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HomeMy WebLinkAboutBLDG PERMIT #11682 An 15 2015 2:07PM Cocoa Beach Plumbing 3217837171 page 1 Dafe:' 1 CITY ©F CAPE CANAVERAL, T RECEI 'E-> BUILDING PERMIT App JAN 5 2015 LiCATICEN atyofc @c=avua su& (322)868-2222 Yota may daw mead this application: ffi DeparamM 7S 10 N -Atlantic Ave. Cage CamvWM1,FL 32920 bwkdde of ft form. Impmempts . You may fax to:(321)868-1247.All applicad=nM i go an the chechiist. A copy f contract ma be requfi the checklist on the back of this form and pinvide other aMoftd s Y Agplicatian packag s WM not be act mdas Mats. (CQftCtorA)Wner Builder is APPLICANT WIU BE CALLED WHEN PERMIT IS READY. Address Of doh Site: "4'W to sign for the g peuw4 wim iadicatett otit by afdmdt, LD.MW be } 1u Legal dmcrlpti(n of property;TWN; xxo: ® c sification: Flood Zama: PtuPerty Owner Name: �-- suers:_,_-�.�>iltx: ------Lor;-- PB: incl: Fee SimpleTttleholder's Name (tfoowdmnowmr): Bonftc "ortgage Lader. • Aad Address: Type of Permit Brief diptian of wsmlc: Building Electrical phmdgn McBhuando8l Other Type of cep ooe- nary,lyes vvw (plrsse Fes. SVS t reap eta Moi Not Vokwouctwork love bent-)n dael• be& won R.M. "Mab appdiasb2e) 1�e0f �� do.) � root" 4,46 (CopsarCa .d; YeNo2 Yes/ATo Yea No S ownho�lse S ' 0 S � Adds,ass�Naraa Nam um i Stave License No.; phone(office): p>e ow Pay Coal: Nama Address- Name of Compmr. Slate License No.: Phone(office): EhchW r ATama: Phone(` �'}: Fax: Address: Name of Company: State Liceasta No.: Pham(affix$): Contrasator ams: Name of comp er). Psx: State Licse No.: Phone office): - boas cell/pagst:); mbchanical C.onw�Name: - w Fax. Adm; Name of Compaaq: MMM State Liceme No.: Phone(otxe)• Name: Nam � Fax: State License No.: Phone(office): Phone{cellar.}; Fay CT:1sf:M"-1%1 r11'ills Appiir:aij,: Ftn. z,:f.. j %r:14; ^ 1 Jan .15 2415 214PM Cocoa Beach Plumbhg 3217837171 page 2 DuIIdW9 Permit lliatlan CheddW Nates comoldtedPmmft licadonCommeodo*won:FLDId .Coezolo(asrrAnd) C Wt swRw dWWjAR all coed constacti a and �whh DePL Of Udm s Notarized dgaM—OwmMuilde1r AM" lfowner h sating as coats= Sewer IMEg Fee Mai be defennsi until CA.tJnlesa3ob 3s z�deliag Fea3 Maybe dd kn d=0 M. Fee deBened n�GO. Sidewalk Fee IF�dewalk�asteoslot RwmW WWUIY Del/Pmofof Cmy of Nob-me of Cotntriencemeat over$2,500) or�S7,�0 far� �abangoo�rt bmbw CurrentCert.YJfLiao InsJWorkar's .Po /Ex tion Rema r vmfileaSar w Board Foranwodc,ri dbleSntn >n .oway .Phmim md2mIgg Board Site Plan&Foval > alt sew of&mr,mita ar.aore Forms Far an MW Wwwaadm sot past of eppWVW she pbs Prknuy Combno is Stara Lkense RZW vM bekept an file after IWd sa Subctmbraotoir's Auilmzlzafiaaos Record will be kept an file agar ins d saibasiW State'LiM= NbY>; g ommmat ofamt Worobom Plumbing Contractor Plumobirrg Cantacter Electrical Caairaaxor Electrical Condor Mecham�l Mechmaioal Contractor kw—fia Coam"Wor Roo .ft CmW Swimming Pmol CoaaUSAW fthnming Pool Contractor Cres C.ontmewr Cray Contractor Speiaitymog Conusator S Outer Corrtraot� Constmc don Drawings: Per F.B.C.144 Three sm Of a"cantractim dmawlnss Per PMP—104 Truss and reacdonEIRM An Aacis and aliop dmwimga be seeded sttimo of romp. WWLoadWculafim Plans amse iadioate pentm nmpams➢hie for EleMical Rim All now servlo must beloaatad underwmmd -PUmiAng Riser Pim mut bdiate paean respamble for dealgo A/C la Plans cm W oats Peasom table for desisu Two seta ofEnmV Calculations PIm mm bdicate P=m respoam'ble fw m Lot m. Four seb of7m Alarm eci8cmtioarls Finn l prinrto iest oft W)* Pool Battu RemOmnag Foy CmappQ Poolpumicewig trctbe wNi tbarrier Application is helreby made to obtazn a pernait to do the work acid installations as indicaft& I cer fy that no work or installation has commuted prior to the issuance of a pm*t and that all work wiU be perfomaed to meet the