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HomeMy WebLinkAboutBLDG PERMIT #6451City of Cape Canaveral, Florida MECHANICAL PERMIT PHONE: 321-868-1222 Permit #:6451 Issued: 5/15/2005 Permit Type: MECHANICAL Class of Work: 434- Add./Alt. & Reroofs Res. Proposed Use: Condominiums (R-2) (3 or More) Sq. Feet: Est. Value: Cost: 3,500.00 Total Fees: 70.0 Amount Paid: Date Paid: Name: A THERMAL MANAGEMENT CORP Addr: 357 MILFORD POINT RD MERRITT ISLAND, FL 32952 Phone: (321)458-0642 Lic: CAC057107 Work Desc: A/C CHANGE -OUT (UNIT #311 nal Mechanical (CATION ACCEPTED BY: P INSPECTIONS & FAX: 868-1247 6451 Address: 230 COLUMBIA DR #311 CAPE CANAVERAL, FL Township: 24 Range: 37 Lot(s): Block: Section: 22 Book: 18 Page: 9 Subdivision: COLONIAL HOUSE CONDO Parcel Number: 24 372202 446 Name: MAZAUDON, ALAIN Address: 7201 RIDGEWOOD AVE #21 CAPE CANAVERAL, FL 32920 Phone: BY:/<1 - % APPROVED 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 _'TARTFD_ 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 I HIS 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 PROVJSIONS OF ANY OTHER STATE ORLCLCAI LAW R GL LAI%r CONSTRI ICTIr1N GR THF PFRFO ANCF CIF 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 IS/SUED BY/DATE ` Date: PE CANAVERAL Tracking # - 06 RECEIVED -7 CITY OF CA -7 MAY 14 2009 BUILDING PERMIT APPLICATION Permit # (321) 868-1222 City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920 You may download this application: www•.inyflorida.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 pennit, unless indicated otherwise by affidavit. I.D. may be required) Address of Job Site:: '(„ %,° \ Zoning classification: Flood Zone: --4 — Legal description of property: TWN:_11RNC;: SEC: 7 SU Cuoa�, �;BLK: — LOT: — PB:IT PG: Property Owner Name:; t ,, Phre ? fe Address: 1` ® 2>c,,y1 A of � V-� � � Fee Simple Titleholder's Name (if other than owner;: ;, ;ate Address Bonding Company: ['41 Address: Mortgage Lender: 112 Address: s: Type of Permit Brief description of work: a Building + - Electrical Plumbing Mechanical c° Other Architect/Engineer Name: Type of Name of Company: Const. Occ- FPL lines City Sewer Will this State License No.: Phone (office): Phone (cell/pager.): Fax: Primary Contractor Name: Building g Square Feet Type upancy currently available structure # of # of # of # of Valuation of work Name of Company: Address: (IA, Group available to to serve have built-in stories dwel- bed- water Name of Company: (please under VB, (B,R1, serve this this gas Fax: line rooms closets NViv" A "'-i Address: S—) j rim ' c, indicate as roof etc) etc.) property? property? appliances? units Address: applicable) State License No.: Phone (office): Phone (celUpager.): _ Yes/No Yes/No Yes No l $ $ VSFR u $ $ 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:Ao, d rs _ Name of Company: j " V"�j NViv" A "'-i Address: S—) j rim ' c, -` ;1& - State License No.::. A (�,- 1 t)'r Phone (office): 3 1 K Phone (cell/pager.): Fax: i d Stj 1 $ Specialty; Other Conuactor NWILU. Name of C ompany: Address: State License No.: Phone (office): Phone (celUpager.): _ Fax: _ G:\BIdg.Dept.Forms\BP APPLICATION Rev. August 20, 2(_08 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 ager 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 Pr iiiiaiy 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 ofin Contractor Swimming Pool Contractor Swimming Pool Contractor Gas Contractor as 