr.
Mailing Address
7
Specialty Contc (Other)
Maltmg Address
8
USE OF BUILDING
9 Commerci a 1 10 Classo/work, NEW OADDITION
11 Describe work:
Site-work Improvements.
12 Valuation of work:
SPECIAL CONDITIONS'
N.A.
SETBACKS, F
R
RS
LS
Approved For Issu",nce By
Application Accepted By: Plans CheCked By:
J. Morgan Same
Same
. NOTtCE
FOUNDATION SURVEY SHALL BE SUBMITTED NO lA1ER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
~
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOTCOMMENCEDWITHIN6 MONTHS,OR IF CONSTRUC,
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6
MONTHS.
\ HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCA1ION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
PLIED WITH WHETHE SPECIFIED HEREIN OR NOT. THE GRANTING
F PER~S NOT ESUME TO GIVE AUTHORI TO VIOLATE OR
AN EL THE plioVISI OF ANY OTHER S1AT LOCAL LAW REGU-
AT G C ~ R TH PERFOR CE OF COrB:~~ ION (j
(Date)
Signature of Owner (If Owner Builder)
(Date)
CGC027852
License No.
Ph one
License No.
Ph one
License No.
Phone
License No.
Pnone
Llc.ense No.
,ALTERATION OREPAIR DMOVE
o REMOIIE
City of Cape Canaveral, Florida
~~~~~i<LD~~
ADDRESS __'t51'D\ ~1i'lM~).,(~- --~-'-
Inspections
~: :::I;~ PILlm-~ng-======-rlu------
3, Lmtcl ________~-------
~ E1cctric_~______________. ___
~-----------------------------------~-------
Other __ ----------A-;----~-----
Rejected -:-tflL---------
-------------------~---
INSPECTOR
PERMITS l!< FEES
B,Ud,"_ 20.00
Electric
Plumbing
Mechanical
Other
COOES
Southern Standard*
National Electric*
Standard Plumbing"
Standard Mechanical*
TOTAL
"as adopted by ordinance.
20.00
THIS APPLICATION, WHEN SIGNED, BECOM. ES A PERMIT TO START WOR~ ~
QJ-.<J,A B INGOFF ml~ 00
~
-
-.,
CITY OF CAPE CANAVI,RAI,
.
BUH.DING I'EIU11'1' APPI,:rCA'1'ION
T!g.!'._);,:';.,., NO'!' Am.!,I~Rl'l[:I'_ TO,. S'I'M(T HO)U(: IT ,. C; 1\1'I"A Pl'I.:U;:II'l'!9N_,9t'lJ!Y MID In 1.1.. BE
PROCESSED AS :;001'1 1\:; PO:,;SI/JI,";, rOll In}d, It I'; CAld,ED Iml';N,);'I.' ,.1:; .,READY,
,
COMI'I,E'!'E /JELOH I\ND INGUHI'; '1'111\'1' YOU "AVI,; ON ','lI,"; ^ QJf<RJ.;wr COPY OF TIll,
FOl,I,OWINC:
(1I0MEOHNER I'ERI11'l'S I\RE I';;U;MI"I')
# req50
~;tal:e Licen~e
COllnty J,icense i1nd Competency Citnl
l,ii1bi1ity ($100,$JOO,$2'; 'l'h()ll~;iltHl) ilnd HOl')(lIIiln',; Compensi1tion
In~lIrilncc
Snrety llond pilYi1ble to thi" City (sl,OOO) (Ol1lY_~f..,C),.t'y._OC(:upilt.inJ1nJ
L,L<;,ef'!~igJ.ef]lljr,'!.~l). j \
- - - - - - - - - - - - - - - - - - - - - -.- - .. - - - - - - - _.. - - -. '- ,. " - .' -. '-'' "~,, '- _15 ~ q~" L3 '1 r;. '~
TYPE OF PERtHT: BI,DC. ".m_" EJ.EC,. .,. PLUI1B, ..,." l'lECII. ___,_., OTIlER__~__,
r--
PROPERTY OWNER: ,~_~"!':'l ~,,___.___.A-.Us2._1J., ,.PIlONE__JJr.3..<f.. i(j',~__,_
ADDR ES S : .~3j_~_ .lk-l:._._'m~~,'_.,_.__._Q;nCo.l"LJ3.ch__'___ f 1'----_,~2 S.J...L___
STREET ADDRESS Oe ,T9ns.:r1~J':__n._f6'.C>L....e:-I ,.A_si,e.Q~~y_ff".L__ _l?J \1~..,
LEGAL DESCRII''l'ION~~ 'l~f2. 1l1,0CK ,., On.. S\1IlDTVlSTON_Jik1.l_~,_L~~.
OTIIER
TYPE OF CONSTRUCTION:
;;TZE
OF BUn,DING (TOTAL SQ, 1"'1'. )
NO. OF ~;TOR I ES
MAX. OCC. 1,01\D
NO, OF DWELLING UNITS
USE ZONE
c-\
NO, 01" I'I\RK1NG ~;PACI':~,;
TYPE OF oHtmRSHTI' (CHECK ONF:): DI';'I'M:llfm ~;nIGl,l'; FMllf,Y RESInlmCE
'l'OWNIIOUSE
. 1\I'I\R'I'I1I':N'I'
CONIJOFll N IIIJ.t
COI1HEltCl1\l,
CONTRACTOR,,_, DoI/.)4.fd.__.____,~1'R2d :;'1'1\'1'1: LTC ,II,_C.GS:!_a.?.7/'.:5?!::____..
ADDRESS.-.k,~Q.~,_,P,~~~:-~/~iOTIEII .,. _"".__.._____ m____ _____
ELEC'l'RTClIl., :;'1'1\'1'1'; LTC, II
ADDRESS
I'll ON I': II
PLUMnING
:;'1'1\'1'1:; [,Ie ,/I
ADDRESS
1'1101'11';11
.' MECHANICAl,
:. '.ADDRESS
::'I'A'1'E LTC. II
1'1101'11\11
I. OTHER
:;'I'A'I'I': ),JC.II
ADDRESS
J'f10NI';1I
NATURE OF WORK '1'0 liE DONE:,.__Cfl(l~,e~ci....J:.z'ULc:.I5f~_ v1[K-.&'h,.,1,.1~-1.J
~:~:;~;o~ ~;'~:ON~'~ ~,~~~ d;;/i6e i dy. S, ';-;;"';t~-"-;~~.~< "E'
!.'1Q~.rJ~;~ 'l'll.is i'II'Jpliciltiol\ i_~'i Vii.! l.CI I'll}" 11) h'())'-J~ illll ddY~; ilftel- Hhicll t'iI!H~,
llnle~s Cl permit hu~i I)(!f~n drilHIl, l.:h:i.!-j r()l~1J\ nnd nll nttnched lIlilt0.r:t.i11
will be destroyed.
~; .i.qnl~d :
J J i. (' l.' Il:J I~ t! I
OH'net'
DilL', :
-
-
.
J.,.i.V. f\l-'~~l
.I;:.I~}_(~_L: ^ 1:" C 0.
OLhcr
lding Permits Chnpter 541-A
ed all ~(IUare footaqc
.lding Pennil,,' Chilpter 54'/
,cd un Valuation
Jilding Permits Misc.
nsed on 54'/-4
~" ~F_~__,_ -f~o-,ro
o~
- --~
;lectricnl Permit 54'/-C,l
elumbing Permit 54'/-U.l
l'lechnnicn 1 54"/-1)
Plnn Check Vce
Total Permit Vee
~ewcr Impact Vee 53'/-03
:Jewel" 'rap Fee
Total ~;ewer Fcc
Fire Impact Fee
531-0J
fire Impact fcc 5J.'-O~
Totill Vire Impact Fcc
Radon Trust Fund (VL ~tiltutes)
1 cent per squill'e fooL under-l'oo[
OFFICE U:;I:; ONL,Y: VERIFICATION:
GCI1IJral COlll:~~lCl~()I:
__. .____~_...u......~.__..___.__._._..._,_.__
1;;'\ I:! t.' L 1~.i c ~ 1
_L~l_!l!1:l}?J._~}_~J
l1ecl1i1t1.tC;:11
County ,-,icense
Competency Cnrd_,
InSU1:;:lllce
::';urety Bond
Ci ly l..i.ccn!~{~
~; lil Le 1,.i.C'ell!H~
WOl-k fOJ: n lr'!Gscc, renLer. 11l<lIl.:lqQr. aqcnL lHu!~l hi.1VC i:lpprova] of lC~i11 o\.oll1Cr
or J:ccOI.-d. lIolncowncl:::;. cOlldomiold.\.Im:-;. l:owllil"\l~;c~:~ PI- 01 !Jr.I.":;;'\. wj tll ;:111
ilS!,.oci;:Il.iOIl cnnLrol, ;l1:f.:hit-cc:tllJ:C ilnd b\li..1di.llU ,-O\-il('I"j", 11111~:1 !l;lvr "P1J1-ov~1
siqned by the qovern.i.nq body,
'" Ol:.hCI:!; is to include covenants, condition!-; i.lIJd J:c!:;tl:icti.nns i1!..; recorded on
deed; hOWCVCI:, this office is rc!:;pon:-;'i.l.J1.e Ollly rill. nhL"ininq compl j "nc0. wi '-h
lhe i.'.on.i.I1Q Ordin'-ll1ce.
~
.
BUILDING PERMIT APPLIt:.ATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391
"
N9
6950
JOB ADDRESS
8801 Astronaut Boulevard
-------------.
~
0 ,
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(
c
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,
,
0
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<= 0:>
" 0
<0 ~
Sec. 15/24S/37E
DATE: 12-18-90
-I TRACT _.,~----
Jungl e Vill age to SEE ATTACHED SHeET)
- .. -~~--~------
Mailing AddreSs Zip Phone
LOT NO.
1 6~~~~ Portion of Parcel
Owner
2 James Allen 931 Bali Road Cocoa Beach, FL 32931
Gen. Cantt.
Mailing AddreSS
5 Quality Plumbin of
Mech. Contr.
f 6
7
Mailing Address
783.4482
ro ):>
<I>
c+
..,
o
"
'"
<=
c+
""one258-9343 CP-'cense No, <:
Beach,FL 32931 783-7691 CGC027852 ~
) 2--/?.- 9 0 Phone License No. .......
'"
Canaveral,FL 32920 784-2529 ER0002842 <0
~.___ ______ .--------- ~-- ro
Phone453_ 3890 License No.
Island Causeway, MI~~FQ04Q~~Z-__
co
o
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..,
0..
Phone
License No.
Phone
License No.
m.l.
Phone~3a_
I Fl.- ~q,..
.-S.RilllEZI,2- __
LIcense No.
Fc.rccf)8'l.4
9
10 Class 01 wo,k, )pNEW DADDITION DAlTERATtON OREPAtR DMOVE OREMOVE
11 Describe work:
Construct Commercial Buildin and site work per Si,te Plan ap'pro\l~~ by P&Z BO_~,,(L.c:>!:!~_
November 28, 1990.
Com lies with Concurrenc Mana~ment Ordinan~~]QI9vej~QQlication N~~O-01Z)
Sewer Permit No. 173
NOTE: REQUtRED INSPECTIONS MUST BE ARRANGED
TEL: 783,1391, ALLOW 8 HOURS RESPONSE TIME
12 Valuation of work:
SPECIAL CONDITIONS:
$337 500.00
SETBACKS, F
R
RS
LS
Approved F'Jr lS$U<inCe By
Appllcati~n Accepted By: Plans Checked By:
-.
J. ,Mar an
Same
Same
NOTtCE
..
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB.
THIS PERMIT BECOMES NUll AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COM MENCED WITHI N 6 MONTHS, OR IF CONSTRUC,
liON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6
MONTHS.
I HEREBYCERTIFYTHAT I HAVE READ AND EXAMINEDTHISAPPlICA110N
o NOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAW AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL Bf
COM LIED WITH WHETHER SPE [FlED HEREIN OR NOT. THE GRANTING
OF A ERMIT DOES NOT PRES E TO GIVE AUTHORITY TO VIOLATE OR
CAN El THE IONS 0 A Y OTHER STATE OR lOCAL lAW REGU,
lATI G CO S utl10 PERFORMANCE OF CONSTRUCTI N,
T. ' ~D
t ent (Date)
Type of
Const.
Occupancy
Group C-1
No. of 2
Stories
Ma>:..
Oce. LOad
CBS
DiviSion
Size of Bldg. 7 , 500
(Total) Sq. Ft.
Fire
Zone
U!;e Fire Sprinklers
Zone Required [JYes 0 No
-6I'FSTREET PARKtNG PACESREOUiRED
1
No. of
Dwelling Units
Special ApprovalS
Uncovered 26
Recelv.e~___. Not_~eqUire~_~
Cov&red
Required
ZONING
HEAL. TH DEPT.
Fl RE DEPT.
SOIL RE.PORT
OTHe:.R {Sp~clfY)
Building
~"d~
CODES
Elec\f1c
Plumbing
Mechanical
Southern Standard*
National Electric'
Standard Plumbing"
Standard Mechanical*
Other
Plan Check Fee
*as adopted by ordinance.
Signature of Owner (If Owner Builder) (Date) TOT A L
Fire Impact Fee 537-03(A) $375.00 Radon Trust Fund $75.0
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
oW/oJ-
ManaQement Fe'
i2DII\!G'OFf:ltIAL
h(l~\ c~;'J!J'I~QC~ i - q8-q
..