standards of all laws regulating construction is this jurisdiction; The ding Code in elft at the time of this application is the Florida Build M Code 2010 Edition. I understand that aCp=its require inspections as indicated and that it is the 'bility of the pmnitholder to notify the building department when ready for iaspmdon(s). This permit' appUcation is valid for six months from date of submission. By signing,appHc and aM= that all above is tme and comeet and that he/she is an authorized agent of the Contrai tm/Oamer and has the authority to apply for this permit. Applicant's Name' 4pAe-p7 lkc �g,&Ays Applicant's Signature: .i' Dates Site Address: For Notary use only: State of Florida,County of Brmard Sworn and subscribed before me this J day of 201:5 ,by S pzhWsumo of Appliot who prodwmd i>dendfim ioJa7 or is personably known to m4L 1 ®STAY A STRAIN NOTARY UC Seal: STATE OF�oRMA Cwmn#EE170M SigoW="NotmyPublicAtIxp G:iilclg.Th°pa,Fnrms 13uildinp Permit A sratjon� aPtNT A TJdsh mmybedupliaated. Ian. 15. 2015 1 :45PM No. 2489 P. 1/1 '4 . �'� CERTIFICATE 4F LIABILITY INSURANCE 1/15/2015' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. it SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certiflcate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAS: Sharon Miller X IA Insurance PHONE . (407)838-3445 � 4407)936-3460 ING,NO- 498 S Lake Destiny RdF=40AH-Ss.Smiller@lrainsurance.com AODM AFFORDM COVERAGE N=* Orlando rL 32810 INSURERA,-SOuthern OVrnexs Ins. 0190 INSURED INwRERB:Alli.ed Propertm & CasualtY 2579 Cocoa Beach Plumbing, Inc. INsuRERc0ridgefield Casualty Ins CO 0335 63 N. Orlando Avenue INSUREgoot. Hawley Insurance CO. INSURERE: Cocoa Beach FL 32931-2910 INSURERF: COVERAGES CERTIFICATE NUMBER-14/15 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF DURANCE POLICY NUMBER LIAAn'S GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ° $ 50,000 A CLAIMS-MADE FX OCCUR 2648360 /3/2014 /3/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000 X POLICY JECT PRO- LOC $ AUTOMOBILE LIABILITY (EanSINGLE LIMIT tl g, 1x.000 00 ANYAUTO BODILY INJURY(Per parson) $ B ALL O\ANEDSCHEDULED RCPS934884018 /25/2014 /25/2015 X AUTOS X AUTOS BODILY INJURY(Per axideil) $ HIRED AUTOS NON-OANED PROPERTY DAMAGE $ AUTOS PereCadol PIP-BeSiC $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ OED I I RETENTION $ C WORKERS COMPENSATION VroC STATU• 0 AND EMPLOYERS'LIABILITY X TRY LI ITS ANY PROPRIETORIPARTNERIEXECUTIVEYPN E.L.EACH ACCIDENT $ 100,000 OFFICER!MEMBEREXCLUDED7 NIA 1/23/2014 1/23/2015 (Mandato,y h,NH) 6-23922 E.L.DISEASE-EA EMPLOYEE $ 100,000 IPyes,descrbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY 1 lurr It 500,000 D Contractor's Environment SOL0002611 2/17/2014 2/17/2015 PoUon Incident $1,000,000 Legal Liability Aggregate $2,000,000 DESCRIPTION OF OPERATIONS$LOCATIONS P VEHICLES(Attach ACORD 101,Addlttonel Rernaft Schedule,N nwre apace Is required) CERTIFICATE HOLDER CANCELLATION (321)869-1274 SHOULD ANY OF THE ABOVE 0E8GRIBED POLICNG BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City Of Cape Canaveral ACCORDANCE WITH THE POLICY PROVIVIONS. Building Department 7510 N. Atlantic Ave AUTHORIZED REPRESE NATIVE Cape Canaveral, FL 32920 Farmichella/KICHEL ACORD 25(2010105) (611988-2010 ACORD CORPORATION. All rights reserved. INS025 wiws).o7 The ACORD name and logo are registered marks of ACORD BCPAO -Property Details Page 1 of 2 Dana Blickle , GFA Property, Property Appraiser Brevard County, FI. �Coal Details General Parcel Information Parcel ID: 24-37-22-02-00000.0 Millage Code: 26G0 I Exemption: Use Code: 414 -0004.20 Site Address: 230 COLUMBIA DR 204, CAPE CANAVERAL 32920 Tax ID:12433088 Site Address is assigned by Brev=Cou Assignment for E-911 purposes and may not reflect the postal community name. Owtution