HomeMy WebLinkAbout430 Johnson Avenue
Fu/'-4; ( '7
City of Cape Canaveral, Florida
BUILDING PERMIT ~517
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 I
I PERMIT INFORMATION i LOCATION INFORMATION I
Permit #:4517 Issued: 9/20/2006 I Address: 430 JOHNSON AV UNIT 205E
Permit Type: BUILDING ALTERATION i CAPE CANAVERAL, FL
I Class of Work: 434- Add./Alt. & Reroofs Res. i Township: Range:
Proposed Use: See specific use -residential I Lot(s): Block: Section: I
I Sq. Feet: Est. Value: ! Book: Page: II
Cost: 27,500.00 Total Fees: 285.001 Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid: I Parcel Number: 243723CG 72 1010
CONTRACTOR INFORMATION i OWNER INFORMATION '
Name: COSMOPOLITAN CONSTRUCTION I Name: LANE, RICHARD W
I Addr: POBOX 368 I Address: 4020 BELLE VISTA DRIVE
~ COCOA BEACH, FL 32931 i ST PETERSBURG BCH FL 33706
Phone: (321 )784-8586 Lic: CGC059563 1 Phone:
~'""""""",y.Jo. r,.k, ,D." ~s.c: REMOVE & REP,L,A, C"E BALCONY SLAB PER SUBMITTE, D SPECIFICATIONS
APPLICATION FEES
BUILDING OVER 2K 190.00 ! PLAN REVIEW OVER 2K 95.00 ;
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, Inspections Required
Final i Footing ! Column Pre-pour [ Slab
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I APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:
I NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS,OR
'Ii 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
I 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
I STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , I
[' 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 OST AIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
CITY OF CAPE CANA VERAL ./
'::p:=-(') <= - CJ <l ;;<0
BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave, Cape Canaveral. FL 32920
(321) 868-1222 4517
Date: ,y/S /" ~ Permit #
(You may download this application: www.mvf1orida,com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted l!,nless complete,
CONTRACTOR 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)
~3o ~//#SQ/tI //rc C/7I"'C Cfity./)Y6"l'UU.. It-#,-
Address of Job Site: L I1rf 2C5
Legal description of property: TWN: _ &'\lG: _ SEC: _ SUBD: BLK: LOT: PB: PG:
- - - -
Name of Property Owner: S/6ST./7 -ZJ~L /P/1N CiJH~{) ,lJsrO( Property owner phone number:
Address of Property Owner: ~31) -a-~N'SL')Jt/ Rvc C.A~E OIA1RYCIi'BL rl 3292()
Community Appearance Board approval date: Site Plan approval date;
~ Brief description of work:
Type of Square Const. # of # of dwelling # of # of Total valuation of work
~ Building Feet Type stories units bedrooms bathrooms
Commercial $
SFR $
Townhouse $
Apartment $
Condominium I /"'.A",r . 8 / $ ~? ..500. ~ y-
Other $
3:<.9S2-
Fax:
F ax34f. 7.fJ - If
Electrical Contractor Name: Name ofCoinpany: I
Address: I
State'Ucense No:: Phone (office ):' Phone (cell/pager.): . Fax: r
Plumbing Contractor Name: Name of Company: I
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name: Name of Company: I
Address:
State License No.: Phone (office): Fax: 1-
Specialty Contractor Name: i
Address:
StatelLocal License No,: Phone (office): Fax:
G:\Bldg,DeptForn1s\BP APPUCA TION
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'<i I Building Permit Application Checklist Notes
.", Completed Permit Application Current code edition: FL Bldg, Code 2001 (as revised)
Current survey showing all proposed construction
Notarized si!mature - Owner/Builder Affidavit If owner is acting as contractor
Sewer Impact Fee receipt May be deferred until e.0. Unless job is remodeling
County Impact Fee receipt May be deferred until C.O,
Capital Expansion Impact Fee receipt Maybe deferred until e.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 Worker's Compo Policy / Exemption Record 'will be kept on file after initial submittal
Community Appearance Board Aooroval 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: Rec()rd 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 Contractor Specialty Contractor
Construction Drawings: Per F,B,e. 104
Two sets of sealed construction drawings (three sets if commercial) Per F.Re. 104
Electrical Load Calculations
Electrical Riser All new service must be located underground
Plumbincr Riser
A1C layout '.
Two sets of Ener.gy Calculations
Lot Drainage Survey
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
and laws reguJating construction in this jurisdiction. By signing, applicant,ilffiirfns that all above is true and correct
and that he/she is an author~zed agent of the Contractor/Owner and has the authority to apply for this permit..
, ~-~
Applicant's Name: 4~a' ,//~J-l;/'fGK Applicant's Signature: .~ ~
-,----
Date: () ?//..5/~ 6' Site Address: ,t' 30 .J"IJItiS'~1I /J1/~, ~lk (~~ r! 3Z'131
For Notary use only: State of Florida, C~unty of Brevard ,20 01::.; . by i#r.,v(/~,d~
Sworn and subscribed before me this It day of 5'"'(P/~71?11JtrL. M s;ovtYi
Nanl~ of Applicant
~ produced identification: or
is personally known to me.
il'RlCK GAU.A ,/~#--
,.., NIle. SIIII d Florida
Seal: "'~, EJrpne Mlr7. 2009
ComIL' .llIft'D04CH107
BondIlt If...... NotIIy AIIn. Signatur~ . Notary Public At Larg~
G:\Bldg,Dept.Forms\BP APPllCA nON This form may be duplicated.
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BUILDING PERMIT FEES; if 3t) d (;Hn~\A Is.-<.. U I~,t-# 205' 4517
Building Permit per square footage:....,.........,....,...........,......,....,........,.......
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area);
. " . y. 2:1 -, ," '[xJ/ /;0.00
BUIldIng PermIt based on valuatIon:,.,. ,. ,!:2~Cd.,...,........,........,...,.,..,.,....., .
Total Sq. Ft. (Living Area): l:.r 2e)t-e /5'D" 0<->
..e 4 J( 6.-/ L-t:e~ / k €J S- )<. $ "- ~.JO
Total Sq. Ft. (Enclosed Area); tatl (,)0
I ,.
Building Permit miscellaneous;...,., '" ,... .......,...... ,. ,. ..... ..,. ,... ...,.,. ,... ,.... .... .,. ,.
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical.,... ....,.. .,..,.....,.. ... ,...,., ......... .,. ,.. ...... ...,....,...."... ...,., ,. ,..... ,.,.... ,. ..,.........,
Plumbing..,. ....... ,.."...,.,.,. ,.... ...... ,..... ,. .., .,... ,., ...... ,.........,.,., ,..... ,..... .,.,. ,. '" .... ..,....
Mechanical... ,." ,.....,. ". ,.,......." ,."....,. ,.,..." ...,. ,.,.., .,.,.,.,.,.,... ..., ...,. ,.,. ,.,..... ."......,.
Building Permit Plan Check Fee,../.Cji)!:7--.,..........,.......,...........,........,...,....., r.;-, 0()
Fire Dept. Plan Check Fee........, .......... ......................,.....,............ ....,...........,...
Radon Trust Fund: sq. footage .................................
Concurrency Management Fee......... ...... .........................,....... '......... ............,..
Capital Expansion Fee............"..""......................,.......... ....................,....,..",....
Total Building Permit Fees:...... 2t~f) Do
J, ,
SEWER PERMIT FEES:
Sewer Impact Fee.....,...... ................". ....,..".."......"...,....,....,...,........,....,.
Sewer Tap Fee........,.,.".......,......,..,.,.....,...".........................,........,...,.....,.
Total Sewer Permit Fees.............
~" ~~~-- _'.'4~" _..,__,,_....~._.,_..
T : 33'+1, I
I ~ :: 17' +(. I, 1
42" +1- II (.i;) (ID A EXISTING BEAM
.) 'C,' , -"" I.,; :,'::, TO REMAIN
~ ""
2IlD FLOOR LA _, ~ ' : I I I I I'
, '" I .11111,1 - ,11111:
5 12"+ ' >t- : I I I I 1:'- : I I 1 I ,:
,L~, :+ "'-'TYP - I I I I I: I I I I I: I I I I I , l : I I I I I:
-of' '" d 1/111:11111:111111 f ,/1111,
12"< 12" <J)~, . I I I I I. I I I I I, I I I I I If,' : I I I I I:
I I 1 I I: I I I I I: I I I I I It: I I I I I: :jo
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1ST lEVEL ',' '/ ,/ I I I I, I I I I I I ~
5' +1- W I'A (]5 I I I I I: 1 I I I I: I I I I I I i
NEW SLAB SECTION A. A HTS EI , I ~: ~ I ~ I~ : I I I I I I I
4 (ROTATED 900) . - I I I I I I I
(, I I I I I: 1 I I 1 I: I I I I I I
GRADE B' . 1 2:)
SHORING DETAil J ____f~~ <11('/1./;:/"' " 1
SHORING flAG NOTES: NEW COL NEW Sli~r~~'trll:W ~i:'J>~ '. ~
(REFER TO SHORING DETAIL) SECTIONB'B HTS ",'" ~'''i \, "<'"l,y>",."
ill 2"X8" PLATE, FlAG NOTES: DIMENSIONS ARE APPROXJ~~,r1lE1D VER1'\:';'/l,
1lI4"X4"JOISI. (!)REPlACE DAMAGEDSLABWINEWCONCSLAB, REMOVE "'<?lIJ~h, ~jl~
[}J METAL SCREW SHORE, 6,00D#MIN HANDRALS, REINSTALL "'FTERREPAflS, "/fl'''''!,/( 4 (f
LOAD CAPACITY, (APPROX. 4' OC) ~ RETAIN OLD STEEL WHERE POSSRE TO TIE IN NEW S1EEL.C<,ltl~l
ill 2"Xa" SOLE PLATE @teNCONCFOOTER3'X3'x11l"DEEPWlIl#50EACHWAY," '~f;!,+<f'iIJ1;;.
lID 518" CDX PL YWOOO' 3" !>IN, COVER, ...;;. if>
@ ,&,DD NEW 12'':< 1Z' COOCRETE COL (M!< FROM RINKER T 601 BLK) , , , " ,
WTH 4#S~VERTICALLY AND #3 TES8" OC, HOOK VERT REBAR '" '" "0 vi '~"r' <..''''', fol
INTO FOOTER & BEAM. . I .\ r1] n 1 Il1'(}I~ ( ( i\
@ADDNE\III#5REBARS,Il"OC,1"FROMSLABBOTTOM, *"r:M''''', J'~!5(f;if~~1
OOVETAlLNEW SLAe4'~COREDR1LLa GROUT REBAR 3" \,','i"'t"\, c ,,",,~' r ,-~, '" _, .L ~ { .
INTO WALL LINTEL ';,' ""p_~. '~
SH CONSTRUCTION NOTES @ADDNEWTEMPERATURESTEEL,#4REBARS.12'OC,1' H""c\\ '" Wi'-~' I:' '. - " . ~9'L:ZiK IJt;
ORING NOTES: : FROM SLAB TOP. 'J'"l\. ' . J _: _ ' ., I !ill ~c,_':w~ !I:~~ ;1:fl!lL1Ii-.:r, ,.It"- L' _ ~
1, SHORE, FORM AND PLACE CONCRETE GENERALLY IN REQUEST BULDING DEPT.INSPECTIONS BEFORE POURING CONC, <DADO NEW 12"< 12" CONCRETE ,BEAM FROM WALL WTH 2 # 6~ TOP, ".'" , ',"'" ,,' '""e,"' ,,, "'"', ''''Ii;';';''''; ,:,' ~':~' 01
ACCORDANCElI\i1TH THIS DRAWING AND THE STEPS SHGiI\IN 1, BLOCK OFF ACCESS TO THE REPAIR AREA AND POST SIGNS 2#60BOTT~ AND#3TIES6 OC, (INT~GRAL WITH SlABl DOVETAL ' ' '''no;
PLAN MAYBE ADJUSTED FOR ON SITE CONDITIONS WARNING OF DANGER, ERECT BARRIERS AND REMOVE THE NEW BEAM 4 ,DRILL & GROUT REE;l1'.R 3 INTO WALL LINTEL,
2, PLACE FORMS AND SHORING FOR SECOND LEVEL SLAB HANDRAILS AS REQUIRED FOR REPAIRS, REINST AU HANDRAILS
FORMTHESLABFORPLACINGTHECONCRETEUSINOSI8" ' AFTER REPAIRS, GENERAL NOTES:
PLYWOOD MID 2" X 8" AND 4" X 4" TIMBER PLATES AND 2, TOTALLY EXCAVATE SLAB, EXISTING NORTH BEAM AND KNEE
ADJUSTABLE STEEL SHORING POSTS, APPLY A SMALL BEAD COLUMNS FROM TOP OF SLABAi'Il DISPOSE OF DEBRIS, 1, ALL CONSTRUCTION TO BE IN ACCORDANCE WITH THE FLORIDA
OF ACRYLIC SEALANT TO THE SURF ACE OF THE CONCRETE RET Alii SOUTH END BEAM BEAM BUILDING CODE AND CITY F C E A
WALLS ADJACENT TO THE POUR AREA AND AT FORM SEAMS 3, CLEAN RETA/llED EXISTING STEEL a CO"'T lI\i1TH 2 COATS Of 0 AP C NAVERAL BUILDING CODES,
TO SEAL THE FORMS AGAINST LEAKING MORTAR SIKA ARM'" TEC 110 ANTI CORR BONDING AGENT,
3, POUR SECOND LEVEL SLAB, PLACE CONCRETE FOR AS 4, REMOVE GROUND FLOOR TILE AND CUT SLAB WHERE FOOTERS
MUCH SLI'J3 AREA AS PRACTICABLE IN EACH POURING, ARE TO BE PLACED DIG FOOTERS, PLACE STEEL AND POUR FOOTERS,
CONSIDERATION FOR SLUMP AND BREAK TEST/N(), SIZE OF 5, FORM THE SLAB, COLUMNS AND BEAMS FOR PL,o,c!NO THE CONCRETE
eA TCH, CREW SIZE. ABILITY TO PROPERLY FINISH THE USi\lG 518" PLYWOOD AND 2"X4" AND 4")(4" TIMBER BRACES AND
CONCRETE AND \illEA THER MUST ENTER INTO SCHEDULING ADJUST ABLE STEEL SHORING POSTS, 3 PER RWlWI R0\A/S4' OC, SIESTA DEL MAR APARTMENTS
EACH POUR, DO NO POUR IF RAINING OR RAIN IS EXPECTED, (SEE SHORf\IGDETAILS "'NDNOTES) PLACE REBAR IN FORMS, UNIT 205 2ND FLOOR
4 AFTER 7 DAYS CURING TIME, BREAK CYliNDER FROM MAINTAiNIIIG A MINOF 1" CONCRETE COVERAGE BEND STEEL
THIS POUR, IF 2,000 psi OR BETTER, REMOVEFORMS AND SHORING, AROUND CORNERS, MINLAP TO 8E36 BAR DIA HoRIZ AND 40 BALCONY SLAB REPLACEMENT Clffton L Gurr
5, IF SHORING HAS TO BE REPOSITIONED FOR ANY REASON BAR DIA VERT. STEEL Fy .40,000 M1N, 430 Johnson Ave. p OF.
NEW SHORING MUST BE IN PLACE BEFORE SHORING IS MOVED 6, PUMP POUR SLAB, BEAMS AND COLUMNS WITH 5,000 PSI Ca e Canaveral, Fl li 6~S1~:L n?"t9aER
'TRANSlTMJl(WTH318"PEAGRAVEL40%MAXWATERTO Kale:AS 0 ED lAB Ol MNS drawn:SMG 106'4258" eoR,olO
CEMENT MATERIALS BY WI. date: 07128108 & B che<~ ClG "an ana ,Ner r,
7 \illET CURE CONCRETEFOR 7 DAYS BEFORE REMOVINO FORMS, r_ ng e oser Ion: Memltlsland, Floflda 32952
~~~~~ ~~~nrt~~~~T~W FOOTERS, COLUMNS ElEVATIONS, PLAN VIEWS AND SECTIONS (321 453-3565
drawing 110, sheet of rev.
~, SKETCH 1 1 1 Basic
.
.
CFN 2006248018 08-21-200603:57 pm
OR Book/Page: 5687 / 5900
NOTICE OF COMMENCEMENT
State of Florida
County of Brevard
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
information is stated in this NOTICE OF COMMENCEMENT.
L Id 'f f rt rid t dd 'f '1 bl ) 430 Johnson Avenue-
ega escrlp Ion 0 prope y mc u e stree a ress I aval a e.........,..................,......
Cape Canaveral, FL 32930. Siesta Del Mar Condo As Desc In Orb-
..................................................................................................................................
2581 Pg 2560 And All Amendments Thereto.
General description of improvement...... ..... ... ............. ..,.. ,............ ..... '" .... .,...... ............,
Elevator Recall Fire Alarm System.
..................................................................................................................................
Sieata Del f:'}ar FL
Owner.c;.~:m. ..9.. .f?,9.~9.9.+.R:l;J.9.nJ.,. ,J:n..9.~.Address.. :U.~.. ~.9.hn..9.(;m,.,.J:.. ~~.~., .~~ P,l?,.. ,c;.ana ve r a I,
Federal F~re Alarm- P.O. Box 22131. Lake Buena Vista, FL
Contractor. A.nd.. Secur.. t.y.. .S.ystemsAddress.."....,.......,....,..,.,...."....,.... ........,....
N/A
Surety (If any)....,.........,...................."......."......,.....,..,................,........,............,..,....
Address.. ....................... ........... ........... .Amount of Bond $........ ....... ,..... ...... ...............
Any person making a loan for the construction of the improvements:
Name.."......,.. ............,.....,............,..... ...Address ..,........ ........."......,...."......,..... .......
In addition to owner, owner designates the following person to receive a copy of the
Lienor's Notice as provided in Section 713.13 (1) (h). Florida Statutes (Fill in below at
owner's option
Becker & Poliakoff,P.A. 901 N. Lake Destiny Dr., STE 145
Name.........................,............,..,........... .A~......,.........,..,.........,......... 'M'a i t la nd, FL 327:
This space for recorder's use only ..... ... ... ....J:n.~.):::y:),~
~ner's signature
Scott Ellis . 'oY\.~~
Of C rts Brevard County
Clerk OU, Sworn to and subscribed before me this
, 1 #Names: 2
#P", '9,00 SO,," 0,00 ~ .Db
Tn"t 1,00 Roc, "e",,' 0,00 ., . day of ,\~~I.I~' 20
",__oJ, 0,00 Int Tax: 0,00 ( ,
Mtg: 0,00 ....
NOTARY PUBLIC /\I\JL.-.1
Brevard County, Florida , ~
The foregoing instrument was acknowledged before me this .d...Lday of f\v ~ ~) So -t ,
20 J::2..h by \ ~ l\ ~ \J I _ \) [ Y who is personally known
to me or has produced ()~ \0 TO <; L\ C' r N S ~ ~l as identification who did
\1\4l0 -t{ \ 3 -53 -- <6 3'+ - 0 -
.. .~,,- ~.. ""~....
~~v I'Q~ CARMEN E, SKINNER
'" ~ "" MY COMMISSION II D0477447
~ ~
~OF~ll" EXPIRES: OCl,2.2009 K:\userdata\SHARED\BLDGDEP\FORMS\Build ing\Notice of
(407) 398-0153 Florida Notlll}' Service,com Commencement.DOC
--
. CITY OF CAPE CANA VERAL ~~fc,- o~,(;;2....J
. BUILDING PERMIT APPLICATION r-::. ,,:,"' ,- nc~" .~.-' -,
, _: ,-
L, ,: I
City of Cape Canaveral Building Department 105 Polk Ave, Cape Canaveral, FL 32920 ' (
(321) 868-1222 LJ1J ,~~j~!{c(.p
Date: August 1, 2006 Permit #~
(You may download this application: www.mvflorida.com/cape, You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
CONTRACTOR 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: 430 Johnson Avenue - Cape Canaveral, FL 32930
Legal description of property: TWN: ~ RNO: ~ SEC:....2.L SUBD: CG BLK:O 0 0 7 2.DT:Q.QJUJ)>B: _ po: _
Name of Property Owner:Siesta Del Mar Condo Assoc. Inc Property owner phone number:
Address of Property Owner: 430 Johnson Avenue, Cape Canaveral, FL 32930
Community Appearance Board approval date: Site Plan approval date:
.,j Type of Permit Brief description of work:
Building
Electrical
Plumbing
Mechanical
X Other ELEVATOR RECALL - Fire Alarm System
Type of Square Const. #of # of dwelling #of #of Total valuation of work
.,j Building Feet Type stories units bedrooms bathrooms
Commercial $
SFR $
Townhouse $
Apartment $
X Condominium 800 5 23 $ 8,875
Other $
Architect/Engineer: N/A Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor: Federal Fire Alarm Name of Qualifier: Brlrr D H; 1 1
Address: p.O. Box 22131 Lake Buena Vista, FL 32830 407-
State License No.: EF 0000962 Phone (~OOJ700-5712 Phone (407) 4-1)~-2589 Fax: 348-142
Electrical Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Plumbing Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (ceIVpager.): Fax:
Mechanical Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty/Other Contractor: Name of Qualifier:
Address:
State/Local License No.: Phone (office): Phone (cell/pager.): Fax:
O:\Bldg.DeptForms\ pennit APPLICATION 10-1-05
" ---
~
.,j Building Permit Application Checklist (general requirements) Notes
Completed Permit Application Current code edition: FL Bldg, Code 2004 (as revised)
Current survey showing all proposed construction Also show any existing structures, easements, utilities, etc,
Notarized signature - Owner/Builder Affidavit If owner is acting as contractor
Sewer Impact Fee receipt May be deferred until CO, Unless job is remodeling
County Impact Fee receipt May be deferred until CO.
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) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Compo Policy / Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For new construction of four units or more
Concurrency Forms For 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
Roofmg 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
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C, 104
Electrical Load Calculations
Electrical Riser All new services must be located underground
Plumbing Riser
AlC layout
Two sets of Energy Calculations
Four sets of Fire Suppression/Sprinkler/Alarm Specifications Requires Fire Department review and approval
Lot Drainage Survey
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
and laws regulating construction in this jurisdiction. By signing, applicant affIrms that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the authority to apply for this permit.
Applicant's Name: Bart Hill Applicant's Signature: i3~~r /~ -
Date: g."2/-V~ Address: P.O. Box 22131 Lake Buena Vista, FL 32830
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this .:2 ( day of /L"1c-0 '{ , 20 0<", , by Herbe;[( H~\\
Name of Applicant
~ who produced identification: f-{ '-fe'Ll. 'j,;lL(,:5 7 Lx", k c:; or
is personally known to me.
~'~.t."',,, SJV LOMBARDI
l~ MY COMMISSION # DO 486084 ~~ ~
Seal: ~, .i i EXPIRES: Augusl3, 2007.
I ' if! . Bonded Thru Notary PIilIic Underwriters h.. (~-C _"
, rtt~' T Signature, Notary Public At Large
G:\Bldg,Dept.Fonns\pennit APPLICA nON 10-1-05 This fonn may be duplicated.
1iOJ""___~'1"."_"""""'~"<~'''''''''''''"'~~'_~_''''''''___~''''"''''"",.,,",,"',",", ""V>'~""''''''''-'_'''''''~''"''''''';~''__''~''' ."",,,,,~.,,,,,","e_'''''''''''''''''''_~-'''~~~~''.'''''_''^>''~''__'j,,,,...,,,~,.,,~,__","> ,~,~.""~....,., '>'''"'~'''''-''.''''''''~_^,~'_~,.._"",,, >
Address: 43LFJ ~fAf56~\ /JvfIvJt1~
BUILDING PERMIT FEES:
Building Permit per square footage:............................................................ ~' 4471
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:.......,......... ............. ......... ..................., /
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit miscellaneous:...........f!! $..7~~.... ..,.... ..........,.... ...... 6o'rz.-
2- O~~ _ 3s~
Total Sq. Ft. (Living Area): - 6>:g'~ S -::::--' 7 )c S ~
~q 5<- --:>
Total Sq. Ft. (Enclosed Area):
Electrical.:.......".......,.,......,.,..."..""...,....,.......,...,."",...:.,..,........".....",.......".,... . .~
Plumbing.....,...,...,...,..,..,......"..,......,...............,......."..........,..."..,.........,......,....,.. . .~
Mechanical. ..'." ..,.. ."... ....", ,....... ,....."". .....,............... ........... ...,.. ,. .",.. .,.. ,..", ..",. ~
---
Building Permit Plan Check Fee.....,. ......, ....... ........, .......... ...........' ...,... ..........
Fire Dept. Plan Check Fee.............................. ....... ......... .......................... ........ 7() ~
\ ~
Radon Trust Fund: sq. footage ..................................
----
Concurrency Management Fee...,..",..".""..",..,...."....,.",."".....,......,.".,.".".:.
-----
Capital Expansion Fee,.............,.,...... ........."..... ............".... .......... ........ .............
Total Building Permit Fees:...... /65- -
SEWER PERMIT FEES:
Sewer Impact Fee,.........,..............,...... .,. .~..... .... .............".............,..........
"
Sewer Tap Fee....,..,.. ~..........,....".................,...... ,........,............... ...... ........
Total Sewer Permit Fees............. ----
By:/lD~r Date: {){ff2%/iJ 6
""....... .. -~ -,.,-,_._._~..._....-
City of Cape Canaveral Inter-Office Transmittal
To: Jeff Roberts
From: Joy Lombardi, Building Department
Re: 430 Johnson Ave. - Siesta Del Mar Condo (Elevator Alarm)
WE TRANSMIT:
1:81 herewith o In accordance with your request
THE FOLLOWING:
1:81 Plans 181 Specifications o Shop Drawings
o Prints o Copy of Letter o Information
o Other
THESE ARE TRANSMITTED FOR:
o Permit Issue o Record o Information
D Approval D Use o Distribution
181 Review & Comment
Copies Date Description
4 8/22/06 Fire Alarm System for Elevator
Remarks:
Copies to: By:
Joy Lombardi
-""""'..-'...""'--".............. -
CAPE CANAVERAL VOLUNTEER FIRE DEPARTMENT, INC.