.
%
W~6"",- ; 1-
t'v>cy
C0k ceVV\ :
HOD) EI ec+v IC- ;.s ho /olA.je v ti e
tlecty;c-'1.1 c..t:>iltfvOte.iD~ 01-\ tA.~ {>v6jee-f L..-/fi
-r~e. Ci ty 6f Cape CuEl'tav~vClI !'eviNL:' d-GqS-o~
T f.. e.. V\ elA./ 6/ ec... + v ,'ca I COhT-V'c-tc. +6 J,.- t~ S
fJ cc ev.. 1- p ( e.:.. +v. I 'c.. T.iA-C- .
)
~
~
-
.-..
.
"OOf} Gleettie eo.
105 LINCOLN AVENUE CAPE CANAVERAL, FLORIDA 32920
(407) 784.2529
1/25/91
City Of Cape Canaveral;
WE Hereby Withdraw Our Name From
Permit # 6950 On Jungle Village As Electrical
Contractors.
THANK YOU
R.E.HOOG
9/~ '1/
r.npy
HOOG ELECTRIC CO.
C.1Q)\,\~ '(j..\f)\\~"iVJ9/C
-
-,
,
'- ::TY OF CIII'I, CIIN^VERAl,
,/
'.
IJUIL.DINC T'ERNT'I' 1I1'1'1,ICIITION
T\[,:L~;_IS... NOT, II I'J::RHI'I',J'(),,,TIII('I',H()III(: 1'1' I~; IIN 1I1'1'1,l(:^'I'IQN_,QN1JY MID Hll,l, BE
PROCE"SI,:D liS SOON II~; I'O~;~;J1tL.I':, YOII\,II,I, II"; CAl,I,I':"lm1':l'I,J'I'..T~;,_I(EIIJ)Y,
COMPl,ETE llEJ,OH MID IN(;UIU,: '1'1111'.1' '(()U IIIIVI': ON 1'11.": II QfJ(Rl':Wr COPY OF TilE
FOl,IJOWING: (1I01'IEOV1NER l'ERNITS liRE EXI':HI"I')
~ 6950
~;t(\tc Liccn~;e
County IJiccll:"e ()nd COTnpC(:Pf\CY Cnrd
Liilbility ($100,$JOO,$2'; 'J'holl~;iltld) "lid H())')ctniln'" COIn[Jen"ill:ion
Insur<1ncc
Surety 1J0nd pay"hle to ULi.,; Cil:y 1.)1,000) (OnlY._,i)' C:i,l.y_..OQ:l1[Jill.i,onil).
l.i..<;,.cT!~;"..JP.<1\t.iE,,(I), f l'
------- --- - --... - - - - - - -- --... -- - - -,..- "'" -"-,, -- - '.. -. -.., - '" - - -~- ~ _[5-f11~<J.~ ?!:- -- '
'PYPE OF PERMI'!': IJI.I)G, 1-:1,EC, 1'1,1)1111, I'IECII, OTIIICR
.,,,\ ~\, ... -- --~._.. . -------- --._- -,-----
PROPERTY OWNER:... _...JA..ty\g",cS.,_., A l\.e 0 I'II0NE" "_"_""___''''_ _.. _,._~_,
IIDDRESS: ,_._<33J.,.___..,6cdi _".e.J..COCOA_ ()_c.h._,f 1-'...._.3 '? 9~_L._
STREET IIDDRI,S~; OF JOn ..1T'J'E :..J;>?q/ 't4 }li(tfL.. Ji.~L.A.."c~.fq.0.cu::t-.j1 \ uJ.
LEGIIL DESCR I1'~gJ~tjj, ~:H'~l: 11 WC J( ~;unll rv I:; ION _,:1l1n~_Y_J&:Ugi2_.. u,,_,
O'l'IIER
TYPE OF CONS'l'RUC'l'ION:_<::.',~.._?,,__..,_, ~;rZl~ 01' nUll.UING (TOTAl. SQ,FT,)
7 S cD
NO. OF' S'I'ORJE~
.2
MAX, OCC,
1,01ln
NO, OF DWEI,LING I)NI'1'S,__~/tl-
/'iO, OF I'hlUONG SPIICE~: Ql:,
USE z()Iom
...<::! ~- \
TYPE OF OHNER~;1I11' (CIIECK ONI.:): DE'I'IICIII':11 :;nlCI,\,: "MtTl,y RF:~;rf)[;;NCF:
'rOWNIlOUSE 1I1'1IR'1'11EN'I' CONIlOI1TtltllH C()MHERCTIII',,~
CONTR^CTO';t(;90~/'L~\~~~~A~ ::'1'11'1'1: I.IC ,1ji.uC'..G.c.o.~..., 1>S'.:5- ...
l\DDRESf__ ....... C:Q_~~_~_~6~, Ff- .. 329 3( PlIolmy(JJ"u~_....?.~31 1..d.~~j'.~3
ELECTRICII~~,~.... ::'1'11','1': LIC, IIt::.BQOQ~Jjy"~.m
ADDRES~;.105 LAt1'1~n..avli_, ..cc.. a.. 3;fI,;;p 1'1I0NI-:/I r]'3.Y.~..d~'>:;l9..n
/
P LUMIJ ING xf'it//L./L;y:".(YL;'f-v:.J!fJ-."fJiItLiW;IZ,;-i!,::'I'II'1'I: I, Ie, HK.1O:Q..r,.lp~5:7.u_'m.__
ADD RES ~; .....5!LL~:.di~<EJ.1L_TdLe:>....'f j!t,Tf/"n P 11 ON E II. _7/$:3::31Y...tL _'m"u _.u~._.. '
MEClfIlNICl\l,X.li),_bt.,_~.." ,..... ::'I'Nl'E LTC, II.._......u._.. __". __ '
, 'ADDRESS
1'1I0NEII
OT1IER
~;'J' 11'1'1': I,IC, fI
ADDRESS
1'1I0NEII,
NATURE OF WORK '1'0 IJE DONE:. c.ot'\sAe<.I.Ci,~o(l'l..~l:i'-A\...~<:<,:J{\":.1 u..n"-if~
Caa~..OlJU~G.'m(t~<<J~...l. ~..'.- ct...C. ).. "0.. "./'1). .... . Jf~ f:W;L5h
VIILIJNl'ION OF !'fORK/CON'I'RAC'!': ::;~ <,_.. 33 7/ ~~.
NQTE~_ Thi~; i.\ppl.i_Ci\Ll(ll\ 1;; v<lllcl 1111 "/11 h'o!"k-illfl l!dY.<; ;!I.l-l~) ohi('1l l"il!ll.~,
lInle~;s n permi.t hi\!; 1)(!'~1l dl'-i\Hll, III i~; form 111\d <Ill (It! ilched lllnt.er.\.i11
will be ctcsl.royp.d,
I)d t e :
- ----r-..l2-L!..i/<J..!L-m--
:; i '"''''1,/\ , .., . ,..p.,....."~.....___..,,..._,
[.j.\ Cl!I1~;r!l!, Arrent 0/: Ul.~cot:-d or Oh'ne)~
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Uuildiny Permits Chapter 541-^
l)tJ.5cd 011 Squure Vool~;lqe
nuildi\\g PC1:mils CllnDLcr ~1.J
Ilased 011 VaJ.Uill.ioll
J?:Lf!2
Build j,ng I'e!:mi ts 11isc,
llased 011 54-/-4
Elcctl:ical P'nmil. ,,4'/-(; ,1.
un,LF'"o ~d()
doo .~
~c;.D
Plumbing Pe!:mit 541-ll.J
l'lccllunic"l 541'-1)
PliJn Check Fer.
Tolal PermiL Feu
Fire
Impact l"cc
5J1"OJ
If.
i.~~Z_tU>
d- s-. 0:'0
"{f ~5~'.oo ~
[3?~tUJ
~; ewe r
Impu"t fec 5J1-0J
:jewcr
Tap l;'ee
ToLal
[jewel: Fcc
j:jre Impact fee 5J1--0S
ToLal fi!:e Imp""!. fee
Radon Trust fund IfL Statutesl
1. cent per squal e 100L ulldct--!'oof
12.r..~o I
c: (.,
.01 ")
'J'f\' '
~ +\
---------------------------------------.-----------------------------------------
OI'['ICI" U:;E ONl..Y: VE1UFJC^TION:
G ~LI__~.~~X_~.~J_..C..'? EI t, 1: ;,' C I: 0 I.~
I':lecl.t:;cal
Plumbjn~1
Mcchtlllicnl
County t,.lCCll::;c
Competency Can]
Insur..\llce
,_._.u.______..._
0\11"0 Lv Bon,d.. .___,,___..
ci Ly t,icens(!
~Latc llicense
Work [at'" n J 1'!5see. L-CI'Lel...., In;)II<JUt!l', aqcnL InllsL !1,lVC iJPPJ:oval of] cqal owner
q( t-r:col-d. Ilo,"cownCJ.-:-,~, cUlldomi'n.iIllll:-:, l:oy.lllltrl'I::r.~;. [Jr- nlllf;I:S*, w.i.th ;11\
,,::;!,:pr;i .1L.i.nll C0l1Ll:01, ill.ell i.I.!.~Cllll~C ilnl"l 1,\1 il ,I i 1\11 ,:1- i I r~].j." mll~:l h,lVr> lIpprOv.=lJ
:-:;iqncd by the qOVrJJ:II.i.ng body.
,. OCher;:; i:-; to jnclurlc coven<lnts, condiL:iul1!.; (\Ilel ):r~!,;t1:.i.cLion:::; ;lS recorded 011
decd; howc:vc~~, \~his o((icc if.; rer:;pon:-;.).hlr: unly rnl- nh\.<1ini.llq compliilllcC wLth
Lhc /.onin~1 OI.-d1.I1,;UlCP.
"
-
--
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)..;0
.
City of Cape Canaveral
105 POLK AVENUE. P.O. BOX 326
CAPE CANAVERAL, FLORIDA 32920
TELEPHONE 407783-1100
<;;ON,~!J..R,REN,~LJ;:g!1!,_LIAJ:!CE REVIEW FORM
--CITY OF CAPE CANAVERAL--
Date of Application: I.;l.-y.-qo
Project Name (if any): ..JUiVqE.!;' Vt('LA'<;o
Application #: gO -010
Owner: ...jf}rne> I? t..t..6JA.J
CtJaJ.4 8t".A::;~ ,ct, 32<13/
Phone: 783 -44BZ-
Phone:
, ) A /'J1 F;<; 41.1 ,G'iV
?JI /.},4U /f'LJ.
C060tJ t3e/1Gf/.; pc" }U:JI
783 - 44-82..
Applicant:
Address:
13/
g.4U ,e'.t?
Address:
LEGAL DESCRIPTI9~ OF__~UBJECT ~~0~~R1X:
Section
I~
Township Z4- S. Range 37 E.
Subdivision -=run'f~-v'~fiOl~
Lot #
a Varfr6Y1Of:
Pllrcel fjI
Block
'750
TYPE OF PROPOSAL:
Zoning Action (From:
to
Other:
./~
Site Plan Approval
Subdivision Plat Approval
V Building Permit (please specify type): ~le. Villgqcz.
Does b~g permit
Yes . or No
represent insignificant impact?
or Don't Know ______
DEVELOPMENT POTENTIAL:
Site Acreage
S.O{) #oee.?______
Type of Use: Residential
(and/or) Non-Residential
)<.
If Residential:
Type of Residential Use
No. of Dwelling Units at Build-Out
If Non-Residential: Specific Users)
qCJ - CA~7 F4ciC-l7Y
-
Proposed Square Footage for Each Use 7~ SiP. ,c'r.
.,-
-
City of Cape Canaveral
105 POLK AVENUE. P.O. BOX 326
CAPE CANAVERAL, FLORIDA 32920
TELEPHONE 407 783-1100
,
-;rVN(,.L~ J /LL-It(,.1!"
CONCURRENCY EVALUATION CERTIFICATION - RECREATION
The following certificate must be completed and certified by the
following:
Cape Canaveral Recreation Complex
Recreation Director
7300 N. Atlantic Avenue
Cape Canaveral, Florida 32920
Telephone: 783-1126
1. Maximum Population of Project lif phased, break out by
phases)
2. Recreation Service Area
3. Existing LOS in Service Area
4. Adopted LOSS for Service Area
5.
Projected LOS after Impact
Comments: ~ /l7Ir ~ ~ ~~
Approved Disapproved
7.
~
",~/74A~
~
6.
I ~. H(lf'{lln
(title)
(
hereby certify that the above is true and
>-~ ';;7(' ~J
Signat~
correct.
./J~d~-t~ ~ /990
Date
-.
-
I,
City of Cape Canaveral
105 POLK AVENUE . P.O. BOX 326
CAPE CANAVERAL, FLORIDA 32920
TELEPHONE 407 783-1100
<;;.QNCU15R!H'ICLj;:,YA~VAT;r QN. .1.'1.NA1_~.'rAT]; STI C S_
AfJ'.~R".__A6.k,____<;:ON<;'VRRj;:,NCY !':VA6 UA T I QN S,,:H}.Yj;:,_.,_.~.!,:.J;.N _,_,<;;QMP ~ E;rjj;p"._....ANJ?
