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Home My WebLink AboutBLDG PERMIT #12503Sep 10 15 02:47p Ray Brown A/C 321639-9465 P. 1 RECEIVED W)rcJ -34-1� Ulate:SEP 10 2M1 CITY OF CAPE CANAVERAL Tracking# 01 BUILDING PERMIT APPLICATION Permit #—I 3 7 ��(321)868-1222 CitY of Cape Canaveral Building Depmtment - 75 10 N. Atlantic Av& - Cape CaneveW, Fl, 32920 You may download this application: w*w.cityofc@Rwanwv=l. You may fiLx to; (321)868-1247. All applications must include the backside of this form. Important: Please complete the checUst on the back of this form and provide other documentation as indicated on the checklist A copy of contract may be required. Application paclmges will not be accepted unless complete. APPUCANT WILL BE CALLED WHEN PERMIT IS READY (Confiactox/ommer-Builder is required tosign 1br the building permit, unless indicated otherwise by affidavit. I.D. may be required) Address of Job Site: YAQ Zoning classfficafion: Flood Zone: Legal description of PrOperty: T": _ RXCk _ SEC: _ SUBD. BLK: — LOT. PQ PropertyOWDer Name: �2 r) r-1 0 I'll ni Phone: Address: I --- - 99,5n -T-;-. M I" -, ,, _13 �e&_q Fee Simple Titleholder's Name (ifoacr than owne*: Address: Bowling Company Address: Mortgage Lender. Address: Type of Permit Brief description of vvo& BuildinLy Electrical P!umbm kg 1 14 7 0- j Other I ArchitecOlEngineer Name; Address: Type of square ConsL Occu- FPL lims City Sew- 4 of #of Nor IN Fax: Primary CoDtractor Name: Address: Building Fed Typo Pan— currently available Conaet& Stories dwel- of bed- water Valasition of work Electrical ContracW Name: Address: (Please under (IA, Cl;;;Sca available to to serve Asphalt ling room cksels (C9"0rCGuLr&dRtqd�CQ Plumbing contractor Name: Address: indicate as roof vB, Alon serve this this paridng units Phone (cell/pager.): Fax: Mechanical Contractor Address: SkI6 f) Lt applicable) tic) (B.Rj.R3 Property? property? Spaces SPecialty/Other Contractor Name: Addrm: Nam of Company: etc.) Yes/No YCSNQ Fax: Fommet,cial S ISFR S rownhouse S Apartment 0 I I L., I I I ___ ArchitecOlEngineer Name; Address: Name of Company: State License No.: ��e (DffiRcey. —phone (ceftager.): Fax: Primary CoDtractor Name: Address: Name of Company. State License No.: Phone (office): Phone (celllpager.).- Fax: Electrical ContracW Name: Address: Name of Company State License No.: Phone (office): Phone (cellipager.): Fax: Plumbing contractor Name: Address: Name of C4?mpany: State License No.: Phone (office): Phone (cell/pager.): Fax: Mechanical Contractor Address: SkI6 f) Lt L42�al �. Ur - er , C Name Of Comp=Y-�W Ah��n 4 & -t ripQ Pj_ --1-2 9, nk 6 Xno, , State License No.:&jag, i rjq,,p1& Phone (office): aal- Phone (cell)pager.):_Vl_tc Fax: (DaiL5j1L5_ SPecialty/Other Contractor Name: Addrm: Nam of Company: State Ucense No.: Phone (office): Phone (cdL*ger.)-. Fax: Sep 10 15 02:47p Ray Brown A/C 321639-9465 p.2 Building Permit Application Checklist Notes Completed Permit Application Current code editian: FL Bldg. Code 2010 (as revised) C%irrmt survey showing all proposed construction and landscaping Clieck vrith Bldg. Dept forsetbacks Notarized signature — OwneriBuilder Affidavit If ovrna is acting as contnectar Sewer !Tpact Fee receipt Maybe deferred until C.O. Unless job is reincideling County Imp t Fee E!2!�pt May be drlerrM until C.O. Capital Expansion Impact Fee receipt Maybe deftned unffl C.O. Sidewalk Impact Fee receipt If sidewalk odsts on lot Recorded Warranty Deed / Proof of Ownm-ship Copy of Recorded Notice of Commencement (over S2,�001 Over S7,50D for Mechanical cbangc ea Current Ceti. Of Liabili!y Ins./Worker's Comp. Policy Exemption Record will be kept on file after initial submittal, Communi Appearance Board Approval For all work visible frorn Public Riglit-Of-Way P1!Ep!!1 and �� Board Site Plan Approval For all new construetion of four units or more Concurrency Forms For all new construction not pan of approved ske plan Primary Contructor's State License Record will be kept on file after initial subu" Subcontractor's Authori7ations: State License Record will be kept (in file after initial skibn&W Notify Building Department ofcantizetor cbwWp Plumbing Contractor Plumbing Contractor Electrical Contracttir Electrical Contractor Mechanical Contraztor Mechanical Contractor Roofing Contractor Roofing Contractor Swinuning ool Contractor SWimmi13iY'Pnnl Crmtrnntor Gas Contractor Gm Contractor Specialty/Other Contractor Specialty/Other Contractor Construction Drawings. Pex F.B.C. 104 Three sets of seated construction drawings Per F.B.C. 104 Tmss layout and reaction summary Cut sheets and shop