HomeMy WebLinkAboutBLDG PERMIT #7755City of Cape Canaveral, Florida
BUILDING PERMIT /7755
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Permit #:7755 Issued: 1/25/201
Permit Type: SWIMMING POOL
Class of Work: REHABILITATION
Proposed Use: See specific use -residential
Sq. Feet: Est. Value:
Cost: 12,435.00 Total Fees: 134.
Amount Paid: Date Paid:
Name: MCROBERTS POOL FINISHING
Addr: 4245 HESS AVENUE
COCOA, FL 32926
Phone: (321)632-0720 Lic: RP0045098
Work Desc: REFINISH & TILE INTERI(
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 INC
Address: 230 COLUMBIA DR
CAPE CANAVERAL FL 32920
Phone: 321-784-9469
APPLICATION ACCEPTED BY:_r� PLANS CHECKED BY:_j' tom- APPROVED BY: /�" �.
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
w
ISSUED BY/DATE
COMMENCEMENT.
kl'utn I
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THORIZED//
PRINTED NAME:
SIGjNATURE/QAT�
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Date: CITY OF CAPE CANAVERAL Tracking o�- t_22
JAN 2 0 2013 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: w w.cit-yofca;ecanaverat.or . You may fax to: (3/2 1) 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: jS f �P i o Zoning classification: Flood Zone:
Legal description of property: TwN: jq RNG: 43.2 SEC: SUBD: BLK: -'� LOT: � PB: PG: 0 '
Property Owner Name: '"4 n 6 1%,j10 Phone: lig' - j, ,j; e,
Address:' ns"cartg�✓3>€�c
Fee Simple Titleholder's Name (if other than owner): c Address:
Bonding Company: Address: L
Mortgage Lender: 1 a Address:
Type of Permit Brief description of work:
Building , 'A),'41 " -:;J 7_,6:R1 Q.
Electrical
Plumbing
Mechanical
Other
Architect/Engineer Name:
Address:
Type of
Name of Company:
Const.
occ-
FPL lines
City Sewer
Will this
Primary Contractor Name:
Address:
Building
square
Type
upancy
currently
available
structure
# of # of # of # of Valuation of work
stories dwel- bed- water
Name of Company.
Feet
(iA,
Group
available to
to serve
have built-in
(Copy of contract Required)
(please
under
VB,
(B,RI,
serve this
this
gas
ling roouu closets
State License No.:
indicate as
roof
etc)
etc_ }
property? Fe rt3''
ProPe rty'
Funits
appliances?
DII1
Phone (office): to 3j - 074 0Phone (celllpager.):
applicable)
Yes/No
Yes/No
Yes/No
Commercial
$
SFR
Townhouse
Apartment
$
�ondominiunl
then
I I
I
$ %, �43 6 aE
Architect/Engineer Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Name:
Address:
Name ofCompany:
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):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contr,ap for Name:
Address: 5%3` NW S S ,18e
0 fi "S�,,`j
-o —
Name of Company `° c
'a '
c� C tr�rrsc✓ iii c%
State License No.: , �, � � 9Y
Phone (office): to 3j - 074 0Phone (celllpager.):
Fax: 39 DIJ
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. Polk / 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 RiserPlans
must indicate person responsible for design
AIC 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 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 the authority to apply for this permit.
Applicant's Name: C-yZ.i?L % Applicant's Signatur � �
Date: /- l �l
Site Address: ,
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this I q day of _--rA A__1' '20 1/ , by
who produced identification:
is personally known to me.
Seal:; t� 'IPGa, JENNIFER L. HONAKER
Notar Public -State of Florida
• : My Comm. Expires Mar 18, 2014
F opo;` CotiMissin , 0D S72.513
�i•� Of -s�,•
Bonded Through National Nortarl Ason
or
'lp Ea
Printed name of Applicant
r
Signa�rre - Notary Public At Large
This form may be duplicated.
Address: 2.1 ,
BUILDING PERMIT FEES:
Building Permit per square footage:.
...............
Total Sq. Ft. (Living .Area
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:.......:'�'.........:.....
Total
Sq. Ft. (Living Axe�aJ):Zs,l z li s o
\ Sr.�,..3
Total Sq. Ft. (Enclosed Area): c
Building Permit miscellaneous:
................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical.....................................................................................4...............
Plumbing......................................................................................:...............:..:..
Iechanical...............:...............:.
..........................................................................
3uilding Permit Plan Check Fee.....................................................................
sire Dept. Plan Check Fee......:.......
.............................................
Zad,Oa TXust Fun&..u..m._sq,-footage
-oncurrency Management Fee ..............................
...........................................
-apital Expansion Fee..................:.....................................................................
Total Building Permit Fees:......
')EWER PERMIT FEES:
Sewer Impact Fee .......................
Sewer Tap Fee ........................ .
