HomeMy WebLinkAbout8801 Astronaut Blvd - development history & payment of Brevard County Impact Fees 0 B.UILDING PERMIT APPL16ATION
Jurisdiction of 0
CITY F CAPE CANAVERAL ~� 2 t
105 Polk Avenue M
N 00 6950 TELEPHONE: (407) 783-1391 Sec. 15/24S/37Ex
JOB ADDRESS DATE: 12-18-90 +
8801 Astronaut Boulevard
LEGAL Porti a�rce .. Jungle Village � ►
1 DESw+C R. �,,, 3 00
Mailing Address Zip Phone 0
Owner +
James Allen 931 Bali Road Cocoa as h, FL 32931 783-4482 �,
Win.C n*r� Usill"A��tddt�� ftone „� "�« �P`�c*n 140.
Donald a n 5 �� A erl oc a Beach FL 32931 783 r 1 SGC 27852"
Else.Cant d ) Phone Laken; No.
a a aver`a FL ` 784-2529
4 Hoog E� ri o. 5 Linc 1 n 'enue ,
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a Qualily �"�M u1"rtb i n �►f reV and l r� w 47 E� MerrittIsland Cauwa
I FL 4557
Mach.Contr. Mailing Address Phone License No. --+
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iPe,ci rl#y Contr.{ thwerl ailing Address Phone License No.
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USE OF BUILDING
Commercial 10 Class of
19 work: NEIL" [JADDITION OALTERA►TION CIREPAIR 0M VE CIAEMOVE
1 i Describe work
Construct Commercial Building, and site word per Site Plan aped b PQ Board on
November 28, 1990a
Complies with on urren an e n Ordinance 2proe pp1 c nn No. 90-017)
NOTE: REQUIRED IN'S IECTI NS MUST BE ARRANGED
i -Valuation irk: Vii " . TEL:78 -1391, ALLOW URSRESPONSE TIME
SPECIAL CONDITIONS: rype of � occupancy 1
Const. P Division
Size nt slog-731500 No of '� Max.
(Total)Sri.Ft. Stories Occ.Load
SETBACKS: F ISS LS Fire use Fire Sorinklers
ApplIcation Accepted Byt Plans Chocked By: Approved For issuance By Zone Zone Required C]Yes C]No
WFSTRE T PARRINd PACES REQUIRED
No.of
..Morgan i — Sae S a ' Dwellirr iunlu C11 ___ .__overed NMw "_ I— - t�rt�c►�re�rr�d26.
;special Approvals Required Received Not IRequf10
re+d j
Iii T I � �.. —_-.�
FOUNDATION SURVEY SMALL SE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB. HE;AJ TH CREPT.
THIS PE'R'MIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RIE DEPT.
AUTHORIZED IS N TCOMMENCED WITHIN 6 MONTHS,OR IFCONSTRUC- ;SOIL.REPORT
TION"OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD of S OTHER 4Sp#Clfy)
IHEREBY CERTIF'YTHATIHAVE READ AND EXAMINED THISAPPLICA1]ON z I-L17
D NOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISION'S OF
LAW AND ORDINANCES GOVERNING THIS TYPE.OF WORK WILL BE
�"ERl�I"T'� FES ����5
CCDM LIED WITH WHETHER SP IFIED HEREIN OR NOT.THE GRANTING r10t
g Southern Standard'
OF A ERMIT DOES NOT P"RES E TO GIVE AUTHORITY TO VIOLATE FI � F3 5Q 0.00 l+l�rti�anat Elactic*
CA N EL THE ;1ONS0 A Y OTHER SATE OR LOCAL LAW REGU-
LATI C iC PERF�I MANCE F CCC I41 1 lwtiJCTI N.
ing 200 o � Standard Qlu�mbrng""
�r
."' "" nical � Standard Mechanical*
Oz.t of Contractor or ut oche giant (Date) 425,50 �"�an Check ��+E'
ria
Signature of Owner(ii`Owner Brarllyder) (Date) L_
—TOTAL , ��� *ass adopted by ordinance
Fire Ir pctlee 537-03(A)-$375*00 Radon Trust Fund 175.00 Concurrency Mana emen Pelf
THIS ArPPLI °ATIONf WHEN SIGN90,BECOMES PERMIT TO STARTWORK:
,r
Is I hereby acno'w;ledge that X
have been informed that pursuant to Brevard County ordinances, that
impact fees imputed based on the attached fee ,schedule shall be due
and payable prior to a certificate of occupancy for construction
pursuant to building permit # "� . .�. 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-9
l further acknowledge that payment will be made at ether 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-fa
copy" of Form
Two Witnesses:
���ZfylfnY
Witness:
Witness:
or:+•`'
w dg'ement
rn
OF LSi 'E O'
ORI NOTARY PUBLIC ATFLORIDA
MY'COMMISSION EXP. x.22,1"3
.x *Y OF Bit sTARD
, x R is ,before meersona l . appeared �
p y p'p ea
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
hg:.. executed said
instrument for the purposes therm expressed.
