HomeMy WebLinkAboutBLDG PERMIT #6273City of Cape Canaveral, Florida
BUILDING PERMIT ✓6273
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Permit #:6273 Issued: 3/03/2009
Permit Type: FENCE PERMIT
Class of Work: 434- Add./Alt. & Reroofs Res.
Proposed Use: See specific use -residential
Sq. Feet: Est. Value:
Cost: 2,950.00 Total Fees: 97.5
Amount Paid: Date Paid:
Name: FRONTIER FENCE INC
Addr: 973 POINSETTA STREET
COCOA, FL 32927
Phone: (321)638-3647 Lic: FE40
Work Desc: INSTALL 151' OF 4'T
IWA\r•I
Address: 230 COLUMBIA DR
CAPE CANAVERAL, FL
Township: 24 Range: 37
Lot(s): Block: Section: 22
Book: 18 Page: 9
Subdivision: COLONIAL HOUSE CONDO
Parcel Number: 24 372202 416
Name: COLONIAL HOUSE ASSOC II
Address: 230 COLUMBIA DR
CAPE CANAVERAL FL 32920
Phone: 321-784-9469
PER SUBMITTED PLAN
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, Of
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.
ISSUED BY/DATE
g Aa rf r
:ITHORI7ED SIGN: T! IRE/DATE
PRINTED NAME:
Date:
RECEIVED
H- 3 11�'
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
Tracking # 0 � " 6 7�
6 -,
Permit #
(321) 868-1222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920
You may download this application: -,,,,,vw.rnvflorida.com/cap . 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. I.D. may be required)
Address of Job Site: � c, �70/cj �., 0.r t t z_ Zoning classification: Flood Zone:
Legal description of prope : TwN: RNG: SEC: SVBD: BLx: LOT: Ps: PG:
Property Owner Name:fit/' �� ` c'�t �� c , } 0 k Jej, Phone:5;'�,2 d 31
Address: 30, -L,l��
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Type of Permit Brief description of work:
Building
Electrical
Plumbing
Mechanical
Other f'' `c —etvLe—
a
Architect/Engineer Name:
Address:
Type Of
Building
(p lease
indicate as
applicable)
Square
Feet
under
roof
Const.
Type
(IA,
VB,
etc
Occ-
upancy
Group
(B,Rl,
etc..Y�
FPL lines
currently
available to
serve this
ro ert
P P
Yes/No
City Sewer
available
to serve
this
property?
P P Y'
Yes/No
Will this
structure
have built-in
gas
appliances?
PP
Yes/ No
# of # of
stories dwel-
ling
00its
# of
bed-
rooms
# of
water
closets
Valuation of work
State License No.:
Commercial
Phone (cell/pager.):
Fax:
Electrical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
$
Plumbing Contractor Name:
Address:
SFR
Name of Company:
State License No.:
Phone (office):
Phnne (r_.ell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
$
State License No.:
Townhouse
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address: q R; At`0 ,f_ 5c V-9 _ T ,
� — L�
_ 1- `'
Name of Company: s,A fe -, ✓t z
�
C t?
_
Cl..— T :-- -- ,.r_ . f _ -,
otato i tc cusG iNv.:L �r�z
r j =
Phone (office): i — c� v- phone (cell pager.): tv�� yjj
Fax:
$
Apartment
$
Condominiu
$
L,Pbther
$ 0
Architect/Engineer Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Electrical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phnne (r_.ell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address: q R; At`0 ,f_ 5c V-9 _ T ,
� — L�
_ 1- `'
Name of Company: s,A fe -, ✓t z
�
C t?
_
Cl..— T :-- -- ,.r_ . f _ -,
otato i tc cusG iNv.:L �r�z
r j =
Phone (office): i — c� v- phone (cell pager.): tv�� yjj
Fax:
G:\B1dg.Dept.Forms\BP APPLICATION Rev. August 20, 2008
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code 2004 (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 C.O. 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 $5,000 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 visible from Public Right -Of -Way
Planning and Zoning Board Site Plan Approval
For all new construction of four units or more
Concurrency Forms
For all new construction not part of approved site plan
Primary Contractor's State License
Record will be kept on file after initial submittal
Subcontractor's Authorizations:
State License
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 Su ression/S rinkler/Alarmspecifications
Requires Fire Dept. approval prior to issuance of permit
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, 2004 Edition. I understand that all permits require inspections as indicated. 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 has the authority tai apply for this permit.
i
Applicant's Name: Geyl Applicant's Signature: 7
Date: Site Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this day of 20o`( , by
who produced identification
is persohajjy-,knwy
Jq to in
, Y
J,
�
Seal: � r ry
Sca -�,`17'-
Printed name of Applicant
Signature - Notary Public At Large
G:\Bldg.Dept.Forms\BP APPLICATION Rev. August 20, 2008 This form may be duplicated.
