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HomeMy WebLinkAboutBldg Permit #17-1329- 230 Columbia Dr #112- 8/22/17Aug 2217, 04:38p Ray Brown Air and Heat 3216399465 p.1 s. Date: ,� ' � 1 f — CITY OF CAPE CANAVERAL Tracking # Ai55T RECEIVED BUILDING PERMIT APPLICATION Permit# - (r=_? AUG 2 2 2 01 (321)868-1222 City of Cape Canaveral Building Department - 7510 N. Atlantic Ave. - Cape Canaveral, FL 32920 You may download this application: www.citvofcapecanaveraLorg. You may fax to: (321)868-1247. All applications must include the backside of this form, Important: Please complete the checklist on the back of this form and provide other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete. APPLICANT WILL BE CALLED WHEN PERMIT IS READY (Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by affidavit. ID. may be requited) Address of Job Site: o'..gb eo kph-) Jr ;k. Q y'. /*l i a, Zoning classification: Flood Zone: Legal description of property: 'MN: RAG: SEC: SUBD: BLK LOT: PB: Po: Property Owner Name: .3-0,-) W tin d hp Vls + . Phone: S.A / - ;Tao - g5-9 Address: P • Q . lei e,v 5'1/) Co go r4 te rrr 4- 7---j ownICSriel, / & Sr99 .5�' Ai Fee Simple Titleholders Name (ifotaertl�an owner]: Address: Bonding Company: Address: Mortgage Lender: Address: 4 Type of Permit Brief description of work: Const Type (IA, VB, etc) Occu- pancy Classifica -tion (B,RI,R3 etc.) Building City Sewer available to serve .this property? Ye/No # of Concrete( Asphalt Parking Spaces # of stories Electrical . iY of water closets Valuation of work (Copy or Contract Rcquired) Plumbing Address: State License No.: Phone (office): Phone (cell/pager.): Mechanical ' lI (, 0 *104 rqa C� (-1.' _._ Other s SFRs ' / Type of Building (please indicate as applicable) Square Feet under roof Const Type (IA, VB, etc) Occu- pancy Classifica -tion (B,RI,R3 etc.) FPL lines currently available to serve this property? Yes/No City Sewer available to serve .this property? Ye/No # of Concrete( Asphalt Parking Spaces # of stories # of dwel- ling units # of bed- rooms iY of water closets Valuation of work (Copy or Contract Rcquired) Commercial Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name: Name of Company: s SFRs State License No.:- Phone (office): Phone (cell/pager.): Fax: Plumbing Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Townhouse Fax: Mechanical Contractor Name: 'R a y 18 ; c, c r)4/0,, Name' -/-0 of Company: �Q i r n '�").� Address:., $'(6 kJ (/ 5 1,1 (...,0 t z,- (a,5 60 e c)C / , gra'7 9/d2 CP s Apartment Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): S X Condominium s 4 tog 5', VU 5 Architect/Engineer Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/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: 'R a y 18 ; c, c r)4/0,, Name' -/-0 of Company: �Q i r n '�").� Address:., $'(6 kJ (/ 5 1,1 (...,0 t z,- (a,5 60 e c)C / , gra'7 9/d2 CP State License No :(''.`1e,/8'/.S15/h((, Phone (office): 3a/(0,�5i9ag4Phone (cell/pager.): Fax: Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Aug 2217, 04:38p Ray Brown Air and Heat 3216399465 p.2 J Building Permit Application Checklist Notes • Completed Permit Application Current code edition: FL Bldg Code 2010 (as revised) Current survey showing all proposed construction and landscaping Check with Bldg. Dept for setbacks Notarized signature — Owner/Builder Affidavit If owner is acting as contractor Sewer Impact Fee receipt May be deferred until CO. Unless job is remodeling County Impact Fee receipt May be deferred until C.O. Capital Expansion Impact Fee receipt Maybe deferred until C.O. Sidewalk Impact Fee receipt If sidewalk exists on lot Recorded Warranty Deed / Proof of Ownership Copy of Recorded Notice of Commencement (over $2,500) Over S7,.500 for Mechanical change out Current Cert. Of Liability Ins./Worker's Comp. Policy / Exemption Record will be kept on file after initial submittal Community Appearance Board Approval For all work risible from Public Right -Of -Way Planning and Zoning Board Site Plan Approval For al new construction of four units or mare Concurrency Forms For all new constructioo notpert of approved site plan Primary Contractor's State License Record will be kept on fie after initial submittal Subcontractor's State License Authorizations: Record will be kept on file after initial submittal Notify Building Department of contractor changes Plumbing Contractor Plumbing Contractor Electrical Contractor Electrical Contractor Mechanical Contractor Mechanical Contractor Roofing Contractor Roofing Contractor Swimming Pool Contractor Swimming Pool Contractor Gas Contractor Gas Contractor Specialty/Other Contractor Specialty/Other Contractor Construction Drawings: Per F.B.C. 104 Three sets of sealed construction drawings Per F.B.C. 104 Truss layout and reaction summary Cut sheets and shop drawings will be needed at time of insp. Electrical Load Calculations Plans must indicate person