~V~~;r~T~Q, the following evaluation will be finalized by the
following: NOTE: You must submit ~~6 completed evaluations
before final proceedings will begin.
Cape Canaveral City Hall
Building Official
105 Polk Avenue
Cape Canaveral, Florida 32920
Telephone: 783-1391
~UMMARY-i2f-X.A<;,;rLI~Y/~j;:,RVICE AVAILABILITY:
1. Analyzing the information appearing on this evaluation form,
will the proposed project be served in a concurrent manner by the
following public facilities/services in accordance with the City
of Cape Canaveral's adopted Level-of-Service Standards?
.ROADWAYS Y;/
-;;7
'/POTABLE WATER
-7
~SANITARY SEWER
~
,/sOLID WASTE
----
vRECREATION ~
-'DRAINAGE
2. Comments:
NO
RE~UL:rS_QL,<;'Q.N@.RREijCY REVIE!'!.
Approved
/
Disapproved
Explanatory Comments
<;;J;KTJf.n:m
THIS CERTIFICATE SHALL BE VALID ACCORDING TO THE REQUIREMENTS OF
THE CITY'S CONC~~NCY.MANAGEMENT SYSTEM AS PER
ORDINANCE NO. f?~_'
Certified by:
BUILDING OFFICIAL
J-~ <i YvL7'
(;I' (Signature)
FEES PAID:$Ia))B
_~ --i Q..-: 1'.t! _..__,__
--;J;; ~ C 3> 0 -rt1- t/
(Date)
DATE PAID: ~~
Date:
Determination Valid Throuqh:
-
--.
, I.
.:1.,~y~
~{,:
;.:.:'
City of Cape Canaveral
105 POLK. AVENue . P.O. 80X 326
CAPE CANAVERAL, FLORIDA 3292Q
TELEPHONE 407 783,1100
7f1J1\J~t. J; LLn{;r
f.'
CONCUR~~NCY_EYA1~^TIQ~~E~YIf~~~TIO~- D~AINAGE
The following certificate must be SIGNED and SEALED by ~nY State
of Florida registered professional engineer.
1. Do on-site
adopted LOSS?
2. Approved
~~~rm~~nagement facilities comply
~ Disapproved
with the
3.
Comments:
_~,~::::j^! ~J.p
U"IU<,~
I 1A.t36~T r fli}?/c:;,C, (title) nt3.5/~6",t/r
I
Company Name and Address: dl.liUr ~'7J!.I,:;e ~.
~A/.'f,}" /J.JJ/f. E.Nd.I.!f!ML2_.;;;~~e..rff;~':~/ff! ~tl..4~t'
h~"bY ''''~"''lY.f=(~),u. "d ':"OOL .'
S~gnature: ~~
Engineer Seal:
-
-.
. "
,
City of Cape Canaveral
105 POLK AVENUE. P.O. BOX 326
CAPE CANAVERAL. FLORIDA 32920
TELEPHONE 407783.1100
CQtJC1J~RI!;N~YJ:_VALUi\TI.Q!'l CERTIf.lCATIQ!t_-: POTABLE WATER
The following certificate must be completed and certified by the
following:
3.
City of Cocoa
Engineering Department
600 School Street
Cocoa, Florida 32922
Telephone: 639-7500
Is the site within an existing service area? YES vi
Currently Reserved Capacity ,__, C>'~ ,v1 c...D
Adopted LOSS L. '1. 'S Mv{)
Maximum Usage (GPO) _,__~G.~D
Projected LOS after Impact 2..2.. c:; MW
NO
1.
2.
4.
5.
6. Comments:
7. Approved
...........-
Disapproved
I
,r;, :I" yh. "e. ~;Ie-
...---.----,
(title)
tlTJt..ln€~ C"-'G,IIVt!E.f:R.. ,
hereby certify that the above is
s~UN------
true and correct.
/2 :,,_U- 90
Date
SOLID WASTE
CAP~CITY RESERVATION CERTIFICATE
-
-
This certificate is issued for the purpose of verifying that
adequate solid waste capacity is available pursuant to Section
163.3202 (2) (g), Florida Statutes, and that solid waste capacity
is reserved for a specific time for the development of the
property as described in Section III of this certificate.
1.
Unit of Government Issuing Certificate:
FLORIDA
BREVARD COUNTY,
II. Applicant/Owner Information
Owner Janes All.en
Address 931 Bali Road
Cocoa Bch., FL.
Phone No. (Home)
(Work) 783-4482
Applicant
Address
Sane
32931
Phone No. (Home)
(Work)
III. Legal Description and Development Proposal
Section 15 ~ownsh' 24S Range 37E
Subdivision . , Block Lot
Parcel Identifi ation Nu ber ltf~ct1lJn nT1a:rtp 17ft)
Site Acreage 5.0 Zoning Classification~
If Residential: Type of Residential
Maximum Number of Dwelling Units
If Non-Residential: Specific Uses Go-Cart '.l'J:ack: and RlJilning
Square Footage 6,000 Sq. Ft.
IV.
Capacity Reservation for Solid Waste
The following solid waste capacity is reserved
period of time specified herein or until capacity
tion begins. Failure to utilize the reserved
within the specified timeframe shall require a new
rency evaluation.
for the
consump-
capacity
concur-
2
tons/year DEVELOPMENT ORDER
Site Plan
Reservation Period:
Beginning
Ending
DecertiJer 4, 1990
June 4, 1992
Affected Facility:
Brevani County Landfill
Governmental Jurisdiction:
Division
Brevard County Solid Waste
Capacity reservations for solid waste facilities
certified for use by the applicant for the specified
period by:
s~r?1~;:ae ~~
are hereby
reservation
DecertiJer 4, 1990
Date
--
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TRANSPORT liON CONSUlTING GROUP
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FAX TRANSMISSION COVER SHEET
J/;... A/leY>, I
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1.-/07 7? ~1-oLf6/
.JiM ~&. I
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NUMBER OF PAGES TRANSMITTED ~NCLUDING COVER SHEET h
(Please call if you do not receive the nu~ber of pages indicated above.)
.........................*.......J........*...**..*....**.**.*.**..
COMMENTS/SPECIAL INSTRUCT~ONS: I
- (U>'\O'-VN'Mr (d/:v r;/ S'-lb~TH.J. -f." C:r?1'
- (l,~"......H /'l;''AA.'/...iT sh."~ 11 {)IA/ I &.. ....b/'( fs -j:..J. ~ Ilvl"11kJ.M
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TO:
COMPANY:
FAX NUMBER:
FROM: \
DATE' , "
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PROJECT NAME:
PROJECT NO.: '7D -'7-6
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This document was faxed by:
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mANSPORTAllON ENGINEERING & PLAN) , 407/82810875 . F 407/628/5773
1201 SOUTH ORLANDO AVENUE. SUITE 200 . PO, BOX 2547 . WINTER PARK, FLORIOA 32700
I
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Time completed:
/.;l-17-90
-
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TRANSPORTATION CONSULTING GROUP
I
'20\ SOUTH OAlJ\tiOO AVE. . SUITE 2'00. P.O. aox 2541. WINTER PARK. FLORIDA 32790.407/82810875. FAX 407/628/5n3
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MEMORANDUM:
TO: Jim Allen
Jim Baker~ I
SUBJECT; Jungle Village - Recreational Devqlopment (#90-96)
I
This memo report has been prepared in response 10 your request for a traffic impact analysis of the
i
proposed Jungle Village Recreational Develop~ent. The following paragraphs document the
I
proposed development's trip generation and disu!ibution characteristics, as well as an assessment
I
of the project's impact on available roadway capa~ity at five specified traffic count segments in the
FROM:
DAm:
December 17, 1990
Ci Iy of Cape Canaveral.
Trip Generation \
As an initial step in the analysis, the estimated P.J peak-hour traffic generation is calculated from
I
trip generation rates published in the Institute of ~ransportation Engineers' Trip OeneOllion Report
I
,
(4th Edition, 1987). The land use category in the )manual that best represents the proposed project
I
is land use category 400 (Recreational). Trips wqre determined on the basis of employees. It has
I
,
been estimated that eight employees will work at ~he site, This results in an anticipated daily trip
generation of 188 trips. P.M. peak-hour trips (4 ~ 6 p,m.) were estimated by reviewing the ratio
I
of peak-hour daily traffic for retail uses. This restlted in the estimate of 21 p.m. peak-hour trips,
of which 10 are expected to be entering and 11 are I xpected to be exiting.
1
I
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I rip Distribution
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'.cxt, Ihe project trips are distributed along roa ways in the vicinity of the proposed site. The
I
\
dl'lribulion utilized in this memo report is deficted in Figure 1. As shown on Figure I, an
ntllnalcd 38 percent and 44 percent of the projJct traffic is distributed along SR AlA north and
I
"'lJlh of Ihe site, respectively. The remaining tripr are expected to utilize Central Boulevard.
I,'afric Assignment I
,
i
t
'.nt, an analysis of the project traffic's impact 4n available roadway capacity was conducted at
;
1 I \ e of the ten traffic count stations identified I in the City of Cape Canaveral's concurrency
'JI,lJ\agement system. This analysis conducted 1t each station is a peak-hour, peak-directionlll
"",,Iysis, The amount of project traffic at each st+on is noted in Table 1. as is available capacity.
J III, !able does not take into consideration llPP~Ved (vested) trips. Without consideration of
,
,c,lcd trips, the project's traffic is not expected tJ have any significant or adverse impacts on the
,l!.,.IYLed segments.
('''"currency Findings \
I
I
llil' analysis contained in the previous paragriPhS indicated th~ proposed Jungle Village
".', I'C al ional development is expected to generate approximately 10 vehicle trips entering the site and
I I \ chicle trips exiting the site during the p.m. pe~ hOUT. Project traffic is not expected to have
.., I' SI gn i ficant or adverse impacts on the existing rOadway capacities at the traffic count stations
,
11l..\ were analyzed. This information must now b4 fOlwarded to the City for enll)' into the City's
(, '"l'lm-ency Management Program. This progra~ keeps track of vested trips and will allow for a
I ill,d delcmlination of available capacity by City sta~f.
,
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l.lll'l"sures i
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TRANSPORTATION CONSl.UIIlG GROUP
Figure I
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RoAbWAY':~~E:Nr "~~/i:~'rtr:!'JiiJi'f1j :::,,~~:- Mi,OO )~9MB:
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SA AlA
Nonh City Umne to Cemral Blvd 4 4 005 1.889 GOO 1.1113
SAA1A
Central Blvd to North Ananuc Ave 6 6 001 1.8Il1 IUI 1.1lll3
SA AlA
Center 51 to McKInley Ave 4 5 1.249 2.on 1.263 2.092
North Anentlc Avenue
George KIna Blvd to C.mral BJvd all) 5Z! 29\ 6:23
Centrei Boulevard
SA AlA 10 North Mantic Ave 296 94 296 Il5
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iRAN5PORTATlON cONSl.lll'Ni GROUP
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Figure' J..,
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" ~:' __:~,.~","~:;~'_h;'~_.:"" "
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-
.-..
Henry Dean, executive Director
Mildred G. Horton, Asslltant Executive Olre<:tor
John R. Wehle, Assistant Executive Director
POST OFFICE BOX 1429 . PALATKA, FLORIDA 32018-1429
904/328-8321
02133 N. Wickham Ad.
Melbourne, FL 32935-8109
(407)254-1761
o 7775 Baymeadows Way
Suile 102
Jacksonville, FL 32256
(904) 730-8270
o 618 E. South 51.
Orlando, FL 32801
(407)894-5423
CHAPTER 40C-42, F.A.C., STORMWATER PERMIT
DATE ISSUED DECEMBER 10. 1990
PERMIT NO. 42-009-1343N
THIS PERMIT AUTHORIZES A NEW DISCHARGE FACILITY CONSISTING OF DRY
RETENTION TO SERVE JUNGLE VILLAGE, A 5.0-ACRE PROJECT TO BE
CONSTRUCTED AS PER PLANS RECEIVED BY THE DISTRICT ON NOVEMBER 29,
1990.
LOCATION. Section 15, Township 24, Range 37; Brevard
ISSUED TO. JIM ALLEN
931 BALI ROAD
COCOA BEACH, FL 32931
This document shall serve as the formal Chapter 40C-42, F.A.C.,
Stormwater permit issued by the staff of the St. Johns River Water
Management District on DECEMBER 10, 1990. This permit is subject
to the 12 general conditions contained within the application form
(signed by you or your agent) and 1 OTHER SPECIAL CONDITION.
These conditions are enclosed.
This permit is a legal document and should be kept with your other
important records. The attached Completion Report should be filled
in and returned to the Palatka office within thirty days after the
work is completed. By doing so, you will enable us to schedule a
prompt inspection of the permitted activity.
In addition to the completion report, the permit conditions
referenced above may require submittal of additional information.
All information submitted as compliance with permit conditions must
be submitted to the Pal atka office address.
Permit issuance does not relieve you from the responsibility
for obtaining permits from any federal, state, and/or local
agencies asserting concurrent jurisdiction over this work. Please
note that if dewatering is to occur during any phase of
construction or thereafter and the surface water pump(s), wells, or
facilities are capable of withdrawing one million gallons of water
per day or more or an average of 100,000 gallons per day or more
over a year and any discharge is to be off-site, you must apply for
and obtain a Consumptive Use Permit (40C-2) from the District prior
to starting the dewatering. Please contact the District if you
need additional information or application materials.
