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Home My WebLink AboutBldg Permit #17-0274- 230 Columbia Dr Unit #108- 12/8/16eet, CIO Ai CITY OF CAPE CANAVERAL Tracking a BUILDING PERMIT APPLICATION Permit N RECEIVED 1 tO DECO 0 201E (321)868-1222 City ofCepc Carnivore/ Building Department - P.O Box 326 - 110 Polk Avenue - Cape Canaveral. FL 32920 You may download this application: www.citvofcapecanavcral.orr. You may fax to: (321)868-1247. AJI applications must include the backside of this form and 2 sets of supporting documents. 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 RECALLED WHEN PERMIT 1S READY (Contractor/Owner-Builder is required to sign for the building permit. unless indicated otherwise by affidavit. 1,D. may be required) Address of.lob Site: ,930 C.D)pkroiry ja-. Lim, IDS Zoning classification: Flood Zone: Legal description of property: TWN: RNG: SEC: SUED: BLK: LOT: PH: Pc: Property Owner Name: f t� k GL Bet fL�.r Phone:.? - 91°1 - A aqa Address: t 56.5 VQnuiS St: 11'7e -reit -I. SStekeee(t, rL, _1,24/53 Fee Simple Tillellolder's Name (irolhrrtnanowncr): Address: Bonding Company: Address: Mortgage Lender: Address: 'dI Type of Permit Brief description of work: Const. Type (fA, YE, etc) Building FPl.11nes currently available to serve this property? Yes1No l ✓ Electrical { �k�tiv ()CIt jn� 'yfrr P&4 C.:km iv e cut kPi rc c.P Ntcr! IX.ir en xbt 'ter LLtl k (nr,c•,e. If of dwel- ring units Plumbing It of water closets Valuation of work (Copy arCuntraatRequired} Mechanical b $)) j - swat ( �t toy ho e- . Other l' 4Building Type of (please indicate as applicable) Square Feet under roof Const. Type (fA, YE, etc) Occu- panty ClasdGca -Ilan (B,RI,R3 ' etc.) FPl.11nes currently available to serve this property? Yes1No Cite Sewer available en serve this properly? YesiNo k or Concrete/ asphalt Parking Spaces Nat stories If of dwel- ring units not bed- rooms It of water closets Valuation of work (Copy arCuntraatRequired} Commercial Address: State License No.: Phone (office): Phone (cell/pager.): Fax: i Electrical Contractor Name: jt.-. v.1w. (% .yr'' fir Name of Company: G}-"te.",- t',,c-r 4_1 S V%4,; SFR StateLicense No.:.1 c.c,. Phone (office):3u .(oq 4', -i3S-I Phone (celtlpager.):321-t.r 24.. q34.1 i I k: Plumbing Contractor Narne: Name of Company: S Address: Townhouse State License No.: Phone (office): Phone (celllpager.): Fax: Mechanical Contractor Name: Name of Company: S Apartment State License No.: Phone (office): Phone (cell/pager.): Fax: Specialty/Other Contractor Name: Name of Company: Address: S omininn: _ -i S MO 1Oiher Architect/Engineer Name: Name of Company: Address: State License No.: • Phone (office): Phone (tett/pager.): Fax: Primary Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name: jt.-. v.1w. (% .yr'' fir Name of Company: G}-"te.",- t',,c-r 4_1 avie, ):: V%4,; Address: s e _3>[�jbcorrie rzL 3: til 36.— SState StateLicense No.:.1 c.c,. Phone (office):3u .(oq 4', -i3S-I Phone (celtlpager.):321-t.r 24.. q34.1 i I k: Plumbing Contractor Narne: Name of Company: Address: State License No.: Phone (office): Phone (celllpager.): Fax: Mechanical Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Specialty/Other Contractor Name: Name of Company: Address: Slate License No.: Phone (office): Phone (cell/pager.): Fax: _ -i Cl— J 0025 d Building Permit Application Checklist Completed Permit Application Current survey showing all proposed construction and landscaping Notarized signature— Owner/Builder Affidavit Sewer Impact Fee receipt County impact Fee receipt Capital Expansion Impact Fee receipt Sidewalk impact Fee receipt Recorded Warranty Deed / Proof of Ownership Copy of Recorded Notice of Commencement (over $2,5114) Current Cert. Of Liability Ins./Worker's Comp. Policy / Exemption Community Appearance Board Approval Planning and Zoning Board Site Plan Approval Concurrency Forms Primary Contractor's State License Notes Current code edition: FL Bldg. Code Fifth Edition (2014) Check with Bldg. Dept. for setbacks frowner is acing as contractor May be deferred until CO. Unless Job is remodeling May be deferred until C.O. Maybe deferred until C.O. If sidewalk exisison lot OverS7,500 for Mechanical change out Rocord will be kept on file after initial submiuel For all work visible from Public Righl•Of-Kay For all new construction of four units or more For air new construction not part of approved site plan Record will be kept on fire after initial submittal Construction Drawings: Three sets of scaled construction