Serving the city of Cape Canaveral & Canaveral Port Authority
4471
Plan Review
To: Building Department
Joy Lombardi
From: John J. Cunningham, Asst. Fire Chief
Re: 430 Johnson Ave. Siesta Del Mar Condo
Elevator Alarm
Date: 08-23-2006
We have reviewed the plans and have the following comments:
1. The system shall be monitored and meet the following:
9.6.4 Emergency Forces Notification.
9.6.4.1 Where required by another section of this Code, emergency forces
notification shall be provided to alert the municipal fire department and fire
9.6.4.2 Where fire department notification is required by another section of
brigade (if provided) of fire or other emergency.
this Code, the fire alarm system shall be arranged to transmit the alarm
automatically via any of the following means acceptable to the authority
having jurisdiction and shall be in accordance with NFPA 72, National Fire
Alarm Code:
(1 ) Auxiliary fire alarm system
(2) Central station fire alarm system
(3) Proprietary supervising station fire alarm system
(4) Remote supervising station fire alarm
system
Fire Alarm Fee: $70.00
&ef~'C': ~\((~1' rW
'.,"'~ k ' ~,' 't~:!
~k'yJ
Station #1 Station #2
190 Jackson Avenue · Cape Canaveral, Florida 32920 8970 Columbia Road · Cape Canaveral, Florida 32920
(321) 783-4777 · Fax: (321) 783-5398 (321) 783-4424. Fax: (321) 783-4887
www.ccvfd.org
Fire Alarm Systems I D7024 Addressable Fire Alarm Control Panels
07024 Addressable Fire Alarm
Control Panels
. Four detector zones (expandable
to eight); up to 20 two-wire smoke
detectors per zone
. Built-in DACT
. Up to 58 programmable relay
outputs and 255 addressable
points
. Two NACs on board with internal
24 VDC, 4 A NAC power supply
, Programmable through front
panel interface, remote D7033 Fire
System Keypad, or remote
programming software (RPS or
RPS-LITE)
The D7024 Addressable FACPs can be used in commercial and Functions
public building applications such as schools, universities, Notification Appliance Circuits (NACs)
manufacturing plants, and health care facilities. They are listed Two notification appliance circuits (NAC) provide up to 4 A of
by UL for central station, local, auxiliary, and remote station 24 VDC power to operate horns, strobes, bells, and other
systems, notification appliances, Each NAC can be programmed to
Adding the D7039 Multiplex Expansion Modules to the provide Temporal Code 3, steady, pulsed, and synchronized
D7024 Conventional Fire Alarm Control Panels (FACPs) with output for Wheelock™ and GentexTM notification appliances.
version 2.02 or higher firmware makes the FACPs addressable User Interface
with up to 255 addressable points. The FACPs support both A viewing port in the keyed panel enclosure door leaves the
two-wire and four-wire detectors, Each FACP has a built-in system status LEDs and LCD display visible while maintaining
digital fire alarm communicator transmitter (DACT) and four system keypad security. Unlocking the enclosure door
on- board detection zones that can be expanded to eight zones. provides access to the system keys for silencing alarm and
Each zone can support up to 20 two-wire detectors, or any trouble conditions, zone bypassing, detector resetting, testing,
number of four,wire detectors (depending on available other fire functions, and programming. These functions are
also available on all D7033 Liquid-crystal Display (LCD)
power), If ~ ,ypads connected to the system. All D7036 Liquid.crystal
c . , play (LCD) Annunciators provide custom text
'" .n on a 32-manure', badclit, two-Hn' LCD d;'play,
keypads and annunciators have built-in sounders.
, n..V~ \.\.. . I mten,ity and aound,nolumoa", pmg<ammable
t,' ~ . c\ " Personal Identification Numbers (PINs) ;--{
, There are 100 PINs available for accessing system ~~O?
Assign each number an authority level to ~~~ s m
control~\tions that can be accessed. 0
, , "I
r t'~,J\\\\
: Ii \L0
' l~ .:lIl.",
~:, t
BOSCH
.""" ..---"" --~---~^'._. .
July 15, 2004 DF-50673 . F-850
@ Flre.UTe" ALarms 302 Series
Rate-Anticipation Heat Detectors
www,ffrelite.com Section: Conventional Initiating Devices
GENERAL @ ~ I CaHtom;,
" State Fire
The Thermotech 302 Series rate-anticipation heat detec- VL FM :~ ! Marshal
tors operate within a controlled range of two to three de- ' APPROVED '~: 7270-0021:001
grees of their set points, regardless of the speed or rate of LISTED J,1.5H3M3.AY (All)
temperature rise, These detectors are available in either
1350F or 1940F ratings. S539
E35018A
The 302 Series are normally-open devices designed es-
pecially for fire detection and alarm systems.
FEATURES
. Immediate response. The 302 Series activate
whenever ambient air temperature reaches a
detector's setting, eliminating the thermal time lag
inherent in conventional heat detectors,
. Eliminates false alarms, The 302 Series do not
respond to momentary temperature fluctuations
below the selected temperature.
. Universal application, The 302 Series can be
used in all areas for any type of occupancy,
. Self-restoring.
. Hermetically sealed, shock resistant, corrosion
resistant, and tamper-proof.
PRINCIPLES OF OPERATION
The 302 Series rate-anticipation heat detectors re-
spond and activate the fire alarm immediately when-
ever the ambient temperature reaches the preset
temperature setting. Under rapid heat rise condi-
tions, the rate-anticipation feature enables the de-
tector to respond one to three degrees ahead of
the setting. At the same time, however, it does not
respond to momentary temperature fluctuations be-
low the selected protection level, thus eliminating
false alarms, When temperature drops back down
below the protection level, the detector automati-
cally resets itself.
DIMENSIONS (Model 302)
Total overall length: 4-1/8"
Base diameter: 2" APPLICATION INFORMATION
ELECTRICAL RATINGS 302 Series detectors have a smooth-ceiling UL rating of
Voltage Current 50' x 50' (15.24 x 15.24 meters) and are the only type of
6-125 VAC 5 amps heat detectors having such a rating on both fixed tempera-
ture and rate anticipation, The 302-H is designed for hori-
6-25 VDC 1 amp zontal mounting and UL rated for 40' x 40' (12.19 x 12,19
125 VDC 0.5 amp meters),
This document is not intended to be used for installation purposes, We try to keep our product ISO 9001
information up-lo-date and accurate, We cannot cover all specific applications or anticipate all
requirements, All specifications are subject to change without notice. For more information.
contact Flre'Lite Alarms, One Fire,Lite Place. Northford, Connecticut 06472. Phone: (800) 627. CERTIFIED
3473, Toll Free FAX: (877) 699,4105, FAX Back:(888) 388,3299 ENGINEEIING I MANUFAClIIIMl
WEB: wv"w.firelite.com
DF.50673 . 07115/04 - Page 1 of 2
._-"._--_..~-'''''"". - _....,~ -.---,..
, CITY OF CAPE CANA VERAL 'f'F OG - 0 :S 3<,~ )
BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
~ l (321) 868-1222 4212
Date: ,S-. 10 () i Permit #
(You may download this application: www.myflorida.com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY,
(Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by affidavit. l.D, may be required)
Address of Job Site: C/3{) :5 ot( t..J -:b,0 11 ui?
Legal description of property: TWN: _ RNG: _ SEe: _ SUBD: BLK: LOT: PB: PG: -
- --
Name of Property Owner: ..s I GS7'A Dc(. tl/111 {{.. Property owner phone number: 7>.?1 -K'<lY:2
Address of Property Owner: '5I1//'1 C
Community Appearance Board approval date: Site Plan approval date:
..J Type of Permit
Buildin
Electrical
Plumbin
Mechanical
t Other -=f3LjC~
Type of Square Canst. #of # of dwelling #of #of pa: valuati~~ of ~ork
..J Building Feet Type stories uni ts bedrooms bathrooms 7 2SU,Ob
Commercial $
SFR $
Townhouse $
Apartment $
Condominium $
Other $
Architect/Engineer: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Electrical Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Plumbing Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty/Other Contractor: ( . i /' ;-77:, ,('4 F- t2:;"J./(' c- Name of Qualifier: ~,~1r ::r. "~d-1 /77f
Address: I G. 12- ':(./111 t-")()/4i/;-r '? L. ,f-<JZ M,Y- 0- '"5:29.5-2
State/Local License No.:':;,! 1(> I s- L Phone (office): 7QY-2z;5;') Phone (cell/pager.): Fax:7'h-Zcd I
,,-
I DJ r--\\
G:\Bldg.DeptForms\ permit APPLICATION 10-1-05 0_ JD :51Io(~Uj
. ""..~<,. . .
-.j Building Permit Application Checklist (general requirements) Notes
Completed Permit Application Current code edition: FL Bldg, Code 2004 (as revised)
Current survey showing all proposed construction Also show any existing structures, easements, utilities, etc,
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 e.o.
Capital Expansion Impact Fee receipt Maybe deferred until e.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) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Comp, Policy / Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For work visible from Public Right-Of,Way
Planning and Zoning Board Site Plan Approval For new construction off our units or more
Concurrency Forms For new construction not part of approved site plan
Primary Contractor's State License Record will be kept on me after initial submittal
Subcontractor's Authorizations: Record will be kept on me 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.e. 104
Two sets of sealed construction drawings (three sets if commercial) Per F,B.C, 104
Electrical Load Calculations
Electrical Riser All new services must be located underground
Plumbing Riser
AlC layout
Two sets of Energy Calculations
Four sets of Fire Suppression/Sprinkler! Alarm Specifications Requires Fire Department review and approval
Lot Drainage Survey
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
and laws regulating construction in this jurisdiction. By signing, applicant affIrms that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the aut40rity to apply for t~s permit.
/, ! '-,- .....\ i
Applicant's Name: ("Z'{:'\:"'IL } >"; . 'i-J! Applicant's Signature: " ':""'b,,,:..i~-:?,\
j 1"" .
/ /
Date: ') /,'./,:( Address: -t'(J'lh,< ~ '~'-'_', ~"
. I
.., r " .. ~ r i_ l' ~,t "- '--
"..:.----..
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this (C' day of fA.q '{ , 20 l C , by (0 - c( ~ ( >' ( .,;;,. , , (L,
Name of Applicant
D ~ho produced identification: or
G"'is personally known to me,
'.n:<'t
~~,\f.t~ .YJV LOMBARDI g
f"r~'::~ MY COMMISSION # DO 486084 ~r /' ' --',
Seal: ~~'? ~r:ES;August3,2007 i /2[/ ./'C ( , C".. -
..w,~. NofaryPublICUnderwrllers l~ ?C Signature. Notary Public At Large
G:\Bldg.Dept.Fonns\permit APPLICATION] 0-] -05 This form may be duplicated,
.------.....~--~,~'-"------- ~Il'_ ._,__",~""__~.",,,~,,","""'~""""'''', ",~,..',_ ..'~,""''-'' ., ","""_~,_,,,___'."~..
Address: .f3o ~!I7v S8;J JfVfAJt/E-
BUILDING PERMIT FEES: Building Permit per square footage:,...........,...................,.,...........,.....,....... 4212
~_.-~_..,..
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:......,.......,..,......,........,.,.......,...,.....,...,. ----
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit miscenaneous:,..,.,.,...7?:;S12.="....,.".,.,...,..."...,... 6'0 2-
"2-t!? tJ2 ",€) 3-Q"~
Total Sq. Ft. (Living Area): '---S 2S D .:::- ~ Y S- 2-,
~-z--
Total Sq. Ft. (Enclosed Area):
EI ectrical. :, .., ". ., ,...' ,.. ... , , .. ,.. .,..,..........,. .,., . ,.,. ,. .,. ",., ..,.,. :,.,.............,.,..,...,...,.....,., ~
~
PI umbing.,....."..........,.".,.,.",.,...,..,.,.,.,.,.,.,.,...,...".......,.".,.,.",....:..".,... ,.., ,.....,...
Mechanical........... ......,.........,.... ,............ ......... .... ....... ......., ................... .............. .--
Building Permit Plan Check Fee........... ..................... ........... ....... ....... ,. .... ,.,... 45-
Fire Dept. Plan Check Fee.. ...... ..........,..........,........ ......... ............ ...................., .,---
Radon Trust Fund: sq. footage -----
..................................
Concurrency Management Fee.................... ....,....,..,...., ..................,..... ...... ..:., .----
Capital Expansion Fee............,.......,......, ............. ......, ........... ....".... ....., ............. .----
Total Building Permit Fees:...... !~S- ~
SEWER PERMIT FEES:
Sewer Impact Fee.....,.,. ......,.....,...,........." .............. ..........................,.......
Sewer Tap Fee........., ~.....,................. ..............,.,..,.,..".....,..........., .........,... -
Total Sewer Permit Fees............. ------
By: ()rJ/fk~ Date: (fJ sf; t) /06
( I'
...~.. _.._,..._..~"..,.;__"._..o<_... - _"...........u_ - '
"- '-~ -^ - ~
, J[.v.,e.~ in g_&.~.E n.gIn e e"rln 9 :;~-,;.:,'
/19 0 _ ..., A 1 A,.,S ui t e 2 0.2 .' '. ' _, ' , '. .' . . d .
'.s a tell i t e B e a ,c' h ~, F lor id a ,3 2.9 3 7,' .
SIESTA" DEL MAR
A ,CONDOMINIUM,
._ ~ ." ... ~ . ~ _. _0 ....l... 'c' ,._ _.' _ ,._"; _"~L__.' ::_. ~ _. ~
SITE DEVELOPMENT PLAN
.... ._ ____~.~__.... .... .~ - ... . ... _."__'''__ ~. ..' ..~." _.. - ~_..~. _.~_ _. ~__.._ _. __. ~_._. -0 _" ~.. .~._ .
- 6T1-b~c:..
-....:r ""--
O<::..eb.\o.J
~,
1."'''-' ~~~ \>Je<t , iEWEIl FOR
t ~""O CO COMPLIANCE
I"-
,rut,) "/~!-j ~
C 1/111.,) 1..1 p~
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t-;
1525 J }:
~ e '~
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GDlp A'" ~~~ ,I:~~ '
A'\ I,A , -6' ~ 7, ri r-- .
(7 G. '. Z'S.'"
r- ~ l' OFF1CE COpy
ItS)
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DATE: FEBRUARY 25, 1985 EXHIBIT SHEET~OF~ :
~
07044, 07044M, 07052 Multiplex Input Modules
Specifications
Features
+
. 07044M Single Input Contact, Class B - e"
Fits into a Single Gang Box
. 07044 Single Input Contact, Class B - Fits into
a standard Double Gang or 4x4 Box
. 07052 Dual Input Contact, Class A or B -
Fits into a standard Double Gang or 4x4 Box .'".'.',... ,@diQn\CS
. Easy Addressing via Rotary Switches
. Low Current Draw
. Use with 07024 Series Fire Alarm .
Control Panels with a multiplex bUS~" ",",' ,',' ',.".,;',::,}Ml".,;,..,,:,/~~.,../,..,"
. UL Listed F :':'I"J . "5"';
;~~=-_.:~/
Description
The 07044, 07044M and 07052 Multiplex Input Modules Installation
are ~eneral purpos.e devices that connect a N/O co~tact Connections are made using the terminals on the rear
deVice .to th.e multiplex bus of t~e control panel ~Ith a of the 07044 or D7052. All terminals can accommodate
supervls~d Input loop. All operating power for the Input up to and including #12 AWG (2.3 mm) wire, however,
modules IS drawn from the control panel. make sure to follow wiring guidelines as specified by
Rotary switches provide for convenient address setting. NFPA-70 (the National Electrical Code). All wiring is
An on-board status LED on the Multiplex Input Modules power limited and supervised.
indicates Normal, Alarm and Trouble conditions and is Connections for the D7044M are made using the flying
visible on the module or via an aesthetically pleasing, leads from the device.
low profile faceplate. Install, test and maintain this device according to the
Application Installation Guide, NFPA 72, Local Codes and the
I Authority Having Jurisdiction. Failure to follow these
The 07044, 07044M and 07052 Multiplex Input Modules procedures may result in failure of the device to operate
are used whenever it in necessary to connect a Normally properly. Radionics is not responsible for devices that
Open (N/O) contact to the Multiplex Bus of a 07024. are improperly installed, tested and maintained.
The 07044 and 07044M may be used in a Class B
configuration with a Supervised input. The 07052 is
suitable for 2 Class B Supervised inputs or 1 Class A
input
~ A member of the
~ radionics Bosch Group
_,,,,,"",......,,,._~. .._.^""- ~ ..........,_,.~,.~.~'a'_,.,.,.._~'~..."".;,.-.............,,'""_""".~."...._""_,_____,,_..,..,...^." .
Specifications
POWER REQUIREMENTS 12 VOC nominal, 550IJA Alarm and Standby. Power supplied from the Multiplex
Bus,
INPUTS 07044M and 07044 acc~t a single Normally Open (N,O,) input contact
Supervised by a 2.21 k E L
07052 accepts two Normally Open (N.O,) inRut contacts in Class B operation.
Each input is supervised by a 2,21 k EOL T e 07052 will also accep 1 input in
Class A operation, No EOL is required in Class A operation,
ALARM OUTPUT Reports Alarm and Point Number to the FACP.
TROUBLE OUTPUT Reports Trouble and Point Number to the FACP.
RADIO FREQUENCY INTERFERENCE No alarm on critical frequencies in the range from 26 to 950 Megahertz
(RFI) IMMUNITY at 30 vim,
STORAGE & OPERATING +320 to +1200F I 00 to +490C. non-condensing RH.
TEMPERATURE
TEST FEATURES Internal LEO Indicates the module status: Flashes every 4 seconds for an Alarm
condition, flashes every 8 seconds to indicate normal operation and flashes
every 16 seconds to indicate a Trouble condition,
ADDRESS PROGRAMMING Addresses are set by 3 rotary switches.
ENCLOSURE DESIGN ABS plastic enclosure,
07044M Measures: 1 9/16 in, H., by 2 3/4 in. W., by 11/16 in. 0, (4 cm H., 7 cm
W., 1.75 cm 0), Weighs 2.9 oz, (82 g).
07044 and 07052 Measure: 4 5/16 in. H" by 4 5/16 in. W" by 11/16 in, O. (10.9
cm H" 10.9 cm W" 2,7 cm 0), Weighs 3,9 oz, (110 g),
WIRING 07044M has 16 AWG (1,5 mm) flying leads.
07044 and 07052 terminal blocks accept up to 12 AWG (2,3 mm) wire.
MOUNTING 07044M will fit into a single gang or larger electrical box.
07044 and 07052 mount onto a double gang or a 4 in. square electrical box.
LISTINGS UL Listing UL864
,
. . ~~ .
07044 ". .' (.~'.: 1170$2
. If'" .,.~'.
~!PI 301M
. t.
$..;,=<< $."''*'"
. .
:)',V"'-C -r.,. ''''',-- ""~-"r-'-'-)': "'..- r',. ,.";.'i;' ;:.-:;; '..'-, '.,-. ..j<':,:..~'~ ''.4'';','';; ",..,,~~:ti.;);~..';;;"W;.);j:;,
07044 07044M 07052
ISO 9002~
CERT/FICA TE NO, A5137
@ 2002 Radionics, a division of Detection Systems, Inc. 50889B 5/02
PO Box 80012, Salinas, CA 93912-0012 USA Specifications D7044, D7044M, D7052
Customer Service: (800) 538-5807 Page 2 of 2
- '~_~"_4_..,,_ "~",,- ~~-~->.. ..~.,.. .,~..... ~_.__._,
07053 Multiplex Input/Output Module
Specifications
Features
. 07053 Single Input Contact/Single Output 1-
Relay ~,
. Fits into a standard Oouble Gang or 4x4
Box
. Easy Addressing via Rotary Switches
. Low Current Oraw ~
@dion1c$
. Use with 07024 Series Fire Alarm ',.,.... ...'
Control Panels with a multiplex bus
. UL Listed
Description
The 07053 Multiplex Input IOutput Module is a general
purpose device that monitors a NIO Supervised contact
device and provides a separately controlled Form "c"
relay output. All operating power for the 07053 Module Installation
is drawn from the control panel Multiplex Bus,
Rotary switches provide for convenient address setting. Connections are made using the terminals on the rear
, of the 07053. All terminals can accommodate up to and
An on-board status LED on the Multiplex I~~ut Modul~S including #12 AWG (2.3 mm) wire, however, make sure
indicates Normal, Alarm and Trouble conditions and IS f II ' , 'd I' 'f' d b NFPA 70 (the
, ", to 0 ow wlnng gUl e !nes as specl Ie y -
viSible o,n the module or via an aesthetically pleaSing, National Electrical Code). All wiring is power limited and
low profile faceplate. 's d
supervl e ,
Appl ication Install, test and maintain this device according to the
Installation Guide, NFPA 72, Local Codes and the
The 07053 Multiplex Input/Output Module is used Authority Having Jurisdiction. Failure to follow these
whenever it in necessary ,to connect a Normally Open procedures may result in failure of the device to operate
(N/O) contact to the Multiplex S~s of ~ 07024 and a properly. Radionics is not responsible for devices that
separately controlled output r~lay I~ desl,red. The 07,053 are improperly installed, tested and maintained.
may be used in a Class B configuration With a Supervised
input.
~ A member of the
~ radionics Bosch Group
Specifications
POWER REQUIREMENTS 12 VOC nominal, 550lJA Alarm and Standby. Power supplied from the Multiplex
Bus,
INPUT Accepts a single Normally Open (N.O.) input contact. Supervised by a 2,21 k
EOL.
OUTPUT CONTACTS Form "C" (NO/C/NC) contacts rated for 120 VAC @ 0,5 A; 24 VOC @ 1.0 A
(Resistive Loads onry).
ALARM OUTPUT Reports Alarm and Point Number to the FACP,
TROUBLE OUTPUT Reports Trouble and Point Number to the FACP,
RADIO FREQUENCY INTERFERENCE No alarm on critical frequencies in the range from 26 to 950 Megahertz
(RFI) IMMUNITY at 30 vIm.
STORAGE & OPERATING +320 to +1200F I 00 to +490C. non-condensing RH,
TEMPERATURE
TEST FEATURES Internal LED Indicates the module status: Flashes every 4 seconds for an Alarm
condition, flashes every 8 seconds to indicate normal operation and flashes
every 16 seconds to indicate a Trouble condition.
ADDRESS PROGRAMMING Addresses are set by 3 rotary switches.
ENCLOSURE DESIGN ASS plastic enclosure.
Measures: 45/16 in, H" by 4 5/16 in. W., by 1 1/16 in. D. (10,9 cm H., 10.9 cm
W" 2,7 cm D), Weighs 3,9 oz. (110 g),
WIRING Terminal blocks accept up to 12 AWG (2,3 mm) wire,
MOUNTING Mounts onto a double gang or a 4 in. square electrical box.
LISTINGS UL Listing UL864
J"'1u-J · ~ [
'lA. ..,f\l l5,+1
],(0) 9,_-
I.,.. '''''\i1\'''''k''''*,;'.''''''"'''''~+1
,',', , "1i1i4,'",.".,:>ik.-.....',~"",'.;^j"..~,,'oii.;..,.",'".I..',' ..'.';ilr'"..:,~:,'.' .."'"..,.,,,.'.,".,....,' ..,', . .:,
:. ........~\~~~1iii~JM;~~~;- '-~;:~~:'" ?,. y' .'. ,"'-'-.'-
iB UlB~..'\l't~"2 IJ~ " .;J illi.
3 7.)1 3. L R'
to! ,,$'5'" 6 s' 6.. ,.[
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\
"S.'""..li"
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07053 Rear View
ISO 9002 (S)
CERTIFICA TE NO, A5137
@ 2002 Radionics, a division of Detection Systems, Inc. 50893B 5/02
PO Box 80012, Salinas, CA 93912-0012 USA Specifications 07053
Customer Service: (800) 538-5807 Page 2 of 2
y ~..........,_.-....,.----- ....-"....,~,'-~- -"----..
Fire Alarm Systems I 07033 LCO Keypad
07033 LCD Keypad
~. Fire Systems
. Compatible with the 07024
FACP
. Two-line, 32-character,
alphanumeric LCO display
. Status LEOs identify alarm,
trouble, power, and silenced
conditions
. Address setting by jumper
. Remotely control system
including commands and
programming
. Passcode protection controls
system access
. Low profile design
The D7033 LCD Keypad combines remote annunciator and Certifications and Approvals
controller functions for fire alarm systems controlled by the Listin 9s and UL UOXX: Control Unit Accessories, System
D7024 Fire Alarm Control Panel (FACP), It operates Approvals: (ULB64)
identically to the user interface on the D7024 FACE You can CSFM 7165.1615: 147
connect up to four D7033 keypads to a D7024. Also use it to NYC/MEA (12-92,E, Vol. 7)
program the D9068 Fire Digital Alarm Communicator Installation/Configuration Notes
Transmitter (DACT),
The D7033 allows remotely starting local system tests, system Compatible Products
The following products are compatible with the D7033 LCD
programming, system control, and viewing the system's event Keypad:
log. Passcode protect access to system functions allowing
installation in areas open to the general public. Category Product 10 Product Description
The two-line, 32-character LCD (liquid-crystal display) Control Panels 07024 FACP
annunciates system status and events, The top line provides D7024,EXP FACP for export
general system status information, while the bottom line Keypads and D7030X LED annunciator
Annunciators D7030X,S2 LED annunciator
identifies specific devices or procedures. An internal sounder D7030X,SB LED annunciator
signals alarm and trouble conditions and annunciates Transmission 09068 Fire DACT
keystrokes during programming and control procedures, Devices
Four status LEDs indicate power, alarm, trouble, and silenced Mounting
conditions, A pull-out slide with operating instructions fits Mount the D7033 on a single-gang or four-inch square back
behind the mounting base, box,
BOSCH
-,-,- ........... ~-.~....."-..............,,... .......~,,~ .0 . ...-
Dimensions and Technical Information
511 7500H Horizontal cover with key lock 511 recommends replacement of
511 7500V Vertical cover with key lock gaskets every 5 years for outdoor
511 7501H Horizontal cover with thumb lock applications,
511 7501V Vertical cover with thumb lock
511 7600 Cover with key lock
511 7601 Cover with thumb lock
I STI 7500 I ~''"''" t' mm)
"'- ,75 in (19 mm)
'T ~ ~
IJ .,,"'" ""~'
I
I
I
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I
I
I
/ ~ '" 1,00 in (25 mm)
,
III / .75 in (19 mm) ~
AY ~ """">M """""", ~ 3.50R In (89 mm) ~
7500H COVER W/KEY lOCK
7501H COVER W/THUMB LOCK
VERTICAL MOUNTING, 850 In (216 mm)
7500V COVER W /KEY lOCK
L-- 7501V COVER W/THUMB lOCK
SIDE VIEW
I STI 7600 I I
6"
19033 ANCHOR (2) HINGE PINS 17 L ~ONTVIEW (152mm)
/,[ (4) PROVIDED (PART OF ASM,) ,
{}--- / '
760099 GASKET (ADHESIVE BACKED) ~"-.,.~l /
" X1'v /~, r- D" IHomm,----1
~//' /.~ / /: ~ t
0, .~'
0-.. / 1'-::'---
, /.~,// ' Q, /0#'
f / k . F /1 B",""'W~ = SIDE VIEW 1 150"
IJ.~/ // ~~ (10xl1/2) (38mm)
, ~ ",,-;::;/ (4) PROVIDED .