JOHN L. MINTON
ChaIrman. Vero Beach
KEllEY R. SMITH, JR.
Vice Chairman- Palalka
SAUNDRA H. GRAY
Secrelary . DeBary
RALPH E. SIMMONS
Treasurer. Fernandina Beach
VAL M. STEELE
MelboorneBeach
THOMAS L. DURRANCE
Holly Hili
JOE E. Hill
leesburg
SAM L SWETT
Jacksonville
ALICE J. WEINBERG
longwOOd
-
--
Henry Dean, Executive Director
Mildred G. Horton, Assistant Executive Director
John R. Wahle, Assistant executive Director
POST OFFICE BOX 1429 . PALATKA, FLORIDA 32078.1429
904/328-8321
o 2133 N. Wickham Ad.
Melbourne, FL 32935-8109
(407)254-1761
o 7775 Baymeadows Way
Suile 102
Jacksonville, FL 32256
(904) 731).6270
o 618 E. Sooth 51.
Orlando, FL 32801
(407) 894-5423
JIM ALLEN
42-009-1343N
In the event you sell your property, the permit will be
transferred to the new owner, if we are notified by you within
ninety days of the sale. Please assist us in this matter so as
to maintain a valid permit for the new property owner.
Thank you for your cooperation and if this office can be of
any further assistance to you, please do not hesitate to contact
us.
Sincerely,
~~~
Lu Richards, P.E., Lead Engineer - Melbourne
Department of Resource Management
Enclosures:
Completion Report
General Condition Sheet Signed by Applicant or Agent
Special Condition Sheet (Only if Additional Conditions
are added)
CCI District Permit File
County Engineer or Public Works Department
PRICE, ALBERT
ATTN: ALBERT PRICE
327 DOREST DRIVE
COCOA BEACH, FL 32931
JOHN L. MINTON
Chairman. Vero Beach
KEllEY R. SMITH, JR.
Vice Chairman - Palalka
SAUNDRA H, GRAY
Secretary - DeBary
RALPH E. SIMMONS
Treasurer. Fernandina Beach
VAl M. STEELE
Melbourne8each
THOMAS L. DURRANCE
Holly HUJ
JOE E. HILL
Leesburg
SAM L. SWETT
Jackson..,IUe
ALICE J. WEINBERG
Longwoocl
I J
I
..-.
..-.
~ .. ~:,.
Henry Dean, Executlye Director
Mildred G. Horton, Alalstant executive Director
John R. Wehle, Assistant executive Dlreclor
POST OFFICE BOX 1429 . PALATKA, FLORIDA 32078.1429
904I32lHl321
o 2133 N. Wickham Ad.
Melbourne, Fl32935-Bl09
(407)254-1761
o 7775 8aymeadows Way
Suilal02
Jacksonville, Fl 32256
(904) 730-6210
o 618 E. South St.
Orlando, Fl 32801
(407) 894-~23
CHAPTER 40C-42, F.A.C., STORMWATER PERMIT
PERMIT NO. ~2-009-1343~
DATE ISSUED DECEMBER 10. 1990
~'HIS PERMIT AUTHORIZES A NE'" DISCHARGE FACILITY CONSISTING OF DRY
RETENTION TO SERVE JUNGLE VILLAGE, A 5.0-ACRE PROJECT TO BE
CONSTRUCTE~ AS P&R PLANS FECEIVED BY THE DISTRICT ON NOVEMBER 29,
1990. '
LOCATION.
Section 15, Township 24, Range 37; Brevard
ISSUED TO. JIM ALLEN
931 BA1.I ROAD
COCOA BEACH, FL 32931
This document shall serve as the formal Chapter 40C-42, F.A.C.,
Stormwater permit issued by the staff of the St. Johns River Water
Management District on DECEMBER 10, ]990, This permit is subject
to the 12 general conditions contained within the application form
(signed by you or your agent) and 1 OTHER SPECIAL CONDITION.
These conditions are enclosed.
This permit ~s a legal document and should be kept with your other
. .
important records. The attached Completion Report should be filled
in and retur'ned to the Palatka office within thirty days after the
work is completed. By doing so, you will enable us to schedule a
prompt inspection of the permitted activity.
,
,
,."...'
In addition to the completion report, the permit conditions
J;.aferenced above may require submittal of additional information.
All information submitted as compl iance wi th permi t. cond i tions n,ust
be sUbmitte~ to the Palatka office ~ddress.
I.
Permit issuance does not relieve you from the responsibility
for obtaining permits from any federal, state, and/or local
agencies asserting concurrent jurisdiction over this work. Please
note that if dewatering is to occur during any phase of
construction or thereafter and the surface water pump(s), wells, or
facilities are capable of withdrawing one million gallons of water
per day or more or an average of 100,000 gallons per day or more
over a year and any discharge is to be off-site, you must apply for
and obtain a Consumptive Use Permit (40C-2) from the District prior
to starting the dewatering. Please contact the District if you
need additional information or application materials.
JOHN L. MINTON
Chairman. Vero Beach
KELLEY R. SMITH, JR.
Vice Chairman. Palalka
SAUNDRA H. GRAY
Secretary. DeBary
RALPH E. SIMMONS
Treasurer. Fernandina Beach
VAL M. STEELE ~
MelboutneBeach
"
THOMAS L. OURRANCE
Holly Hilt
JO':~. Hill
Leesb\.Jrg
,,,SAM L SWETT '
, Jacksonville ,~
ALICE J. WEINBERG
Longwood
't
I
"
-
--
." ~ .. .(:
lilt
,.' .I.
"'WATER
=:.lMANAGEMENT
=:.lDISTRICT
Henry Dean, executive Director
Mildred G. Horton, Assistant Executive Director
John R. Wahle, Asslstanl executive Director
POST OFFICE BOX 1429 . PALATKA, FLORIDA 32078-1429
9041328-8321
o 2133 N. Wickham Ad.
Melbourne, FL 32935-8109
(407) 254-1761
o 7775 Baymeadows Way
Suile 102
Jacksonville, FL 32256
(904) 730-6270
o 618 E. South 51.
Orlando, FL 32801
(407) 894-5423
JIM ALLEN
42-009-1343N
In the 6venit you ,se 11 YOllr property, th~. permi t wilt be .
transferred to the new owner, if we are notified by you within
ninety days of the sale. Please assist us in this matter so as
to'maintain a valid permit for the new property owner.
Thank YOll for your cooperation and if this office can be of
any further assistance to YOll, please do not hesitate to contact
us.
Sincerely,
~ 4~:/- .--
Lu Richar~, P.E., Lead Engineer -
Department of Resource Management
.-/
Melbourne
Enclosures,
Completion Report
General Condition Sheet Signed by Applicant or Agent
Special Condition Sheet (Only if Additional Conditions
are added)
,
cc,
District Permit Pile
County Engineer or Public Works De&artment
PRICE, ALBERT
ATTN. ALBERT PRICE
327 DORES'r DRIVE
COCOA ~EACH, PL 32931
\
,
'.
,.
JOHN L. MINTON
Chairman. Vero Beach
KELLEY R. SMITH, JR.
Vice Chairman. Palatka
SAUNDRA H. GRAY
Secretary. DeBary
RALPH E. SIMMONS
Treasurer. Fernandina Beach
VAL N.$TEELE ,
Melbourne Beach
.~
THQto,tAS l. OURRANCE
HollyHiIJ
JOE E. Hill
teesburg
~ ,SAM l. SWETr.,
'1; Jacksonville ~
AlICe J. WEINBERG
l""","oed
.-
--
,
,:,';(>
','''J''r'i',
':l! I r~ . '
i'\I'Ii'\ '
(7) WILL '11I81lE: DE: 1\NY D1U;:LX;8 OH FlU. 1\CTIVI1'Y 'IN W1\TEHS OF 'mE S'1'1\'l'E7!'i" 1':i' ,
(Y IN) I F YES, l\ UIlELX;E 1\NIJ FLU, PEHMl'l' WILL BE HEQUIIlEIJ !"1,\:;'
PUIL<;UI\IH' '10 CIll\Pl'EH 17.,12, F.l\.C., UNLESS EXm1Pl'. WIlEN CONSTHUC'l'IoJ:t/l'I.ij:1 !
Ol' l\ ['lEH. STOltMHI\TEH D1SCIII\IlGE Fl\CILI'!'Y HEQUlHES '11INl' l\ DIlEIJGE: J\N?;!r/{,:I!, :
FlU, PEIlHl'!' Br~ SEcumm PUflSlJl\Nl' '10 CIl1\P'!.'EIlS 17-4 on 17-12, F.l\.C. ,,'II '\:
1\1..[, S'l'OlUl\11\'l'Im nEQlJIHE~IEIH'S UNDEI~ Clll\PI'EllS 40C-42 I\NU 17-25, F.1\.C. ~;~:
SIII\IL BE: HEV H:I'IEll l>S PI\IU' OF '1111~ DHEI:GE I\IIIJ FILL PEmu'!.' I\PPL1CNl'lON.
1'1\ln' 11
----~
PAin' III
S'l'I\TENElH' BY PEllSUN HESl'UIISlULE ron /1J\lHl'E/ll\tK::E
'1'119 undersigned agrees to n..~inti]Jn <lnd operate tile discllarge facUitJes
in slIch a 1l\:''lI1l\er as to cnl'ply wIth Lila provJ.slolls of Chapter 40C-42,
F,1\.<:.. Hespollsibiilty for malntellance and operation may Ue
triiii!ifen:ed to another: elltity UpOIl wrJ ttell 1I0tlce to the IJlstrlct
flOI\ the 1Il1der:slgned alld tile ent lty asstmting responsibilJ,ty, certIfying
that the trails fer of respolls IbUity for maintenance and operation in
cClllpiiance ~hapter 4~C-4~F ,-C, has been accepted.
./ ( ~/.il>" II "
~~~f't i~ (1', re ponsllJle IorJii1iliiteniii'iCe
~TJaL.db~tId]-J---l
Nall'Ei and-"l.'~' ,e (I' ease type) /1
931 /.;JAJ.L,L r;~Al? .?oc;oA S~&II R.. ,g)'''lJI
. ';;/'2';[10 '
'Uate
S'l'/lTEIIEHl'S BY /ll'PLIClItll'
1\. I ceJ:l:lfy thal: I alll fallli1l,<lr with the Info<1ll8tt,on cont<llned in thIs
iJppUcatlon, and that to the best of my Knowledge and beU,ef such
infoUlliltiOl\)cJ true, cOllpiete and, ccurate.
/L"-r h ) ,;/ ~
~nii~t1t~ ::~fZ;~I;t ~e fo
.
B. GE:IIEHJ\I, PEnlU'!.' COtIDI'l'lUHS.
1. TILls penult fo[' cOlIstJ:uctlon ",UI eXl'lr:e flve yeacs fn:", the date
of issuallce unless other:wlse specified by a special condition of
the pernti t.
2. PelllliLtee IIltlst obl:aln <I penlllt frail the lJistrict: (wior to begllUllny
construction of subse<Juent phases or any other work associated with
till,s pmJect not specHica.lly authorized by this pennit. ,./!,
J.
Stormwater retention and dntention storage must be excavated to
l:ough grade prior to building construction or placement of
impervious surface within the area served by those facilit.les. !':,
l\deguate measures must be taken to prevent siltation of these :',
Lreatment facLUUes and contml structures during construction or: ,
siltal:ion IlRlSt be rEm::JVed prior to final grading and stabilization. ':' "
HI.
'l'he pennitLee Mist requIre tlte contractor to review and to maintain "J :','
a copy of tltis permit conplete with all conditions, attaclunents,:,
exhibits, and perm!t mollifIcations In good condition at the "
construction site. The complete pennit must be available for
review U[Xln request by District representatives.
/Ill constrllctioll, operatIon and maintenilnce shall be as set forth
In the plans, specifIcatIons and performc':tIlce criteria as approved
by this peqnlt.
4.
5.
G.
',!
Dlstrict authorized staff, upon proper identiflcation, nRlSt be ,
granted reulIlssIon to enter, inspect and observe the system to:
insure conformity with the plans and s[:ecifications approved by the " "
't <
pemu. ' . ~
40C-l.lBl(G)
(2) of (J)
.'...-....,........
-'-,
-
-
~ " pr;
',. Uur1n<J any conatruction of the I;>ennitted system including "i:H;iii
stobiU,zation and revegetatlon of disturl.:>ed surfaces, peonittee is ':':j'!.\'\"
l'esponslble for the selection, JJlqJielllentation, and operation of all L :;,1: ,
eros;l.on and sed1men~ con~rol n",asures required to retain seelillEnt th'J,\
on-slte and prevent ,vlolatlolls of the water quaiity standards in:ll.'!"! I
Clmpters 17-3 and 17-4, K.:.1\.s:", 'I'he petuuttee is ellcouraged to use ,;F1l!il
flppl:Dpr..late Best r-1i:Ulagel'elll: Practices described .In tile Fl~rida Lalad ,It' j!.
Developlll"",t Mallual: 1\ Guide to Sound Land and, Water ManaqEmOlnt .,! ""
]iJ~1YiiiJL..