drawings Truss layout and reaction summary Electrical Load Calculations Electrical Riser Plumbing Riser A/C layout Two sets of Energy Calculations Per F.B.C. 104 Per F.B.C. 104 Cut sheets and shopdrawings will be needed at time ofinspedion Plans must indicate person responsible for calculations All new service must be located underground Plans must indicate person responsible for design Plans trust indicate person responsible for design Plamms must indicate person responsible for calculations Lot Drainage Survey Four sets of Fire Suppression/Sprinkler/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. t certify that no work or installation has comrnenced prior to the issuance of a permit and that all work will be performed to meet the standards of ail laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida Building Code 5th Edition. I understand that all permits require inspections as indicated and that it is the responsibility of the permit holder to notify the building depariment when ready for inspections). This permit application is valid for 180 days 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. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT* Applicant's Name: 1...►Ylts,]cxxi4V Applicant's Signature:,A...—e.10/4/ Date: l -j e/ ( Site Address: (A into i e .6r.19 --K. (09 For Notary use only: State of Florida, County of Bpvard Sworn and subscribed before me this3&i= day of { ev- , 20 f (o , by Lyt Printed nameof Applicant `J T ._:—_:6t who produced identification: or personally known to me. Seal: en.% M. D. KINZER MY COMMISSION P a5564110 s‘kemosoframs: Jemmy t7.2017 This Form may be duplicated. Subcontractor's State License Authorizations: ' Record will be kepi on fiteafter initial submittal Notify Building Depadment 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 Specially/Other Contractor Specialty/Other Contractor Construction Drawings: Three sets of scaled construction drawings Truss layout and reaction summary Electrical Load Calculations Electrical Riser Plumbing Riser A/C layout Two sets of Energy Calculations Per F.B.C. 104 Per F.B.C. 104 Cut sheets and shopdrawings will be needed at time ofinspedion Plans must indicate person responsible for calculations All new service must be located underground Plans must indicate person responsible for design Plans trust indicate person responsible for design Plamms must indicate person responsible for calculations Lot Drainage Survey Four sets of Fire Suppression/Sprinkler/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. t certify that no work or installation has comrnenced prior to the issuance of a permit and that all work will be performed to meet the standards of ail laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida Building Code 5th Edition. I understand that all permits require inspections as indicated and that it is the responsibility of the permit holder to notify the building depariment when ready for inspections). This permit application is valid for 180 days 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. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT* Applicant's Name: 1...►Ylts,]cxxi4V Applicant's Signature:,A...—e.10/4/ Date: l -j e/ ( Site Address: (A into i e .6r.19 --K. (09 For Notary use only: State of Florida, County of Bpvard Sworn and subscribed before me this3&i= day of { ev- , 20 f (o , by Lyt Printed nameof Applicant `J T ._:—_:6t who produced identification: or personally known to me. Seal: en.% M. D. KINZER MY COMMISSION P a5564110 s‘kemosoframs: Jemmy t7.2017 This Form may be duplicated. IOW Pin. WO WWI NM - - r NMI. pirr. MIM mom NEMO walla =n. ..BOO imam OMNI wawa/Immo mom ammo Wm. 1201•11 NMI r.. - �.rr E 'd LC89 'ON 011 osna'e3 "WA Wd9l:ll 9LN '8 'aad CHERRY BOMB ELECTRIC, INC. EC#13005482 249 Ellwood Ave., Satellite Beach, F1., 32937 Office/Fax: 321-426-4346 Cell: 321-698-0557 PERMIT AUTHORIZATION FORM Be clLer 1, Unwood W. Cherry 111, hereby authorize vto submit and obtain permits on my behalf to all municipalities In Brevard County. DESCRIPTION Owner (L.. Yr Job Address 0/30 r, 1t;i c tya Tvoe of Permit: ELECTRICAL Date 01 ei l t, State Certification / Registration # EC 13005482 STATE OF FLORIDA COUNTY OF SREVARD G./ Linwood W. Cherry III (Owner/ Contractor) The foregoing Instrument was acknowledged befare.me this day of Doc442eir 20 +i7 by L A1.1.1604 dreVYtt M who has produced 4J-exS cwa14 H rx3) A as identification and who did take an oath. 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