~. ~ /;/ II
/' / 'v f
/// // /'/'/ /" /
<'~<~//~ J
~,.,.~ . ,/
/ .' './
/';:;:;;>/ /(' //
Y //
A1t/y .." """W~'''M,W/'",O'' 5TI 7500/7600 5pec.
" I /. 7601 COVER ASM. W/ THUMB lOCK
printed In U.S,A. '~'7" 11/00
..<-~ - . " ~.. "",-,,,,,-~,,,,.----- -~- ~ .. t
..
, . FireGuide 07024 Battery Calculation
. .
, Company: Federal Fire Alarm And Security Systems, Inc.
Address: P,O, Box 22131 Project Name: Siesta Del Mar Condominiums
, . City: Lake Buena Vista Project Number:
State: FL Zip: 32830 Date: 8/1/2006
Phone: 800700.5712 Designer: Bart Hill
Fax: 407348-1422 Standby Hours: 24 Alarm Mins: 5
Quantity Device Standby Alarm
Each Total Each Total
Fire Alarm Control Panel
1 ~~_ 1[)~9~~f.irEl3-lar~ ~ontroIPan_~1 4 Zones Expandable to 8 I 0,200 1 0.200 T 0.380__+_ 0.3,~
~- I I I
1 107039 Multiplex Expander for the 07024 0.150 0.150 0.150 0.150
-,--~ . -~ ---.-..-...----. _._--~----_.
Total Control Panel Standy Current: 0.350 Alarm: 0,530
Option Bus Devices
07~~ ,<\lpha."'umeric,~CD~~ypa~ ,~___,_
MUX Bus Devices
5 0!2~r..1, Min~~ingle Point Input Module 0.000550 0,002750 0,000550 0,002750
,n__"_"~ --- ----~
2 07050 Photoelectric Smoke Detector/Base 0,000500 0.001000 0,000560 0.001120
,-",- ._".,---~~--~--_._--,-~_. ._.~
3 D7Q52~i~J!I~~f:ll:It and_Single Helay Output Module 0,000550 0,001650 0.000550 0.001650
Total MUX Bus Standby Current: 0.005400 Alarm: 0.005520
System Totals
Circuit StandbY Alarm
Fire Alarm Control Panel (D7024) 0.350000 0.530
Miscellaneous Accessories and Expanders 0.000000 0.000
Option Bus Devices 0.080000 0,100
MUX Bus Devices 0.005400 0.006
2-Wire (Loop Power) Devices 0.000000 0.000
4-Wire (Smoke Power) Devices & Accessories 0.000000 0.000
Other (Aux Power) Devices 0.000000 0,000
. Notification Appliances 0.000000 0.000
Total Standby Current Calculated: 0.435
X Standby Hours Required (24) 24
Standby Amp-Hours Calculated: 10,450
Total Alarm Current Calculated: 0.636
X Alarm Minutes (5) /60 0.083
Alarm Amp-Hours Calculated: 0.053
Total Amp-Hours Calculated 10,503
X Derating Factor of 1.2 1.200
Minimum Battery Size Calculated 12.603
Battery Size Selected: 12AH
-,
Page 1 of 1
-~-~-,.~-~,. . ~..-.<...._.._..._~.^~
/. 6,((.5 0(,.0
f ,/1<( I
City of Cape Canaveral, Florida
BUILDING PERMIT A212
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Permit #:4212 Issued:
Permit Type: FENCE PERMIT
Class of Work: REPAIR/REPLACE
Proposed Use: See specific use -residential Section: 23
Sq. Feet: Est. Value: 2,450.00
Cost: 7,250.00 Total Fees: 135.00
Amount Paid:
I
I
- Jum__-d&!. ~ ?JJJ-
APPLICATION ACCEPTED BY:" PLANS CHECKED BY:I ' APPROVED BY: I
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZE 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
COMMENCEMENT.
,~,,$-z/O b
D BY/DATE' -
01 0607'06 10:29 00168 PLU PLU 2 $135.00
V~ loD /1
,- ~ ~.,o,..;'''''~''''__'. '~"''''''''';'~_ ~ ~~'Y-''''''''~'''-''''_'-'---
..
CU5tom Ftnct/ I nc. Proposal No: 1-06
"The Difference is Detail!"
1613 Sun Pointe Place Date: 2/23/06
Merritt Island, FL 32952
Phone: 321 799-2087 roJ Fax: 321 452-2510
Pro osal Submitted To: Work To Be Performed At: Perimeter Fence
Name: Siesta Del Mar Street:
Street: 430 Johnson Ave Ci State:
Canaveral COMMENTS:
State: FI. ZIP: 32920
Phone: 783-8442 Cell: 480-1576 Attn: Ida
Fax: 799-3385
We hereby propose to furnish the materials and perform the labor necessary for the completion of:
Install 505 11ft of 4 ft high, 9 gauge Green Vinyl coated Chain link Fence and 1 Commercial 4 ft Walk Gate
Terminal and Gate Posts: 2 112 in Schedule 40 Vinyl Dipped cemented in ground
line Posts: 2 in Schedule 40 Vinyl Dipped cemented in ground
Top Rail: 1518 in Schedule 20
Bottom Tension Wire: 6 Gauge Vinyl Coated
Remove existing Chain link Fence and haul away to Landfill
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted
for above work, and completed in a substantial workmanlike manner for the sum of Dollars ($) 7,250.00 with
payments to be made as follows:
Permit and Permit Fee will be required OFFICE COpy
A copy of the Property Survey will be needed for Permitting
Any alteration or deviation from above specifications involving extra cost will be
executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements are contingent upon strikes, accidents or
delays beyond our control. Interest at the rate of 18% annum will be added to
the outstanding balance over 30 days old. Customer agrees to pay all costs of Respectfully submitted: George), Smith
collection, including attorney's fees if this account shall be referred to an Per: Owner
attorney, or if court action is necessary for collection. Customer is responsible
for all underground utilities, sprinkler systems and property lines. Please Note: This proposal may be withdrawn by us if not accepted
within 14 days.
Date: 5 10/06
,.--
f";",<- I 12 -;;27 (b5
City of Cape Canaveral, Florida I
BUILDING PERMIT /3650
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT INFORMATlcjN---~---T-----'LOCATION INFORMATION -,~----
Permit Number: 3650 Issued: 9/20/2005 I Address: 430 JOHNSON A V UNIT 305E
Permit Type: HURRICANE SHUTTERS . CAPE CANAVERAL, FL
Class of Work: 434- Add.lAIt. & Reroofs Res. I Township: Range:
Proposed Use: See specific use -residential . Lot(s): Block: Section:
Sq. Feet: Est. Value: I Book: Page:
Cost: 4,750.00 Total Fees: 112.~50 Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid: Parcel Number: 243723CG 72 1015
- CONTRACTOR INFORMATION------ --- OWNER INFORMATION--
Name: ROLL CLEAN SHUTTERS 'Name: DAICHENDT, JOHN G----
Addr: 5201 OCEAN BEACH BLVD #3 I Address: 21218 KELLlWOOD GREENS DR
COCOA BEACH, FL 32931 KATY TX 77450
_~t!Qne.=,J?,21)79~-0?1?__, J..ic: 0094,70056__ ._L_~hon_~_ ____ ___, ______
Work Desc: HURRICANE SHUTTERS PER SUBMITTED SPECIFICATION
"-- ..~-_.,~~,_.._-~~----_._~.__._,-
APPLICATION FEES
BUilDING OVER 2K---- 75.00 I PLAN REVIEW OVER 2K 37.50 I ---------,.-.
I I
I
I
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I
!
___,~_,__,______L_. ,....-1
__~ Inspections ~equired .________~
Final ! \ ]
I I .
I I I
I I
N-;;TfCE' ";"5 PER~~~~g;~~~i~s.c;t:~g,grljff:.tt~NdtJc~~~~:JJ~i:':/:Jn't:.~~~d~N 6 MO"'';'O''-=
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 IMP EMENTS
TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CO S L T WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOU N ICE OF
COMMENCEMENT.
._-,-~"
~~ \\~1J
CITY OF CAPE CANAVERAL q:F- 0::' - 0'13 f /
BUILDING PERMIT APPLICATION
City of Cape Calawnl Building DeplIrtmmt 105 Polk Ave. Cape Canaveral FL 32920
(321) 868-1222 3650
Date: Permit #
(You may download this application: www,myflorida.coml~W' You may fax to: (321) 868-1247
Important: A checklist is provided on the back of this fonn, Complete the checklist and provide other documentation as
inillcawd on me checklist A copy of contract may be required, Application packages will not be accepted unless complete.
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
'lConlflliL-1aliOwna'~Buildcr ~required to sign for the building pamil. unleli8indi.:.:ated otIlcrwi~ by affidaVit 1.D. may be fCt{uircd)
Address of Job Site: ' .., JUddS'!',J 4v~ IP'--.-::1'; :;- C4;?e &>~J4/~k40
f:J(,
Legal description of property: TWN: _RNO: _ SEe: _ SUBD: BLK: LOT: PB: PO:
Name of PrOperty Owner: fl /1 Ai /) ,4- I c. J.I e. AI fj-r Property owner phone number: ? J 'f. 6 Y 3 )
Address of Property Owner:
Com.Jqbity Appeanmce Board approvaI date: Site-Plan approval date:
, .
.J Type of Permit Brief description of work:
BuildinJl
Electrical
Plumbin~
" Mechanical
t/ Other / A,/.s 1.4 t..1- S If t.J r T .:; L<;;
Type of Square CoDSL #of # of dwelling #of #of Total vaJuatioo of work
.J Building Feet Type stories units bedrooms bathrooms --1
Commercial $
-- I
SFR $ I
,
Townhouse $
Apartment $ ,-
6 7_ ~ .......
V Condominium $ i,'" / '5'. tx--,
Other $
ArcbitectlEngineer Name: Name of Company:
Address:
State License No,: Pbone (office): Phone (ceWpager.): Fax:
,,-
Primary Contractor Name: Name of Company' _____'', _,
I Address: ._ __._. ,'n" _k'_"_'__ _____'__~_
I ",-,-------- " ------..---,,,- --"._,- ,.---------.--------!
I State License No.; Phone (office): Phone (celllpager.),__,________ _,. Fa.x: i
I Electrical Contractor Name: _________" Name of Company; __ __,__. __.___.__,__ i
!
I Address: I
! State Ucense No.: Phone (office): Phone (cell/pager,): ___,.____,_,~, Hi~~-=~==:j
Plumbing Contractor Name: Name of Company: -.,-,--,."._.._--,---J
Address: I
State License No,: Phonc( office): Phone (cell/pager.): ,---.._,..",,-,- -"-I
Fax: I
Mechanical Contractor Name: Name of Company; ,
Address: I
State License No.: Pbone (office): ._____,_..."" ' ,_" .".'... _.,_".,J
Phone (ceWpager.): _ __,
Specialty Contractor Name: .... t:' ".~. .,.__l':lame of Company: /{ ,'-,: "..,,, /, :-( . .
Address: ~,. A .-:.;. .. .~". . ~.... ,
StaU:ILocal License No,: Phone (office): .---._----_.._---_..~....- ~..._--,,,...-----.",.~-~-~.,._~~.".....
... -, :! .. . ,\ Phone (celVpager,):;rJ; .'.' ,;~;' :' Fax: ,___.-J
!
---_._--- .-..-----.--.----.---,
~~ """""....__. .'.'......~ "'.".~,~_"........"'___~_~'.."'..."."..'h,,'",;;.......",.~"""'.,...___"'_.......;."'.'_.w_.",._..._.~.,.c_,"'.....
p 3650
..J Baildiag Penait Applkadoa Cbedtalst Notes
Comoletcd Permit 011
CurraIt ..... ~y . all CIODStruCtion
Not.ari.zal ' - OwnerIBuilder Affidavit If - i. actiag .. COIIII'ad<<
Sewer l1npact Fee receipt May be defand lIIJIil C,O. UnI_ job . rcmodcIinc
County :moaa Fee receipt May be dcfand Ull&il c.o.
Caoital . on Impact Fee receipt Maybe defand WJlil c.o,
Si Imnsact Fee receipt If aidewaIk elliu on lot
Recorded Wanantv Deed I Proof of Ownership
Coov of Rewrded Notice of Commencement (over $2,500) Over $5,000 f<< Mocbmica1 c:bangc out
CUrrent Worker's Camp. Poliey I Exemption Record will be kept OIl file after initial submiua.I
Communitv A Board For all work vi.ible &om PubJj(: Ri~.()f.w.y
PlaJJIlin2 and Zoning Board Site PJan For all DeW CCIIIlIlnM:lioo offour units or more
Forms . Fw all DeW CODIInIdion Dot pMt of approved aite plan
ptinwy Contractor's State License Record wm be kept Oft file after initial submittal
Subcontractor's Authorizations: Record wm be kept on file after initial submittal
State License Notify Building Department 0{ oonttactot changes
Plumbing ContJactor Plumbing ContJactor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
.Roofin2 Contractor Roofing Contractor
Swimming Pool Contractor S . Pool Contractor
Gas Contractor Gas Contractor
Specially Contractor Specially Contractor
Construction Drawings: Per F.B.C, 104
Two sets of sealed construction drawings (three sets 'if commercial) Per F,B.C, 104
EIccttica1 Load Calculations
Electrical Riser A1lucw service mWll be loca1ed wuicrground
Plumbinlit Riser
AlC layout
Two sets of Energy Calculations
Lot Drai.na2e Survey . _ ~!
Pool Barrier ReQuirement FOQIl (signed) Pool permits will oot be issued without..J*'fi<< /
~ppJi~n is hereby made to ~ a ~ to do the ~ and ins4aJ1ations ~ indicated:.~rtify ~~ work or
installation bas ~mmCDced p~r. to ~e ~~ of a pe~ .and that .aU work will be perfo ed to mfet the standards
and laws regu1atmg construction m this jurisdictIon. By Slgmng. applicant affinns that all aOO ;..-..z.~~-~d correct
and that he/she is an authorized agent of the Contractor/Owner and has the authority to apply Ythis permit.
Appticant'sName: ~(~~ Applicant'sSignallUe: /~, __
Date: ~ff/5 ~~, ~
/
For Notary use only: State of Florida, C~ ofBrevar9 . :>, II /, J
Sworn and subscribed before me this /f-lt...day of S er ' 20 ())' , by p) I { (j r b 5 6 VI
Name of Applicaul
D, ~ produced identification: or
LJis personally I:uowu to me, ~
r--~ - (b
i PATRfCtA A. W()()[)AJij)
: .. ~"" Comm# 00Cl2S8I02 .
Seal: 1 (fl! ...::-'- 1. uJ ~
: ~OI-"'~ Ivu C8OO)I32..cac! Sj_..~" - N....~ Public At Lar-
. 'illi, Florida ~. co-- -,- J .o-
s............................. AIen.. Inc :
............
G:\BI4DopLFOl'1DIIBP APPUCATION This form may be duplic:ased.
, ~,..~ ".. . ^' '-~-~ 1" .......~.,..._~.,,~,~..., ____
j-\-~~4...~S J . . -4 3~ ::RJffIJ Sf!) JJ A-vt I!~(!)r
BUILDING PERMIT FEES: 3650
Building Permit per square footage:......................,................,......,....,........ -
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:..,.........,4.,-ZS72..=.,............... . btJ "Z--
z,t:P4' 0 /5~
Total Sq. Ft. (Living Area): -;z 7~~ .::::-.3 >< S :;:...
~
- '15---
Total Sq. Ft. (Enclosed Area):
------
Building P ermi t miscellaneous:,........,..,.".,.. ,..,..",.,..,."....",.".,...""""..".,...
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
~
ElectricaL.".,."...,..."".. .......",..,....,..,..,.."......,.,......"..,.,.,.."..,..".,.,..,..".......... ,..,
~
PI umbing,.,...,."....."......,..".,.,....",.,......"."...,........"......, ,..., ,....,..,......,......,..,....,
Mechanical... ,.., ,., ..,. ,.,... ,,'.., ... ,... .,..,., ..........., ,.., ". ""., ,... ,......".,.... ... ..., ,. ,......', ..,. .~
Building Permit Plan Check Fee..... ....... .......... ................ ............. .................. .575Y
------
Fire Dept. Plan Check Fee.... ,.........,........ ...... ................. ...... ................... ........,
~
Radon Trust Fund: sq. footage ..................................
--
Concurrency Management Fee......,............ .......................... .................., .......,.
--
Capital Expansion Fee, ....... ,.... ........, .... .......,.. ...........................,...........,....., .....'
Total Building Permit Fees:...... II Z f!2-
SEWER PERMIT FEES:
Sewer Impact Fee........,.,........,....,.......,........... .......,. ..............,."....,......,.. ---
---
Sewer Tap Fee......,..""..."."... .;......,..,..........."..,..............,........,....,..........
~" ;Jij fk~ Total Sewer Permit Fees............. D
I ~2.~ 1(U/lJr
.
""* A"'~'-'
"' ' ~
. ROLL CLEAN t,..-
ESTIMATE/CONTRACT
USHUTTERS
'-. ~
DATE ,"'~~,~;l. ())
'"q I>MIV ~ PHONE '7 it ....' ''", ",.. ;;" /
yv.At " '" '" ",
5201 Oceao Beach Blvd, #3 Phone (321) 799-0515 o .
Cocoa Beach, FL 32931 Fax(321] 799-8605 ' ~~gl- 57<8' ~""3(6
\ ~ l ,.It'
:~~L/1(_' ,'I, 'd" ",4...,
NAME ::....~... ,;..{. ,..<......' ,....2...1",,<:?{.... P"
)
ADDRESS .f:>" 4,......::{\,.i ';;i:j-".;i?~.4'-Is:;;""'''" ,,,~(/'-~,,:: . ,.'
.'~
/" ..-' """,,.,,4" ff --.'? ,,'i'
CITY;<).:^/.)..C, ,'-:'h'<4"".C"'V"<~C STATE ,;::#.z ZIP
\",/ / '/
-, ), ") ,,'
CONDO/DEVELOP'MENT_j,.(R.-.~,.",.:~t." /;0';:1,"-<" -h ,j,\
TRACK: HOOD: SLAT:
/.r,,.~LJ..~v' SPECIFICATIONS COST
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"'.~~, }\, ",(,,- ':, \~ F:- s .~ i ~\ i
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f i . ii '." CJ{': 'J..c!..s;.' !,(
,1' ,"'; I l
ESTIMATE 1_,-,"'" GOOD FOR "~~', ,) DAYS () ,)
Plus Permits J
Electrical/Mechanical
SALES REP,: ' ) \', " );:)\y
~ -- ,.,~ ""
, .\,"') 't
;"1 , 'II / L'
'. ",,~:,t/~,
ACCEPTANCE OF CONTRACT
~ " The above pric ,sp cifications and conditions are satisfactory and are h
"\t/;'le work as spe ifie , Payments will be made as outlined above,
'\t /-
Date 0 5 Signature
, ,- "-.'.,~ , p, , ~..~" ---'."'-"-'-....." .",....,,,..,-,-~
~
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, -Jj --...J' tl}. ..if;>) ""I \ ::
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~5r
~ \ RE'J\EWEO fOR
-0 @o ,p",~' conE cQhWL\~CE
~ ~ "J.. ..p'l
->< (i) Qi '
0() ~ l ~ '
)U
- * 1~ _.--
3650
,,\(f- ,; ,", )\.J
<to<'
^~\- SO --f.1q">
~O{.(o3
- -----.-....-
--~--------._~"'.._----
or-- - -: I
-"
., .
.. '1 '
/ f ' . SLAT SIZE C ARTS
~ ... ----'
~ 'I ;;:;:-
. z
.
pvc SL T DIMENSIONS (IN.)
SL T DESIGNATION
, PVC
x X 2.56
>-
y 2.20
Z 0,52 . ,
TRACK MAXI
. ,
/
PVC SLAT
SCALt:: N.T,S.
B = PVC - 55 MM
Z
ALUMINUM LAT DIMENSIONS (IN.)
SLA DESIGNATION
RCF-40 R F-55 RCX-40 RCX-50 RCX, 60
x X 1.88 .56 1.87 2.80 (FUTI ~E)
>-
Y 1.56 .16 1.57 2,35 -
Z 0.35 .56 0.36 .403 -
TRACK MINI AXI MINI MAXI -
ALUMINUM SLAT RE'J\EWEOfOR .
SCALE: N,T,S.
C ::: RCF - 40 MM COOE COMPU~NCE
o = RCF - 55 MM
Al = RCX - 40 MM
A = RC;X - 50 MM
E = RCX - 60 MM (FUTURE) 3650
~\\\\\\' IIltfF"'li!
SLAT CODE ' . L '~"'\~t.'W~!for"",,.,I;
. 'l Or \/ *' ~~ ... '........ ~ ~
, ~ .., ~ IFf C" <.$I ~
B = 55 MM PVC - PLASTIC- (FOR REP IR ONLY) fl#/o~ -4,\:~",~\
C = 40 MM FOAM FILLED ALUMINUM ONLY)~"': N 3 1.~'S
- -: 09"28'1
D = 50 MM FOAM FILLED ALUMlNUM ~ ~ STi re ~OF : -
A = 40 MM EXTRUDED ALUMINUM ~ ~ \ l I
A 1 = 50 MM EXTRUDED ALUMINUM ~ ~Q""'':-{. Rltl't-......$
E = 60 MM EXTRUDED ALUMINUM (FUTU .~~i;;'~~!~~+~"..,
;,}.. ~;~"\"~~";:':"
"_o-..~.::;?!;.:."l-:; ;;.'- : "~.;, <:..-, '1' ". .
STEPHEN E, ASTNER P.E, ~,~(li~~~'~'~ ~OW~';)fEbs
ROLL CLEAN SHUTTERS FLORIDA REGIST RED ENGINEER PR...1=1'~€g:f~S'~ ~Tl9N:.~~f,D€.<
8085 North Atlantic Avenue 5320 ::~R~g 9:;L~ ROAD '~~,t~1~;~:~~Et~~'.$~;,,~g~:~.,
EXPO , _. ., ~~ ~ ._~. .... ,
Cape Canaveral Florida 32920 COCOA, FLO IDA .32927 ,,--,:,,, ...,".. '?> .~~..:;;. ;<i";C~:"
, 407-63 -6705 '..':."'!)' : "":\",/1li.",~ '
,.'
, .""-.....
-
SCALE:
N.T.S.
GENERAL PLAN NOTES: STORM BAR AND MULLION POST SCHEDULE (6063-T6) JOB OESCRIPTlON:
REVISED 09/20/97 2" X 2" x .125" 2". x 3" x .125" SHU'ITER DEA1LS
1. ROU..-UP SHUlTER SHOWN ON THIS PRODUCT EVALUA.TION OOCUIdW MAXIMUM '//I~g~~~~5RE 0 ";i:,~~'" W1~L~~~RE 0 ~~~TU BUSINESS PHONE
(? .SD.) HAS BEEN OESlGNEO IN ACCORDANCe: WITH THE 2001 EDITION
OF' "tHE fl.ORlOA BUII.DING coO!. DESIGN WINO LOADS SHAU.. BE '//10TH
DETERUlNED Ni PER SECTION ,50\) Of THE. AHeM: .I.IEN11ONED CODE. 799-0515
F'OR A BASIC WINO SPEED AS REOUIRED B'f THE JURtSOlcnoN WHERE A 72" 70 p.S.F. 96" 90 P.S.F. 120" CONt.j81..0C'I{
SHUT1'(R Will BE INSTAlLED. AND FOR A OIAECTI().tW.m' FACTOR 2)(2 OR 2)13 L
Kd=-O.8S. IN ACCORDANCE WI ASCE 7-98 sTANDAAD. sw\,JTTER.'S 96" /.
ADEOU.i.C'f FOR IMPACT mo fAnGUE RESISTANCE HAS aEEN VERIF)EO Al 54 70 P.S.F. 90 P.s.F. 120"
IN ACCORDANCE WITH SECl1QN 1601.1.4 Of THE ABOVE MENTIONED 0 I
CODE. --'.>
2. AlL AlUMINUM EXTRUSlONS S\-W..L BE 606.)-16 AlLOY (U.N.O.). /$ ~ C\1
~ m I
3. All. SCREWS 10 BE STAINLESS STEEL 304 OR J 16 SERIES WITH I
50 ksi YIELD POINT AND 90 ksi TEN.SIlE STRENGTH. HEADER SCHEDULE Q FRAME Z C\l
~NTEGRAL C":l
4. BOUS TO BE 2024-14 o'.1..UMINUM ALLOY, GAt-VANIZro OR STAINLESS ( TRACK) rn ~
STEa WrTH 36 ul 'MINIMUM 'YtEl.D POtra. 1" x 2" x .125" 1" x 3" x .125" I ~ >-
5. STQRlI BAAS A1 flOOR OR CElUNG },jouNTiNG INSTAllATIONS w,Y BE <C
REMOVABLE AT NON HUAAIC,t,NE CONomONS. STORM BARS t.luST BE MAXIMUM ,"~g~~~RE 0 ";i:,~~'" WI~~~~~RE 0 ~~~TU 2x2 OR ~ <C 0
INSTAlLED WITH CORRESPOND1NCHARO'NAAE DURING PERIODS OF' WIDTH 2x3 x1/B E---
REC TUBE ......