responsible for calculations Electrical Riser All new service must be located underground Plumbing Riser Plans must indicate person responsible for design A/C layout . Plans must indicate person responsible for design Two sets of Energy Calculations Plans must indicate person responsible for calculations Lot Drainage Survey Four sets of Fire SuppressionlSprinidcr/Alarm specifications Requires Fire Dept_ approval pricy to issuance ofpermit Pool Barrier Requirement Form (signed) 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 of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida Building 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 he/she is an authorized agent of the Contractor/Owner and Jias the authority to apply for this permit. *ALL OTHER APPLIC LE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT* t - Applicant's Name: ¢ JS � r.J� Si Applicant's Signature: Date: 7- /O / 7 Site Address: �3 U Lem 0 1. T) rr. 1 1 rL For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this /04.11 day of, flf /tj , 20 / 7 , by y /j ' y'()2.e) r Primed name of Applicant RTwho produced identification: 's personally known to me. Seal: or Notary Public State cit Florida Carol P Bostel My co skin FF 951518 or fOr Expires 02/10/2020 0.•131.,az Dca.F.r.ru t3t::ldine Po -wit Appl:c:.Ni.,n Rcr =,t . I i ...) ALAI/ fer:4-1-1 4 azure- ' o• c At Large This fonn may be duplicated. Aug 2217, 0.4:39p Ray Brown Air and Heat -Ray Brown Air Conditioning & Heat, Inc. 3815 N. US 1, Suite 65 Cocoa, FL 32926 321-639-9205 Name / Address Jon Windhorst P.O Box 540640 Merritt Island, FL 32954 3216399465 p.4 Estimate Date Estimate # 7/6/2017 3083 ' Phone# Fax # 321-639-9205 321-639-9465 Page 1 Signature u Project Item Description Qty Cost Total Job Site Location Installation Crane Rental Air Handler Condensing unit Thermostat Warranty Warranty 230 Columbia Blvd., #112 - Cape Canaveral Installation of a new Ruud 1.5 ton 14 seer 410 A (environmentally friendly freon) straight cool split system F/Retum air handler and condensing unit with new• composite bottom. Also includes - 5 kw heat strip, float switch, anchors, disconnect box for condensing unit, thermostat, and locking caps. We will use existing electrical, duct work, drain line, copper, outside hurricane stand, etc. If modifications to duct work or copper are needed it comes at an additional cost to the customer. Newer systems have a higher efficiency rate and could possibly produce more air flow throughout existing vents. This system carries the Energy Star rating. Use of crane to lift equipment on roof. Ruud 1.5 ton 14 seer Straight cool air handler RF1P Ruud 1.5 ton 14 seer Straight cool condensing unit RA14 Digital thermostat 1 year standard labor 10 years parts if registered with in 60 days of install (we will register your product). AHRI #8412932 . - 3,245.00 400.00 3,245.00 400.00 We are State Certified and Workers Comp coverage on all employees! Total $3,645.00 ' Phone# Fax # 321-639-9205 321-639-9465 Page 1 Signature u Aug 2217, 04:38p Ray Brown Air and Heat 3216399465 13.3 Aru .wad CERTIFIED® www.ahridireclory.org Certificate of Product Ratings AHRI Certified Reference Number: 8412932 Date: 7/10/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1418AJ1 Indoor Unit Model Number: RF1P1821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, 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, 2015, central air conditioners can only be installed in regions) 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 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 17700 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): 'Ratings followed by an asterisk ("indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an invduntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.a h ridi recto ry.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized. in any form OT manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The lnfoimation for the model cited an this certificate can be verified at www.ahridirectary.org, c ick on "verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute slum! til'�I 11 r 1 AIR-CONDITIONING, HEATING. & REFRIGERATION INSTITUTE we make life better'- CERTIFICATE euer" CERTIFICATE NO.: 131441671042702866 Racy &wit "/e Bloc. 3815 N. US 1, Suite #65 Cocoa, FL 32926 321-639-9205 August 30, 2017 City of Cape Canaveral 105 Polk Ave. Cape Canaveral, FL Attn: Permitting Dear Permitting Dept., I hereby authorize Terri Tarr to accept/sign for permit address: 425 Pierce Ave., Unit #510, Cape Canaveral and 230 Columbia Dr. Colonel house unit 112, Cape Canaveral. If you should have any questions concerning this matter please do not hesitate to contact me. Sinc E. Brown, Jr. ay Brown Air Conditioning & Heating, Inc. 321-639-9205 Bryn 3r Poanally kqgvze)n - F' Sohn OSY kprr Notary Public State of Florida Carol P Bostel My Commission FF 951518 �oF Expires 02/10/2020