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 Trus 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 ,rust indicate person responsible for calculations Lot Drainage Survey Four sets of Fire Suppression/Sprinkler/Alarm secifications 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 —I that he/she is an authorized agent of the Contractor/Owner and has the authority to apply for this permit. Applicant's Name: ,'-1 t tA�l? Applicant's Signature: Date: / Site Address: � 30 a For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this 14 day of > 4�4 20 / , by , r -c" --\ Printed name of Applicant nwho produced identification: or L I iJ perSGnaiiy nri�wn tv nie. �� V �u4erotary Public State of Florida Seal: Joy Lombardi Z.10 lAY Commission DD688496 rof ,O Expires 08103/2011 c;:\B1dg.Dept.FonnslBP APPLICATION Rev. August 20, 2'0U8 15�' Signature - Notary Public At Large This form may be duplicated. �l e IMAOZI)IN! 321458-1642 COCOA, FL32926 # CAC OSILI0I PWM" RM " M TO & VALID ICOR DAYS wa Pf reEo m Puenis6 3.4s6ar.nd o s r+ C r Ila WARR.Al' MS. TOTAL UIPMTMZNT OF 5 ate Mt Dwtm C tR*& - A4tit is S=*Oaed to be oa apecitmd. Alf www to be eorapk*d iu * "*m*04 Wmm acedia$ jusundwd praelicas. be avacd umbd= work is pdnta am4 '°� ' ° ^ ' ' mkt ACCEPTANCE OF MOP OSAL Mm Above Wors, spccdW tm &W omdt6m aro SudSA Wty and am betebM s you mr to porter tk wO& sa wed Pemcat wits bo mart w Quaww $boo. TO'd EkSLUTZZ O/V lauxarsyl E Imiaxz T$ -OT 6a/vT/5Q PERMIT AUTHORIZATION (PLEASE PRINT ALL INFORMA TION LEGIBLY) NAME OF FIRM: QUALIFIER/ LICENSE HOLDER: LICENSE NO.: (L C) c~ > J/) --7 do hereby authorize to obtain a permit on my behalf under my license for the job at the following address: 2x e--' C' 4o L'gense HoRi—er - s14/ Date ' This foregoing instrument was acknowledged before me this J(il' day of1211111 1 IL7 who is personally known to me or who has ,ntification) as identification. (STAMP) SANDRA S RODRIGUEZ pied !S-STON # DD472247 AOS '4117,311 015,*, ncAaa Notary SeMee.com K:\userdata\$HAP,ED\BLDGDEPkFORMSkBuildi-g%Permit AuthorizationVOIC 05/1 13/2008 13:47 FAX L-FRE—DO ARTFAGA JR- & ASSOCJAM INC. NCEhozEERING CONSULTANT 50 WJEST 68TH ST. IM,F—AH, FLORIDA 33014-5235 EL -FAX, -305-828-7876 CA3885 Z004/007 JOB. SHEET NO: OF CALCULATIONS BY—ef—lE 5b 4 -&f -P ( ifo riyjpq)— Ar".0-4 r Tr- 1 -i - r jv � &op. I # cz*q� - f -).k d"Al4a,17 Z- P -0 lo �r MPL-JANIC City of Cape Carmv6ml PERMITTED FOR CO)NS7-, U�0-7 PERMIT No., REVIEW Review oft any locaL state car federal eodes, ordinances Or statutes c-011YRIWITS AND OWNI-RS111i pA�. 'I'ff F pKQVkRTY OF i ALJ�REW,%Kj EAGA JP- LIU- ' UF-�F I r MA rjjj� 1,-LLCIJLkll0NS OP. J)LTAII-s ON TMS -,E ARk rll� K-92rPOPLICTION, E;EIPVIN,': OR USE -mriloUI'WRII-rLNAUTIIORW.TIC�IN BYTHE.E.NCOLM 15 STAICMY AI-Xf D Q _ 3 AND MAY PL PUNMIABLE BY LAW FLA. REG. # 3 070, 17111 05/18j2nO8 13:48 FAX p � o ARTFAGA jR. &.ASSOCIATES INC. ENGEqEERING CONSULTANT 850 NyEST 68TH ST. HIALFAH, FLORIDA 33014-5235 CA_3885 TELFAX: 305-828-787G 72 z fids �� JOB zr u�v SHEET CALCULATIONS BY: DATE: A %'f' SCA E.- c;cfPl'R1c 17:SANVowNGK5_11111 i 1iL l'.41.C:zl4Al {t3I15 !3t; DEt'RII' t� N'!;4!!e!t�:ta t�N 1'NIS t'AC:L; AKS �t'HL PRO d'6R�t7 U!� s ALFAEUn Alit"t•ALA 1� C. - __�w® "tIit REgRCSCuLC:LM. cC�!'Ylyt- na 05E wrriiOUT'WRMEN AUTHUti{%AC`tiit! LtY"THF ;F G!F? . ['z �RI�Tix ALE Fl C�t7 TE 'i -� f CAP — 1*K0H1111'rF.D AN!) MAY SF I,UNI5HABLE BY LAW, FLA. RE(;. 9 33070, DA