HomeMy WebLinkAboutBLDG PERMIT #19-1379 (DEMO)City of Cape Canaveral, Florida
Building Permit
PERMIT #19-1379
CUSTOMER #000449
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
PERMIT INFORMATION _ „- _
LOCATION INFORMATION
Permit #: 19-1379 Issued:7/15/2019
Permit Type: DM
Cost: 50000.00 Total Fees: 693.69
Amount Paid: 693.69 Date Paid: 7/15/2019
Address:8801 Astronaut Blvd
Cape Canaveral FL, 32920
PERMIT EXPIRATION DATE: 1/11/2020
CONTRACTOR INFORMATION ; _
OWNER. INFORMATION .._ ,:..., . _
Name: Doug Wilson Enterprises Inc
Addr: 6121 N Atlantic Ave #102
Cape Canaveral, FL 32920-
Phone: (321)783-0903
State Lic#: CGC1512255
Local Lic#:
Name: Oshri Gal
Address: 280 W Central Blvd
Cape Canaveral, FL, 32920
Phone: (321) 783-1848
APPLICATION FEES
BP -Main: 365.00
BP -Surcharge: 16.19
Plan Revision Fee:
Date Plan Revision Fee Paid:
Temp CO: DEMO $100.00
Concurrency:
BP -Plan: 182.50
Fire Plan Review: 0.00
Plumbing:
Electrical:
Capital Expansion:
Application Fee: 30.00
After the Fact: 0.00
Re Inspection Fee Paid: 0.00
Mechanical:
Sewer Imapct:
Sewer Tap:
INSPECTIONS (for complete list of required inspectionsrefer to Hard Card)
NOTE: Once an inspection is approved by an authorized inspector the permit expiration date is extended six (6) months
from date of inspection.
1
Permit Desc: DEMO (PUTT PUTT GOLF COURSE)
INSPECTION APPROVED BY: DATE:
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 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.
•
Sign & Date—► .
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AUTHORIZED SIGNATURE /
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DATE
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'`- ISSUED / DATE r
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Print I
PRINT NAME
Total
Cash
L:x ,#1014 iniuuti S6E6
.69
653.69
Amount $0.00
City of Cape Canaveral
100 Polk Avenue, Cape Canaveral, FL 32920
Phone (321) 868-1220 Fax (321) 868-1247
buildingforms@cityofcapecanaveral.org
Permit #: 943 Ar,acking #: j V
sr
App. Dat
Application Fee: $30.00
Q,
13 Permit Total: 7 (1
Property Information
TWP: RNG: SEC: SUB#: BLK/PAR:
Site Address: 8801 Astronaut Blvd. Cape Canaveral Florida 32920
Owner Name: Wave Development Phone: 321-783-0595
Owner Address: 280 W. Central Blvd. Cape Canaveral, Florida 32920
APPLICATION FOR BUILDING PERMIT
Florida Building Code in effect: 6°i Edition
e011-7 - CD — 0000
JUMDM
Contractor Information (Applicant)
Qualifier Name: Thomas Parker
Qualifier Address: 6121 N. Atlantic Ave., Suite 102 Cape Canaveral License: CGC 1512255
Company Name: Doug Wilson Enterprises, Inc.
Phone: 321-783-0903 Fax: 321-783-7941
Email: tparker@dwenet.com
Project Information (Applicant)
❑ Residential El Commercial
Describe Work to be Done:
Site Plan #:
Demo Jungle Golf putt putt course
Cost of Project: $ 50,000
(copy of contract required)
Subcontractor Information
Proposed Sq. Ft.: 20,000 sq ft
(total new construction)
First & Last Name (Print)
License
Phone
Plumbing
NA
Electrical
Dixon Electric
EC13005839
321-636-2135
HVAC
NA
Roofing
NA
Specialty
Demo 641-60,U Y;j2c,,','9
CUC1225123
321631-5523
City or Cape Canaveral Building Permit Application — 04/2019
Pg. 1
Site Address: 8801 Astronaut Blvd. Cape Canaveral Florida 32920
Owner Name: Oshri Gal
WARNING TO OWNER
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE YOU
SCHEDULE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTJ -OF
COMMENCEMENT. Initii�i^e
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to
this property that may be found in the public records of this county or that may be required from other
governmental entities such as water management district, state agencies or federal agencies.
