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Home My WebLink AboutBLDG PERMIT #7557 Date. =t CITY OF CAPE CANAVERAL Tracking# gin. $t BUILDING PERMIT APPLICATION Permit# 7 H °� SEP 3 0 2010 (321)868-1222 City of Cape Canaveral Building Department 7510 N.Atlantic Ave. Cape Canaveral,FL 32920 You may download this application:www.cityofcapecanaveral.orjz. 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:Z o I Lam.. ' 2-/3 Zoning classification: Flood Zone: Legal description of property:TWN:—Z�RNG: `1__SEC: 2- SUBD:, BLK: LOT: PB:__PG: Property Owner Name: C-a j\.n%, -t�'T, ,a Phone: `7 9 1. 3 Address: 7 -i.L., Q,4�Lt .ti 21 .3 (,e �>� Z9•z® 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 Q Other Type of Const Occ- FPL lines City Sewer Will this Square Type upancy' currently available structure #of #of #of #of Valuation of work BuildingFit stories dwel- bed- water (IA, Group available to to serve have built-in ung �� (Co"of Contract Required) (please under VB, (B,RI, serve this this gas indicate as roof etc) etc.) property? property? appliances? units applicable) Yes/No Yes/No Yes No Commercial $ SFR $ Townhouse $ partment $ Condominium $ &00. o a Other $ 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 N�e: 3 N of Company: la tl�<�^"Q Address: 44b2— A �f A w kc � �Z9 State License No.0(r1 Co Phone(celpagr.): �F : f>s 3j-?72Z_ Specialty/Other Contractor Name: Name of Company: Address: State License No.: Phone(office): Phone(cell/pager): Fax: Building Permit Application Checklist Notes Completed Permit Application Current code edition:FL Bldg.Code 2007(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$7,500 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 visible from Public Right-Of--Way Planning and Zoning Boar_d Site Plan A roval 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: Record will be kept on file after initial.submittal State License 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/Alarm specifications 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 2007 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 theauth ority to ppIvfor this permit. Applicant's Name: h&3s,,g f W Applicant's Si e, Date: ��a p Site Address: Z (A' �D For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this q7/L day of 0-% ,20�,by 1140 Printed name of Applicant —T who produced identification: or is personally known to me. nnumu■■■■■■room■■■■■■xwnwm VICME L.MALW Seal: ��a�++Y Coma♦#DDOSW2p C a ?�sr EWM 8/20/2012 9 Sign -Notar§Pub is At e Fbft i3.-.7{.2..3. .i`'i.:"�:�i€ii`- ..DiliSiii=<._ '�!■�! ■. .!+1�,!Ear�� ■`2 it n.#ri This form may be duplicated.