0, If the penllltterl system re'luiJ:es pro(essional englneerlng as
de(ined under chnpter 47i, [',S., within 30 days after ce'''pletJon of
the stoJ:lHWatel: system, Lhe permittee must sulmit to the Oistrict
Form 40C- J ,J 0 I. ('I) (StntE""'nt of Co'q>llonce), signed oml sealed by a
I'ro[essionol Engi,neer registered in tile Stote of Florida. Within
30 days flfLer co.q.JletJon of the stom>Nclter system, three (3) sets
of "1\s llullt" drawings nnlst be sullllitteel when: 1) the statanent of
cOlq>lJonce Js not subuitted, because professional eng1neering 1'13
not re'l'l1red for the petmltted systau; or 2) regu1red by a special
conditJ.on of this penult; or 3) the Profess1onol Ellgineer uses "1\5
Built" drawings to SUppOl't the statarent of callpliance.
9. 'l'he peI.1l\ittee must construct and malntaJn a permanent protective
cover (vegetative Ole suitobie alternative) for erDs10n and sedim"",t
control on all land sudaces exposed or c11sturbed by construct1on
of the peulIl.tted peoject. Unless mcxJlfled by another conditJ,on of iI'
thi.s relll\it or otherwise s[ecif1ed on a District-approved eros10n
oml sediment conteo!. pian, the pcotective cover nn.lst IJe lnstaiied
">I thin fourteen (14) c1ilYs ofter finill grilding of. the affected land
sur face, 1\ perlll<1nenl: veqetat.lve cover must be establi,shed within
GO days of lts'lnstallation. 'l'he permittee's requirement to
III<1int<1in cover on off-site surfaces shall not be cOllplete untIl
after the District receives the peollittee' s statement of
cClllpl iance.
iO. The penllittee HlllSt notify the DIstl-Ict of all revisions or
modifications to tile permitted plans requIred by any other
govenut>3ntal lx:xly or 1:8gulotory agency.
Ii. Within th1rty (30) days after sale or conveyance of the perm1tled
stOl.ll>Nclter managE!l>3nt system or the land on whJ.ch the system is
located, the own"'r in whose nallle the permIt was granted shall
notlfy the District of such chilnge of ownership, Transfer of this
permJt: shall be in accordance with the pnJVislons of Chapter 373,
f'lorida Statutes, ilntl Chapters 40C-1, Fiorida J\dministr.ative Code.
1\li terms and conditJons of th1.s penllit shall be binding upon the
trf.tllsferree.
i2. Construction of the stOl.llwnter. mlHllIga.>3nt systan must be cClllplete
ilnd all distllrl)(~tI areilS stabilIzed in accordance with permitted
plans and conditions prIor to any of the follow1.ng: issuance of
the Urst certif leat.e of occnpancy; inil:J.ation of intended use of
the Infrastructure; or trilnsfer of HlS[OllSibUlLy for ma1.ntenance
of the systnn to a local govewlI>3nt or other n~sponsible entity.
I <1cknow leclge and agree to cUlq>ly with
list~!~:J. :It!tA.----
- ~_.~- .'.
'" / Signatul:e of ^ppiicant
(or 1\uthodzed 1\gent)
the gelleral [l,mnit cOllditions Hl-12,
1/ /J dftJ
Date
P^IU'iV
HEf,JUlHEU 'l'EClllUCJ\L lNl'UIU'lIl:1'iUl'l
1\11 applIcable technlcill l.nfOl:matlon must IJe submitted with the
cc"'pleted ilfv11catl.on [onll. (See l.nstnlction aheet.) P ie<1se rev iew
the lnstructlon sheet car.efully, Fa1.\,!!=,~_,~o provlde_ all requlrecj,
i!.!~,?-,~~_t19.!.l..~gL~~su!L!!!-~ d~!ay in_'i'l'l'll~~~!on p~es~J,tl(~Ll~p,ilt
lssual!..~. Piease contact tr,e O[opr:oprlate of(lce H you have qllestlOI15"
or nP.ec1 further assJ.stance 1n the cCl'q>letion of thi~ application.
~
"
lJistrict Offlee
phone No,
['nlotka
,j<1cksOltv Ule
!'10I IXllll:ne
Orlando
904/320-032i
904/730-6270
407/254-1761
407/U94-5423
(:1) of (3)
.40C-1.I.Ol(6)
-
-
NOTICE OF RIGHTS'
1. A party whose substantial Interests are determined has the right to request an administrative hearing by filing a written petition
with the St. Johns River Water Managem,ent. District (District) within 14 days of receipt of notice of the district's Intent to grant or deny
a permit appllcaUon 8S provided In Sectlon 40C-1.511, Florida Administrative Code, at the office of the District Clerk located at District
headquarters, Highway 100 West, Palatks, Florida.
2. A party whose 5ubstantlallnterests are determined has the right to request an administrative hearing by filing a written petition
In the office of the District Clerk within 14 days of receipt of notice of final District action on a permit application, as provided In Section
40C-1.511, Florida Administrative Code, If the GovernIng Board took action which substantially differs from the notice of Intent to grant
or deny ,he permit application, or If a substantially interested party did not receive notice of the District's Intent to grant or deny the
permit eppllcatlon,
3. A substantially Interested party.has the right to a formal administrative hearing pursuant to Section 120.57(1), Florida Statutes,
where there Is a dispute between the plstrlct and the party regarding an Issue of material fact. A petlllon for a formal hearing must
comply with the requirements set forth !n Section 28-5.201, Florida Administrative Code, and Section 40C-1.111, Florida Administrative
QQQ!!.
4. A substantlalty Interested party has the right to an Informal hearing pursuant to Section 120.57(2), Florida Statutes, where no
material facts are In dispute. A petition for an Informal hearing must comply with the requirements set forth In Section 28-5.201, FAC.,
and Section 40C-1.111, Florida Administrative Code,
5. Filing of a petillon for an administratIve hearing occurs upon delivery to the District Clerk at the District headquarters In Palatka,
Florida,
6. Failure to file a petition for an administrative hearing within the requisite time frame shall constitute a waiver of the right to an
administrative hearing,
7. The right to an administrative hearing and the relevant procedures to be followed are governed by Chapter 120, Florida Statutes,
and Chaptars 40C-1 and 28-5, Florida Administrative Code,
8. Any substantially affected person who claims that final action of the District constltutes an unconstitutional taking of property
without just compensation may seek review of the action In circuit court pursuant to Section 373.617, Florida Statutes, and the Florida
Rules of Civil Procedures, by filing an action within 90 days of the rendering of the final District action.
9. Pursuant to Section 120.68, Florida Statutes, a party who is adversely affected by final District action may seek review of the
action In the district court of appeal by filing a nollce of appeal pursuant to Fla. R. MD. P. 9.110 within 30 days of the rendering of
the final District action.
10. A party to the proceeding who claims that a District order Is Inconsistent with the provisions and purposes of Chapter 373,
Florida Statutes, may seek review of the order pursuant to Section 373.114, Florida Statutes, by the Land and Water Adjudicatory Commls~
sian (Commission) by filing a request for review with the Commission and serving a copy of the Department of Environmental Regulation
and any person named in the order within 20 days of the rendering of the District order. However, if the order to be reviewed is determined
by the Commission within 60 days after receipt of the request for review to be of statewide or regional significance, the Commission
may accept a request for review within 30 days of the rendering of the order.
11. A District action or order Is considered "rendered" atter it Is signed by the Chairman of the Governing Board on behalf of the
District and is filed by the Dtstrict Clerk,
12. Failure to observe the relevant time frames for filing a petition for judlciat review as described in paragraphs #8 and #9 or
for Commission review as described in paragraph #10 will result In waiver of that right to review.
CERTIFICATE OF SERVICE
\
I HEREBY CERTIFY
JIM ALLEN
931 BALI ROAD
COCOA BEACH FL
4:00 PM
that a copy of the foregoing Notice of Rights has been furnished by U.S. Malllo
32931
at
this
10TH day of
DECEMBER
1990
1/42-009-1343N
~~d.,~
".,," ,. ,,.",,..,, ".,,-- .--=:.-.
Department of Resource.Management
Melbourne Field Office
30~ East Drive
Melbourne FL 32904
cc: John Juilianna ~
Lu Richards
-'~ ~~""""" ~.l~';'hhi,o;t:~,
---
---
'\'::,JIJ It 1'1' II"
(:I!~lJ,il'l'llrtl~j 1"lilt l;l~_iUi'~I'I\'I': Iii.' I'r:!tllt'!' H!Jfli~f'a', l,,~ no'" 1 ~,l \tJ
,I I II 1\1,1,1< fol
ItA'!'I';I> 1>I;I'~:lIltl;f1 Ie', I "'}\1
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tlt,- t:iy:-;It~llt, \flllf'hi~ver. 'H~l:llt:i t'ilHt, till': UiKfl,'j;ot nlU~jt It~I'~~lVt: T'"~
tilldl 111'1";;I,iLI(In ~,n() Hld,lJlI(~n.~lnl~t:~ (hH'ulllt~IIL(:JJ dIJI'lUVt~d tJ~' 1.111::';
lJiHl.rll'l ctnd l't:C'I">ldhd, it: Ut"'> Idl,tt:l lH "q,I!Ji'opr.la.t<t-:. ~'t)[ t1l1H:k'
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t.~nt1.Li,.~ti, Illl,;.l '~t)elftt.it)11 all,J fUd I ft Lt-: II 'Ill"';: dl)t'1I1H1~Ut8 iHU~';': 1)1-'
It:l"~~jved lj'j tip:' IJiHtltl~L \~llt:1I t'ltl1'11;~ndnf't: ~1rj(i operdt1('IJ {It t:ht~
~Yf;t:.(;1l1l if) ;:jj-'-epl:t.:d LV tht: lill:.;:d gllv,~lumellt eutity. f',;ti.lurt:: t,C)
B\1I.Jlfill tht-: :t!Jprllplin1.1~ tilll'11 rt'll~ulh('~rlt. \1111 rc,~Hlll'l jn t.lif' pelillltt.er:
l"~mdlJlilliJ t)'~rHl)nf.llly 1.1.:\I)lt; tIll. t:,"lltYllI'J out, U1di,nLt::nall(~t: dud
()L,I~lctt_1l,n ilf thi.:' l-'I>;llil'itlt:.tt'1 HYHtftlll.
.
.
-
--
--
c,iot. -:i,!.~<L.r'
D & S EXTERMINATING
TERMITE & PEST CONTROL
p, 0, Bo, 1074
Cocoa, fl 32923,1074
631.19 4
5323
JET PRESS. Cocoa Beach, FL 32931
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March 28, 1991
CONDITIONS OF TEMPORARY CONDITIONAL CERTIFICATE OF OCCUPANCY
RE: Parcel 817, Section 15, Township 24 South, Range 37 East,
Brevard County, Florida (8801 North Atlantic Avenue)
I, James Allen, hereby understand and agree to the following terms
and conditions of the Conditional Certificate of Occupancy.
1.
2.
3.
The Certificate of Occupancy is valid for a period of sixty
(60) days for occupancy of first floor only. It is under-
stood that the second floor can not be occupied or used for
storage or other purposes.
The sidewalk on West Central Boulevard to be completed no
later than May 28, 1991.
Complete all unfinished work on the site plan and building.
4.
Provide performance bond payable to the City of Cape
Canaveral, in the amount of $5,000.00, for the construction
of the sidewalk on Astronaut Boulevard. Said bond may be
renewed annually for a period of up to five years. Your
check, in the amount of $5,000, will be held for a period of
sixty (60) days to allow necessary time for the preparation
of the agreement, at your expense, to obtain said performance
bond.
5.
Provide copies of all inspections, permits and authorization
by State and County agencies pertaining to the operation of
your business.
6.
Provide certificate of insurance in the amount of one million
dollars per occurrence.
:?~V- il1f_
~es A len, Owner
State of Florida
County of Brevard
of March 1991.
~~~:~~y
Nota Public
My commission expires:
. ..orAtV PUBLIC; STATE OF F\.oaU)A A.T I.Ai\GI
MY COMMISSION EXfI'IRli$ JULY Ql. 1993
BONDID ntall twQll~1 II. AHO<:I"m
---
-
CI1'Y OF CAPE CANAVERAL
APPLICATION FOR CEH'l'IFICATE OF OCCUPANCY
DATE: _~/f~/Cjf_
TO: I3UILDING OFFICIAL
Application is hereby made by the undersigned for a certificate of
Occupancy at the below specified premises as reflect~d on l3uilding
Permi t Number . 10 0. S 0
Street l\ddress: ~1S'O\ A.~ fRo ()flU. ~ p\~
Type and/or Name of l3uilding: ~~~\J ~U,\~qSJ'-
~('
I
fJ",,~ eyl
'2.'{ ..e
errol'9 A
1Y fXL
, --2-\ (
37
Legal Description:
Zoning:
Special Conditions:
Name of Owner: :::r A"", ~S ~~ ~ \ \ e.aL
!1ailing l\ddress of Owner: 9'3/ 6A\ \ R~ ,
street l\ddress or P. O. Box
~ C.D
_ COCO P" 8 c.{. ,Fl,
City, State and Zip Code
'Io7-'7~3 i(r~<-
Te eplone Number
DUILOHIG l\ND P'IRE
Fire Inspector:
, "3- 2'7 - ? /
/"
Building Inspector:
Building Official:
~ ~--z::i-"
ilding Permit Number: fQ50
certificate of Occupancy Number: .D~_
-
-
FINMJ INSPt;CTION Cm;CK LIST
1'01< ISSUANCE OF CE;,'l'Il'ICM'E 01" OCCUPANCY
1.