Abbreviated Descri tion Owner Narhe: K NIK, BRANISLAV UNIT 204 THE Second,kame: Condo COLONIAL Name: HOUSE Plat CONDO AS Mailing Addres : 808 W CENTRAL BLVD — THE CAPE CANAVERAL FL 32920- Book/Page: COLONIAL DESC IN ORB City,State,Zi o 4314 0018/0009 HOUSE 2225 PG 1916 CONDO AND ALL AMENDMENTS THERETO. Value Summary Land Information Roll Year: 2012 2013 2014 Acres: 0.03 Market Value Total:1 $27,470 $27,470 $30,220 1 Site Code: 0 Agricultural Market Value: $0 $0 $0 Assessed Value Non-School: $27,470 $27,470 $30,210 Assessed Value School: $27,4701$27,470 $30,220 Homestead Exem tion:2 $0 $0 $0 Additional Homestead:2 $0 $0 $0 Other Exem tions:2 $0 $0 $0 Taxable Value Non-School:31$27,470,$27,470 $30,210 Taxable Value School:3 $27,4701$27,4701$3 0,220 1:Market value is established for ad valorem purposes in accordance with s.193.011(1)and(8), Florida Statutes. This value does not represent anticipated selling price for the property. 2: Exemptions are applicable for the year shown and may or may not be applicable if an owner change has occurred. 3: The Additional Homestead exemption does not apply when calculating taxable value for school districts pursuant to Amendment 1. Sale Information Official Records Sale Deed Sale Sale Physical Sale Date Screening Screening Change Vacant/Improved Book/Page Amount Type Code Source Code 4517/3176 1/16/2002 $401000 WD I 2972/2495 12/1/1988 $39,500 WD 2775/1334 2/1/1987 $1001 PT 2232/2259 5/1/1980 $39,5001 Sale screening and sale screening source codes are for assessment purposes only and have no bearing on potential marketability of the property. Condo Unit Detail Square Feet Per Condo Declaration Year Built 895 1965 https://www.bcpao.us/asp/Show_parcel.asp?acct=2433088&gen=T&tax=T&bld=T&oth=T... 1/16/2015 2015-01-16 15;48 COCOA BEACH PLUMBING 3218680261» 3218681247 P 111 CITY OF CAFE CANAVERAL lip AUTHORIZATION FORM City of Cape C=verol]Building Det 7310 N.Adaatia Ave. Cape Cetteveral,FL 32924 (321)868-1222 (You MAY download this a aiuthorizataon: e. You may fax to:(321)868-1247. Date: 1 / Wulc- Permit#: CONTRACTORS AND SUBCONTRACTORS•PLEASE HAVE YOUR SIGNATURE NOTARIZED AND SUBMIT THIS FORM WITH THE PERMIT APPLICATION. Company Name: l_� �' t' c,c;, o=�l..cA.c �, �.. b1 V f I, c` u�' ��.E•' �. •`. ,hereby authorize e le, &1 (Baste Lamm Holder's Nwe—PLIiASE PRWn (AudWiwd P=W—PLEASE PRPM to obtain a permit on my behalf under my state license(s)as issued by the Department of Business and Professional Regulation,Construction Industry Licensing Board ('.. (State I ao=Numba(s)) for the job site described below. An authorization will be required for each permit Type of Permit BkA NO I<U A)1 k Building Name of Property Owner Plumbing lk*q U 1 -4d Electrical Address of job Site Mechanical Roofing Swimming Pool •Specialty Structure Signature of>rfc older Other—Specify: For Notary use only: State of Florida,County of Bd Sworn and subscribed bcfare me this, day of by_ A&14 &OR6AAJS Nemo of A4000 who produced identification: - or 10 is personally lmown to me. BECKY A.STRAIN NMARY PUBLIC a % +—/ Seal: 4STATE OF FLORIDA Comma{EE170382 Si •Notary Public At LAWEtcplr�e?l10tZ016 G:1BIdg.DeptYb=%Au1borirat1oo Form This form may be dupliosted. BCPAO -Property Details Page 2 of 2 Condo square-footage may include non-living areas such as garages, balconies,porches, etc. Condo Common Area Detail Condo#1 Condo Name Condo Location 351 1 THE COLONIAL HOUSE CONDO 1 230 COLUMBIA DR CAPE CANAVERAL FL 32920 Building #of Stories #of Units Year Built Comments 1 3 54 1965 Exterior Walls Roof Type Roof Material Heating-A/C(majority) Concrete Block Stucco Gable, Hip Shingle Central Common Elements Pool Elevator Fence Wall Parking Exterior Storage N/A N/A https://www.bcpao.us/asp/Show_parcel.asp?acct=2433088&gen=T&tax=T&bld=T&oth=T... 1/16/2015