drawings will be needed at time of insp. Electrical Load Calculations Plans initst hAcate person responsible forcalculatiors Electrical Riser An new service must be located ondergmnd Plumbing Riser Plans must indicate person responsible for design A/C layout Mixis roust indicate person responsible for design Two sets of F.!!M Calculations Plans ciust indicate person responsible W calculatiors I Lot Drainage Survey Four sets ofFire Suppremiou/SRfinkler;/Alarm specifications I Requires Fire Dept. approved prior w issuance of permit Pool Barrier Requirement Form (siped) I 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 pemiit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida Buildina Code 2010 Edition. I understand that all permits require inspections as indicated and that it is the responsibility of the permit holder to notify the building department when ready for inspection(s). This permit application is valid for six months from date of submission. By signing, applicant affirms that all above is true and correct and that heAhe is an authorized agent ofthe Contractor/Owner and has the authority to apply for this permit. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINE TO CObMENCEMEN-r* ApplicanVs, Name.Z J T2- Appk�ant's Signature: Date: 4-10 ce-& U m GL -t�- Site Address: b q).) � For Notary ase only. State of Florida, County of Brevard I - - Sworn and subscribed beforeme this J0 ih day of tre-, 2o -L5--, by "'�v 43(-�ju -in 6-c. /Primed time of Appl irisat 0_�ho produced identification: or pe is pers 7PO4 N."P',.8br-St,.60o1,F1-60d. Carol E astel M C.i. r :Ei 416 Seal: At Luge G. P*3- . . I 11is forin may be duplicale& P-na,it Rc%, .w- Sep 10 15 02:47p Ray Brown A/C 321639-9465 p.3 R A*,.,,' 3 R MAT N Air Condittioning & Heating Commercial Reffrige'ration 3815 N. US Hvvy. I Ste. 65 Cocoa, FL 32926 4 (321) 639-9205 (321) 452-4055 /—t,j7, 77-7 7 — 7 U.5 1 ADDRESe OATE PROMISEn --OB NAmr; L? e�q , -7 XV e— ORDER ORDER IAK=-fll GY DESCRIPTION OF WORK [:1 DAY V.!CRK 1f:2Z 0 CONTRACT E2EXTAA DESCRIPT!ON PRICE AMOUNT -e, C el c 'C7 5 7-W LABOR OURS RWE AMOUNT TOTAL fv1.ALTSRJALC_ a g:;�g:;J7 TOTAL LABOR '.�-'OAK ORDERED B" �,A "SC L! R11 TAY E f-'0N-�PL,;TEDj de? TOTAL, � tkn-�M,dge Ulf'. raff�.Iacj.,y rn,jjA,j*, 01 I K* Sep 10 15 02:48p Ray Brown A/C 321639-9465 p.4 Certificate of Frociuct Kavrwi AHRI Certified Reference Number: 7490727 Date: 9/10/2015 Product: Split System: Air -Cooled Condensing Unit, Coil withl Slower Outdoor Unit Model Number: RA141SAJI Indoor Unit Model Number: RHI P1817STAN Manufacturer RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GX Hl, KY, LA, MD, US, NC, OK SC, TN, TX, VA AK CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30,2016. Beginning July 1, 2016, central air conditioners can only be installed In region(s) for which they meet the regional efficiency requirement Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat PuTp Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (13tuh): 17900 EER Rafing (Cooling): 11.50* SEER Rating (Cooling): 14.00 IEER Rating (Cooling): *Ratings blowed by an astarisk(*) indicate a voluntary rerate of previously published data, unless accorapanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the producks) Isted on this Certificate and makes no mpresentations, warmnlies, or guarantees as to, and assurnes no responsibility for, the product(s) listed on this Certificate, AHRI exprewly disclaims all lability for damages of any kind arising out of the use or performance of the product(sX or the unauthorized alterzition of data listed on this Ce"Illicale. Certified ratings are valid only for models and cwtfiguMlorts listed In the directory at %w.,v,,-a1,.rl4d1rectorvorg. TERMS AND CONDITIONS This Certificate and contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and fits confidential refeien ce purposes. The contents of this Ce rtificale may nut, I n whole or I n part, be rep induced; copied; disse M i note d; lop! enWed 1 nto a computer d arta base-, or othe rwise u tifize4l, In arty form or man ner or by any mea ns, except for Ow user's Individual, personal and confidential treference. KEn,. NG. CERTIFICATE VERIFICATION a REF'1:G:RN11l0N !'Nsvi-a UTEI The information for the model cited on this Certificate can be verified atww�.ahidlrectary.or& clickon "Verify Cerilli cav�" link we make I * bettel - and enter theAHRI Certified Refereince Numberand the date on which the certificate was Issued, which Is listed above, and the Certificate No., which is listed at bottom right. 130863878557896333 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: