HomeMy WebLinkAboutBldg Permit #19-0592- 230 Columbia Dr Unit #206- 2/19/19-
City of Cape Canaveral, Florida
Building Permit
PERMIT #19-0592
CUSTOMER #001556
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
PERMIT INFORMATION -;.
=LOCATION INFORMATIONS
Permit #: 19-0592 Issued:2/19/2019
Permit Type: PLR
Cost: 900.00 Total Fees: 124.00
Amount Paid: 124.00 Date Paid: 2/19/2019
Address:230 Columbia Dr Unit #206
Cape Canaveral FL, 32920
PERMIT EXPIRATION DATE: 8/18/2019
CONTRACTOR INFORMATION ,_. _
_ _ :OWNER INFORMATION _
Name: Ken & Carrie's Beach Plumbing & Supplies
Addr: 10 Francis St
Cocoa Beach, FL 32931-
Phone: (321)799-5499
State Lic#: CFC1426164
Local Lic#:
Name: Sherry & Donald Buxton
Address: 2855 Abalone Blvd
Orlando FL, 32833
Phone: (407) 435-2382
APPLICATION'; FEES
BP -Main: 60.00
BP -Surcharge: 4.00
Plan Revision Fee: 30.00
Date Pian Revision Fee Paid:
Temp CO:
Concurrency:
BP -Plan: 30.00
Fire Plan Review: 0.00
Plumbing:
Electrical:
Capital Expansion:
After the Fact: 0.00
Re Inspection Fee Paid: 0.00
Mechanical:
Sewer Imapct:
Sewer Tap:
INSPECTIONS_(for complete,list of required inspections refer to Nard Card)
NOTE: Once an inspection is approved by an authorized inspector the permit expiration date is extended six (6) months
from date of inspection.
Permit Desc: REPLACE TUB TO SHOWER, CHANGING SHOWER VALVE & ANGLE STOPS
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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fel ��' A \----)-1�� Ic�
j
AUTHORIZE 5 SIGNATURE / DATE
Print a�-j�- `�,
. ISSUED TD -ATE
n7,tgi201g g.2 Ari n^.riT
PRINT NAME
Lf CO
Total 124:00 •
Cash Amount
L: Wit. #1Ee3 A"!ount 5:1E
03/04/2029 22:08
:r.
3217991714
CITY OF CAPE CANAVERAL
100 POLK AVENUE
CAPE CANAVERAL, FL 32920
(321) 868-1220 phone (321) 868-1247 fax
buildingforms@cityofcapecanaveral.org
Pemut
Track'
Appli
Pernpit•
Ap cation 1 00
011 Date:..,J_ .' C
y
APPLICATION FOR BUILDING Y' ERMIT
FEB 05 2019
PROPERTY INFORMATION
TWP:
Site Address:
Owner's Name:
Owner's Address:
Florida Building Code in effect: 6th Edition
RNO: SEC: SUB #: -_
j!-. ff/� BLK/PAR:
.R343 hairs 4.7;c2 U11(; Zob ' s
Las irst
$ rJ. CNS':or
Ci
Street
CONTRACTOR'S INFORMATION (APPLICANT)
Qualifier Name: gi'i%?X t
Company Name:
City
LOT:
veleAL 3kk94;D
a.3S2
ee 8e c' ,4. 111L '11
Las! t
Address: /0 160 -els St 6,040
Street City
Phone #: 799— - _ 5/` Fax #: 7
E -Mail: C.54i'/04),n e/, tt:t e!/
Telephone Number
Zip
License #
..elite40/ 329-V
ea Zip
rti
PROJECT INFORMATION ❑ Residential igiCommercial
Describe Work To Be Done: C /P q ..5%Qo Wet ✓ez r ✓
-u4 " id .5A do 16 -Pe I- paw C,'44
Cost of Project: $ 94 A Proposed Sq. Ft.:
e Plan #:
Oul— Gl f'1<
(copyof contract required)
SUBCONTRACTOR INFORMATION:
new construction)
PRINT FIRST & LAST NAME
i
Plumbing:
License #:
Phone:
a {� ptr �1 t_I! :niS ral
Electrical: ,F I:I k i alt i
PER't4I'ITPD�'61;; CoN� 'f-i;9ii
a #;
1
^ Phone:
HVAC: PERMIT No.
License #:
Phone:
'17vIP!Wr,U in 4A Jf LI li
t /Ire i$:
r
Phone:
Roofing: ,:.,,leu• of this plan dges not authorize violatio
Specialty: •ra :+i, ci;iu- ni t-�cit rati tnnci . ordinances nr .,.
-.License #:
Jr
Phone:
FORM DATE: 3/26/2018
PAGE 1 of 2
FORM: APPL
Ad®O J3ELdo
J
03/04/2029 22:08
Site Address:
Owner's Name:
3217991714
PAGE 02
ivo 6704 dili4, Ar*Wo‘o
WARNING TO OWNER: YOUR FAILURE TO RECO
COMMENCEMENT MAY RESULT IN YOUR PA
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
MUST BE RECORDED AND POSTED ON THE JOB
SCHEDULE THE FIRST INSPECTION. IF YOU 1
FINANCING, CONSULT WITH YOUR LENDER OR A
RECORDING YOUR NOTICE OF COMMENCEMENT
** NOTICE: In addition to the requirements of this permit, there m
applicable to this property that may be found in the public records of this co
from other governmental entities such as water management district, state age
APJ LICANT'S AFFIDAVIT
VIT
Application is hereby made to obtain a permit to do the work and installation
and accept responsibility for compliance with all applicable codes, regulations
payment of all legally constituted fees regarding this development applicatio
ALL REVIEW FEES, PERMIT FEES, IMPACT FEES AND RESERVATIO
CrnQ 5. gAN
Name
Fyint):Owner/ ge Contractor
Signature: 0
Date:
er/A ent/Contractor
State of Florida
County of Brevard
.4
Subscribed jd sworn to before me this ? _ day
of .YJ2/br'e,..tctr y ,, »9, personally
appeared, t�r; re • /b.,,Xei/
who t p somal yown t g.br produced
as identification,
and who did/did not take an oath.
ti
A NOTICE OF
G TWICE FOR
COMMENCEMENT
ITE .BEFORE YOU
END TO OBTAIN
TTORNEY BEFORE
Intl.
be additional restrictions
or that may be required
es or federal agencies.
s indicated. I acknowledge
d ordinances as well as the
eluding but not limited to
EES.
DISCLAIMER: The City of
this development permit do
permittee to obtain a perm
Further, pursuant to section
City of Cape Canaveral s
this development permit in
obtain any other required a
obligations imposed by a st
undertakes actions that resu
federal law.
The issuance of this develop
conditioned upon the permi
state orfederal permits, if a
the development authorized
e Canaveral's approval of
not create any right for the
am a state or federal agency.
6.033, Florida Statutes, the
of be liable for issuance of
event a permittee fails to
oval, fails to fulfill
or federal agency, or
in a violation of state or
nt permit is expressly
obtaining all other applicable
prior to the commencement of
the City's development permit.
FINAL IN$PENTI/N IN NESNINEN Failure to obtain a final inspe
FORM DATE: 3/26/2018
PAGE 2 of 2
n may result in a penalty.
a
FORM; APPL