Address:3c) f�A-
3UILDING PERMIT FEES:
3uilding Permit per square footage: ........................................... �
Total Sq. Ft. (Living Area
Total Sq. Ft. (Enclosed Area):
-/ -
Wilding Permit based on valuation: ..............?. . ....=........................
Total Sa. Ft. (Living Area):/5,f 2-1c 6 e�. e V
Total Sq. Ft. (Enclosed Area):
Wilding Permit miscellaneous: .................
Total Sq. Ft. (Living Area):
. otal Sq. Ft. (Enclosed Area):
?lectrical..........................................................................................................
'l.umbing..............................................................................................:.....
rTechanical.............................................. ............. .........:.....................................
auilding Permit Plan Check Fee..................................................................... 5-0
FireDept. Plan Check Fee................................................................................
®adon Trust Fund: sq. footage ...............................
-oncurrency Management Fee.........................................................................
'apital Expansion Fee ..................................................
Total Building Permit Fees:......
:EWER PERMIT FEES:
SewerImpact Fee.....................................................................................
SewerTap Fee...........................................................................................
TnHI Sewer Permit Fees=
/ l
By: Date:
—D
xitiq-,etroit Street • cocoa, moriaa 3z9L6
Office: (321) 638-3647 • Cell: (321) 863-1956
PROPOSAL TO ROYJ eS+
BILLING 4
ADDRESSR SO O ; I C) -h 1 U C
JOB j
LOCATION Lao �jCr�17
PHONE:.
FAX: CC�
CELL-/4TCE>*S2 - 0 / (_.>
WORK:
We hereby submit our proposal for the following items subject to terms and conditions.
tit ( 0i
UI '7 C
J*
33
FRONT OF PROPERTY
JOB DESCRIPTION:
4P1?gAJ5"AW
%%fzq
Top
Type
j
O&A 140
Style
'
_
Runner
FENCE LINE MUST HAVE 2' PATH CLEARED. IF NOT, CUSTOMER WILL BE CHARGED $2.00/FT.
WOOD
Footage
Pickets
Total Height
Top
Type
Posts
Style
fates seal( ) Match( }
concrete
Runner
OPTIONS ADDITIONAL YES / NO
COST
ALUMINUM OR PVC
Height
Style��
Concrete
SURVEY REO.
OWNER SIGN
SIGNED PERMIT
LETTER OF AUTH.
NOTICE OF COMM.
HOA APPROVAL
TERMS AND CONDITIONS
You as the property owner are solely responsible for lording Alt materials remain the property of Frontier Fence, Inc. until the
property lines, underground utility lines, water pipes and any other contract is paid in full. bight of access and removal is hereby
buried objects that might be damaged. You will release the granted in the event of nonpayment as agreed. If legal action is
company from all liability resulting from such damage. Customer necessary to collect, purchaser agrees to pay all costs plus
is also responsible for obtaining all necessary permits to complete interest and reasonable attorney's fees. Customer also agrees
job, ercept where noted. to pay all collections agency costs, If such service is needed.
The above proposal when accepted by the company, becomes You, the toyer, may cancel this transaction within three business
a binding contract between two parties and is not subject to days from the date shown below without penalty. Cancellation
cancellation. No changes will be made unless proper change after that time will result in a charge of 151% of the total contract.
order is filled out and signed by customer.
BASE
OPTIONS
PERMIT
TOTAL PRICE
LESS 50%
DEPOSIT
BALANCE DUE
TO INSTALLER
UPON
COMPLETIONOe s
SEE REVERSE
FOR WARRANTY
This proposal is good -for 30 days
from
PROPERTY OWNERS ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outli`nedd above.
ACCEP Date SalesRep. �� _ 4 #
Sigantur �alesmanar
Nne
1 White - clonal Yellow— - Customer copy Pink - Sign and Return Thank You!
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