HURRICANE WARNING AND THAJ ROLl UP SHUTTERS WILL NOT OffER lx2 OR bJ E--- U ~
HURRIC>>4.E PRQtEcnoN UNLESS AlL STORU BARS ARE INST}..ll.ED. 72" P.S.F. 96" P.S.F. 120" REC TuBE: HOR REC lUBE
A 70 90 2x2 OR 2x3 ......
6. REMOVABLE: STORM BARS SHAll BE S10RED IN It COHSPtCUOt.!S PlACE ';1 h2L OR 2'l'2L MUlLION POST ~ ~ 0
WITH f.JS( AND IMMEDIATE ,IoCCESS SO THAT lHEY CAN B't REACHEO ~ tACh fACE ::r:1 ~
AND INSTALLED A.Kf nuE: (HURRICANE CONDITIONS OR NOT) SlATS A1 54 70 P.S.F. 96" 90 P.s.F. 120" '" Z t:z...
ARE ROLLED DOWN. lHE EfrtCT Of THE $LATS ROLLED DOWN WITHOUT ~'" rn <C
STORM BARS IS: THOSE SLA1S 'HIll. sUP OUT ~f TPft,CK Duf TO WE ~~ ~i f 4 TO HEADER
Orn..(CTION CAUSED 8'l' WIND. fORCES. ~':j 2) 1/4- . THRU BOl1S TRACK (ATlACH ~
7. ANCHORS TO WAlL FOR SIDE RAI\.S Io.NO BOX CONNECTION SHAll BE AS g~ TO S aRY BAR (If REO.) TO MULUON wI Z E--- ~
FOLLOWS: (U.N_O.) ~(4~~lri~ ~t~fE~' <C <C <C
TO EXt$TtNG POURED CONCRETE OR CONCRETE alOCK: 1/4- l>l STORM BAR
TAPCCN ANCHORS OR t/~~ STAlN~ STEEL HEX OR PH1LUPS ~ 2 x 2 x .12S ~ ~
HEAD SCREWS. ~ 2: x .3 x .125 ~ ::r:1 ~
"'
NOTES:
A. MINIMUM EMBEDMENT OF lAPCON ANCHORS INTO POURED CONe. U E--- >-
is t 3/4", NO 04aEOMENT INTO SiUCCO SHAU.. BE: CONSlOERED ~ <C
IS PARr Of lHE REQUIRED E"'SEOMENT. TRACK ~T ~
B. ,&,NCHORS SHAll BE lNSTAl1J:O FOLlOWING AlL OF THE ~ ~ WN..1.. EOGE 0 Z
RECDMutNDAllONS AND Sf'tClflCATIONS OF mE ANCHOR'S ~ Z <C
MANUfACTURER. 0
9. CONTRACTOR TO BE RESPUSIBLE fOR tHE SELECTlON. PURCHASE AND U -:U I B [ 'r~ ~=--y ---i.I ~ U 1
INSTAlLATION Of THIS PRODUCT BASED ON THIS PRODUCT EVALUATION J SHUTIER tlOTH ~ L SttU~'s"'''''H I ID
PROVIDED. CO ~ !
1WO SPf.N Th..~E Si="AN
I , 0 p...
~ ~ fo~/Rf~~t B~fJRM ro <C
2x2L. 8Afl. {T1PlCAl} U
.055"
rr- ~U0l~1~2;N~~~~S OR WINDOW SILL OR Z SILL
.05S- WOLL SHUTTER ASSE"aLY sEcnRiMlEW posT SECTlON (TYP.)
(If 1~.: ~ CONSULTING ENGINEER:
SCALE: NTtODE CO l' ANe~ N T.S.
~ .' ~ J i, l:\\\'\''l~~l~U;;aJJI.
I 1.003:3. \ ',461- =! 1 "~.L 1.... \ \.." ~# '" i-;4~!~~? ,i'-'~~;;
2.S~ 3 6 5 0 / 'l.~~:.-:"~~IFIC:"J..~~~ I
MINI TRACK ~1 TRACK $/!!/u ",.,,,,~ I
g'" [ No. 39528
% i
ON PlUC
~'"'"& 2~ STAINLESS ST,
fELT $TRIP 1 t12 PHILIpS OR
E:X HEAD At 9"
-'- _TRACK SLAT ~ gN .,cE~!TEfo.lS~t
2x2;K'1 aL. WITH 2" ~ ~ aOTID'" OF ,RACK).
PHll11~ OR HEX H(AO
STAINLESS ST_ SCREW
9~ cjC lYP1CAL @- OETAIL
CD DETAIL SHEET NO:
SCALE: N.T .5. 5C,\LE: N.T.S.
1 OF 1
City of Cape Canaveral, Florida r
BUILDING PERMIT „2992
PHONE: 321-868-1222 INSPECTIONS & FAX: 8684247
PERMIT INFORMATION -
LOCATION INFORMATION
Permit Number: 2992 Issued: 2/14/2005
Address: 430 JOHNSON AV
Permit Type: FENCE PERMIT
CAPE CANAVERAL, FL
Class of Work: REPAIR/REPLACE
( Township: 24 Range: 37
Proposed Use: See specific use -residentialLot(s):
Block: Section: 23
Sq. Feet: Est. Value: 2,450.00
Book: 3 Page: 7
Cost: 4,800.00 Total Fees: 112.50
Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid:
Parcel Number: 24 3723CG 72 100
_ CONTRACTOR INFORMATION
OWNER INFORMATION'
Name: CUSTOM FENCE
_ _
Name: SIESTA DEL MAR CONDO ASSOCIATIO
Addr: 738 SCALLOP DRIVE
Address: 430 JOHNSON AVE UNIT #502
PORT CANAVERAL, FL 32920
CAPE CANAVERAL, FL 32920
Phone: (321)799-2087 Lic: 009530314
Phone: 321-799-2764
Work Desc: REPLACE FENCE
PER SUBMITTED PLAN
APPLICATION FEES
-BUILDING 2K ___.____-------- ----75.00
PLAN REVIEW OVER 2K 37.50
I
I
I
_-. -- Inspections
Required
_ - - --
Final
I
I
I
i
i
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, OR
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANYTIME 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.
3
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� �f` 1 0 "'��
/}'C ��� rte.<�3
,✓
ISSUED BY/DATE AUTHORIZ SI6NAT-ORE/DATES j
CITY OF CAPE CANA VERAL
, , BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
2../ 3/0 ~- (321) 868-1222 2992
Date: Permit It
(You may download this application: www.myflorida.com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complet(
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by affidavit. J.D. may be required)
Address of Job Site: L./3o JOlilVSON Av~
Legal description of property: TWN: _ RNO: _ SEe: _ SUBD: BLK: - LOT: - PB: - po: -
Name of Property Owner: CLAII2€ ~o/(.. / PJlESI1>~ Property owner phone number: 79'- ~ 7 G. $I
I
Address of Property Owner: SAf11I:~
Community Appearance Board approval date: Site Plan approval date:
...j Type of Permit Brief description of work:
Buildin t..VIl1/~U w6-
Electrical
Plumbin
Mechanical
Other
Type of Square Const. #of # of dwelling #of #of Total valuation of work
..J Building Feet Type stories units bedrooms bathrooms
Commercial $ L../ l?' c:> tP . . "
SFR $
Townhouse $
Apartment $
z/ Condominium $
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 Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty Contractor Name: Name of Company: u..rr/>/lIt fE;JvCG X A/<' .
Address: 35' :r:~f~lA-~ 'D1l. . B c...t> (... IE (j,ye: CA""'~crn.t'(.. " r--L. 3 <. C; '- 0
.
State/Local License No.: .51).' 6-'- Phone (office): 7if!t:t- Zpa-? Phone (cell/pager.): ~ tr'-799 J Fax:4S'Z-?.$'/~
, , , .... ~ "0" ,,~"",,""'''''H'___ --.... ,..,.'__.."'. ~..- .>~'.~~~~M'_.,.__
...J Building Permit Application Checklist (general requirements) Notes
Completed Permit Application Current code edition: FL Bldg. Code 2001 (as revised)
Current survey showing all proposed construction Also show any existing structures, easements, utilities, etc.
Notarized signature - OwnerIBuilder 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) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Compo Policy / Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For new construction of four units or more
Concurrency Forms For 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 Contractor Specialty Contractor
Construction Drawings: Per F.B.C. 104
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104
Electrical Load Calculations
Electrical Riser All new services must be located underground
Plumbing Riser .
AlC layout
Two sets of Energy Calculations
Four sets of Fire Suppression/Sprinkler/Alarm Specifications Requires Fire Department review and approval
Lot Drainage Survey
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
and laws regulating construction in this jurisdiction. By signing, applicant affmns that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the au ority to apply r this permit.
.')
Applicant's Name: ~t>~~E"" J: ~ I .,..,., Applicant's Signature:
Date: Z/3(OS- Address: 1'13 SVJJ f 01 """nr pi.. .
,
"" . r. , FL.. "3 2. 7..S" "'2-
For Notary use only: State of Florida, County of Brevard "
Sworn and subscribed before me this day of , 20_, by
B Name of Applicant
who produced identification: or
is personally known to me.
Seal:
Signature - Notary Public At Large
G:\Bldg.Dept.Fonns\permit APPLICA TIOnH Q-6-04 This form may be duplicated.
~ \. .' . ~ ~ ..' - t
..",..", I.,
_. ___ __ 'II _ ..... ......-'-~,..a...L,.,L .... .A..J.L..tu. 2992
-~--
--'Bul1a~ng Permit per square footage:.................................~.......................... ,...---
Total Sq. Ft. (Living Area): ....'"
'"
'~,
Total Sq. Ft. (Enclosed Area): ;
",,'
.,
B 'ld' P 't b d 1 f' --:1fl~~>e:-- he: "Z- n_ _.> _.__._._
Ul lng erml ase on va ua lon...............~.... ........."............n......nH'-...-...-;-,.;..
A.. (9 CJ2-AD -
Total Sq. Ft. (Living Area): ?~g0;: ::=- 3- X S- { S
---::::;;= ......-
Total Sq. Ft. (Enclosed Area): ".
, ~.
Building Permit miscellaneous:............... ........ ............ ..': .. ""0..:....:.... ..............
Total Sq. Ft. (Living Area):
Total Sq. Ft: (Enclosed Area):
.
. '1 .---'
ElectrIcaL.... ..................,............... ........ ......... ......... ................... .... .......~. r ............
, , ...----~
PI umbing.... .... ............. ......... ...... .......... ...... ........ ................... .................._ l,... ~.....
.' ..------ .
Mh'1 . . \
ec anI ca............................... ........................................ ......... ....................." .;,...
2S-o,
Building Permit Plan Check Fee.......... ............. .......... ........ ...... ............. ......... ;..;) 7 -
E"ire Dept. Plan Check Fee....... ...... .................... ................. ......... ..... ................. r----.-
ladon Trust Fund: sq. footage -..,
....... ................... .... ....
,
:oncurrency Management Fee. .......... :.... ....... ..... ............... .~.... ................ .......... .....----
--
:a p ital Expansion Fee........... ......:... .,. ..... ................... ................................. ......... , ,~,~ .
Total Building Permit Fees:...... 1/2 ~
EVVER PERMIT FEES:
S ewer 1m pact Fee.....................:......................................... ......... ~............
~
Sewer Tap Fee...................... ............................ '.................... ......................
Total Sewer Permit Fees............. -
09 K ~~I o 2-(/1/ D~~
.-
.-
l~ ~~1~~ ~~'P~F'M ~~
U \_j-' . -:--:,., ",c:,~,Ic-:lr: J3r~,. l~ (' .:.J::.~.::.\..) ';"'1,_10 _\,~ I I .....
" .", I'-TI-".' '~p -E . ~ .u. . -''- L...._ -~~.....
FF.'O:': . 1._. c..;::, ,,', I r _' 1"~
II. ~:.:.. . I' [~ ",c::; to I/U. f e I~C e J II/I.,c). : p _. . I N 1
. """-. ..,;,~._.- , I Ol)o~a o. I
.... . J" ...~_..:~ t I ....
! I\. I '.- l ' ' 'Tlw DtI't~rr.lJ(F. is DCti1i1.!" I ,
I ;! '.: I ,
' I j" .' I 357 Impenal ['f., l'J.ICly, T' Date: 1/0b/05
i L Cape CaflilVNfll, FL 32920 :
i-. . . ... P..bgne: (321)7~q:?.P!L~[~l!~ (321) 4~!:.?5tO _. I ...,.....
I ELoDosal SY~Q1~_'~~ ....." 1..Yt..9.rk T,Q. Be Perf9nned bt_, . ,... .. ..
I Name;.Sies~.~1 Mar .'" .... Stre:et.tror'lt of COndQ....-,-............._.. I
I S I
I Str$~.:1.~O Johm;on Ave_, .... ....... Ct ; ..... ..... ; ra~e; "-' ....-1
I City:Cape gf\~YE!r..?1 . .'. COMM.E~!S: Attn: Claire Co~ke ... '. _ .
I State,:n ~ ..J 2IP:32920 "'- .....', ..
I Phone:799:~764 .,.... ..... .._ _ ...._.. _, ....._._
FalC:799- 3385
We hereby pro~o$e to furnish the materials and, per orm t e labor necessary 0" the completIon of: \
I 1_11119 11ft of 4 It hiGh, II1du$triaJ Glade, BronlO spoarod Plckot Aluminum ~ and 1-3 It wide and 1"" oft wi<lEi seif cloSing i
GateS with Lock Bo:tes . '. , ._". ....~ .,. ,'- ~... _ ... __'" ....~
Po$ti; 2in by 2in by 72 in cemer'ted in Ground on 6 ft Centers i
~ ~- -. - w, -.- / j 17"', ,>. ;", .. ""--1
1 1/ i '" '/ " ,........" """: , I
\ 2 Horizontal Stringers: iin thick by 2~~:~:~~_ .. L.~~..; ~:-: ,..n,. -~"--\ _.....~ ........j
I
,
---".,- ...... . ....-.-.....--...... ..{
Pickets: lk1by"ril)''With 4 in spaCing .. . . \,' " !
_._._-~ COOt .......... l
< , ' t~,~: r" .~h_~ 1.> ^~ 1" 'i;:i! ~ it ~" CM '
. " , "_ I \ ~ ~ '~,~ ,'FJ ~.:Lltl~ '^~ <A! .~ ~ 'j",~ ~ ~ I
1_~Chain~k"~~dHoUi1)'~nafi/l ~="=:~ C"'!M ~JiJl"~~
-- --.. . ." . .. ...-... ......--,
..,
....,,~.. ..,..., '..- OFFICE COPy ..I
I
......- -....,.....- "", "...., .......- .... ._~
I "'''.' .'." .n.....>>. - -. '''.- . "1
\--.".-- .... .." -..-...- .-..~
.~-.. '..... -....... . ..- -.--... .- .' ..._.~
I Al' ";;;;;'~I " ,..."..... to .... ,,,..,.d, llnd tho ...... W<l<1< to be """'mi.nn "'_n", "''"'. h~,..d,r,Clv:#~~s !nd specifications 5lJbmittea' ,I
fur above work, ~nd completeclin a substantial ~rkrl'lanlike manner for ttle sum of Dollars ($} p~n~,.:.C with
I payments to be rMde as l'olloWli~ PermIt fee not included City of Cape Canaveral i
i . t 3 I ( PERM1TIED FOR C Ng1f!ION I
I . PERM ' L1LOr
I T REYlfW):,P - ,"'.: . !
I 13 l.. Dc;. . Ke'l'lew t'if lHill t'liili dt:le~ 11 lilj{l1t1nt~ :f<J~~ti:~~
o t'" , " _...., .~. ,.....,..""", "l.. ,
7>,;/ """',,\.,......\~_.....l' , i
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fl ",y,..._:" .....~ ~m ;>_ """""";. ;,~.". ;;,.. ..:. "',.., . -- - - _ .. .. " .... .-. --:
) e-.:ecuted only lJl'on Written ordCll'1l, and wllf bl'co~ an extrll c!large cv~ Md I' II
I . above tlte e$tll'l'lfltc. All agr~ment;; are eOl'ltingent UpOh $trila:i, _"'Idents or .
I !leIlYOI beVOnd our control. Illtere~ at the rate of 1S% annurn lYill be ada6d to I I
I tft, Qutsllincllllll l>,~JlIncc: oller 30 da old stom - '. .
II collection, includIng ~m~5 T~': If ~1$~tr:1iJ: :~:s ;: ~::~~Ileo: a~ I RespQCtfullv subn\itted: George J. Smith :
I attorney, or If coun: action 1$ l1l!:Ceossary tor collec':/ofl. Customer t$ responsiblt I Per. Owner . i
" for ~II u'lclergrOUl'ld utilitie$, sprinkler $Yl.'tt!mr and property Iilllll. i l
.I '. , PI~ase N~; This proposal mav be wlthdr"Wf1 by us if not accepted i I
: L.......-. . . . . _ Wlthm 14 days. i i
I The a.bclle prl<:~s, speejfieatlons, anCl c:ondlflOl'ls are ~t. "fact d .... '''_. i
. r' Pl'lymel'l~ will be l'I'1~e as oucIl/Wtd a~. : ory an 8rl& hereby act:E!ptea, You are liLlthor'%li!(J to do-ihiWOi1(a& 'speCifjtd, 1
'(~..'" ....__ .~ ,~f ~Ignatur~. ~ .,_..._..-J.j'
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_ OR Boo\<lpage. 46 ~ 8 I 25 ~ 2
S\E.ST A DE.L MAR
A CONDOM\N\UM,
- .' - .- - ," -.
S\TE DE.VE.LOPMENT PLAN
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10/23/2004 05:25 321 784%90 VABRAH AlP PAGE [13
'l)roposal ~
. . 8ijlFonns' F'''9~ No, of F'a9~s I
KABRAN AIR CONDITIONING & HEATING INC.
62 SOUTH ATLANTIC AVE. COCOA BEACH, FL 32931
I'HONE: 784-0127 or 453-303B FAX: 784-9690
WWW.Kabran@KClbren.com Em~i1: Kabran@Kab\"i!ln.eom
PI\OPOSAL $lJ9MI'l"'rED TO PHONE DATi
Siesta Del Mar Condo Association Fax; 799-3385 10/18/2004
STREIIT Jot! NAjYle
430 Johnson Ave Siesta Del Mar Condomin:um
CI'/'V, slATE ANO ZIP OODE JOIi lOCATiON
Cape Canaveral, FL 32920 Cape Canaveral, FL 32920
A TTEN110N rAT, OF Pl,AN$ JOIl; PI-lONE
Ida J Claire Cooke 01 8/04 783-8442
e I?l'*by submit spedn<:allons ana e'llm~te!~ or:
Disconnect a~d reconnect 23 rooftop air conditioning unit.
APT. 105;;; Replace condensing unit & air handler
APT. 104;;; Replace condensing unit & air handler
APT. 205;;; Replace condensing unit & air handler
APT, 204;;; Replace condensing unit
APT. 305 '" Rep/ace condensing unit & air handler
APT. 304 ~ Replace condensing unit & air handler
APT. 405 = Replace condensing unit
APT. 404;;; Replace condensing unit & air handler
APT. 505 ~ Replace condenSing unit & air handler
APT. 504 = Replace condensing unit
APT. 203 = Replace condensing unit 8. air handler ~
APT. 403:;; Replace condensing unit & air handler *t:
APT. 303 = Replace condensing unit & air handler
APT. 2Q1 "" Replace condensing unit & air handler CObt ~/til'tlJ
APT. 402 == Replace condensing unit & air handler
APT. 502 ~ Replace condensing unit & air handler
APT. 302 = Replace condensing unit COllA rOil
APT. 301 ;::: Replace condensing unit & air handler
APT. 102 ~ Rep(ace air handling unit fillCt
Ufe ~ropt1.6t: hereby to furnish material and labor - complete in accordance with above spacifications, forth41 sum of:
FORTY-NINE THOUSAND EIGHT HUNDRED FIFTY-FIVE do1l1lr~. ($ 49855,00 )-
TOTAL DUE ON COMPLETION OF WORK. PRICE INCLUDES TAX
All mat>ilri.: :& 8w~r;r.....d to ~a ..a 8pQe,11.d, All ",-"k t<; ba completed Ie <l 'N.rkrn.niike AU\h~I%.~~
".aM.., 1I<000rdlng Ie standard prott"... Any al!ers!ion or de',iiUl~ froM :!Ot>.e SIl9CmCSllonS
Involv:n. oxtrOl "".1. "';11 ~ itl<aculEiO onlY ~i:Q,' wfittM ofller~. end will bewm" ~n a:dr!
t~3rce ovar anO ebov~ tho .'lmllts. All agreement. <;OI1lingol'1t upOl'1 strikes, a<:C:<;lenll; >;If olgn.lwr'l!l ,
d.l3y bayond our corrlol. O,,'n&, 10 CCIT)' file, tomaao sn~ giro: ncco$~I)' i~$Wr3rca. O~rl-" This proPQaa, may 001'1'\11,,""'0 by "" if ""t &::oeolec wllhltl 30 ~ti:sp,
...or..r. "'" f~l\Y tb\lEl1ed by WOfillllEtl'S Corn:>on~;on Insurance. "
~tanre.f~Top~.a( ~1~N"TU~l!
ihe above prieM. ~'f\<;~tiQns arnj cond'tIo~ are ~a1isfactbl')' ancl ar~ hereby
accepted. You are '\llhoriz~d to dO tM worl\ .... specified. Payment will b.. moad.. ilSi I
OA'l'E OF ACCEPTANCE SIGNArUi'l~ I
~
_.....Cn._."...._ _k_'_~'_'" __....". ---
NOTICE OF COMMENCEMENT 111II1111I111111I1I111I11I11111IIII1I11I1111I11111I1I1II111I1I11I11I111111111111
CFN 2004372444 11-29-2004 09:37 am
state of Florida OR Book/Page: 5389 I 1459
County of 6revard
The undersigned hereby Infonns all concerned that Improvements will be made to certain
real property,'and in accordance with Section 713.13 of the Florida Statutes, the following
Information Is stated In this NOTICE OF COMMENCEMENT. 0C VI .
o nJbol")
Legal descrlption of property (include street address if available) ~?2..:11..I.;.~.:::~~....
c;.?}f.fc. .C;;~.qU.~"t 1,...tJ... ?~~Q..... .?:.t:.~Z::.2.:J.~~.<?':.<?':?'.<?Zd.;.Q .:. 9.9. /.0.:.;;]9....
General description of improvement...B:~(gf~...fl-j~C...C!?O.~a7.~r.u:a.~.-;ry~~.s
.. ....P,.". r ..,...". f.'......... .................................... ..... ..... ........ ...... ....... ....... ... ....... ....... ...... ..... ........ ........ ........ ...
o~ner .C.I.~ r.:9.~ ...r::-. ~:?~<;:.~.......... ..... .....Address..!i ;1.C?. ~ ~ .?~.~...~ ~. ..~...-2~2
Contractor. .K.4&. I:-. B.t:.!.. ~.( C.... .C;....... ...Ad~ress. f2,;.{... ~0:b.. At: l.S0.'h'f..A~...
coc.. f3~ FL 3~31
J
Surety (If any)............................... ........... ...... ....... ... .......... ... ....................1.................. I....... ....1....................
Address........ ...... ... ............ ..... ......... ..........Amount of Bond $.............. ...... ........... .... ",. .....
Any person making a loan for the construction of the Improvements:
Name............ It............. .... ....... ..... ................ ...... .....Address ......~.....#.....#.~..................... .......... ......" .......
In addition to owner, owner designates the following penton to receive a copy of the
lienor's Notice as provided jn Section 713.13 (1) (h). Florida Statutes (Fill in below at
owner's option
Name....................... ..... ....... ........... ........Address........... ........~....... ...............
This space lor recorder's use only ...~..~.,...........~,.....~!..
Owner's signature ' C-,.
Scott Ellis
Clerk Of Courts, Brevard County Sworn to 'and subscrIbed before me thIs
#Pgs: 1 #Names: 2 d-? daYOIOc~ .20.QZ:..
frust: 1.00 Rec: 9.00 Serv: 0.00
.....--.... 0.00 ~xcise: 0.00
Mtg: 0.00 nt Tax: 0.00
~~~
NOTARY PUBLIC
Brevard County, Florida
The foregoIng instrument was acknowledged before me this ?-7 day of {)C -fob er .
20 O'{ by C~'/~n Coct~ W_~___--.-._._
ho is personally kr1ow' '''''-
to me or has produced s identification who did
or not take an oath.
G:\SHARED\BLOGOEP\FORMS\Noac. of CommenamurntOOC
. ",""..".~- _'.~~'_"';~~M~_ _~,._
.--..-
City of Cape Canaveral, Florida
ELECTRICAL PERMIT 2571
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 2571 Issued: 10/2712004 ii Address: 430 JOHNSON AV
Permit Type: ELECTRICAL CAPE CANAVERAL, FL
Class of Work: REPAIR/REPLACE Township: 24 Range: 37
Proposed Use: APTS/CONDOS Lot(s): Block: Section: 23
i Sq. Feet: Est. Value: 2,450.06 Book: 3 Page: 7
Cost: 2,450.00 Total Fees: Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid: Parcel Number: 24 3723CG 72 100
CONTRACTOR INFORMATION OWNER INFORMATION
Name: G.C. ELECTRIC Name: SIESTA DEL MAR couDmAs—socIATIONI
Addr: 5555 JUDSON RD Address: 430 JOHNSON AVE UNIT #502
MERRITT ISLAND, FL 32953 CAPE CANAVERAL, FL 32920
Phone: (321)456-0416 Lic: EC13002115 I Phone: 321-799-2764
Work Desc: REPLACE ELECT WIRING, CONDUIT, & DISCTS ROOF A/C UNITS (STORM JEANNE)
APPLICATION FEES
ELECTRICAL - REP/ALT UND—EFR�, 0.001
Inspections Required
Final Electric
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, OR
IF CONSTRUCTION OR WORK 1S SUSPENDED OR ED 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
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 —AUTHORIZED SIGNATURE/DATE
CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
(321) 868-1222 2571
Date:/6 -JL? -O~ Permit #
(You may download this application: www.l11yflorida.com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complet
CONTRACTOR 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: 9:i't'? ;;r.a"'/A"- .rh~ AI"t!!....