.
Architects or BnginSB,Jl& s}i'ltement that~- ,
building is built i?t;J'Wc~c15't(fa'rice \Vi th ' _
approved plans and s!;ec) I ica tions 01) , - - ,I . IA
file with the CitY~'d ;.:J/JII.,,'r Dwu'JI JiJh'i/
ViJ,8t>>J'ff,/?:LJ "fJ;.If; Oa te -
Eng ineers 0]; Archi 'cc ts 9,1;~l~m'1!tL Lha t
site construct~on .i s in:s';~t'8{-{fill'ice ~
with the approved Site frlan and that 0 _ ---
all construction has been in comPlianc~J/jOIA -; / ). // ~
with applicable codes. __~~ ~~
Dal
fJ.A,
Date
I;e
~
Inspector
~~ 3-"2--'7-9/
Inspector Date
~"R' 3'29-91
1I1srfr~---'- ...- -oii-te
~~ 3. ~1-f/
Inspector Date
2.
3.
Letter from City Attorney on mainte-
nance of I<etention (if applicable)
4 .
Plumbing Final
5. Electrical Final
6. Air Conditioning pinal
7. n.onf Prr.mi 1-, F j nal
J. Building Permit Final
9. Dune Crossover (if applicable)
___~ A
Inspector
e--~
Inspector
-~
- Inspe~ tor
.~-?iJI/
Inspector
10. Fence or Hall Permit Final
11. Sidcwalkf~
12. Sewer Connection
13.
14.
15.
All debris removed from site
~.f
Inspector
Approved for Electric Service
~
Insp~
cL~ (La
Heceipt No.
Fire Department Fee Paid
3-;;J-L91
Date
3-P.7' '7''/
Date
Dafe-
3- .?-.!l- 9/
Date
3-n-7J
Date
--5-:> -7 7'- 9/
Date
5";Pj- ~/
Date
3-2--7-9/
Date
!;i- ~30
Date
--
!Jtf---
City of Cape Canaveral
105 POLK AVENUE . P.O. BOX 326
CAPE CANAVERAL, FLORIDA 32920
TELEPHONE 407783-1100
March 18, 1991
. James Allen
31 Bali Road
Cocoa Beach, FL 32931
RE: Parcel 817, Section 15, Township 24 South, Range 3'1 East,
Brevard County, Florida (8801 Astronaut Boulevard)
'l'he purpose of this letter is to outline the provisions of our
conversation regarding the sidewalks for Jungle Village.
In accordance wi th Secti.on 503.05 (B) (2), the ci ty will accept
either an irrevocable letter of credit, bond, or certified check
which will enable the sidewalks to be accomplished by the City, if
need be.
It is my understanding that the sidewalk on West Central Boulevard
will be installed at the time the overflow parking lot is
completed. You agreed to a period of not more than sixty (60)
days. The City will accept a performance bond, in the amount of
$5,000, for a period of sixty (60) days.
Because of the proposed widening of Astronaut Boulevard (AlA), the
City will accept a performance bond, in the amount of $5,000, for
the completion of the sidewalk on Astronaut Boulevard. The bond
may be renewed annually, tor up to five (5) years, provided the
renewal bond is received by the City no later than fifteen (15)
days prior to the expiration date of the bond.
Once the performance bonds have been received and the remaining
site work completed, the City will issue a conditional certificate
of occupancy.
If you have any questions or desire additional information, please
contact the Building Department, 105 Polk Avenue, Cape Canaveral,
FL 32920, telephone: 407/783-1391.
f~:14~~v'
~f/~~E. Morgan
I Building Official
/ebh
-
-
q;oo NO
JUNGLE VILLAGE FAMILY FUN CENTER
8801 ASTRONAUT BLVD.
CAPE CANAVERAL FL. 32920
Requesting temporary certificate of occupancy for a period
of 60 days.
Agree to install the sidewalk on West Central Boulevard (AlA)
at the time the overflow parking is co~pleted.
Releases the City of Cape Canaveral of all accident and
incident responsibility while under temporary certificate
of occupancy.
I understand that if the aforementioned work is not completed
within the sixty (60) day period the temporary certificate
of occupancy will expire.
SIGNED
~~
JAMES ALLEN
DATED
MARCH 21, 1991
-
--
March 4, 1991
James Morgan
Building Official
City of Cape Canaveral
Dear Mr. Morgan:
It is requested that Florida Power and Light be allowed to place
an electrical meter at 8801 Astronaut Boulevard 50 that the
building may be checked out electrically prior to occupancy.
The City of Cape Canaveral will be relieved of any responsibility
in granting this request.
James Allen, Owner
-/0
(pol' P':J ;de..f)
, (;Jd~
Acce t Electric
,
'~
-.
9/o0{) 99
190 JACKSON AVENUE · CAPE CANAVERAL, FLORIDA 32920
M E M 0 RAN 0 U M
TO:
Jim Morgan
Building Official, City of Cape Canaveral
FROM:
David J. Sargeant, Chief
DATE:
Feb. 19, 1991
RE:
Jungle Village Fire Hydrant Location
-------------------------------------------------------------
It has come to my attention that the site plans provided to
us, for Jungle Village, had the incorrect water main
locations. After talking with the City of Cocoa and Mr. Allen
I have concluded it would be extremely costly to install a
Hydrant at the location that I requested. If Mr. Allen would
tap onto the nearest line, as we had intended, then the new
hydrant would be farther away then existing hydrants.
Therefore, I would recommend that a hydrant not be installed
at this time; however, if Mr. Allen will sign an affidavit
that states" when and if the City of Cocoa runs a fire main
down West Central he will at no cost to the city install a
hydrant at the entrance to Jungle Village". If the above
condition can not be met then a hydrant shall be installed at
Astronaut & West Central.
'''......"
,"-
AFFIDAVIT
February 19, 1991
STATE OF FLORIDA
COUNTY OF BREVARD
Before me this day personally appeared James Allen, Owner, Jungle Village,
who, being duly sworn, deposes and says that when and if the City of Cocoa
runs a fire main dow~ West Central, he will at no cost to the City of Cape
Canaveral, install a hydrant at the entrance to Jungle Village.
~~
Idr Ii ;rjJ;~~
ltnes
L~9V~~
~ness
NOTARY PUBLIC s.rATE Of flORIDA
MY COMMISSION EXP. MAR.22.1993
~ uv\1Y"\ L. \).0 Goon ,,,..,,,,....,.
N~c./ ~"
State of Florida ,/';~;.<i......... .
: -.,.:. ~ t.>...~,
: ~l ~ , - ':,"~
: ~_.: I- '" ...) : \
My commission expires: :.:;.\ 0 , ~ ,...:,
-'. -:'j.\:z ~.... :" ::.
'. .... 'Z ..' <) "
........... ...,<',~ ,..
f. s--;~.., ,<'
- ,..,'
""11''''''
~.'
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roD A
" BREVARD COUNTY, PLANNING , DEVELOPMENT SERVICES DEPARTMENT
IMPACT FEE APPLICATION
(TO BE COMPLETED BY APPLICANT)
LOCATION OF SUBJECT PROPERTY: APPLICANT's-.B:.llen Je'-.-mp_<)
[ ] UNINCORPORATED ~ I NAME: Last First M. I.
[ ] INCORPORATED CITYt:4~~~ ~t:OWNER'S 'SCUII8
PROPERTY ADDRESS:~ffiy;t:':.~hJf. . q' OW:~~ AD~~S: 31 furrR~, rJ M.I.
LEGAL DESCRIPl'IONf'\:c ' ; nc'~.ti.. "'!'t;
TWP ~lj.5 RNG.2.!f::. SEC ~ 32. ~J
SUB II SUB NAME TELEPHONE II (OWNER) :~1- ~
BLK _Q'ARCEYLOT II f)"V (APPLICANT) :~il-wu::r;c!J
CHBCIt TYP. 01' PROJ.CT AIID ATTACJDIDITS.
[] NEW SINGLE FAMILY, MOBILE HOME/MANUFACTURED HOME, ATTACH
BUILDING PERMIT APPLICATION.
[] MULTI-FAMILY INCORPORATED-ATTACH APPROVED SITE DEVELOPMENT PLAN;
UNINCORPORATED-ATTACH BUILDING PERMIT APPLICATION, APPROVED SITE
DEVELOPMENT PLAN II
[/ COMMERCIAL, INDUSTRIAL, OR EXPANSIONS. INCORPORATED-ATTACH APPROVED SITE
DEVELOPMENT PLAN; UNINCORPORATED-ATTACH IIUILDING PERMIT APPLICATION,
APPROVED SITE DEVELOPMENT PLAN lID..WmlJlfct lI-.;m-~O
[] FEE ADJUSTMENTS CLAIMED CREDIT []
(ATTACH SUPPORTING DOCUMENTS)
TRUE AND CORRECT TO
~
DATE
IMPACT 1'.. DISTRICTS.
ROADS: 1 [] 6 [ ]
2 [] 7 [ ]
3[] 8[]
4[] 9[]
5 [ ] 10 [ ]
(OI'I'ICIAL OS. OBLY)
FEE ASSIGNMENT
EMS: 1 [ ] 5 [ ) CORR. : 1 [ ]
2 [ ) 6 [ )
3 [ ) 7 [ ]
4 [ ] 8 [ )
CONTROL ,
IJUID OS. SOJOIARY
RES . (UNITS):
NON-RES. (SQ. FT.):
IMPACT FEE AMOUNT
BUILDING PERMIT AMOUNT
BUILDING PERMIT ,
BUILDING PERMIT $
PUBLIC WORKS $
RADON GAS
AND OR STATE FEES $
MISC. FEES $
ROADS $
EMS $
COR. FAC. $
SUB-TOTAL $
CREDITS $
TOTAL IMPACT FEE $
IMPACT BALANCE DUE $
TOTAL BUILDING FEE $
BUILDING BAL. DUE $
~OVED BY:
IMPACT FEE $ TOTAL BUILDING PERMIT FEE $
~PACT FEE , BUILDING PERMIT FEE $
~ PERSON ACCEPl'ING FEE: DATE:
~GARDING THE COMPLETION OF THIS OR OTHER FORMS CALL 453-9508.
Alilding Department Yellow copy - Applicant Pink copy - County
,
. ,
~'-...I_._._.
~
:~ ...
. -
NOTICE OF IMPOSITION OF IMPACT FEES
I, '-:"'Drn7~ F Allan
,
hereby acknowledge that I
have been informed that pursuant to Brevard County ordinances, that
impact fees computed based on the attached fee schedule shall be due
and payable prior to a certificate of occupancy for construction
pursuant to building permit #JCC(E)() issued by the City of cape
Canaveral. I further acknowledge that the ordinances provide that the
total impact fee for this project must be remitted to Brevard County
prior to receiving permanent electrical service and the certificate of
occupancy.
I further acknowledge that payment will be made at either of the
Brevard County Building Division offices located at the Sarno Service
complex, the Central Brevard Service Complex or the Parkway Service
Complex, and that payment shall be accompanied by the "Applicant's
copy" of Form A.
~d~~
ned:
Two witnesses:
SW'(t?l ~ J Dixm
witness:
witness:
or.:"..~!;N. AC~W dgement
'/v -~Y1
; i. f~~A'l!E OF FLORI NOTARY ?UBLIC y,ATE OF FLORIOA
d ,; ,.,;\~N'ty OF BREVARD MY COMMISSION EX? MAR.22.1993
. r" ;v ..
\, ,'.....- :"','
i ',(~ "\..' ---,-:
'. ........ I'lefore me personally appeared -JOJY\O,"S
F.. A Hell
to me well known and known to me to be the person described
in
and
who
executed
the
foregoing
instrument,
and
acknowledged
to
and
before
me
that
h(L
executed
said
instrument for the purposes therin expressed.
WITNESS my
-.JJ<Ti{nY)~\
hand and official
seal,
this
I fl)"tb- day. of
, A.D.
19QO
".~/'~\ c- ;r- ,f
t' ~"'.I'H,,-;,~'J,
,..' ...)J ..', _'-;.;::~..;
c-' L1 / ~AR\:-".
~UDO.;n .).,; :.' ~
Notary Public :. . . (. .
State of Florida ':<. U fj \-. :.
. ,
"."",
NOTARY PUBLIC S'IATE (IF FLORHlIl
MY COMMISSIUN EXP. MAR.22.199J
My commission Expires
Z ..g9CC (New 2(89)
WHITE COpy. Building Dept.
YEl~OW Copy - Applicant
PINK COpy. County
/~
~
...
IMPArT !1~rIT I O'II"G pFR~1TT I'FF", 1'1 :rWIIi~lj
[ M P f\ C T F F E ( P p, Y MeN 'f P F C f. T r' T ) n I r r l. II T N r, P F f< M T T F E [ P n
PO(ID'-, . I 1 F-. 9 ':~ ;' 1
"
: M '3 t 0 110
, nPR f Ar " ;~' I f") ;-::: ?
"
'"hi 0 I ,-, I' 0 ',"~ I $, 11 ~; 0
" tlfl rOTA I :f; 1 1 fU0 sa
r PI In I c 'i, \I) t~ n
)'p i n"'--,pr-,-,( t O,""I('D
I' p j n ", p ,,0, j f(, (,.., <
(~~ FN\/JN'IJN
c::, I {II'IO W,:
CON('URRfNI~Y
i 0 0 ("
I:
$
"
"
,
,
r:/\llnN
.