APPLICANT'S AFFIDAVIT
Application is hereby made to obtain a permit to do the work and installations as indicated. I acknowledge
and accept responsibility for compliance with all applicable codes, regulations and ordinances as well as the
payment of all legally constituted fees regarding this development application, including but not limited to
ALL REVIEW FEES, PERMIT FEES, IMPACT FEES AND RESERVATION FEES.
Contractor Name (Print): Thomas Parker
Contractor Name (Signature): G sty
Owner/Agent (Owner Builder Only) (Print): Oshri jjGaal�l
Owner/Agent (Owner Builder Only) (Signature): Vr-4-- - I \
Date: May 31 , 2019
State of Florida, County of Brevard
Subscribed and sworn to before me this 4th day of June , 2019
personally appeared Thomas Parker who is personally known to me or
produced Pe.-sei .at l roc r` as identification, and who did/did not take an oath.
Notary Public Signature/Seal:
eNtb DOLORES RENEE' SIMMONDS
.t . MY COMMISSION # FF962383
ibt rod EXPIRES: March 27, 2020
DISCLAIMER: The City of Cape Canaveral's approval of this development permit does not create any right for the permittee to obtain a permit from
a state or federal agency. Further, pursuant to section 166.033, Florida Statutes, the City of Cape Canaveral shall not be liable for issuance of this
development permit in the event a permittee fails to obtain any other required approval, fails to fulfill obligations imposed by a state or federal
agency, or undertakes actions that result in a violation of state or federal law.
The issuance of this development permit is expressly conditioned upon the permittee obtaining all other applicable state or federal permits, if any,
prior to the commencement of the development authorized by the City's development permit.
FINAL INSPECTION IS REQUIRED — Failure to obtain a final inspection may result in penalty.
City of -Cape Canaveral Building Permit Application — 04/2019
Pg. 2
CFN 2019130117, OR BK 8464 Page 2943, Recorded 06/17/2019 at 12:19 PM Scott
Ellis,, Clerrk of Courts, Brevard County
PERMIT NO.
STATE OF FLORIDA
COUNTY OF)3REVARD
NOTICE OF COMMENCEMENT
TAX FOLIO,NO.
1 3 7 9
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement
1. Description of property: (legal description of the property and street address if available) 8801 Astronaut Blvd
Caps Canaveral, Ft 32990 24-37-1&-on-nfR17-0-nn0n
2. General description of improvement. 17emn .h Ingle Golf Putt Putt
3. Owner information or Lessee information if the Lessee contracted for the improvement:
a) Name and address: Wave Development-Oshrl Gal 280 W. Central Blvd. Cape Canaveral, Fl 32920
b) Interest in property Owner
c) Name and address of fee simple titleholder (if different from Owner listed above).
4. a) Contractor (Name and address) Doug Wilson Enterprises,lnc.
6121 N. Atlantic Ave., Suite 102 Cape Canaveral, Flonda 32920
b) Contractor's phone number: 321-783-0903
5. Surety: N/A
a) Name and address.
b) Amount of bond:
c) Phone number:-
6. a) Lender (Name and address). N/A
b) Lender. (phone number):-
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713 13 (1) (a) (7)., Florida Statutes.
a) (Name and address). Tom Parker 6121 N Atlantic Ave., Suite 102 Cape Canaveral, Florida 32920
b) Phone numbers of designated persons: 321-783-0903
8. a) In addition to himself or herself, Owner designates Tom Parker of Doug Wilson Ent . Inc. to
receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b) Phone number of person or entity designated by owner. '
9. Expiration of date of notice on commencement (the expiration date is 1 year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POS 1 ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
gnattlre of Owner or Dessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager
new -rnana.01 E('
Signatory's Title/O
STATE OF FLORIDA
COUNTY OF BREVARD
The foregoingent was acknowledged before me this day of lY
person) as 1/JD�r (type of authority e.g : offs r, trustee, attorney in fact) for
(name of party on ehalf of whom instrument was executed)
2
Stgnauu$ of Notary
Print, Type or Stamp Commissioned Name of Notary Pubhc
Commission Number
Personally Known Produced Identification _
STATE OF FLORIDA, COUNTY OF BREVARD
I HEREBY CERTIFY that the foregoing is a true copy of
the original filed in this office and may contain redactions
as required by law.
SCO T LLIS, Clerk of the Circuit C rt
Date By ✓% G ��.: 4
fit; e . ip
(name of