Legal description of property: TWN: _ RNG: _ SEe: _ SUBD: BLK: - LOT: - PB: - PG: -
Name of Property Owner: -s:'e.r7Ji -<?_/ /7A1- ",..- ~ _ .-L... Property owner phone number: ;J "'''':Jl.. ?~~
Address of Property Owner:~~ r'~.d- -r A.r.,..,_ ,,;;;... ~/..._....:,..... ,...... --k~..~ ~2-
Community Appearance Board approval date: Site Plan approval date:
-I Type of Permit Brief description of work:
Buildin
V Electrical
Plumbin
Mechanical
Other
Type of Square Const. # of # of dwelling # of #of Total valuation of work
-I Building Feet Type stories units bedrooms bathrooms
Commercial $
SFR $
Townhouse $
Apartment $
!J/ Condominium r Z.? $ _'1 ~_r'" ~ -
Other $ J
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: c:::;. C G/ec:.~~ :z:- ~ Name of Company: G-/_~A AI c/~
Address: .5 J.r f .~.r'I:::tA.-- .",." ~ II!!!."~.J; :2':;. #/. J'<- '7r",
State License No.:~c:::../~2.Vj"'" Phone (office): '5'..r:r-<~~ Phone (cell/pager.):~--=",~ Fax.:~~~;
Plumbing Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax.:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty Contractor Name: Name of Company:
Address:
StateILocal License No.: Phone (office): Phone (cell/pager.): Fax:
-~- -
'>/ Building Permit Application Checklist (general requirements) Notes
Completed Penn it Application Current code edition: FL Bldg. Code 2001 (as revised)
Current survev showing all proposed construction Also show any existing structures, easements, utilities, etc.
Notarized signature - Owner/Builder Affidavit I f owner is acting as contractor
Sewer Impact Fee receipt May be deferred until e.O. Unless job is remodeling
County Impact Fee receipt May be deferred until e.o.
Capital Expansion Impact Fee receipt Maybe deferred until e.o.
Sidewalk Impact Fee receipt If sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copv of Recorded Notice of Commencement (over $2,500) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Compo Policy / Exemption Record will be kept on file after initial submittal
Community Appearance Board Approval For work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For new construction of four units or more
Concurrency F onns For 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 Contractor Specialty Contractor
Construction Drawings: Per F.B.e. 104
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104
Electrical Load Calculations
Electrical Riser All new services must be located underground
Plumbing Riser
AlC lavout
Two sets of Energy Calculations
Four sets of Fire Suppression/Sprinkler/ A I ann Specifications Reauires Fire Department review and approval
Lot Drainage Survey
Pool Barrier Reauirement Fonn (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
and laws regulating construction in this jurisdiction. By signing, applicant affirms that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the authority to apply for this permit.
-4~-" ;(!. ~~
Applicant's Name: G-/e...,,. ./ ~c..-H.r, Applicant's Signature: ~ -- .A' ~~~
Date: ........L/..2.~. I!?+ Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this ;27 day of eX'Lci.:kf , 20 eL( ,by c.( c. III C I ,-' rr e. I /
t=j Name of Applicant
who produced identification: ['cr.)" - ;;)<(i, :X'-(J)(., or
is personally known to me.
~..~':A~trU", XJV OAlNE ' c--
Seal: !:~i'if:r:. MY COMMISSION # DO 237771 #s c' ..'
~.. ~l EXPIRES: August 3, 2007 ~ Signatur;-~otary Public At Large
....~~,~l.:rJ.f$.$ Bonded Thru Notary Public UndelWriters
G:\Bldg.Dept.Forms\permit APPLICATION 10-6-04 This form may be duplicated.
ill ""'_""1f<"";";;"'''''_~''''''''<<<''~"'''''''_''''''''"'''''''''"'''''''*'''''''~~'~'''.'''';',~.'c_~.
STATE OF FLORIDA
DBPAR~ OF BUSINESS AND fROFESSIONAL REGULATION
. ELECTRICAL CONTRACTORS LICENSING BOARD (8S0) 487-1395
1940 NORTH.MONROE STREET --
TALLAHA$SBZ -'PL 32399-0783
CLUTTER GLENN R
G C ELECTRIC IHe
5555 .roDSON ROAD
MERRITT ISLAND FL 32953-7317
r.Di~~ =~r24
I 2C13003115 oa/oe/ot 000000000
CBR'1':tJ'I:BD aLBC"l"RXCAL CONTRACTOR
CLU'l'TD, J3LBJQta
G C BLBC'J.'lt%C IRe
l IS~TtI'IEl) UD4u t1uI p...ovidOM of Ch.489 :rs.
...,tftt:i..... ~l;!t! Al1Q 31. .2005 L0409080fll1lt
_.. . . . ~, . L I
O~ACH HERE
!1 SQ3''j 2it STATE OF FLORIDA
J. . .....,.l...,."'t
DEPARTMENT OF BUSINESS AND PROJrESSIONAL REGULATION
. . BLBCTiUCAL CON'l'RACTOlUJ LICENSING BOARD SEa#L04090800109
DATE LlCENSE-mnr
08 2004 000000000 EC13002115
'he ELECTRiCAL ~CTOR
'amed below IS CERTIFIED ,r<
Dder the provisions of Chapte~r;i"$9. F'.
~;i.ration date: AUa 31, 2006 ';'f>'.?~P
,-;,
LtnTD GLENHR
e ZLBmIC IHe
545N COtJRTNAY PKWY #90
BRlUTT ISLAND ---- FL 32953-7311
.1'R'R RnQU
-----"_.,,.-'---~-
<~,~~
h~'4' / .~
.. City of Cape Canaveral, Florida
MECHANICAL PERMIT 2572
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT INFORMATION - - . - 14 t - -- LOCATION INFORMATION - - --. . -.
Permit Number: 2572 Issued: 10/27/2004 -Adcfress: 430 JOHNSON AV
Permit Type: MECHANICAL , CAPE CANAVERAL, FL
Class of Work: 434- Add./Alt. & Reroofs Res. I Township: 24 Range: 37
Proposed Use: APTS/CONDOS I Lot(s): Block: Section: 23
Sq. Feet: Est. Value: 2,450.00 Book: 3 Page: 7
Cost: 49,855.00 Total Fees: Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid: Parcel Number: 24 3723CG 72 100
CONTRACTOR INFORMATION OWNER INFORMATION
Name: KABRAN AIR CONDITIONING & HEATING, --- Name:- SIESTA DEL MAR CONDO ASSOCIATIO
Addr: 62 S. ATLANTIC AVENUE Address: 430 JOHNSON AVE UNIT #502
COCOA BEACH, FL 32931 CAPE CANAVERAL, FL 32920
Phone: (321}784-0127 Lie: RA0049018 ! Phone: 321-799-2764
Work Desc:~~~CNC!/REgNCT 2:3~~1T~- 1_~ NEW tvC- 13__ NEW AIR I-!ND~R~ (SEE A TT ACttEqL____
APPLICATION FEES -~----_.~
MECHANICAL REP/ALT 0.00 I NO FEE HURRICANE -:r~41"""L- o~
,
I
I I
\ I
I
I I
I
i I
I
I ____J_________.__.___~_____.___________
I
I
----~--~-_._..,.__._._-~- ~~..._-- ~._~..__._-,-_._-~,.~---
--------,--._-~-- Ins~ctions Required I --
Final Mechanical I I I
I
I
I
I I
I
__1_- 1__-
I
---_.._,---- L_______ --""- .._-'-
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:
_______e_ ~.______._. __._____..~_ _._.___.__~ ~..~....- ._~_.- ~ .._'0 ~__..._~~. -.-' ---.-
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR
LGQNSTRUCTION QR ,^"pRK IS S.uSP~NDED, OR ~NQONED FOR p.PE~IOD 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 STATF OR LOCAL LAW REGlll ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRIlCTION
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, CONSUL T WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
MMENCEMENI. ___no _..--~.-'---"-- ----.. .._.~-"'--~ .,--_._.._~..------- _._---,- ....--- _.____c
1
Jl., .i / o/a*:i -~ZE~ATE
.. ." . iI',' I'
UED By/riA TE - ...
10/23/20!J4 05: 25 321784%90 ~:ABRN~ AIR PAGE 01
. . CITY OF CAPE CANA VB B)o.Jl Ke t- .~ ~
BUILDING PERMIT APPLICA ION retrY\. tt- '\
eit>' of Cape Canaveral Buildin~ Dcpartmc:m 105 Polk Aye, CliP" ClIna FL 32920
(321) 86S-1222
Date: /t? -?7-oy Permit # 257 2
(You may download this application: wwv.'.myflorida.comlc"Pe. Y au may fa.x to: (321) 868-1247,
Import8l1t: A checkJist is provided on the back afthis fonn. Complete the checklist and provide other documentation. as
il\dicated on the checklist. A copy of contract may be required. Application packages will not be a.ccepted unless complete.
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
(COlltractor/Owner-Builder is re<:tu.ir~d 10 sign fot the building permit, unless indicared Dtherwise by affidavit. 1.D. may be required)
Address of Job Site: '1.']0 :::7c?t;"'Je--r? AL-C
Legal description of property; TWN: _RNG: SEe: SUBD: BLK: ~ LOT:_PB: _ pa:_
Name of Property Owner: '5?e"(:I.o7 ~ ~ CpT)~r;.ffqe;:.. Property owner phone number: ~..;276Y
Address of Property Owner: 'JC> "jC /V<:i'rJ -- t:I. G;;:..., ve--~
COlm111.mity App~arance Board approval date: Site Ian approval date:
..J
I Type of Square
...; I Buildin Feet
, Commercial, $
, SFR $
I Townhouse $
A~em $
Condominium $
Other $
. ArchitectfEngineer Name: Name of Company: r
Address: -
State License No.: Phone (office): Phone (cell/pager.): Fa..x:
Primary Contractor Name: Name of Company:
I Address:
i State License No_: Phone (office): Phone (celVpaseL): Fax:
Electric~l Contractor Name: Name ofCornpany:
I Address: '
! State License No.: Phone (office): P,ijone (celVpager-): Fax:
I
I Plumbing Contractor Nalile: Name of Company:
I Address:
State License No.: Phone (office): Phone (cell/pager.); Fax:
Mechanical Contractor N
Address:
State License No.: Phone (celVpager.):
Specialty Contractor Name: Name of Company:
)' Address: I
,State/LocalLicenseNo.: Phone (office): Phone (cell/pager.): Fax: r
I ..
u:\BJdg.Dept.Forrns\ElP APF'LICAT10N
_.~ ~-_.._.-
1[1/23/2004 05:25 3217:::49590 VABPAH AIR
PAGE ;]2
.
I,j Buildin~ Permit Application Checklist Notes
Completed Permit Atlplicarion Current code edition: FL Bldg. Code 2001 (lIS revised)
! Current survey shQwin~ all tlrooosed construction -
Notarized sie-D,ature - Ownerf.13l.lilder Affidavit If owner is 'lttil'lg as ct>ntra.ctor
Sewer Impact Fee receipt May be deferted unol C.O. UnlllllS job i$ remodelinG
CountY ImplICt Fee receiPt May be deferred 1JJ'ltil C,O.
, Caoital Expmsion Impact Fee rectitlt Maybe deferred until C.O.
Sidewalk Impact Fee receipt If ~idtwalk exl~ts on lot
Recorded Warranrv Deed I Proof of Ownership
, . Copy of Recorded Notice ofConunencement -(over $2,.500) O,'"r $5,000 for Methalllcal clwlgc out
1_ ! Currem Worker's Comp, Policy / ExemPtion Record will be kept 011 :lilc after initw submitlilI
, : Community Aooearance Board AoorovaJ For all work vi~lblt f(om Publi" Rlgl1t-Of-Way
Planning and Zonina Board Site Plan Anoroval For all new constr\lctiol'l of four uniu Ol'lllon:
! Concurrency Forms For all ne.... COtlUl'llction not parI of IIJlProvcd. $ite pllltl
Prima.ry ContractOr's State License Record will be kept on Eile aft=' inilillls\lbrnitl:al
I : Subcontra.;tor's Authorizations: ~ecord will be kept on file ll.fli!r initialsubntittal
, State Licens~ Notify Building :lepartment of contractor changes
Plumbing Contractor Plwr..bing Contractor
Electrical Contm.ctor Electrical Contractor
Mechanical Contractor Mechanic~ Contractor
Roofing Contractor Roofi~ Contractor
i Swim),"uing Pool Contractor Swirominj:t Pool Contractor
Gas Contractor Gas Contractor
Specialty Contractor Specialty Contractor
I Construction Drawings: Per F.B,C. 104
Two sets of sealed 'onstnll~ti0n drawings (three sets if commercial) Per f.B.C. lO4
Electrical Load Calculations
Electrical Riser All new $eTVlct must be locnted underground
i Plumbing Riser
lV C layout
i Two sets ofEncn:!"r' Calculations
Lot Drainage Survey
I Pool Barrier ReQuirement Form (si2I1ed) Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and imtallations as indicated. I certifY that no work or
installation has comrnenc,ed prior to tbe issaance of a permit and that all work will be performe<l to meet the standards
and laws regulating constructi.on in this jurisdiction. By signing, applicant aff1Il!1s that all above is true and COrrect
and that he/she is an authoriz~ agent of th ontractorlOwn" and bas tho anthority to apply fO"hi~
App1icant'~ NatTIe:
Applic.ant'f> Signature: $.<f'~ ~
Date: /0- ;17--c//
.....
-.J
For Nota.ry use only: State of Florida, County of Brevard . 20~~ mr'Ctq~/ d~rl
Sworn and subscribed before me this ;) 7 day of _ t)c'h:i? t!' r
:Name of Applicant
~o produced identification: - or
is personally kr,own to me.
Seal: ",~~.~, Pamela L. Bo
~-:~.:~ Com~1s~ion IfDD2666
;''':'. ll/ ExpIres: lan 03,2008
~"'~~Vf~". .........~ Banded 1htu .
0:\Bldg.Dept.Forms\T:lP APPLlCATION i,. ".. ,- AtlaDlie BorrliDg c!'.; me. 'l'l:>i~ fonn O1;\y bo: dLtplil;:lltetL
.~,._-~,..- _."~--~". .... ._.._--..
--.--.---' - -. -- ---'- .------ . .. '..... .. '" ...... ~ . . .-.- - -
'~ropo5al ~
RijifOlfllf ?lil~e No. of Pages I
.. ,
.
KABRAN AIR CONDITIONING & HEATING INC.
62 SOUTH ATLANTIC AVE. COCOA BEACH, FL 32931
PHONE: 784-0127 or 453-3038 FAX: 784-9690
WWW,Kabran@Kabreln.com Em~il: Kabran@K;,!J.bl"i!ll'l.com
F'~OI"OSAL $'JSMl'I"'1'ED TO PHONE DATi
Siesta Del Mar Condo Association Fax: 799-3385 10/18/2004
STRElIT JOB NAME
430 Johnson Ave Siesta Del Mar Condomin:um I
I
,
t.1'i'v, 'irATE fiNO :!:II" cooe JOliltQCATION ,
Caps Canaveral, FL 32920 Cape Canaveral, FL 32920 I
I
ATTENllON OATei Of PI,At/$ J08 PHONE
Ida / Claire Cooke 10/18/04 783-8442
'We sreoy submit spednr:allons and e'lIm~tell Dr:
Disconnect 8:ld reconnect 23 rooftop air conditioning unit.
APT, 105;; Replace condensing unit &. air handler
APT. 104;;; Replace condensing unit & air handler
APT. 205""i Replace condensing unit & air handler
APT. 204 -' Replace condens~ng un~t
-
~~- -
APT. 405::: Replace condensing unit ,
I
APT. 404;; Replace condensing unit & air handler
APT. 505 =: Replace condensing unit & air handler
APT. 504 = Replace condensing unit
APT. 203 == Replace condensing unit &ilir handler ---- -
"~~"""~'-' ----
APT. 403:::; Replace condensing unit & air handler
APT. 303;:; Replace condensing unit & air handLer___
APT. 201 = Replace condensing unit~& air handler .~~~--".-=,~
APT. 402:= Replace condensing unit & air handler
APT. 502 ~ Replace condensing unit & air handler
APT. 302 = Replace condensing unit
APT. 301 := Replace condensing unit & air handler
APT. 102 = Replace air handling unit
Ufc ~ropose hereby tt! furnish material and labor - complete in accordance with above specifications, for the $I.lm of:
FORTY-NINE THOUSAND EIGHT HUNDRED FIFTY-FIVE doll3f$ ($ 49855.00 ).
TOTAL DUE ON COMPLETION OF WORK. PRICE INCLUDES TAX
All ma",rl.1 is B"",'...,lIIlod to ~.. ;a Ipocl1lad, /1.11 """,. to b~ eompl.t.d iI', Ol ',,"o,kmanrike
/l\aMot .COlltdrrl~ 10 ~ta"card pr~et;;... Any alteration or de"iili,"" from :l.i\O,,, Sl)a<)mcsllons
In.ot~,n~ =<1 ce.l. ";11 ilt!I ol\ef,Ulold only .J1Xl" wtitte~ omar~, and 1'1"' b<ll;Qm. :>" e:<lr.
0~3rGa rYle' end ebovEl tho c.t""~e. All agraamems COI1tin'.OI"lt upcr strikE's, accident> Q!'
de,'"Y ,&yond our corrJDL O..'nor 10 O~1Tl' fila. t001910 and olror noo~S~ly in.wr3nca. O~\'-" TMi. propoaa, may ,,~w,:h<iro"'o by u> if "ot oc~~pl.d wllh" 30 _""Y'.
wDrl<or> ore fvlly 00";'100 bV Wari<mso'r, COrl'PDn~31;M mSUfBnC9, .
tttpt~t.e of ~~gp.OGtd. ~\~NATUP\~ ,
ihe above prlC(!s, 5pe~lfl~~tiQfl. and condltion$ ere satillfacto.y ano are hereby ,
accepted. YOU Il'i~ '~thoriz<::d to do tM .....oril. ~ specified, Paymer.l wi:1 b" mad.. :l:i;
M"I'E OF ACCEPTANCE . I SIGNATURe ,
I
~
" ~'-""'-"""~"-'-.-. "",.,~-""'-'
City of Cape Canaveral, Florida
BUILDING PERMIT 2573
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT INFORMATION
LOCATION INFORMATION
Permit Number: 2573 Issued: 10/27/2004
_
IAddress: 430 JOHNSON AV
Permit Type: ROOFING PERMIT
CAPE CANAVERAL, FL
Class of Work: 434- Add./Alt. & Reroofs Res.
Township: 24 Range: 37
Proposed Use: APTS/CONDOS
Lot(s): Block: Section: 23
Sq. Feet: Est. Value: 2,450.00;
Book: 3 Page: 7
Cost: 87,000.00 Total Fees:
Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid:
Parcel Number: 24 3723CG 72 100
CONTRACTOR INFORMATION
j OWNER INFORMATION —_
Name: JOHN SHAFFER ROOFING, INC
Name: SIESTA DEL MAR CONDO ASSOCIATION
Addr: 3420 N. COURTENAY PKWY #15
Address: 430 JOHNSON AVE UNIT #502
MERRITT ISLAND, FL 32953
CAPE CANAVERAL, FL 32920
Phone: Lic: RC29027099
Phone: 321-799-2764
Work Desc: RE -ROOF (HURRICANE FRANCES & JEANNE)
APPLICATION FEES
ROOF/RE-ROOF 0.00
I i I
I i
I I
Inspections Required
Roof Sheathing -
Dry -In i Final Roof
j
I I
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, 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
{j
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.
i
1 h g
/ f n
.l " d//f !'f �`/l.'/I �l fig 1 � ± fff � �i. !✓� � i` .� :` �
r IS UED BY/ TE f'Al RIZED SI MATURE/DATE
j �� � 1
CITY OF CAPE CANAVERAL 41'Cl'l - 10.)5'/
BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
(321) 868-1222 257 S
Date: (.:-- [' Permit #
(You may download this a plic tion: www.myflorida.com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complel
CONTRACTOR 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)
jJo3 ,- '-~ i ~
Address of Job Site: ""7'" () 'Je t..jNi.~( Iv. ( ..q .
Legal description of property: TWN:~ RNO: 32- SEe: ---23..- SUBD: L.. (;... BLK: ~ LOT: ~r;: /1..' 2,( PO:_
Name of Property Owner: .'SI~">~ Dd fn-;)('- 6c.,uL " Iss.t-.c, Property owner phone number: ,2l 7<iy-,?3."!S
Address of Property Owner: c.f3c:... -:f."\-.....~.~'-, ll... '(. -rl. ")l:' 2-
Community Appearance Board approval date: Site Plan approval date:
...; Type of Permit Brief description of work:
Buildin
Electrical
Plumbin
Mechanical
. Other - H-l..o! I' .
Type of Square Const. # of # of dwelling # of # of Total valuation of work
...; Building Feet Type stories units bedrooms bathrooms
Commercial $
SFR $
Townhouse $
Apartment $
v- Condominium 'i):SL:' C $ ~ 7 Ou.,u ,';:5.....
O~r $
Architect/Engineer Name: Name of Company:
Address:
State License No.: Phone (office): Phone (celVpager.): Fax:
- Name of Company: .Jt.' i
1Yt, en '(.S
P one (office): ifljtj- tl i.~ Y Phone (cell/pager.): !~jl ~. -3 It.: ((
Electrical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (celVpager.): Fax:
Plumbing Contractor Name: . Name of Company::
Address: -== I -i. ~.
State License No.: Phone (office):' . Phone (:elVpag~r.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (celVpager.): Fax:
Specialty Contractor Name: Name of Company:
Address:
State/Local License No.: Phone (office): Phone (cell/pager.):
.
"C.""':
~ --
.J Building Permit Application Checklist (general requirements) Notes
Completed Permit Application Current code edition: FL Bldg. Code 2001 (as revised) .
Current survey showing all proposed construction Also show any existing structures, easements, utilities, etc,
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
Copv of Recorded Notice of Commencement (over $2,500) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Compo Policv / Exemption Record will be kept on file after initial submittal
CommunItY Appearance Board Approval For work visible from Public Right-Of-Way
Planning and Zoning Board Site Plan Approval For new construction offour units or more
Concurrency Forms For 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 Contractor Specialty Contractor
Construction Drawings: Per F.B.e. 104
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104
Electrical Load Calculations
Electrical Riser All new services must be located underground
Plumbing Riser
AlC layout
Two sets of Energy Calculations
Four sets of Fire Suppression/Sprinkler/Alarm Specifications Requires Fire Department review and approval
Lot Drainage Survey
Pool Barrier Requirement Form (signed) Pool pennits 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
and laws regulating construction in this jurisdiction. By signing, applicant affirms that all above is true and correct
and that he/she is an authorized agent of the Contractor and the Owner and has the authority to apply for this permit.
Applicant's Name: \A.' c. \.J 'j" t", , ..,', ~ ~,.', "<c' //.
",:> ~, ')' , . '. Applicant's Signature: "-.
".. I f.,
l'~ /1 ,', 1,- '.1 Address: ,':;,.{ .')J Ai (. .( . .') , ;, '.;
Date: l ;! I 1\. J ..
f. I I " j"" ,-,"r,- ,..->-., "-
For Notary use only: State of Florida, County of Brevard Sf )c;fj~~. -
Sworn and subscribed before me this I<{ day of C-.c:'-r ,200'-( , by ""'dlk,
B Name of Applicant
who produced identification: SII..C' ilC' . y-J'. 7/5' C. or
is personally known to me.
Seal: ~r!~ JOY DAlNE ~~'
i*': ':*~ MY COMMISSION # DD 23m1 ;'//~ignature - Notary P~blic At Large
~... 'i~ EXPIRES: August 3, 2007
IRr.,~.... Bonded Thru Notarv Piit'..llC Underwriters
-~};T. ~
G:\Bldg.Dept.Fonns\permit APPLlCA nON 10-6-04 This fonn may be duplicated.
, l! ",~__-"~"",,,,,,,,,,,,,'''''''''''_,,u.<-__"_,,,,,,"_~,,,,,,",,,,,,,,~,,,,,,,-,,,,~,,,,,,,,,,,,,^,.'
FROM : CAPE CANAVERAL 8LDG DEPT FAX NO. : 8681225 Ma~. 19 2003 03:31PM Pi
(YO:u m~y E.mail your application: cape@cfLrr.com or {ax at: 868..12.47) Permit # .-
CITY OF CAPE CANAVERAL - BUILDING PERMIT APPLICATION
ST ATE CERTIFIED AND REGISTERED CONTRAcrORS MUST PROVIDE:
Copy of State License/General Liability Insurance ($100,$300,$25 Thousand) , Werker comp or exemption
(4) Sealed plans when required (all commercial and new construction), Copy of ContIact and sub-contracts
YOU WILL BE CALLED "WHEN YOUR PER..l\.1lT IS ISSUED.
Type of Permit: _ Bldg. _ Elect._Ph.l.:mb.~ech--pOther (Specify) .i-n~(.')III~
PropertyOwner:..su:":.s~ ..ot:L {'V)A-7't" (!f}I\J.n~\ jt!:.5n~A-r1L)AI
Address: &{? a .3Di/?'VSo AJ Iry, c... ~;. Q./tNA/II1 /tA-"'L I/L.LJ~
Job site address; '130 "SDH7Vs' (.) III Itvr:: C. C f:.<-
Property owner(s) phone# Q'.J.-I) -, ~Q-3-7 8"5
NEW CONSTRUCTION; Consb:udion Type f(rc tJ.....oOF Size of Bldg. # of stories
f;; of dwelling units , # of bedroOffiS_ # of ba ths
Type: SFR_ T JH_ Apt._ CotJ.do.-2(. Commercial_ other:
D~lte Project Approved by Community Appearance Boatd
General Contractor Co. Name:
Address;
State License No. Phone;
Electrical Contractor Name:
Address: Phone:
Stat~ Ucense No.
Plwnbing Contractor Name:
Address: Phone:
State License No.
Mechanical Contractor Name:
Address: Phone:
State License No.