-I'
(1 (,~ (/1
oJ.. 11 ()
~~ to 0
0.0(;
o (H;
0..00
0.. 'H;
('UnLIC l..Jni';}: S :1-:
CtlILDTNG prpMTl t
0.. 00
lnr/\l r::UIID f:f"r t,
8UILD BAL. DUE $
(1 (1)0
0.00
rorril. IMF"('1CT rEf~
TMP,~CT BAL.. DUE
r: l? r D T rei n', () N
.
"
$
1 I {~ 1 \7.1 0 I;:. n
TOTAl
FrES $ 11870.58
^) 4 .11 1 '; 0 (1,1 ? '~ (7)
TTGRRSSDI1R8R8B8LIILU
TYPE; RLVD
r1PPRnVVD HV ^ pc: cnNTPOf ~!O " C(i)~~ )0F19:i 1('(.;/\1 fl::'-;r:
d:,:~pn<.f r ,)1'''(>.3: C stJTl nTNG PFRMTT no.:
PRill'. ADDRESS, HOUSE NO.' 880J ~lRErT: A~TPIlNAUT
OTRFCTION: APT,NO,: CITY, CAPE CANAVERAL
T t~ PAr: T F f F PAY M [N T . 1. 1 t:~ / (1,1 .. E', :') n II I j () r l:: if 11'1 T T J' L~ r:,- f) f\ Y IVi r- NT.
229 PFR~ON ACCfP11NO fEE: prA~ OATf: ~)10319
CHECY, NO,:
1'1. 00
(YYMMOD)
~~;o~
.
.
J'01lX A
BREVARD COUNTY, PLANNING' DEVELOPMENT SERVICES DEPARTMENT
IMPACT FEE APPLICATION
(TO BE COMPLETED BY APPLICANT)
LOCATION OF SUBJECT PROPERTY: APPLICANT'S IJ/I.::.,# ~/J7eS
[ }'UNINCORPORATED N~ Last First
[tJ INCORPORATED CITY ~~~~ ~!;/~f,~L OWNER'S lle..J ~JI/J1C;
PROPERTY ADDRESS: -f ({ 0 I '1/ ' II j. NAME:. Last First
OWNER'S ADDRESS: ~~ Ii;;~/ ~
LEGAL DESCRIPTION: 1 ('-' J'I /.J;..,
TWP.;!L- RNG 3J-. SEC .L.L.- jj 0 R J
SUB 5~t> SUB NAME'" TELEPHONE II (OWNER): 1<;'J' 7'7'/
BLl( () PARCEL/LOT II (APPLICANT): <:"',,5'- '3 3~'
i
M.!.
I
M.!.
CHECK TYPB OJ' PROJBCT UD A'l'TA\.lAAIUI'TS.
[J NEW SINGLE FAMILY, MOBILE HOME/MANUFACTURED HOME, ATTACH
BUILDING PERMIT APPLICATION.
[J MULTI-FAMILY INCORPORATED-ATTACH APPROVED SITE DEVELOPMENT PLAN;
UNINCORPORATED-ATTACH BUILDING PERMIT APPLICATION, APPROVED SITE
DEVELOPMENT PLAN II
[~COMMERCIAL, INDUSTRIAL, OR EXPANSIONS. INCORPORATED-ATTACH APPROVED SITE
DEVELOPMENT PLAN; UNINCORPORATED-ATTACH BUILDING PERMIT APPLICATION,
APPROVED SITE DEVELOPMENT PLAN II
[J FEE ADJUSTMENTS CLAIMED
(ATTACH SUPPORTING DOCUMENTS)
CREDIT
[ J
I HEREBY CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE AND CORRECT TO
THE BEST OF MY KNOWLEDGE:
it )~/ {JJb~
APPLICANT'S SIGNATURE
3//1/1/
/ DATE
(OJ'J'ICIAL OSB OBLY)
FEE ASSIGNMENT
IMPACT J'EB DISTRICTS.
ROADS: 1 [ J 6 [ J EMS: 1 [ J 5 [ J CORR. : 1 [ J
2 [ J 7 [ J 2 [ J 6 [ J
3 [ J 8 [ J 3 [ J 7 [ J
4 [ J 9 [ ] 4 [ ] 8 [ ]
5 [ ] 10 [ ]
CONTROL II C d () x>'9r
LAIlD OSB StJJOlARY
RES. (UNITS) :
NON-RES. (SQ. FT.) :
IMPACT FEE AMOUin BUILDING PERMIT AMOUNT
ROADS $ BUILDING PERMIT II
EMS $ BUILDING PERMIT $
COR. FAC. $ PUBLIC WORKS $
SUB-TOTAL $ RADON GAS
CREDITS $ AND OR STATE FEES $
MISC. FEES $
TOTAL IMPACT FEE $
IMPACT BALANCE DUE $ TOTAL BUILDING FEE $
BUILDING BAL. DUE $
APPROVED BY:
TOTAL IMPACT FEE $ TOTAL BUILDING PERMIT FEE $
TOTAL IMPACT FEE , BUILDING PERMIT FEE $
CONTROL II PERSON ACCEPTING FEE: DATE:
INFORMATION REGARDING THE COMPLETION OF THIS OR OTHER FORMS CALL 453-9508.
White copy - Building Department Yellow coPy - Applicant
Pink copy - County
',,--
I
......~:._~.--~-----"
----
,
~~
,
BUILDING PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL
105 Polk Avenue
TELEPHONE: (407) 783-1391
N'?
6926
JOB ADDRESS
8801 Astronaut Boulevard
I LOT NO.
1 ~~~~~, lPart of Parcel 750
Sec. 15/24S/37E
0 -
" C
2 cr
m ~
'" G
0
'"
m
~
"
0:>
0:>
0
~
:P
Vl
<+
..,
0
:::l
'"
C
<+
'"
0
C
~
ro
<:
'"
..,
0.
DATE:
11-29-90
,
I BLK.
ITRACT-..--'- ".-- (0 SEE ATTACHED SHEET}
Jungl~ Village____~
c...
'"
___ _ 3
--- ro
Vl
Phone
Owner
Mailing Address Zip
931 Bali Road Cocoa Beach, FL 32931
783-4482
__ :P
~
~
ro
:::l
2 James Allen HXXXXXXX8X
Gen. ConU.
3 Owner
Mailing Address
Elec. Cantr.
Mall1ng Address
4
Ptmb. Cantr.
5
Mech. Cantr.
6
Rooting Contr.
7
Specialty Contr. (Othen
8
USE OF BU'LOING
9 Commercial
11 Describe work:
Mailing Address
Mailing Address
Mailing Address
Mailing Address
Phone
License No.
Phone
License NO.
Ph one
License No.
Phone
License No.
--
Phone
License No,
Phone
Llce'1se No,
10 Class of work: XJNEW OADDITION OALTERATlON OREPAIR OMOVE OREMOVE
---
Landclearinq
NOTE: Conditional unon meetino the requirements of J;i57 ,j)l._b~dclearj~~r,-<L _____
664.05, Stormwater Manaoement (copies attached\
xnf2~fAcon~or or A/7y vo~t
~tu'(e of owrrer (If OwRM'1 u e
'0......-
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
12 Valuation of work:
SPECIAL CONDITIONS:
N.A,
SETBACKS: F
APplication Accepted By:
R RS
LS
Apprvved f"or Issuance By
Plans Cnecked By:
J, Morgan
Same
Same
NOTICE
I, FOUNDAT'ON SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR
DAYS AFTER PLACEMENT OF SLAB,
TH'S PERM'T BECOMES NULL AND VOID IF WORK OR CONSTRUCT'ON
. AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS,OR IF CONSTRUC'
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6
MONTHS,
I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINED THISAPPLlCA l'ON
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. THE GRANTING
OF A PERM'T DOES '{OT PRESUME TO GIVE AUTHOR'TY TO V,OLATE OR
CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU-
LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
(Oate)
11- 30-1:(0
(Date)
(lIfS If 9Jr
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
TEL: 783-1391, ALLOW 8 HOURS RESPONSE TIME
-- -~- . -------
Type of
Canst.
Ot;cupancy
Group
DiviSIon
Size of Bldg.
(Total) Sq. rt.
No. of
Stories
Max.
Oce. LOad
Fire
Zone
Use
Zone
OFFSTAEET PARKING
Fire SprinKlers
Required elYes 0 No
PACES REOUIREO'-
No. of
Dwelling Units
~~pecl~,1 Approvals
ZONING
HEALTH DEPT,
FIRE DEPT,
SOIL RE.PORT
OTHER (Specify)
Covered
Required
Received
Uncovered
~___~ot_~equ i re~_
,--I----~~-~
//1///'1/1 /11/1/1/1 I/I/Ullr // / /
PERMITS l',o FEES CODES
Suilding Southern Slandard~
Electric National Electric~
Plumbing Standard PllJmbing~
-
Mechanical Standard Mechanical*
Other $20.no Landclearinq --
TOTAL ~2n no ~as adopted by ordinanc.e
--
~~h'~~~-I
B '!Nt; FPICI'AL i' ''1 n "
.-C it1 of ~ ape C anaveral. Fl~~a G
~:::,"8 ~g1k~i'\" ~. I~
ADDRESS?S \ ~~ ()~
lr,tspections
1. Footer
2.Rough Plumbin
3, Linte
Rejected
/}t
INSPECTOR
.
-
-
,.'
CITY OF CAPE CANAVERAl,
"
BUll.DING I'EIlHIT AI'PI.lCA'I'rON
T!!!.LI.S _
NOT_. lI__.__!'r~RI-llL.TO.S,TlIR'I,'_H()IU(: IT
J'(,'
....J
MJ__APl'l!Tr:.^T):QJLQNI!Y MID Hll,]. IlE
PI'OCI'.,~S'[',.I) A" .r,OON A,',' l'O,.,.'(~l',I.II"I~.., Y()II \' III II' ( J'
, ~- ~ ~," <., I', ,: 1I!. I , ,:n, HIlF:N rl'_l~; RElIDY.
.
COMPI.ETE IlEI.OH AND rNGUIU': '1'1111'1' YOII II1IVI,:
ON
v, J.J':
, (?'bcr'Z6'"''
For,LOWING:
(IIOHEOHNER PEIlHITS AilE I.:XEHI'T)
State L.lCCn!ie
County License and Compctcn~y Card
I,iability ($100,$JOO.$2'; Thow;'IIHl) ilnd HOI'kman'" Comflensation
Tnsurilllcc
Surety Ilond payable to Lhi,s Ci.Ly ($J ,r)OO)lOn!Y_mif._~:jJ:'y_O~'Cllpa,U,Oni1J
------~-~-:::~:~~::~~:.:-~~------------------.- ---.-----_ _ ~~Jf21~?_'_~~f:______
TYPE OF PERMI'I': IlI.DG. __moo_B. EI,EC. I'LIJHIl, I'!ECII. _,_._ OTIIER__~,_
PROPER1'Y OWNER: __.:=LAllH'_ :?_lJj(<', 'l/n_PIIONE__..7_L~__:ir!_~____
ADORES S :._ ct i,L...3..1L_-'~J!_:___~_~f ~>_~1_ IJ.~_:~_~ t{ __L_~ ---To-T~d, A
~TREET ADDR~SSt OF JQ'LS[1'E:rmlt__0G. f1~[ _050_ !IJJJ/f1___:t___tf!..:1J._ut1l__._~,_ ...
LEGAL DESCRm'I~ :tp~ ~1f'OCI<..._ SUBDTVl ~;],ONm __.,____.______,_______ ._______
OTHER
TYPE OF CONSTRUCTION: SIZE
01' DU 1 LDING (TOTAL SQ. FT. )
NO, OF STORIES
HlIK. OCC. 1.01lD
NO. 01,' IlHEI,I,rNG UNITS
USE ZON
NO, OF PARKING SI'ACE~';
TYPE OF OHNEI<SIIIP (CIIECK ONE): DE'!'M:IIEIJ ~;Hlr;I,I': I'AHlI.Y IlE~;IDlmCE
TOWNHOUSE_______,__, A I'AI\'I'I1EN"',__.__
CONIlOI1TNIIIJ"
COI1HERCJAI.
CONT RACTOR _C2WUQ.C______ ________..____ ______..
:;'1'1\'1'1': IJIC ./1
ADDI<ESS
PIIOIIEII
ELECTRICAl,
~;'I'A'I'E LIC, II
ADDRESS
1'1I0NEII
PLUMIlING
:;'I'A'I'E I,J,C. II
ADDRESS
1'1I0NEII
" MECHANICAl,
:;'l'lI'1'E I,IC.1I
;, 'ADDRESS
I'II0NEII
I, OTHER
:;'1'11'1'1'.' I..IC.1I
ADDRESS
1'1I0NI;:1I
NATURE OF WORK TO IlE DONE: ....-#--jcu-d-C\~-~-Q,9:--- ......___m_-'------.---m-~----.--.-
C{!2zd..lzm__C~!o:i!fa{!.{fZ;'1-~?!f)AfC(jri/~"-, (E'7. ()!L j~l~~~b!.n<L?::~__t?.fi<!_ () 5
VlILUNrrON OF HORK/CON'I'I{A'CT: $AJ.A. ,')fc~~:r:i~(~~:(~~:~-:.;jh;~v1)
NQTJ~;~ 'I'hi.~, ilppl-iCi-ltioll i~; Vdli(! (II) 'I'l \Y()ll~:i.llq ddYfi ilLLer \-lhicll t'illle,
unle~s n permit hil!.i bef~n drilHI\, th:i:'i l:orm i1nd nIl i\l:t:i1ched IIHltnriill
will be de~troyed.
n i\ L.,.. I \ on d. El .-- q 0
:;ilTllell-:---.--......,. -ii-~~---==~
',Cl:ll~jl"!l!. Avent of Rcc'ord or Oh'nel~
-
-
A
J.,i v. .'~r',~il
EncJ.^rp.n
other
Building 1~f,)l'nLi l[; Chilpl:er 51-/--^
D(]sed 011 :Jef.\l'bre l'~oolaqc
V -
Building Permits Chilpl:er 547
JJascd 011 ValuaLioll
Building Permil:s Misc,
lJnseu on 51'/-1
Blecl:ricill Permil: 517-(,1
Plumbing Permil: ~47-B.l
l'lechilnicill 50-lJ
plan Check Fcc
Tol:al permil Fcc
5cwer Impact Fe" 5J7-0J
Sewer Tap r~ee
Total ~;cweJ: Fcc
Fire lmpilel Fcc
5J7-0J
fil:c ImlJacL fer! ~J1-05
Tolal Fir" lmpilct Fec
Radon Trust Funu (FL 5tatules)
1 cenl: per ~;qllilre [001: IlnUeJ:-'roo[
OFI'IC" V:j['; aNt,,; VERIFIC^,l'lON;
General ~Y})_,L,l':\ctor
I': J " c t r.i c i1 1.
!~): ~ 1~.lJ?, i J~9
r'lech u 11 i c ~1.1
County I.,ieense
Compel:ency Card
Jn~;ul:1111Ce_
Surely Bond
City ttlCC1l5l!
G Lil tc l.,iccl1!',;r!
Work (or n lessee, renter. J1l<lI}i\~H:!r, aqcnL 1ll\l~.;L h,lVC i.\PPJ:OViJI oC] f~Yi1I, O\oll1cr
or l.'ccol.-,l. lfofncownce:-:. c:ondOJl\.i,'Jli\Jfl\~;. LOWllhl'\I~~f~~; (11- nlllCI-S". w.i 1:11 an
ilS!;oc,j,(\\.ioll c()11LJ:ol, .\t'r:ldl.cr:\lll:C ;lIHI b\lildilltl COI-ilf:-:,-iil, m\l~:l h:lvf"! ilPP1-ov,,1.
siqneu by l.he \lnveJ:ning body.
" ot.hc:r:s is lo include covenunLs. conditiol1!-; i..lIHJ J:C:;;ll:.i.clions i1Y,~ recorded on
deed; howevcl:, this office j!; rr!~.;pon::;'i.ble ullly [flr- nhl.aininq c()mplj<lnc~ toJith
the Zoninq Ordinance.
,-
ON1'8 I-' I L~~ D 1- 5 - "10
HECEIV8D u~
.'l'Y O~' CAPE CANAVEHAL, 'i'U-DA
I
*1'88 PAID /00 ,00 H8QU8S'l' NO. q{J- 9
*100.00 Filing Fee is non-refundable.
[mQUES'1' FOH:
xx
~PEC1AL RXCRPl'ION
VARIANCE
R820NING ADMINIS'l'HN1'IVE APPP.A
Applicants for rezolling must defray all costs, per Section 645.37.
LEGAL DESCRIP'l'!ON OF PHOPER'l'Y: Attached
ftr;iv?, 01 A"'(~I 7~{.1
bG'l' IH.GGi.\ SUB.DIV. SEC.
15
'I'WP. 245
RGg. 37E
S'l'HE"'1' ADDHESS OH PIIYSICAL LOCA'!'ION NW corner of AlA & Central Boulevard
NATURE 01-' HEQUEST (Insure that the specific sections of the Zoning
Ordinance that allow and support your request are noted. Attach separate
sheet of paper if necessary.)
Zoning Regulations, City of Cape Canaveral, Section 637.47(11)
Special Exception to construct outdoor recreation area which
\~ill consist of go-cart tracks, baseball batting cage, water
slide, bumper boat facilities and miniature golf course
, , . - , , l
S'l'A'l'EMf',N'1' ai, ['AC'l': State ot l'lorIda, County of Brevard;! i
.
I,
JAMES E. ALLEN
, Being first duly sworn, depose and say that
I am the owner,
X I am the owner's designated agent.
Owner's Name !I0TE'LODGING MANAGEMENT CORP.
3 N. Atlantic Avenue
Address Cocoa Beach, FL.
Zip
32931
!Iome Phone No.
Business Phone No. 784-3938
Applicant'S Name (if not owner) JAMES E. ALLEN
931 Bali Road
Address Cocoa Beach, FL. Zip
32931
Home Phone No. 783-4482
Business Phone No.
All intormation contained in this request, and all sketches and data made a
part hereof, are honest and true to the best of my knowledge and belief.
Sworn 1:9 t.nd subscr ibed before
thisS'/,' day or July
19 90
me
~ , /)0'1;
, hl/J B (;?t:C0-
iCJnatuie of ApplIcant '
. NollIY Pub~,. Stato 0' florid.
My Commillion bpire. June 4. l~gl
_ _ b "~4ttHII~11Q~I4Lin..:IA~~.h,~nc;._ _
~dLl,-t'/ru-/ 'f5 ;j), tlmurrt (({~
No-ary Public, State of Florida
'['he completell l'equest form ilnd the $100.00 filing fee lII11st be filed
[allows: Request for Variances & Special Exceptions, 14 days prior to t)
Planninq & 20ninC) Board Illeet inC); reqllest for rezon inq, 30 days prior to tl
PlannincJ & Zoninq Board meet in'). 'I'he Board of Adjustment meeting will be se
after the request is heard by the Planning and Zoning Board.
FOR CITY USE ONLY
Not ice of Pub I Ie Ilea I' in') Publ ished j n Newspaper on
Notice to applicant by Certified Mail No.~ ,
Notice posted on Bulletin Board on J
Notice posted on subject property on ,/d
Property owners within 500 feet notif1ed
Rev. R-n'l
'7-0') 74?
I: I (1 Q, 00
(
,
-
-
RRQURS'l' NO.
7ij- '7
-----------------------------------------------------------------------------~
BUILDING OFFICIAL RNDORSRMRNT
North
South
East
West
1. Zoning Amendment Continuous 7.oninq
(Sec. (47)
2. Variance Continuous 7.oning
(Sec. 645.25)
3. Special Exception Continuous Uses C. -f
(Sec. 645.21/23)
4. Administrative Appeal See Attached Statement.
(Sec. 645.19 )
C-I
m- J 1( ~
Date interpretation given to applicant:
7-
03 - 9.0
------------------------------------------------------------------------------
CONSIDERA'l'IONS
SETBACKS 7.0NING
% LO'r LO'l' /I or IlNI'l' DENS pry BLDG.
Armlicable Data F H S 5/S'I'. COVEn. SIlm UNI'l'S SIZI~ PRR I\CR1, llRIGll'1'
Zone Standard
Requested
Difference
------------------------------------------------------------------------------
Zoning
arc1. Sec.
Applicable This Request
Yes 0" No
ADDITIONI\L REFERBNCRS
SUBJRCT
Parking
641. 0 1
Loading Zones
641.03
Setbacks (Ridgewood-A1A-Astronautl
641. 17
Landscaping
641. 4 3
Non-Conforming
Structures
643.05
Land & Uses
643.07
-L
------------------------------------------------------------------------------
ADDITONAL No'rES
C' I '?~ Uflo ~, ? 3'7. '/7 (H) ~ ~~~
~/ ,~ 1 riL{.. ~ ~ ~ 7i..7'/';c
toI:c l' j z -a!~4 ~ 1/LV1.-IL ~:r ,-,>~f ~
-..t- 0... '1 ~ ~ f~ ~ Jh'-<...uL
rVl.- (, 37, F (~)
Date
7- O() - 90
~ c-
........._ I:> Yv-l il'\-vV
uil(HnC] affici~
Rev. (1-69
'ngCOJ'::1~I~N )NPIONS or PLANNIN-\ND ZONING flOAHIl
I(RO'-":;'1' NO. 9 () - '1
1. A Public nearing was held on
l~la5/Ig.90
at '1~()"'P. rn , .
~t~ll~
2. Action taken:
V Hecomrnend approval.
Hecommend disapprovi'll.
Hequest postponed.
Hequest tabled until
at
(time)
(date)
Hequest returned to applicant for additional information.
Request withdrawn by applicant.
3 .
'l'he factu~l basis upon which the Pl<lnning & Zoning noard decision
rendered ~s as follows (reference 645.25 for Variances; (,45.21
645.23 for Special Rxceptions; and 645.19 for Administrative Review):
was
and
t0~COfK-~~,ytd aftll~v~e I f1Mw;teeJ ;t/te. (~lI!L('.a-nJ- Clfl-'&;<1 lile_
'fMwuUJ 1-uldL.i<.AVl:: ,
t ) ~ )tu1{La.~fL'''L8 -;ru.tulU-rc~
ff~ )1-0 ~u~_ ,MULe
UM- CA/lJ .AM(-lCjt,:~~ A).r~U:Ck CltlUJ4Uf,., flt ce~
}iu. ~1.C'AJ plit(f(.'c4.~ 1 "IND'? ON E
tutd II pI< D -r fCA C 11.." calli, fA't~~/l ,lAh.:ejJ r1AJ
jV{ wd <F /Bt(Yl.AL~ '
( /t-e/l-l1tA" ~'~'Rdi/1..-
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2)
f(,u,-01IM1'!.Ut d CLffl/u')() t0f }..ttMJ( tJ11-- )Mil. ;t-Utlwcd f(<J-
&31.4'1 J-I,
Date
"tt-~-
25, !cIcto
.
R. i7f. {dtUe.f..P
Chairman, Planning & Zoning Ooard
0,.0 n-RCl
-
'ACTION BY ZONING BOARD OF 'USTMRNT
llRQI'-";;'l' NO. Cj 0 - '1
1.
A Public Hearing was held on -.-1--,J7-?o
(date)
at
'1 : A c.)
(time)
t.
"""'
2. Action taken:
~ Request approved.
Request denied.
Request postponed.
Request tabled until
at
((late)
(time)
Request returned to Planning and Zoning Board.
Request returned to applicant for additional information.
Request withdrawn by applicant.
3. The factual basis upon which the Zoning Board of Adjustment decision was
rendered is as follows (reference 645.25 for Variances; 645.21 and
645.23 for Special Exception; and 645.19 for Administrative Review), In
granting any Special Exception or Variance, the Zoning Board of Ad~jllst-
ment may prescribe appropriate conditions an,l safe<luauls in conformity
with Zoning Ordinance. violiltion of such conditions and safeguarc1s, when
milde a part of the terms under \4hich Special Exception or Variilnce is
granted, shall be deemed to be a violation of this Ordinilnce and punish-
able?;;~~;-~ ~
,.',
Date
C?,.
~)..,7,(?9o
,
J\djustment
Rev. 0-09
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HOTE'LODGING MANAGEMENT CORP.
3 N. Atlantic Avenue
Cocoa Beach, Florida 32931
July 5, 1990
Zoning Department
City of Cape Canaveral
Cape Canaveral, Florida 32920
JAMES E. ALLEN is hereby designated as the Agent of
HaTE I LODGING MANAGEMENT CORP. to make application for a Special
Exception for an outdoor recreational facility on the property
mmed by IIOTE'LODGING MANAGEMEN'l' CORP. which is more fully
described on Schedule "A" attached hereto.
, '~ "'f--'U)
~- /
~.\ v-.::. - " . "'------
TINO FARJAk
President
-
-"
fa - r
SCHEDULE "N'
1\ parcel of land situate in Section 15, 'I'ownship 24 South, Range 37 East,
the Ci ty of CapE' Canaveral, Brevard County, flor ida, being more particularly
described as follows:
Conunence at the intersection of the Nllllh 11l1e of the South 3316.00 feet
of said Section is ilnd the West clght,.of"',"IY ] in... of State Road lU/\, a iOO.OO
foot right-of-way; thence S37022'24"E, .:Ilon" f:i1icl West clght-of-Ilay line, for
il distance of 1255.12 feet to the Point of Ueginnlng; thence continue
S37022'24"E for a distance of 452.06 feet to a point of curvature of a curve,
concave Westerly, having a radius of 25.00 feet; thence Southeasterly and
:.outhwesterly, along the arc of said curve and the Northerly eight-of-way line
uf Central Boulevard, undedicated, having il width of 100.00 feet. thru a
c\!ntral angle of 100000'12", for a distance of 43.63 feetl thence continue
Lll ong said Central Boulevard right-of-way. 562(')7' 48"W for a distance of
330.52 feet to a point of curvature of a curve, C0ncave Northerly. having a
I adius of 561. 05 feet; thence Southwesterly, along the arc of said curve, thru
.1 central angle of 14057'08", for a distance of 11\6,42 feet; thence
Nno22'24"W for a distance of 374.37 feet; thence N52031'36"E for a distance
uf 500.00 feet to the Point of Beginning.
containing S.OO acres more or less.
t.