Total Sewer Permit Fees .............
Pate:
JRN-20-2011 11:578 FROM:MCROBERTS POOL FINIS 3216380129 TO:B681247 P.3/4
47 CJ t - 5 -1 7 0 1'�" 11 "f F 4-"
A 4) 13 F A "e J-)Ct'
L
PROPOSAL pan® tj
pages
McRoberts Pool Finishing, Inc.
A4
9JZ"f' 4245 Mass Ave. Cocoa, Florida 32926
(321) 632-0720
✓/ 3.7
PROPOSAL SUBMITTED TO:
DATE;
J -A -J
NAME;JwANHa
'TI -4E COL6,0)A2
2!gj - Fkq �1
STREET,
-
CITY:
STATE",
FrATIE:
We hereby submit specifications and estImateis for:
Refinishing .$ 444-w- - Pc,"J/- :5_5c) c) C�� 4�TQ 0 c 4., dF
RetHing - $ (�Vj wil rj/I'/vim L
o7 -c
Kool Deck - $7 C
p4 h S
C,v j/ A_ n A 4� A'4n 9 'E A -T -c /_Va
A_
:7 1; /\//C, 6 6 Fe /").5 -All Fb - "760
PLEASE SIGN AND SEND ONE COPY BACK TO US'
We hereby propose twilurntaft
Isbow area MM mpplow In omardenow wfth the above apacHications, kw the mum at;
"C) Y/O:fz ,Dollars l's 1.2 5 1 with psyments to as mado as loilows:
'X 1A J, b S A •e
C..
All malaris! is guaranteed to be as specified. AU woo to be compk4ed In a wKulknwaWo Ira orw socording to vtwsdwd proodoes. Any ollemkm or deviation
hem above specifications Involving WMI tooft, will be exem"d only upon written drops. am ww bowas a" aklm otimp over WW above " e"Mae. An
agreements cooll"O"t upon writes, socklonts or delays beyond CKW conn* This proposal oubjea to otower4a, woln 30 —Gap am Is Vold
"weaft" at the Option of W4 U"Migfwd-
.J�-
Auttwelinal ftnalum
ACCEPTANCE OF PROPOSAL
(DO NOT SIGN THIS CONTRACT BEFORE READM CONDITIONS ON BACK.)
The above prices, specifications and condition* are hereby mccepted. You or* outhor(sed to do the work as spaglifed. Payment will be made as
outlined above.
ACCEPTED: Slanalum
veto" ftnaturm
If Pool NeWs to be Well -Pointed, add $8W.00
AJ S 'f -r
CFN 2011010361, OR BK 6318 PAGE 728,
Recorded 01119/2011 at 01:06 PM, Mitch Needelman, Clerk
of courts, Brevard County
NOTICE OF C0111141EI�GEMi Ni #pgs:1
S,1te of Florida
Count, of
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in
accordance with Section 713.13 of the Florida Statutes, the following inforrTlation is stated in this NOTICE OF
COMMENCEMENT -
Legal 'description�ot prope (include street address if
....!? ..... . .... ...........r^ :.��..... -4 1.04 J'1 .... .jam". ...... 9. �...............,,
................................. .............................11—- .................... ....... ......... ......................
r of improvellients, J(S .r� 7J� ?Y 'o ... I;I D,�......................
General des ri}. tion ....... -. .� .. ..... .
�-:*Address....-1..�..
rr ...
Owner. 4...1%�►1�.�!�...:: ..,�'�,......
i onu-actor.l.,`..tc.,f'i.�.G.f:L.JrsI,�.J .FcJ,�ddress... �../Y.... ....
Surety (it any).
Address-- ......... ---.Amount of Bond$........................................................................
Any person rnaxing a Joan for the construct"( 1. of the irnprovements:
Name— ....... - ............. ...................... -- ....................... Address...............,.......................................................................
P' rson within,( e State f Fla ida designated by owner upon w tTi tices o� h
-���;.�..��:.�;�,..��,�- ...:�-.Address -�
In addition to owner, owner designates the following person to receive a copy of the Lienor's Notice as provided
in Section 71:3.13 (1) (h). Florida Statutes. (Fill in below at owner's optiori)
Name...................... .....,............Address...,..,,.....................,.,,,....................................,,.,..............
��,,R........
This space for recorder's use only �• :�
Owner's signatu
r Sworn to and subscribed before me this # —day
of J)cA,
NOTARY P
.1 "N P. MCROBERTS
; MISSION # DD%l961
>U1lRPS: lune 23, 2013
Brevard County, Florida 14DO-3440TARY Fl. Notary DummtAssoc. Co -
The foregoing instrument was acknowledged before me this---9/-� day
of 4- 46-/ b y_ ZY214
who is personally known to rrie a� produced
as identification and who did or did not take an Oath.