Sp@cialty Contractor Nam@: ~r r:::..HItF~E/L. Dl ~.JlV~ ~-r:Nl' _
Address; J.y:;.o /J/. e.qtJ~5i ~:~'!!( ~one; 3~- l.-/Sf-G.5~lf
State or County License No. (> ~ ~
Description of Work: ~f::.-IlooF w) nVIlo - LIr.$/ &tp~ I ~ .s 1'-rF"./Y1
Total VaLuation of WCtk$ r;?7; ~ ~ (submit copy of contract) Today's date: O~-r: ".' dOO '1
Application is hereby made to obtain a permit to do the work and irtsial1ahol"lS as indicated.. I certify that no work or
installation has commenced prior to the lss"..lance of a permit and that aU work will be petformid to meet tne
standards of all laws regulating' construction in this jurisdiction.
Applicant', Name: :lQ)..\ rJ ') H I}FF!=-fl, Applicant', Signature: ~ 3t~____
'WARNING TO OVVNER: YOUR FAILURE TO RECORO A NOTICE OF CO CEM MAY
RESULT IN YOUR P A YlNG TWICE FOR IMPROVEMENTS 1'0 YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
loS fOLt<;." AVe.
C-APC C-k1VA-vi:1tA"'L- . 'fA.-
3:J-'1:xJ
.~,~o..~"'_,~~".~,_..__~,. , . _.n ,.,-.....-..--,-.. .
: IIIIIII!//: 11111111111111I11:1/1111111111111111111111111111111111111111111/1
CFN2004328662 10-19-200412:13 pm
; OR Book/Page: 5373 / 2582
NOTICE OF COMMENCEMENT
state of Florida
County of Brevard
The undersigned hereby informs all concerned that Improvements wJII be made to certain
real property,'and In accordance wJthSectJon 713.13 of the Florida Statutes, the foHowlng .
InfonnatJon Is stated In thIs NOTICE OF COMMENCEMENT.. . . .
legal de$crlption of property (Include street address If available) ...................................
......~ :$..Q. ..~Q.~. ~ .1?-. f1:X.fn......O:.IJ.e. fr...~!X fj.v.C-IJ.(tJ.;...8.d? ~.Q. tt..................
"'-WN-d-.'i I tl..:.NC?J-37, 5t:.c,-:;"3) $,JEhJV-CG, 8LI.,-7'-, Lor/O.C'-IV.,,-,
General descriptIon of Improvement.................. ........... ...... .......... ............. .... .............. .....
.. ./l:c'tu;>,!:f...0' J!>..y. {hQ .~~r....~,;/.IJ!.Ci. ..S ~-J .~. rdr.l................................
Owner ,Slt~1:ft~.~-d.-.mlrnJ;'GIYIKU1i~CAd~ress..1:3.o..::w.tt.~Q!Y. .fb{.~ ..~~.~
. Con tracto,JQttnI~H;a1;E~ &(J.F./.t:'/G;~.Address .:J.'1~.N... .C,Qv.~1YXfhJ' .P.k.HI.,. 'It /.J..1JlZ.
Surety (If any).. ....tJ/ji:t...................... ............ ............. ...... ........~..... ....... ............... ....
Address .... ...... ...................................., ...Amount of Bond $................................... .......
Any person making a loan for the construction of the Improvements:
Name.........;...... .......iYjfJ:......... ~...... ....Address.. ............. ................ ............ ......... ;....
In addItIon to owner, owner desIgnates the folJowJng pe1'$on to receive a copy of the
LIenor's Nolles as provided In Section 713.13 (1) (h). Florida Statutes (Fill In below at
owner's optIon
Name. ................... .N}.it:.................. .....Address............... ................... ..... 72..........
ThIs space for recorder's use only .~~.r;;C:fi::.Q::...:":;":-........
Owner's $Ignature .
,;> ,.. 0 S" ";141:"-"" cD F. ", SSo CI FIT II/:) -.,
"
"
Scott Ellis County Sworn to 'and subscribed before me thIs
k Of Courts Brevard
Cler .'
. 1 #Na~es: 2 Serv: 2.50
#Pgs. Rec' 9.00
Trust: 1.00 . ':.xcise: 0.00
n__..... 0.00 Int Tax: 0.00
Mtg' 0 DO
. . ~ "y._ Nancy R Lykins
./~.~ .
. .: My Commission 00301 8
1c;, " ~
Brevard County, Florida 't",,.'./f Expires March 21 2 8
The foregoIng fnstrumentwas acknowledged before me thIs / J'~day of 0 (> 77);( ~ A. ..
200 L/ by ~ ~,( f.. CoD<~ who is personciJfy known
to me or has_produced 8S Identification who did
-----
or not take an oath. .
\",~
1~,S\.~1'~: ~ G:lSHAREClBLDGOeP\FORM3\NoUca or Comm.ncam.nWOC
'" ...",", ~. ""__ ._,','_....._..4,.~..'~.,~__.~ ....
. F~~M: A C INSURANCE FAX NO. : 321 253 5776 Oct. 12 2004 02:33AM Pi
;- A.CJ:JBD.. CERTIFICATE OF LIABILITY INSURANCE I o;T;;;r;:;;;VV) !
: pqOD~eRll (321)253-586r THIS CERTIFICATE IS ISSUED AS A MAmR OF INFORMATION-~
, ^ & C Il'l$urtlnot. I no. ON'- Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE I
\ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I
1 310 N !abcoek Street ALTeR THE COVERAGE AFfORDeD BY THi POUCIES seLOW. I
Ii klboUfM. FL 3m5 i
INSURERS AFFOFlDING COVERAGE HAle 4 .
i INWftED John Shaffer Roof i ng I I no. IN:'lURI!R PI: North Po i nte I nsuranoe CO. .... 1
i 5420 H. Courtenay Pkwy. *15 IN&UI'lI!Fl 1:1: . ~
, t.lerr I tt 1$' and I FL 32;53 IN&Ul'lEFl 0: ,. ._.---J
: IN&URER 0: I
i IN&lJf'I!l'\ e: '.'. -1
COVERAGES
i THe POUCI@S OF INSURANCE LIST5;O BEI.OW HAVE SEEN ISSUED TO n;e INSUREC NAM!O ABOVE FOR THi: POLICY PEflIOD INDICATED. NOTWITfotSTANDINO I
i MlV REQUIREMENT, TeRM OR CONomON OF Am OONTRAC'r O~ OTHER DOCUMENT WITH R!$PECT TO WHICH THIS CfATIPICATE MAY 6f; ISSUED OR I
. MAY PERTAIN, T!oll! INSUAANIJE AFFORDED BY THE POLICIes OESCAIBED HEREIN IS SUBJECT TO ALL iHE TERMS. EXOLUSIONS AND CONOITIONS OF SUCH I
1 POl.IOIES. AGGReGAT! UMITS SHOWN WW HAve eeE~ REDUCI!O f!X PAID CLAIMS.
! I~R N I'OUCV NUMBER V Ef' C 11IA'I1ON Lllolml
ClmmlAlLlAIILITY i ~ 1,000 000
X OOt.lME"'CIALQIiNiRI\1.L.IA;IUTV 209 4104616-00 04/16/2004 04/18/2005 ,100 000
ClAIMS NAOIl [!] OCCUR MIO Exl' My _ po,..,," I . 6 000
A PSlSONAL UOV INJURY * , ,CCO ,000 I
GiiNEIW.. AlJGRiGA TE $ 2 000. O()() I
PROOI,II;Te . OOMI'IOI' I'JJ13 $ 2 I 000 000
OOMIllNIiD S1NGl.E UMlT $
(Ia .""idDm)
BOCIL Y INJURY
(Par r:lllrlllln) $
I
I IlOCIL Y INJURY $
(Pa, acci~l)
.
i I'IAQPEPI'tV DAMAGE
("-'~t) $
I AUTOONLY.&AACctO;III," i I
\. "'------,
, i OTWIFI 'l'HAN IiA /!CO $
I ~T<>ONLY: A~ $
I ! iACH OCCURI'tI!NOE ,
i I ~~TE $
$ -......
DiOUCTI6lE $ '"
i l'Ie'TEN'T1Ctl $ .
WOIIKIJUI COII"EN8ATION AND A.TU.
I ~MI'I.OYI!IIII' UAIIIUTY
r ANY I'P'l<:lmlmJfllFARt'lEI\ISKaCIJ'TIV( S.L.. E"<:H o\OOlOENT ,
, OFFlCIIWlEIII8ER EXcwo&D? ;.1. OlSEIl.8E.. Ei>. SolPLOV; $ 1
. II ... dlRcrIbl under '
I .\I Cl.4L \II S ~low Ii.!. DISEAse.. I'OUOY U MIT $ I
! OTIIlR I
I
DESC~IPTICN OP OI'I~A'l'I~1l1 ~Q..A1TOM I VEHlOLE$/lI5lCC~I,I'1QN1I ADDW !IV ENDORSEMIiiNT I SPECIAL PROViSIONs I
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CElmFICA1'& HOLDER CANCELLATION
i City of Cape Canaveral .HOV~C lUIY OF TIU: Al!IOvIl PlI$l;RIRD I'OUClES ... f;ANCILLED IEI'ORE THIii EltPlllAflot<
105 Po I k Ave DATE: 'l'HEUOF, TilE l$$UING _VASil INI"" ENHAVOIl TO MAl" -1L DAYII Vl'l'Im!:N
I NOTICE TO THI!l ClIlRTII'ICATE NOLC&Il HAMiD TO,..... LlF'T, BUt' IlAlLUIlI ~o 00 aQ~LL
Cape Canavera I F L 32920 I WlPo& NO OBLIGATION OI'lIdMIIL.rrv 0' ANY KiNo UPON THE ItaJllll!Pl,ITS AGENTS OR
(Ui )868~'247 Ext. RDJIlC$&NTAnvn.
OR
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ACORD 25 (2001/08)
". ._.. ...~.._~~"_.",,.. >.,_,~..-~~___".""_n._".<_..'._'.._'.'~ ----'
From: Crum Ser.tices To: JOHN SHAFFER Date. 101712004 Time: 5:02:10 PM Page 1 of .
ACt>RD"" CERTIFICATE OF LIABILITY INSURANCE T DATE (MMIDD!YY)
10/07/2004
')[ 'JCEF Serial # 117569 TMIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CONDON-MEEK, INC. ONLY AND CONFERS "lO RiGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
12', ~ COURT ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CLEARWATER, FL 34616-5897
INSURERS AFFORDING COVERAGE NAIC#
'-'''': :"SUPER "': FRANK WINSTON CRUM INSURANCE, INC.
CRUM STAFFING II, INC. I"SUREr: 8:
3040 GULF TO BAY BLVD. SUITE #200 il.JSU~ER c:
CLEARWATER, FL 3::759
H'~SUPFR u
I ir~SURER E:
JVERAGES
THE POLICIES OF INSURANCE LISTED BE,-OW HAVE BEEN ISSUED Te THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHST,A,NDING
",NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wl-!tCH'THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSUFW\CE AF'FORDED BY THE POLICES DESCRIBED hEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLiCIES. AOOREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO Cl.AlMS
~~'t lYi>E OF INSURANCE i>OLley NUMBER i>8kl,tmS8;wF P8k\1t~tilfb~N LIMITS
I ~rw. ..IABILllY EACH OCCURRENCE $
':0~.!I;IERCiAL GENE:V,L L1ABiL!Ti ~K&~,~~JgfI~~1ffin(c1 S
I - tJ CL.~IMS !I.",!1CJE 0 \)CCJF
I - MEe' EXP (4010'. por'Dr) !
- PE.R~QNAL & ~cv IIUJf1i $
- GE"ERALAOGR~GA-E $
I -:Bj'L AS"RE:G.~-E liMIT APFLlES PER PRODUCTS - CO ,~P;CP AGG $
--l :OOcICY- H 1~T n LOC
I ~TOIvIOElILE UAaILI'N
CO;;81'JED SING_E UMrf $
"'1'1\ A,IT? IEeI a:cice1ti
-
- AL'- C\fl~IEC i,UTOS 80,D'. '( NJlJRY
$
S(rEDIJLeD AI.1TC5 IF~r parsor;
-
I - H!REC'... JiO~; 8CDI~ Y I\!JURY
$
- NO~ .O',\1jED ~UTCS I lF~r dC:(j~lit)
PROPEP" D"M.~GE $
i~er ac:r:ler1)
RRAGE LIABlLIiY ;UTU OIJL y. ~,ACCIDEi>JT $
AI':' ,UTJ ')THE~ THAN EA Ace $
t .~:JT0 01 JL Y AGC. $
OIiSSlUMSl'liiiLLA LIASILllY EACH OCCJPPENCE $
C'1:".:i..R 0 CL/.qrvS M,eDE .~C~Gq::G,/lTE $
$
R DEDIXi8.E $
REEln:r. . ,;
WORKER'S COMI'ENSAT10N AND WC 4 0000 0000 12/31/03 12/31/04 X 11~~~~~R1Tfs I X IOJ~'
EMi>UJYERS'LIABlLllY
AI., PPCJPRIE-ORIP~RT\iERI~{ECUTIVE EL EACH ACCIDENT $ 1 000,000
C'FF,2E;;~EMBER EliCLUDECo EL DISEASE. EA EMPLO'(E~ $ 1 000,000
i~ /~S, j~scrit.; Jrl,:!;r
,?PE: fit P=":'\,iSIONS teiwr EL DISEASE. P0l1CY L MIT $ 1 000 000
I(JTHE~
5CFtIl'TlON OF O~I!MTIONSlLOCATIONS!"eHICLeSJI!XC,-USIONS AOOI!O BY ENOORSEMI!N1'/$I'I!ClAL PROVISIONS
lis certificate remains In effect provided the client's accoL.nt is in good standing with Crum Staffing II, Inc. Coverage is not provided for any
",!-)byee for which the Client is not reporting hours to Crum Staffing II, Inc. Applies to 100% of the employees of Crum Staffing !I, 'nc. leased
JOHN SHAFFER ROOFING, INC. effective 4118/2004.
:RTIFICATE HOLDER CANCELl.A TION
SHOl'lD ft}.Y CF"11-lE A3D'/E DESCRI8ED POLICIES BE C"JJC!:LLED 8~;0RE TIiE E.'<PI~fTION
321-868-1247 D~TE THEREO!=, THE ISSLiN,:; 1~:Sl_R!:=< ""LL 'ENi)E~.VOR T,;' NAIL ~Di>8SI'JPITTE'i
CITY OF CAPE CANAVERAL ',OTICE 10 THE '~E"nFICATE H.)LDEP ~JA~'EC' TO TrE LEFT. Bur ~"ILUR" TO DO SO SH.~LL
ATTN: BUILDING DEPARTMENT !tv!P:)SE hlO OBLJ3"" ilON :\R liA3t!T-' OF Cl,t~Y ~':H>,)D JP0N THE INSURER, ITS A,(;;ENTS OR
105 POLK AVENUE REPRESE ,7AT!',ES
CAPE C.A,NAVERAL, FL 32920 AUTHORJZiO I'lEiPRE$&NTI\TIV&
I r:r" hi, /I.If
:ORD 25 (2001108) CC ACORD CORPORATION 1988
1 ~ -'-~----.'~_.._--'^-"--""-""
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,
Ac#0945187 STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L03061800191
..-
. LICENSE NBR,J' '\l1)'.i- .''i~"<:l:
^." '_' .:1'.' -', r.'_~.;; _ ~ \~-""
i 06 18 2003 200422133 RC2 9 02709 9.f",,;.',,' ~~: ;.:,:~,~<
,
i
, The ROOFING CONTRACTOR ,.,>:...' '.- ',t".
Named below HAS REGISTERED ,.,~ ~ I '. , '
Under the provisions of Chap tiel; , - .-"":-~$. :' L ,
Expiration date, AUG 31. 2005''';. I~' '-'."
(INDIVIDUAL MUST MEET ALL LOC. .. ~ ~.
REQUIREMENTS PRIOR TO CONTRACT G"" N;' . ).
SHAFFER, WALTER JOHN " ~~:;J"""'ii!:r.
JOHN SHAFFER ROOFING INC ' .1 . - " .,;".<' '. " '
\ 3420 N COURTENAY PKWY #15 \';, (.,
MERRITT ISLAND FL 32953
I
,
\ JEB BUSH DIANE CARR
I
\ GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY
I
.
. BREVARD COUNTY OCCUPATIONAL LICENSE ACCOUNT NO.
SUBJECT TO COUNTY ZONING RESTRICTIONS 200330774
2004 · 2005 LICENSE SHOULD BE DISPLAYED ON PREMISES
THE PERSON(S), OR ENTITY BELOW: LICENSE PERIOD: OCTOBER 1, 2004 . SEPTEMBER 30, 2005
EXPIRES: SEPTEMBER 30, 2005
JOHN SHAFFER ROOFING INC ISSUED PURSUANT AND SUBJECT TO FLORIDA STATUTES AND BREVARD COUNTY CODE.
ISSUANCE DOES NOT CERTIFY COMPLIANCE WITH ZONING OR OTHER LAWS.
3420 N COURTENAY PK'NY LICENSE IS SUBJECT TO REVOCATION FOR ZONING VIOLATIONS, AND lOR FAILURE TO
UNIT 15 MAINTAIN REGULATORY PRE-REQUISITES AS REQUIRED FOR L1C. CLASSIFICATlON(S),
MERRITT ISLAND FL 32953 OR SUBSEQUENT ACTIVITIES. NOTIFY TAX COLLECTOR UPON CLOSING OF BUSINESS.
A PERMIT IS REQUIRED TO ADVERTISE [includinq with siqnsQs\"GOING OUT OF BUSINESS".
OWNED BY:
NON EXEMPT
300520
820005
RCT. NUM TILL DATE AMT PAID
PAID- 1501071.0001-0001 MIS 09/23/2004 37.00
BRANCH OFFICES:
Merritt Island Office, 1450 N. Courtenay Pkwy, Merritt Island, FL 32953 (321) 455-1413
Melbourne Office, 1515 Sarno Road, Melbourne, FL 32935 (321) 255-4453
Palm Bay Office, 2050 Eldron Blvd SE. Palm Bay, FL 32909 (321) 952-6325
MAIN OFFICE: 400 South St - 6th Floor, Titusville, FL 32780 (321) 264-6910, (321) 633-2199, ext. 46910
'.
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PLEASE CHECK ALL INFORMATION
, RECEIPT NO. CL029429 DATE 10/01/2004 FEE $
i -
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~ . BREVARD COillfO' COl"QRACTOR LICENSING
CERTI~C.t\T'E .OF,~o,~ETENCY
CERTIFICATE RF, 368 'EXPIRE 08/31/2005
NUMBER ,CATE' ., ACTIVE
-; if,
, CONTRACTOgROOFINtl; ::r.,',~;~,;~.. ~.
I BREVARD COUNTY CO~RK''''':'';:;5<<'r~~:\~';r I!
! UCENSING BOARD. ..,;r,;;:(;j ;;~,t';;;'~~~Q 1-,
;'>" ,,1'" '",' J;i/fJ^;~/", .
WAL TER JOHN'SHAFFER;~~i~~7;,,'j
JOHN SHAFF~R ROOFING"tI~ .'. ',f
3420 NORTH'CO~:rNEiYii'~,y 1,:;'
MERRITT ISLANl),; ~'~~~~~:/0
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Specifications Listings and Approvals
. UL (UL864), ULC, CSFM Listed
D7050,D70GOTH, D70s0i)HSpegiUcatlons
Standby 8.5 to 12 VDC Ordering Information
VoltaCle From the Multiolex Bus
Standby 550 j.JA Nominal
Current
Alarm Current 550 j.JA Max. , .:Ai.:""<< Ii!
Operating +320F to 1000F (OOC to 38OC) D7050 Multiplex Photoelectric Smoke Detector
Temperature D7050TH Multiplex Photoelectric Smoke Detector with
Heat Sensor D7050TH +1350F (570C) high temperature. 1350F (57"C) Heat Sensor
Chamber The Chamber Check automatic sensitivity test D7050DH Multiplex Photoelectric Smoke Detector for use
Check Self feature provides an indication if the detector is with the D343 Duct Smoke Detector Housing
Diagnostics outside the factory calibrated specifications. D7050-B6 Multiplex Base
This feature reduces service costs because the DRA-12/24 Remote Alarm Annunciator
installer can easily determine which detectors DT-1 Removal Tool
require attention. This feature also reduces
false alarms by alerting the end user that the SMK-TM Test Magnet
detector is dirty, long before the possibility of
producing a false alarm. A unique Chamber
Check signal is provided.
Patented The detection chamber includes computer
Chamber designed chamber walls and lenses to optimize
Design internal light scattering and dust hiding
capabilities. This provides for industry leading
dust immunity without sacrificing detection. The
detection chamber can be easily removed
should it require cleaning.
Radio No alarm or setup on critical frequencies in the
Frequency range of 26 to 950 Megahertz at 50 vIm.
interference
IRFlllmmunitv
Test Features LED automatically flashes to indicate
calibration trouble condition. A steady LED
indicates an alarm condition. Sensitivity can be
verified by a magnet test.
Power-up Time 22 seconds maximum
Enclosure High impact. fire retardant ABS plastic
Dimension enclosure. 4 in. (10.2 cm)
Diameter 1.3 in. (3.3 cm)
Height
,
ISO 9002 (S)
CERTIFICATE NO. A5137
@ 2002 Radionics, a division of Detection Systems, Inc. 48817C 11/02
PO Box 80012, Salinas, CA 93912-0012 USA SpeCification Sheet D7050 Series
Customer Service: (888) 538-5807 L1149 Page 2 of 2
..._".~-,.,-,.".._-~--... ,.........\0-....'<1>' '-'-' ",,- c.~_".,~.._.,~,___
BUILDING PERMIT FEES: '13 <.) :.To A nJ 0'",- ~""- - B: IGct.6 - ~A,..ft..'l'k( c<.:..c fft~ ~;;l.[( ];Cl..yt.1-o...-I?-
Building Permit per square footage:............................................................ 257 3
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:.......tf:Z~P...................................... 'I g'"::;>J(.J
Tot~l S9-; :t. ~Living Area): /'-f ..?ok =/SV.O"
-tlQdt. cuJ~4rm(; ) /.~? :n.. 01 ~ ."3 '3'5'. ..:.0
Total Sq. Ft. (Enclosed Area): 'i8 ~ JU
Building Permit miscellaneous:................ ....... ................................. .............
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical.... .................................................... ............................. .............. ...... .....
Plumbing........................................................ .... .................................................
Mechanical.......................... ................................................................................
Building Permit Plan Check Fee... Hfrjk..::................ ................................ 2-- 'f 2. 5,(;>
Fire Dept. Plan Check Fee....................... .........................................................
Radon Trust Fund: sq. footage ..................................
Concurrency Management Fee..................................... ....................................
Ca pi tal Expansion Fee................. ,...................................................................... -
.- 7~
Total Building Permit Fees:......
----
SEWER PERMIT FEES: - 0 - bi-u-'-fv
~-
~<.A.....
Sewer Impact Fee.. ... ....... ....... .., .... ..... ............... ...... ...... ...... .... ..... ..... ....... U47 (}ohftJ j ~
Sewer Tap Fee..... .......... ..... .......... ..... ............... ..... ...... ........... ...................
Total Sewer Permit Fees.............
S~J:~~~Lj'f\..1" _~_~~---c-_--c-c/-~<>.~:~~ 1D U
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. Wind Uplift Calculation Worksheet I MECH. ATTACHED SYSTEM ,
Date: 9i29J2004
Calculations are based CII1 ASCE.7 Specifications Done By: GHS
Contractor: JOHN SHAFFER ROOFING Pax: CAD#: 04-1408
Job Name: SIESTA DEL MAR City: CAPE CANAVERAL St: ..Eh--
Calc. lYpe: ASCE 7-98
Topogrephy I Terrain: COASTAL Open Structure:
Roof Dlmen.lon. (ft): 62 x 156 En~o.ed Struc:ture:
Building Height (ft): 50 - Partially Enol~ed Structure: X
Parapet Wall Helaht: 1.333'
Deck Type: CONCRETE Exposure (B. C or 0): 0
Avg. Pullout R.1.tance(lbs.): 4150 SlcIg. CIIMlftcll1lon(I,JI,1II or IV); "I
FaaCen'l Type: SCREW Beale Wind Speed (mph): 140
Tab apaclng (120., 80",28"): 28 Enhanoed Perimeter Width- (ft): 7'
Bule Veloclt Pnaure:
Constant Kz Kzl Kd Vz I .~
v~ Wind SPMd WInd 8HIc: WInd BIllldlng
0.00258 Pm-. eo.tIIoIent Clrlllll\Cln.l\J .~ -lquwM Imporianc>>
COlIfIIOIMt Factor "actor
1.27 1 , 140 1.15 73.
Wolf: T1>> ".rimeter enhancement I. f1gtnd utJing .it~( 409i of the height of the buDding 2ONE3 ZONE 2 zooe 3
or 10% of the ahott.at overeJI building rJimetllSion. whichover" leu.
Zone Velocity Preuure: .-".- .......-_.........1...- -...........
N /~ ;
~U,.~ zone Coemclent IlaalC Vlloclt)' Zana v~ ~
(8M DrIWIIlf' P_r. Pr...ure N
Zone 1 Field Area -'.55 73.28 .113.59 --.--....----- 1----
Perimeter -2.35 --.-..
Zone 2 73.28 .172.21 ZON/!3 ZONE 2 ZONE 3
zone 3 comer IVea -3.35 73.26 -245.49
ZOfIM ZoM Vtloclty Duro-Uet aat.ty Ouro-Lut Iq.FLP..
,....u.. PttUU.. DnI11n Pr...un I'lItwner
10.lnch F..wnln
loft.. Iulo Wind Zone Velocl~ I:Uo-UIt SaiI&)r DutooI..Mt
IpMd PIMIIl.. Prtuurt o..Jen Pr"'UN
140
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. RoM. ENTERPRISES
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Ro.\\. Section
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~ i\~:=~r.""~~~""'" Ale FRAME PLAN ~ NaTES
~ to CCl\I" ~\Qj\ to .~I.t1r\9 ~'b - .'rueture.
.. ilM Er{!ERPIlISES
.~ 3.) Drowln9' are the Maximum the :st""d can be bull 352 TAL\. PlI'IES ROAD BAi -- e. ....