WITNESS my hand and official seal, this �day., Of
F)e-r--t7-M e 0 A,De °+ �.. «fix
NOTARY 'PURI,tc sirATE or FL.OWA y �x
W cowlSs loo EXP. x.22,199 3
My Commission Expires Notary Public
State of Florida "•!''
i
4
Z
2 GC(Now V891 WHITE COPY Building Dept. YELWW COPY-Applicant FINK COPY-County
YOUN A
BREVARD COUNTY, PLANNING & DEVELOF ENT SERVICES DEPARTMENT
J PACT FEE j L = !
(TO BE COMPLZTEO BY APPLICANT
LOCATION OF SUBJECT PRO "PL,./
UNINCORPORATED Last First M I.
PNOP"ERTY
ADDRESS: ' ER�INCORPORATEL CITYLSS
TA8t F reit
SAL DESCRIPTION:
TW9O SEC fq;a 0 m I
SUB SOB NAME TELEPHONE (OWNER):
w
0
BLOCk PARCEL/LOT # (APPLICANT) ' - 3A
CE S OF HBe" Am ATTAR Be
NEW SINGLE FAMILY, MOBILE NOME/ NFACTURED HOME, ATTACH
BUILDING PERMIT APPLICATION.
MULTI-FA"M"ILY INCO RATED*-ATTACH "PROVED SITE DEVELOPMENT PLAN
UNI C+ORPORATED-o-ATTACN BUILDING PERMIT APPLI CATION, APPROVED SITE
DE"VELO NT'" PLAN .
[Le,commcm, INDUSTRIAL, ON EXPANSIONS* INPIRATE' �ATTA "PROVED SITE
DEVELOPMENT UNINCORPORATED--ATTACR BUILDING PERMIT APPLICATION,
APPROVED SITE DEVELOPMENT PLAN
FEE ADJUSTMENTS CLA111MD CREDIT � 1
(ATTACH SUPPORTING 'DOCUMENTS
I HEREBY CERTIFY THAT ALI OF THE ABOVE INFO TION IS TRUE AND CORRECT" TO
THE BEST OF MY XNOWLEDGE#
,APPLICANT#S SIGNATURE DATE
(O Zoom BSB ONLY)
FEE ASSIGNMENT
SACT FEB OISMCTS s
ROADS*0 1 6 EMS 0 1 5 CORR.
2 ] 7 2 6
3 8C 3C 7
4 [ ] 9 4 C
e 10
[ ]
CONTROL
law USE 80,10tANY
RES* (UNITS) :
NON-RES. (SQ* FT.:
IMPACT FEZOiBUILD11fa PERMIT An=
ROANS $ BUILDING PEST
EMS $ BUILDING PERT
COR* PAC. $ PUBLIC WORKS
SUB-TOTAL RACOON GAS
EDITS AND OR STATE FEES
1SC. FEES
TOTAL IMPACT FEE $
IMPACT BALANCE TOTAL BUILDING FEE
BUILDING BAL. DUE
APPROVED BY
TOTAL ACT'" ; TOTBUILDING BUIDING PPL'''" IT FEZ $�
TOTAL IMPACT" FEZ S IT PERMIT FEZ N
CONTROL PERSON ACCEPTING FEE* mom* DATE
INFORMATION REGARDING COMPLETION OF THIS OR OTHMt FORM CALL 453-9508.
Whitt copy - Building Depar t Yellow copy - Applicant Pink copy - County
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it
rM,PAr.T/R11T1 01'Nn N:OMTT rrFr'a L 14)16 M 73
T f-"r-.E rf*,AYMENT Rr1CCT6r'T) WITLOINri ,"FSMT T FEE fin
0. 00 f 0 (A.(A
F*m S
7 $
nf?R FAC 7 F) rr ENVIRON oleo
c fh 0
0 . 00
1)f.o' T 0 1*A L 11870 .5S CoNrURRENrY 0 .00
RLMOTMG PF'f?MTI- 0.00
r% i n n N T
-r A AU I I D FFF 0 00
TMPACT L . DUE oleo BUILD SAL . DUE $ 0. 00
GO! 0 f T RU A'j()N
TOTAL PFEc' 7 0 5 a
-)00
1 3
APPRnVFD RY- P�- CONTROf N 0 0 0. 0 F1 9 1 r n,i i n C. 4 371
d rl,,p o-c.f t, a r P.3-0 C WiTt nTNri PFRMTT tit) . : TTGRRSq0D88R888L1 t.L L L
PROP . ADDRESS - Hu(JSF NO . o. 880J '17REFT: AflITIMNAUT TYPE: RI.VD
OTR ECTT ON; Af,T -NO C11'Y ; CAPE CANAVERAL
IM[IACT FFF PAYmEN*r- 1. 1.168,2 0- F,113 111111 0Pi-.-,RMTT J"'L"E PAYMFNT. oleo
CHECmoprRr,,oM ACEFF,17NO FIE PFW� BATF 91,0319 (YYMM0D)
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