':: 4.) stondQfd Height of 189" 111" 8< ..,;dth of 27. center to "enter \/($1 PALl! BEoC>l. r'='.-
:;; 01'1 I-Bee'" ...., ...- t, iO)3 ... to..... Sh... 1 oJ ,
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.PtI<ln8 No.: {!e1~IJ-eo28 (J
State R~lat., Mo. \ 5252 rl.l
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~ 1.) l)llIeGl Uftl\ S. 3'-15~ Hftb by s-'" ~o
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. . . John Shaffer Roofing, Inc.
. .
, LiC# RC29027099 . Cc# RF368
3420 N. Courtenay Pkwy. #15, Merritt Island, Florida 32953
Ph# (321) 459-0504 Fax# (321) 454-7704
PROPOSAL
Date: September 28. 2004
To: Siesta Del Mar Job Name: Roof Repair / replacement
430 Johnson Ave
Cape Canaveral, Florida 32920
Fax# (321) 799-3385
We hereby submit specifications and estimates for:
Roof repa.k./ replacement as follows: -' -----.-
--- -'- ,-~ -~- .~_.-- ---- --...-.---.
1. Remove all d<JJTlaged roofing, insulation, and coping and associated material.
2. Replace any missing or damtlged coping with 2x8 pressure treated wood and secure to existing
concrete block with concrete & 4" tab cons.
3. Repair any broken or cracked concrete block in parapet wall.
4. Install new 20' x 3' .barrel-vault skylight on existing curb and flash to new roof deck with custom-
made Duro-Last curb flashing.
S. Repair any broken or cut PVC plumbing stacks.
6. Replace 4" tapered polystyrene insulation board as needed and secure with 6"HD screws and 3"
plates.
7. Install DUro-Last 40 mil single ply membrane and secure to concrete roof deck with 6" Duro-Last
HD concrete screws.
8. Parapet walls will be covered with Duro Last membrane and secured with concrete fasteners.
9. Aluminum Ale stands will be installed and secured to concrete deck as needed..
10. All penetration will be sealed with Duro-Last stack flashings and stainless steel bands.
11. Will clean & haul off all debris from job site. ~f~1
12. Will provide all permits & insurance to complete job
13. Issue a IS-year no dollar limit warranty from Duro-Last Inc. ove" .
W e propo~ hereby to iUmish material IDd Iabor-c:omplctc in accordance wi~ above spcc:ificatio 'a W
Eighty Seven Thousand Four Hundred Twenty Seven ~ 001100 Dollars Wlpt~
Payment to be made as follows: !2S% with signed contract rc t
25% with delivery of material
Balance upon completion of the job
AU material is guaranteed to be IS spccificd. AU work to be l.:ODlJllctcd in a WOlIanaIllikc manner according to standard practices. Any altcratioo or deviatioo
fiom above spcci1icatioas involving extra COlItI will be cxccutcd only upon written orders. end will become ID extra charge over IDd above the estimate. All
agrccmcots conti"V"t upoD strikes, accidents dcIays bcyood our control. All accounts not paid within 30 days arc subject to alate charge of 2% per mooth 00
the unpaid ba1aDcc. III the lMIIIt that lcp1 action is instituted to c:oUcct any sums due under this qrccmcnt, the undersigned agrees to ~ all costs incurred
including reasoaabJc att.orncy fees.
~
to do the wed
Date: 10- 4 -04_
---"-~'.'~~.". '"_."" >~-...---
City of Cape Canaveral, Florida ~36
MECHANICAL PERMIT
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 2036 Issued: 3/23J2004 I Address: 430 JOHNSON A V UNIT 2040-------
Permit Type: MECHANICAL CAPE CANAVERAL, FL
Class of Work: AIR CONDITIONER CHANGE-OUTl Township: 24 Range: 37
Proposed Use: APTS/CONDOS I Lot(s): Block: Section: 23
Sq. Feet: Est. Value: . Book: Page:
Cost: 3,720.00 Total Fees: 70.00! Subdivision: SIESTA DEL MAR
Amount Paid: Date Paid: =~_ Parcel Number: 243723CG 72 1009
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MERRITT ISLAND AlC & HEATING -- Name: PIESCHKE, WILLIAM R
Addr: 625 CYPRESS STREET I Address: POBOX 637
MERRITT ISLAND, FL 32952 I MAGGIE VALLEY NC 28751
Phone: (321 )452-5665 . Lic: CAC058007 _ 1 Phone:
---WoflcDesc: -1VCCHANG~OUT------ -' ,~---- -- -' ~._--'---' ,-- -- _._-~ '.-'-' ---'-..-.--
---
--- --- APPLICATION FEES
MECHANICAL REPiAL T-----71fOOT T~--~------ -.------. ----.----
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I 1 CANCELLED
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I lltRN\1 )(p\RtD
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Underground Mechanical I Miscellaneous I Final Mechanical
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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. 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 1YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI1Y 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. ~,..' .
--
(~) ./
~ ./~L
~(L____ .'. ----- --~--3Iq;0~
ISSUED BY/DATE
\W4- ) 3~4\
03/23/2004 OS:44 3214543915 MERF~ITT ISU"I~D A/e PAGE 02
I
CITY OF CAPE CANAVERAL i
i
BUILDING PERMIT APPLICATION I
I
I
Cil) of Cape Canaveral Buildin2 Department 105 Poll:: Ave. C8p~ CanaveI'(li, f'L 329:10 I
I
3 . cf (32]) 868-1222 2036
Date: . ~ -3 -I) Pennit # "~.
(You may download this application: WW\v.myflorida,com/caee You may fax to: (321) 868.1247. I
ImJXjrtant: A checklist is pro'lided on the back of this fonn. Complete the checklist and provide other dooumeJltatjonl~
indicattld On the checklist. A copy of contract may be required. Application packages wiJI (lot be accepted unless corJplete.
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY. I
(Contrllc.tor/Owner-Buikler is requ;red to sian for the building permit, W11~SB indicated otherwise by aftidl1\'lt. 1.D. mll.Y be required) i
Address of Job Site: J./ ,311 JlJfvJ.<0_N /hit. {It/ 2~' .
Legal description of prope~ TWN.!~ ""', SEe, _ SUBO- ~. BLIl, _ Lor,_ ,", -,f,_
Name of Property Owner: Wi : ~;~ pi!erty owner phone number: i
Address of Property Owner: . tJ p ~ L~ 4-n&wil.R./H~ . _ I
Community Appearance Board approval date: _ Site Plan approval da,te; _ :
I
----,.- - ..............--- ..' f 1
,y Type of Permit Brief description of work:
Building --
Electrical
- '~$
Plumbing /.f.!ej1kYfZ/'1,,-::;;- ~F /9-;~ _ {~/ld~ Ii?;/} ~ VI <) 1..S'f6le11A
v Mechanical , --
Other ;
Type of i Square Const #. of # af dwelling #of # of Total valuation of work i
~ Building Feet Type stories lUlib bedrooms bathrooms ,
~ - f-
Commercial S !
- --
SFR i $ I
I
ToWnhouse ! S i
- $
Apartment - I
1-7 Condominiwn $.3,7 ZD crt:. I
Other S I
- ~ -
- I 1
Architect/Engineer Name: Name of Company: _ I I
- -4 1-.,-
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor Name: -- Name of' Company:_ -8
i Address; :
i State License No.: y Phone (office): Phone (cell/pager.): Fax; __
.... I
i Electrical Contractor Name: .__ Name of Company: I
._----;--'i'
I Address; I I
- I
\ State License No.: Phone (ofYke): Phone (cell/pager.): Fax:
"''''''-
I Plumbing Contractor Name: ___ Name of Company:
Address; .
State License No.:
Mechanical Contractor Name:
Address:
State License No.:
Specialty Contractor Name: _ Name of Company: ___~__'_' ....+--
Address: I I
StatelLocal License No.: Phone (office): Phone (cell/pager_): Fax: 'U
I -
Ci"\B1dl.Depr.Fonns\BP APPLlCA TION
~
-...........,~-_...."....~,-.......- ."~"".,, l"tl>" ~_",~",~..",.
0.3/23/20S4 1)9:44 3214543915 MERRITT ISUl,HD Ale Pl4Gt: 03
I,
i --L- - Notes
j C~n'elll ~odc /ldirlc)!l:lL Blda. code 21101 (lIS fflvi.sd)
--
I
1 If Qwner I! .ctinllllS COl'ltraaor
Mayb. to ~fTed unlll CO. 1Jrlicsa fob i51emodeling -
- May be defclTlId \Inti! C.O
M".. """" ,";1 CO : - d
- lisidewitik cxim on 101 - I
O~er 5Iooo fO/' Mechs11IUl e......gc 0'''( -===----=
Re~l)rd will b<: kePi. em file after Initlal !~bm;ttal
For .11 work vi$ihle Public ~ight.&.WI\Y
For :ill ~w (onsuuetlQn offoor ucil.$ or more --
rQf aJ/ new consuuction not p&It of Ilpproved .ile pllUt -
- ~/;lrd will be kepi on fIle after ilUttal !lubn\lttal
Ret;Ofl:! will be k~pt on file alter initial subnUlta1
Notify BUilding D€Pilrtme1"lt of cQf1tractor .:hangE!'s
?Iumbini COrltractor T.....
'I
Ele((rical Comractor fi
Mechanical Contractor - ~ -.
Roofing Contractor - ~'-'-----~_ I
$wimmin Pool Contractor --
Gas Contractor ---
-
Specialty ContraE2.r ... --
Pet F.E\.C 104 --
Pt.r F.B.C. 104 .- i
I
-- -----,
- AI! new-service mu$l. be located unde~Jro\lnd -
I
.' -. .. - , ,I
- --~
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- '--r
I I Pc-Ill PCl111i15 will r.O! Ix: i$s~d withoul ha~~ ----11
Application is hereby made to obtain a permit to do the work and installa.tions as indicated. I certify that no work. or :
installation has commenced prior to dle issuance ()f a permit and that all work will be perfonned to meet the standard'~
and laws regulating eonstroction in this jurisdiction. 8y siifling, applicant affinns tl1at all above is true and correct
aod that he/she is a.n authoril.ed agent ofthe Contractor/Owner and has the authority to apply for this p'e it.
Applicant's Name: ~ ~;;/J~' Applicant's Signature: i:J) ~---+
Date: .3 - Z-3 -- tJ'i
For Notary use only; State of FIOrj~ County of Brevard ,204, by KtJj& ~Alx./L~~_;
Sworn and subscribed before me this ~ .3_ day of H#,(t~)../
~8 ' 111M of Al:lpli<:1II<' :
who produced identification: ........'"'""--- or
is personally known to me,
Seal:
M&
~Oltvy pvbliC. Stale at FlOli<la
O;\DI<li.D..pttorms\BP APPLICATION My comm e~f5 r.lrc~~i r of
IS tIiJI1 \I I C ate .
a~ryOeL~!~_~s~~n A~enty. 11l'~. ISOO\J514854
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~ City of Cape Canaveral, Florida I
Permit Type: MECHANICAL . CAPE CANAVERAL, FL
Class of Work: REPAIR/REPLACE Township: Range: I
\ Proposed Use: APTS/CONDOS Lot(s): Block: Section:
I Sq. Feet: Est. Value: Book: Page:
Cost: 900.00 Total Fees: 45.00: Subdivision: SIESTA DEL MAR
~v.A7'*:.".'. ,.f>'\..'\IlWIT.'lu..r. t. ,.paid: ,., '7 .~." Date, p~~: "f'!IINII....F@WMI..'"i"*I".'YJiIlIi!;crll;1r;~l~&<2~I~~mber: 24 3723CG 72 1002
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Name': BROWARD FACTORY SERVICE Name: HERMAN, JEFFREY
I Addr: 4343 FORT. UN..E PL..A C.E.., STE G& H. Add .ress: 703 EAST PINE STREET I
I MELBOURNE, FL 32904 ORLANDO FL 32801
\ Phone: 7;?5-:21.{:22.. Lie: CAC05€3774 Phone:
. Work Desc: REPLACE CONDENSOR UNIT PER SUBMITTED PLANS
!1.ll~' ..~f7t~'\lf ~~:
MECHANICAL REP/AL T
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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, 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 ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING
THIS TYPE OF WORK WILL BE COMPlIEO 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.
!
b/ZS/07
ED BY/DATE
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CONTRACTOR WILL aE CALL!D WHEN 1'EB.MIl' IS U..oY.
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CITY OF WEST MELBOURNE OCCUPATIONAL LICENSJ
SUHn:(J'l'TO GrTY ZONING RI!:Sl'R!CTIONS .
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~IF "" YE....R . APRil, 1'2003 ...sEPt. ;10'2003 ONt"') Ol~ l'I((JI'I~S~IQN IS L1CISN:-iEI} f'OR l'HR .'OI.l..lJWINO C.I,ASSIf'ICATIONB;: 1>
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BFS 054 6 AIR CONDITIONING CON~:'RACTORtl ..
4343 FORTUNE G-H CAC056774 ~:: ~
WEST MELBOURNE FL 32904 LICENSE 03-0?6Gl -~li lSiif:iO
054 2 ELECTRICAL CONTRACTOH ~ .~" ~
19 L10ENlltl) AS 1NDICA'!'E!1 rvlt ES 0000089 :;; !~ j ..
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BRIGHTWELL, JERRY LEROY (if; (:(;W;',ITIIIll:\i. Llf. 1 m7,~,t:l
4343 FORTUNE PL. #G-H [1'..1\:, I'lt1'!'tber: 5rWl~
WEST MELBOURNE FL 32904 ,\MOUNtn:rtfftfI',)N 'I'J!IS "ltAN!lACTIQN. ms <~
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Licensing Portal - Licensee Details Page 1 of 1
Licensee Details
Licensee Information
Name: BRIGHTWELL, JERRY LEROY (Primary Name)
BFS (Alternate Name)
BFS (Alternate Name)
Main Address: 3500 NORTH 28 TERRACE
HOLLYWOOD, Florida 33320
Lic. Location: 3500 NORTH 28 TERRACE
HOLLYWOOD, FL 33320
Browa rd
License Information
License Type: Certified AC Contractor
Rank: Cert Air
License Number: CAC056774
Status: Current, Active
Licensure Date: 09/16/1993
Expires: 08/31/2004
https://www.myfloridalicense.comllicensing/wI13.j sp;j sessionid=CPPO KNNKNHJ CkKj 9f- y KC... 06/24/2003
. 1 ~ , ~....,,-- .. _"'~b' --- ....,...~.- ..__..."_____._~'N_
BUILDING NEW CONSTRUCTION 1ttiJJ {O ll~D( 1(7
CITY OF CAPE CANAVERAL
PERMIT #: 01-00365 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 09/19/01
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE, UNIT #102 LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: SIESTA DEL MAR CONDO. ASSOC. INC. PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: ROLL CLEAN SHUTTERS SERVICE PHONE: (407)-799-0515
ADDRESS: 8085 N. ATLANTIC AVENUE LIC #:
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
WORK: INSTALL NEW HURRICANE SHUTTERS PER
DESC:
ELEC. CONTR: r
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 2965.00 BLDG :b5.00 PLAN REV: .3,;(,50
SQ. FT. ELEC :30,0{) FIRE IMP: -
OCC. TYPE: CONST TYPE: PLMB: - RADON: -
FIRE ZONE: USE ZONE: MECH :- CONC: -
CAPITAL EXPANSION:_ TOTAL DUE: 127.50
TOTAL PAID: 127.50
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Tn TB T5
* * * * * NOT ICE * * * * *
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 COMMENCEMENT.
AGENT) -9-/ a ') /01
DATE
9 / Jt_jJ1l
~ et5- *' y';l? (
'.-,,-~.. ., ~.="' .~~.,.._---. .
oe: AD
MECHANICAL PERMIT
CITY OF CAPE CANAVERAL
PERMIT #: 97-00062 MASTER PERMIT #: -
PROJECT #: 94 - AQ DATE ISSUED: 02/06/97
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA . BLK #: 72
OWNER NAME: SIESTA DEL MAR CONDO. ASSOC. INC. PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: DEIBERT, ALLEN DBA MERRITT ISLAND A/C PHONE: (407)-452-5665
ADDRESS: P.O. BOX 1254 LIC #: CAC012709
CITY: MERRITT ISLAND STATE: FL ZIP: 32952
WORK: REPLACE A/C TRANE 43,000 BTU 10.0 SEER.
DESC: NOTICE OF COMMENCEMENT SHALL BE RECORDED PRIOR TO INSPECTION.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 2800.00 BLDG: PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: ME CH: ~".. " CONC:
TOTAL DUE: 55.00
TOTAL PAID: 55.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
I' . .J" ". ~
. ~. . . .,.-.... ~
* * * * * NOT ICE * * * * *
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
BEFO~E RE~RD~~ICE OF COMMENCEMENT. d- /~/ '1'1
I NATURE F CONTRACTO~UTHORIZED AGENT) DATE
( .. c' J ~/G /n
'1i (APPR~ wl)l? 7l';;t~
DATE
_1 7: ; G"! 1 n - ,I; r; r; 'I
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. Permit # 01-- w31c5
CITY OF CAPE CANAVERAL - BUILDING PERMIT APPLICATION
TYPE OF PERMIT: INSTALL SHUTTERS
PROPERTY OWNER: JEFF HERMAN
ADDRESS: 430 JOHNSON AVE, #102, CAPE CANAVERAL, FL 32920
JOB SITE ADDRESS: 430 JOHNSON AVE, #102, CAPE CANAVERAL, FL 32920
PROPERTY OWNER PHONE #: 407-841-3811
ELECTRICAL CONTRACTOR NAME: HOOG ELECTRIC
ADDRESS: 210 JEFFERSON AVE.. CAPE CANAVERAL. FL 32920
PHONE #: (321) 784-3249
STATE LICENSE #: 1733 SROO02842
SPECIALTY CONTRACTOR NAME: AVON CONSTRUCTION OF BREVARD. INC.
ADDRESS: 8085 N. ATLANTIC AVE.. CAPE CANAVERAL. FL 32920
PHONE #: (321) 799-0515
DESCRIPTION OF WORK: INSTALL SHUTTERS
TOTAL VALUATION OF WORK: $2,965.00 TODAY'S DATE: September 10,2001
(COpy OF CONTRACT ATTACHED)
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.
APPLICANT'S NAME: Paul Knittel APPLlCANrSSIGNATU~~~~
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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
_e~
. _....-.~,-_..'._-....
. '~.. ....
BUILDING PERl\tlIT FEES:
Building Permit ler square footage:............................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area): .:;.;<.-00
~~
Building Permit based on valuation:..~.9.kf.....l~~.:.:..~.....................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit miscellaneous:............. .............................. .... ......................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical... .......................... .............................. ....... ............................................ .Jo
PI umbing. .... ................ ........ ...... .................. .... .... ..... ........ ........ .......... .................
, "
rvlechanical......................................................................................... .................
j ~ )'"'6 ,.
Building Permit Plan Check Fee.....................................................................
Fire Dept. Plan Check Fee.... ................ ................. ...... ................ .....................
Radon Trost Fund: sq. footage ... .................. ........ ....
Concurrency Management Fee.........................................................................
Capital Expansion Fee.... ...... ........ .......... .... .......... ............ ............ ........ .... .... ......
Total Building Permit Fees:...... (l-7 50
SEWER PERlVlIT FEES:
Sewer Impact Fee............................. ..................... .......... .........................
Sewer Tap Fee.... ........ .... .... ................ ............ ............ ...... ........ .................
Total Sewer Permit Fees.............
OK TO ISSUE: DATE:
-----
.
PLAN CORRECTION SHEET PAGE 1 OF 1
JOB ADDRESS 430 JOHNSON AVE # 102
.
APPLICANT: A VON CONSTRUCTION DESIGNER:
BUILDING USE: SHUTTERS OCCUPANCY: RESIDENTIAL
CONST. TYPE: V AREA: FLOOR ARE ANI A
LOCATION OF PROPERTY: NORTH: EAST: SOUTH: WEST:
HEIGHT: STORIES SPRINKLER RQUIRED: YES NO X
OCCUPANT LOAD: OCCUPANCT SEPARATION:
AREA SEPARATION: RATED CORRIDORS:
REVIEW OF PLANS FOR THE ABOVE PROJECT REVEALS THE FOLLOWING DEFICENCIES:
.Jj{ROVIDE DOCUMENT A nON FOR USE OF THE SHUTTER ASSEMBLY AS A RACEWAY
PROVIDE DIAGRAM OF INTENDED WIRING METHODS
t/u4 wlJa ~ t!nAnrfr1' ~
REVIEWED BY - ~ DATE- ~l~
, ""-.""..- -......".............- H'_.O'" ."-"-_..
1 ~ Si'L ,
~~~ ~~EJt~ ~tFo~e
Cf/z't ESTIMATE/CONTRACt
DATE 9-<t -0/
- .
PHONE
8085 N. Atlantic Ave. Phone (321) 799-0515 ~ 7Jf;41 - 3~1I
Cope Canaveral. Florida 32920 Fox (321) 799~S
NAME '::Ser:F .1-ibeM~,J fAX -71 L{
ADDRESS 4- 30 .:-r &:J I-tI\J 'So..J A ve . ,:# 10 2- 3 2120
CITY -MP~ (' JA'"rJAvE:'R/I L- STATE ----F '- ZIP
CONDO/DEVELOPMENT ~leSTh PEL M7f~
, TRACK: HOOD: SLAT: -r
SPECIFICATIONS ....,..t. .....i.. COST
. "~l
CT/<iC Mb-rc:J1C
A,)~:s. D~v
"....
I . Me 100 " -"
I
:r .'
j
".-.-....
~ 5 -r. DEL.I V~ WeEk S
-,JIMATE GOOD FOR DAYS NET PRICE
;\LES REP.: Pf7UL- krJl7lCl- TOTAL
50% Deposit Required
BALANCE DUE
"":EPTANCE OF CONTRACT
. '.' prices. specifications and conditions are satisfactory and are her ted. You are authorized to d
~..- .. ~,j" as sp ifi .. . Payments will be made as outlined above. !
Date tJl
,~ ~ - "'lIIl'i..IiI'~ i """' .~ -",.l. ~~~""'l .... -"",
~ .-."'....
~
~!~~~~I~mll~II~~~~ Scott Ellis
Clerk Of Courts, Brevard County
NOTICE OF COMMENCE;.MENT #Pgs: 1 #Names: 2
OR ~oOk/Page: 4422 / 2848 Trust: 1.00 Rec: 5.00 Serv: 0.00
Deed: 0.00 Excise: 0.00
Mtg: 0.00 Int Tax: 0.00
State of FLORIDA
County of BREVARD
The undersigned hereby informs all co1cerned that improvements wilt be made to certain real propel1y,
and in accordance with Section 713.1:: of the Florida Statutes, the foliowing infomlation is stated in this
NOTICE OF COMMENCEMENT.
Legal description 0.1' pr()~.J!'ty (include street address if available)
-'l.J1D: 10 Q. ().p -.-C;;J!11I.JL01..ll1..L!.UI1. ..._~.tit.ci..--./b:J._ II tZ.... tI..3L. :rz;ha.2t2t1...:flJ!E_._.I 'fPe (ff/!CI (j<eI(J.,
43Q_JQ.tm!i9n A'JlL.tf1Q;LG~pe. c;\Wavwal, fL 32920 ------....-~--
General description of impfovernenls: In.staJj Stllitters _.____________,._ ."..,..._._..........._
Owner Jefttt9ffil<:lCL___ _____.Addre ss42Q_1Q.~nSQ.l} A\I~-,-J'jQ2..l Ca~ Cat)_~Y8ra.l...f!-_ 32~20___.~___
Contractor: f\~on COl1~tm~tion of ~rftvmd.Jn.~ Address: 8085 N Ml@!i1t..~,,_Q.~~'-~CrJlli;l.Y.~[aLEI,._~.2~~Q
Surety (if any): t>JJA_......_________________ --._"-- -----
Adoress: NL~._._ ------_.-._---- Amount of Bond $ WA__.___._
Any person making a loan for the Gons:ructiun oUhe improvem~mts'
Name ________.___.____._......______Address_______. ............_____...___..__....____..
Person wiihin thu State of Florida deSlf;nated bY owner upon whom nctlces or other documents ma;y be
seNed: -------~---------_._-- Address ----- --
In ,':lt1diUon to owner, owner designates the following person to receive 3 C'..opy of the Lienor's Notice as
provided in Sectioll 713.13 (1) (h) Floril:1a Statutes. (Fill in below at owner's option)
Name ___ '..___~.__ ..._____._M~~-~._------.------
This space for recorder's us(! only 7~l~
--.. ~-_..._-----------=----_.._-
. ,L V Owner's Signature
"'''~'t.,.,, MICHAEL G. MUNLEY Sworn to and subscribed before me thiS -- !;5 day
lfl"t-= MY COMMISSION # DD 009325 of -___-s.;;/:44Jt..7.... _' 20 0 1_
k:. . .k] EXPIRES: March 13,2005
'<Ji'...~...:... Bonded Tnru Nolary Public Und.ffl~rs
#'..,9fllll "
~
Srevard Count;. Florida
Tne toregou'lg in3!rument was aCkt'lowlf1dged befo!>:? me this _____ fJ.. day of. s;.JL!7': _,200L-_
b -~rf-iLFL'-( f-t{Z-~ t4I"Wl"i i . . ., &- D<-
y.-----------.-------- 0.8 personally known to me or h~s Pi odUC6d -------.--.---... 'f
~lS Identification an,l who did or did not :ake nr. oath. r-t (;<{,'5'" ~'7... 0 '-f 7 OG t:>
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D = RCX - 40 MM
E = Rex - 55 MM CONSULTING ENGINEER:
STEPHEN E. KASTNER P.L
43D JohnS')h Ave, Ii I 02- fLORIDA REGISTERED ENGINEER
PE 0039528
845 PINE wOOD ~VENUE
ROCKLlOGE. n.ORIO~ 32955
\11LJuucane -8btters 407-&31-&705
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SLAT CODE . 1 '
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SU'RVEYOR'S CERTIFICATE
. , ..
FOR
......- .
SIEST A DEL MAR
. ..
A CONDOMINIUM
STATE OF FLORIDA
COUNTY OF BREVARD
BEFORE ME, THE UNDERSIGNED AUTHORITY DULY AUTHORIZED TO AD-
MINISTER OATHS AND TAKE ACKNOWLEDGEMENTS, PERSONALLY APPEARED
RICHARD w. CAYLL, BY ME WELL KNOWN, AND KNOWN TO ME TO BE THE
PERSON HEREINAFTER DESCRIBED, WHO AFTER BEING BY ME FIRST DULY
CAUTIONED AND SWORN, DEPOSES AND SAYS ON OATH AS FOLLOWS, TO WIT:
I HEREBY CERTIFY THAT THE CONSTRUCTION OF THE IMPROVEMENTS
SHOWN AND DESCRIBED ON THE ATTACHED EXHIBIT ARE SUBSTANTIALLY
COMPLETE AND SUFFICIENTLY DETAILED SO THAT THE MATERIAL DESCRIBED
AND SHOWN IN EXHIBIT TOGETHER WITH THE PROVISIONS OF THE
DECLARATION OF CONDOMINIUMS ESTABLISHING SIESTA DEL MAR, A CONDO-
MINIUM, IS AN ACCURATE REPRESENTATION OF THE LOCATION AND
DIMENSIONS OF THE IMPROVEMENTS, AND THAT THE IDENTIFICATION,
LOCATIONS, AND DIMENSIONS OF THE COMMON ELEMENTS AND OF EACH
UNIT CAN BE DETERMINED FROM THESE MATERIALS.
IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND OFFICIAL
SEAL, THIS 25TH DAY OF FEBRUARY, 1985, A.D.
~~
~ /l:h~ .
CHARD W. CAVIA..
FLORIDA REGISTERED LANn
SURVEYOR NO. 1437
SWORN AND SUBSCRIBED BEFORE ME
AS TO "RICHARD W. CAYLL", THIS
25TH DAY OF FEBRQfRY, 1985, A.D.
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N0Ti\RY PUB1;..IC OF FLORIDA AT LARG'E'
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.NOTARY PUBLIC STATE OF FI.miD^ AT ~M,Gf;
MY COMMISSION EXh.E:; . ,.... "'
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SIESTA'DEL MAR
ACONDOMINIUM,
LEGAL DESCRIPTION:
. LOTS 10, 14, AND 15 IN BLOCK 72 OF "AVON BY THE SEA" AS RECORDED
IN PLAT BOOK 3 AT PAGE 7 OF THE PUBLIC RECORDS OF BREVARD COUNTY,
FLORIDA. TOGETHER WITH THAT PORTION OF VACATED OCEAN BOULEVARD
AND UNPLATTED LANDS EAST OF SAID OCEAN BOULEVARD LYING BETWEEN THE
. EASrERLY PROJECTION OF THE NORTH LINE OF LOT 14 AND THE SOUTH LINE
OF LOT 15, TOGETHER WITH ANY AND ALL LITTORAL AND ACCREATION RIGHTS
APPERTAINING THERETO. LOCATED IN THE CITY OF CAPE CANAVERAL, BRE-
VARD COUNTY, FLORIDA, CONTAINING 1.549 ACRES, MORE OR LESS.
SURVEYOR'S NOTES:
1. THE SITE PLAN SHOWS THE IMPROVEMENTS AS ACTUALY CONSTRUCTED AND
WAS PREPARED FROM AN AS-BUILT SURVEY. ALL IMPROVEMENTS SHOWN ARE
SUBSTANTIALLY COMPLETE.
2. THE IMPROVEMENTS CONSISTS OF A FIVE-STORY APARTMENT BUILDING,
CONTAINING TWENTY-THREE (23) UNITS, PAVED PARKING, SWIMMING
POOL, DRAINAGE STRUCTURES AND LANDSCAPING.
.
3. ALL AREAS OUTSIDE OF THE BUILDING STRUCTURE ARE COMMON ELEMENTS
OF THE CONDOMINIUM. LIMITED COMMON ELEMENTS INCLUDE A PRIVATE
PARKING SPACE AND THE BALCONY, PATIO OR TERRACE ATTACHED TO EACH.
4. THE FLOOR AND CEILING ELEVATIONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929 AND ARE EXPRESSED IN FEET.
5. THE PLAT OF SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH
BY THE FLORIDA BOARD OF LAND SURVEYORS.
6. BEARING STRUCTURE IS BASED ON THAT SHOWN FOR THE COASTAL CONSTRUCT-
ION CONTROL LINE WHICH HAS A BEARING OF S 12029'35" w.
7. 101AA INDICATES'THE UNIT NUMBER & TYPE OF UNIT.
~~--
FLORIDA REGISTERED LAND
SURVEYOR No. 1437
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET 4 OF IS
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NOTES: \
1. DIMENSIONS SHOWN WERE TAKEN FROM liAS-BUILT" MEASUREMENTS.
2. LAYOUT IS SHOWN AS TYPICAL FOR UNITS 102,103,201,202,203,
302 AND 303.
3. LAYOUT IS REVERSED FOR UNIT 301
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET 10 OF I~
--
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NOTES:
1. DIMENSIONS SHOWN WERE TAKEN FROM "AS-BUILT" MEASUREMENTS.
2. LAYOUT IS SHOWN AS TYPICAL FOR UNIT 101.
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET \\ OF l~
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~s a t ell i t e 8 e a (' h,. F lor i d a . 3 2 9 3 7.
SIEST A' DEL MAR
ACONDOMINIUMI
=-1 I
'. BEDROOM DINING/ L/ VING,
.
. (:)
~ ~
~ ~
I/. o. 2. S. O'
9. ::S3 ' STUDY ~ .
c'- o. . j(/TCHGN
rf) /0. S3' ~
(I)
~
J:f3ArH ,
. ..
m III
lYl m
cJ ~
....
. BEDROOM BEDROOM
FOYER
/I, 6::3'
TYPICAL UNIT "B" & '''e''
NOTES:
1. DIMENSIONS SHOWN WERE TAKEN FROM "AS-BUILT" MEASUREMENTS.
,
2. LAYOUT IS SHOWN AS TYPICAL FOR UNITS 403 AND 503.
3. LAYOUT IS REVERSED FOR UNITS 402 AND 502.
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET '2 OF 15 I
-
....... T -..~
--'._~- ~",,,"
Cca:yl.I_S.ur..v..e ~y. i n g--&.~.E n. g.i. n e efrln 9 ,:~_.:'
1 . . .
.~790_ N.:.A1A,..Suite 20.2, ...... .... '; . I
.
~s a tell i t e B e ac' h, . F lor i d a . 3 2 9 3 7.
SIESTA' DEL MAR
A .CONDOMINIUMI
:!!JQ..s ·
,
~
- ~
"
/6.0'
1.3.83'
. .
DINING, 12.fJ7t
l.1/;NCi, 43EDF(J()OM b
. *'1 ~
0
q) "
.....
,/
-ri'~r - It;. o'
0:
KIrCHEN
10.5' B&:DROOM
#2- i'l .1
. :
p)
'-
.....
8EDROOM
#~ .
III
I (I')
UTIL. 8/.1 rH I ....
1e..~7' .....
. .
. TYPICAL UNIT "0"
.
NOTES:
1. DIMENSIONS SHOWN WERE TAKEN FROM "AS-BUILT" MEASUREMENTS.
2. LAYOUT IS SHOWN AS TYPICAL FOR UNITS 104,204,304,404 AND 504.
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET I~ OF 1'5
- --
--~< -.-,.-..-- ."......"'---~
.~c;a.yl.l_S.ur_v..e"y. in 9--&._.E n.gln e e'r"i'" 9 . ;~~.:'
:1790. N..A1A,..Suite 20.2. ........... '. ....
.5 a t ell i t e B e a c' h ~ . F lor i d a ,3 2 9 3 7 .
SIESTA' DEL MAR
ACONDOMINIUM,
~ ..sa.s. 8AI-CONY/,PArIO
~ -- . ,
<;.)
I ~
.....
/6.0' , /4.5 # r
. ~ ~W'
I' I r L-
~ BE.D;QOOM /4.S.
~ #1
~ D/NINe::,
.. l./~//VG,
r ~
1 Lr 0
BATH (\J
r
13. ~ 7 .~ ~L.-r1 - - - -Pr===1l
BE'DROOl'H: .. r- . U U'
;.., It 2. I "J 1<1 TCI-IFN
v I ~
n) ft-::l - <j. 33'
" I c:=:::l t==
1] be!
....
'-- ,..J
BEDROOM I I3ATH
. 11 ~ r;:J c..
<::)
~ (Jrl L.
~
13.0"
TYPICAL UNIT "E"
-= \
NOTES:
1. DIMENSIONS SHOWN WERE TAKEN FROM "AS-BUILT" MEASUREMENTS.
2. LAYOUT IS SHOWN AS TYPICAL FOR UNITS 105,205,305,405 AND 505.
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET~OF~
_._._.._~~"""",__."'l -" ~._,..,- -............,.."- ..... .." .. _.--....<~"-'-' .~"--.,....~----->-
. .~a.yl.l_5.ur_v..e..y. in g--&.~,E n.gln e e(r'i'n 9 . "...'
~ . ,~ I
.1790. N.. A lA/..Suite 20.2. .
~ -,.... . .
.S a t a II i t e B e a c' h, . F lor i d a . 3 2 9 3 7
SIESTA' DEL MAR
ACONDOMINIUM,
UNIT ELEVATIONS
UNIT NO. FINISHED FLOOR FINISHED CEILING
, 101-105 (1st. Flr.) 11. 34 19.50
201-205 (2nd. Flr.) 20.07 28.20
301-305 (3rd. Flr.) 28.80 36.92
402-405 (4th. Flr.) 37.54 45.68
502-505 (5th Flr.) 46.27 54.43
DATE: FEBRUARY 25, 1985 EXHIBIT SHEET \~ OF ''5
- --
I' -~",~,.",..... '-~'~"".''''' -,---,---'~-'-"~'--' '~-"."--
,
II ,
I I .,
CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION
IlHS IS NOT A rERMIT TO START WORK. IT IS AN APPLICATION ONLY AND WILL BE
PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE TIlE
INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COpy OF THE FOLLOWING:
(OWNERIBUILDER PERMITS ARE EXEMPT.)
STATE REGISTERED CONTRACTORS:
Slate License
County Occupational License and Competency Card
General Liability Insurance ($100.$300,$25 Thousand), Workmens Compo or Exemption
STATE CERTIFIED CONTRACTORS:
Slate License
General Liability Insurance ($100,$300.$25 Thousand), Workcns Compo or Excmption
===============::::====:=:::=::=======~========r===============
TYPE OF PERMIT: BLDG. _ ELEC. _ PLUMB. _ MECH. ~ OTHER '
PROPETY OWNER: robe.-+ O:;lAl'rC>L.-k PHONE:
ADDRESS: q?/) :i)h$\~o,J AVt- .u J 0<;;"
STREET ADDRESS OF JOB SITE: 5 )!}vv'\~
TYPE OF CONSTRUCTlON: SlZE OF BUILDING (TOTAL SQ. FT.)
NO. OF STORIES_ MAX.OCC.LOAD_ NO. OF DWELLING UNITS
USE ZONE NO. OF PARKING SPACES _
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNIIOUSE tiPARTMENT CONDOMINIUM V COMMERCIAL
CONTRACTOR Me,n I':.t~j At:'Q <;- &4r l;l.C.STATE LIC. # ("/:It! CJI:270ff
ADDRESS (p J~ C 1fl-r'e!>!:. Or,'v-( ,14/ F(. PHONE '1'52 - 5&~~
ELECTRICAL STATE LIC. #
ADDRESS PHONE
PLUMI3ING STATE LIC. #
ADDRESS PHONE
MECHANICAL tt1 ' .J. .q. c.~ . STATE LIC. # Ct1t. 01:::> 70e(
ADDRESS t;;). S-- CI(/..r ~.H 0<, lilt 1 . Fe PHONE q.::;2-5&&S
OTHER STATE LIC. #
ADDRESS PHONE
NATURE OF WORK TO BE DONE (BE SPECIFIC) 1-1. v, A, C . Cht4rJ.y. - ()u I
oJ )
VALUATION OF WORK/CONTRACT PRICE: $ uD .--- rJ~/YI; if !lAY: In ~7ct
NOTE: 11lis application i. vlllid for IS working dllYs after which time, unless a permit h",. been drawn, this fom, and all attachment. will be
destroyed.
inyt,,#{j Date: ;2-~-r7
17f2 0 L.{z C IOrYi4- ( Signed: {fft t/ O~ 7:rC
[II,} e o <ll. C-H BA
4>,v...:rO '3ivH 10 .()O 5~elZ
._. .,._'---..... , ~.....,;"""""-'..~,~".,~
SECTION LIVING ENCLOSED TOTAL
AREA AREA
BUILDING PERMIT
BUILDING PERMITS
PER SQUARE FOOTAGE 82A
BUILDING PERMITS
BASED ON V ALVA TION 82A
BUILDING PERMITS
MISCELLANEOUS 82A
ELECTRICAL 82C ,r
PLUMBING 82B
-
MECIIANI~.~('} 82D o V i.f":i(' 5~a7
. ' ,I/.
BUILDING DEPT. 82E
PLAN CIIECK FEE
FIRE DEPT.
PLAN CHECK FEE 18-94
BOTTLED GAS INSPECTION FEE 38-5
1/2 FOR BUILDING PERMIT REVENUE - --.--. -----_.
1/2 FOR FIRE INSPECTION FEES- - -- ---.---.-------. - _..-..
----
RADON TRUSl' FUlWD F.A.C. lOD-91 PER SQ. IT. UNDER ROOF
DCA 1/2 CENT PER SQ. FT.
DBR 1/2 CENT PER SQ. IT.
CONCURRENCY
MANAGEMENT FEE 90-22
CAPITAL
EXPANSION FEE 2-231
:rOTAL":;BUlLDING:PERMIT:FEES: _ h~i} ---LrL I
SEWER PERMIT
!SEWER IMPACT FEE 94:23
SEWER TAP FEE 82-3
ttOTAL""'"8EWER-PERMlT.iFEES:
"_"_~"._'"""""h~...,,,,,,,~_,.,,,~,,.,,,,,,,,,.,,..,,..,,,,",,_"'"~''''''-'''''''''''"",_~,,,,__~__~.,,._~.......,.,......,,,,,,.,,,__,.,,,,,,"_,,,.".
11 take comfort in"
452-5665 Merritt Island Air & Heat, Inc. Fax 453-4745
625 Cypress Street - Merritt Island, FL 32952
Lie. # CAe 012709
I, ALLEN DEIBERT JR. , hereby authorize /lllt.v ii D~16e.- f :a+- to obtain a
(Authorized Person--- PLEASE PRINT)
permit in my behaJfunder state of Florida license # CA C012709 for the job described below:
TYPE PER1lIT: DESCRIPTION:
Building O''''ner: Rober- -I <;'hirtx k
- -----
Plumbing Site address: '130 5->~r.'i:.bN I-l v E' # [0-';
-
Electrical (~pe CIA. "''' J~f... ( H. '$)4;:}O
-vr I
H.V.A.C. Lot Block Parcel
---
Sec. Twp. Rge.
.199~
/' <; ...... BRIGITTE R. CLEMONS
i,~. '. \ My Comm Exp. 11/30/99
\'\ .' f) Bonded By Service Ins
" ",... / / ~. CC506278
" .-
~----' P~Kno..... I J.{Jlhorl. D.
- -,,-,~,...., ........- ..___.m..,
BUILDING ALTERATION
CITY OF CAPE CANAVERAL
PERMIT #: 96-00262 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 06/22/96
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: SIESTA DEL MAR CONDO. ASSOC. INC. PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: CHAPMAN POOLS, CHRISTOPHER CHAPMAN QUAL PHONE: (407)-724-8171
ADDRESS: 2875 KIRBY AVENUE N.E. LIC #: CPC012759
CITY: PALM BAY STATE: FL ZIP: 32905
WORK: RENOVATE SWIMMING POOL.
DESC: NOTICE OF COMMENCEMENT SHALL BE RECORDED PRIOR TO INSPECTION.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 7960.00 BLDG: PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 80.00
TOTAL PAID: 80.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
h, Sl()'\lL 0Q~
* * * * * NOT ICE * * * * *
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
BE RE RECOR I G YOUR NOTICE OF COMMENCEMENT.
(p / ~fJ / Cj(P
T AGENT) DATE
(
(./ '--0 /,"""
) L/ (~!JI- / 7'{?
.. r;;;f ,/tt yv-vce WL:/
'" "tAP~ROVED BY) DATE
~ tit ~ A-
~ -.--- ,............,..,.^'~--..'.......,.~ . ~~____''''~~W'.' ,.<-,"",,-~..,"-
BUILDING ALTERATION
CITY OF CAPE CANAVERAL
PERMIT #: 00-00119 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 03/23/00
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: SIESTA DEL MAR CONDO. ASSOC. INC. PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: ADE, DANIEL H. DBA SOLAR THERMAL SHIELD PHONE: (561)-664-3105
ADDRESS: 8540 US HWY 1 LIC #: CCC027416
CITY: SEBASTIAN STATE: FL ZIP: 32976
WORK: REROOF OVER SINGLE PLY AND OVER TAR AND GRAVEL PER SUBMITTED
DESC: SPECIFICATIONS.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 19600.00 BLDG:i5O,OO PLAN REV: '15. DD
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 225.00
TOTAL PAID: 225.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
mR (YlR 'PEF
* * * * * NOT ICE * * * * *
THIS PERMIT BECOMES NULL AND VOID IF W0DK OR CONSTRUCTION AUTHORIZED IS
NOT COMMENCED WITHIN 6 MONTHS, OR IF 'TRUCTION OR WORK IS SUSPENDED,
OR ABANDONED FOR A PERIOD OF 6 MO")\~ NY TIME AFTER WORK IS STARTED
V~\)
I HEREBY CERTIFY THAT I p~ ~~V .ED THIS DOCUMENT AND KNOW
THE SAME TO BE TRUE ANr ~ ~SIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE :\ C~ ~~\) ..d?LIED WITH WHETHER SPECIFIED
HEREIN OR NOT. GRl ~\ j...~~ DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANC~ ~~~ ~ A-.fS OF ANY OTHER STATE OR LOCAL LAW
REGULATING CONSTRUC. _ PERFORMANCE OF CONSTRUCTION.
wi;G TO OWNER, YOU. .,iLURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RES LT IN YOUR p-l\..YING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
INT ND ~ OBTAIN FINANCING'~SULT WITH YOUR LENDER OR ANY ATTORNEY
BEF~~E 7ECORI'i'n,!~ YO ' T.~ 0 COMMENCEMENT. 0 -, J3 ,{, .
I "'/ / (( /'A ! / I ,(, J / ~ / a voj
(,$' TURE F (CON'!' CTOR OR AU IZED AGENT) DATE
/ /
CL 'i/'-. 1>eo..:::J
>-". .~_..
.FROM : FA!<: NO. : ,1ar, 13 2000 05: 46Pr'1 P1
.. TI-flS IS N\JT A PERMITTQ START WORK, IT IS AN A??UCATION ONLY AN]) WILL BE PROCESSED AS
SOON AS POSSIBLE. YOUwrt,..~ BE CALLED WHEN IT1S READY. COMPLETE THE TNFORMATJON BELOW
AND INSURE TriA T YOU HA VE ON FlLE. A COPY OF THE FOLLOWrNO: (OW'NERJBU1LDER PERMITS
SHALL COMPL.Y WITH F.S. CHAPTER 429):
State Lk.r.;nsc (StJtc Certified I1nd Rcgiste:rr.:d Contr.lClOfS) i
Ger.erllll..iabllity rnsul1l:lcc (SlOO, S300. ru 11\CLl$lmd)
Workers Comf.lel\satlon or Exemption
(3) Senkd plans whe~ required 00 '- DO/fer
Copy ofContraet and Sub~l'ltracts
Type ofPtranil: 'i3~ins. _ f.1ctll\ Pll.l~l.ljn~ J5ihllni't
Propert)' Owner: Nt; mn 4' e Cf)rJ .t., ul" Vi'v
. -..
Aadre$s: n
Street Address of Job Sito: VJ () J'Ch.n5oh ~Ve., U f!,/ sob (a;eCahtNfA -f 3~tf~()
Prope~ O\l,1\or.5(s) Phone #: /
Type ofConstl'\lction: ". J J Si:;:c of Building (Toral Sq. Ft)
if ot Stori~: ..Qh.. # ofDwellins Units: ..];L Zoning ~ct _ # or Parking pam
Type (checl; Qn~): Sf'R: _ TIH:_ Apt: _ Con.do: Commer<;illl: _ Other: .
Date Project Approved by the Comm.Wlity AP!lc:u':l.ftC~ BOllr!! ihppli=~ble:
-:::~.::
O=ncral Contrar.:tQr Camp.ny Name:
Address:
Stl.lte Ueense No.:
Pllone ,
Electrical COlllTuctor Comp:my Name:
Address:
Sum: Lictll!~ No.:
Phone
Plun,blns COl\(t':lctor ComJ:lan1' Name:
Address:
State License No.:
Phon~
Mechanic:!l Contrn(:tor Compl1ny 'Name:
Address:
Stlm~ l..iC:'n$$ No.:
Pbone
O\J ~y-" -
(Copy or Contrnct shall Ol: suhmitt~d w/i:lppijc;3tion)
By sigtlint this o!,plicll.tio!'t. J confirm thot th~ 111!Ornl:Jtilln provide.d is true nnd oeeul"nte to the best oi my
knowltdlle. That r am rll"op~.'ly licenseu :md have be!!n :JUthoJ'rzerl by tbe prol'erty owne!' of reeOl'::! rCl
opply [or tisis permit :lnd p,:;rfornt tl:e W ik on the pr~;tr ~s inui:~t=d :lbove.
Applic:1nt's No.m: (Prin ',. I _ ~
.4.pp1icant's Si~l1:1ttlr:.;;
9.mi'\r.r1~~ ~W\\'(;.~) Si,~~t~\N~ f;<!!-'lum~:D ,.",t i~C.CL t091 ~d.it\on. s~::, \Q4.~.;.)
l ..
,_"_,~,",.~.,~,_,,,,,,,-w~_____,,~'~"'_ .. ~ _._~--,-'"~"---~---~_.-
AU ~ J.(;,-().. cOD I i1ll1/
, 1
fi^t ~A' "
{s~ ccJ / AI ..-/' '?'S (V
./-1 ~-;. ~, : if .:) .;
------
US~Q:O vvr1-
,."...,<_^,",,'"'"'~F""'"_"'"_
OOlWllIJ LI1IIJlIGIj][]. w)[)[lLlD. [)fmg
SPECIALIZING IN FLUID 8540 U.S. HWY 1 . MICCO, FL 329'76
APPLIED ROOFING RESIDENTIAL AND COMMERCIAL
SI. Cart. #CCC027416
(561) 664-3124 Fax (561) 664-3740 Les Silhan
State Licensed/Insured 1 (800) 330-3105 Data: 2/8/2000
~ Namefiesta Del Mar Condo JObsrte~~avid Spiker ~~321-868-4643
430 Johnson Ave. Unit 505 Pres. Mr. Clare Cooke 799-2764 & FAX 799-3385
Street: J obsite- Street: Phone:Bus.:
Cape Canaveral, FL. 32920
City: State:_Zip: Jobsite-city: State:_ ~
Parcel#: R.E.(Tax 1.0 '): Twnshp:_Range: ~
Sub. Div. Name: Sub. I: Lot No.: Block No.:_
.". .
Apply One inch(es) Rigid Urethane over designated area(s). entire roof & arapeSRIEF N SKECH
Apply 30-35.' mis lkethane Coati'lg over Urethane. white Pitch: f la t
Roof Type: Gravel _ TIe _ Wood _ t.4etaI _ Concrete_ ShlngIe_ Urethane_ OtherXA..
Five story existin~ ori~ional seamed ~lastic roof over insulatio board with 23 Ale units.
1. Remove all river rocks (1-2 inch diameter)and haul away.
2. Pressure'-cleanand-prep--a.s"neccessary,tnstall tapco:h scre, S &;-washers ~3ft.gridso
3. Remove 2x4 Alc cross supports and foam new 4x4's into roof as neccessary to make them
wind and water tight with minimal movement of A/C's.
4. Replace rusted steel roof hatch with aluminum :Ct600.00inc1, ded below).
5. Install seamless rigid urethane foam one inch over entire roo and up parapets to just
below good existing heavy aluminum cap metal and top foam with t n year guaran~eed white
Nationwide Ce~~~ic PermAkot Topcoatlng. Note; follow exlstin! DlRfCllONAL N MAP
roofs ta1:per to drains over majority of roof as it is adequate. However the
eastmost Quadrant needs to be raised along center-linl approx. i" extra and
ponding water area 20 ft.. from east wall will need ap rox. 1" extra (for 2"
max.) at center-line then taiper to drains.
NOTE: li(ere...,.e', both metal fireplace stacks oover .holes with metal and foam before
new roof applicati6n. I 5
~ Ft.: 8,449 AI ContrKts Subiect to Appronl by _ Offkrer of So&. TherIMI Shield Inc.
w li parapet:s *C~ifled appbtors judgement may supersede sales Inmuctions.
Urethane and cOltitg to be gua1ll'lteed fOr;l period of (10) year(s) rrom c~1on dae aga/n$t defeettve woc1Unln$hlp .-.d materiafs.
provided CVt en . 'Ie". preventative membrane JNintalnenc& pro~ Is strictly ICIlered to wtth . 1-liIintenMJCe fee for cost of
LkethMJe C08tIng inti PreIImInMy M'KI Flnll t1sp<<t1M MC~ eY~ y~"s to ~ pMd tor by customer for renewM of the SOlar
1ltenwat SIIieId Extellded W.-r'iIRty PrograM. We hereby propose to rumish labor and materials (AddtionaI coating work ooder
the warTIrIly period ....be _e1I~ tompIel. .. oeo""""', with the --." opeeItIcotIeno Ie< the ..... o. $19i 600. 00
Nineteen Thousand Six Houndred even To be paid u follows: Depos! t ~f i~' oo~ Si~CJ'
1?.?lance due upon comple tion of i ob. 2 14"1 c;1';
AU.material is guaranteed to be as specinect AI work to be completed In ;I wor1<lNnlike ~ ;lCC~ to standard practices. Arry
alteration or deviation from above speclrkltions Involving extra costs, wilt be executed arty upon written orders, and wi become an
extra charge over and above the estimate. All gannents contingent upon strikes, accidents or delays beyond 0lX control. OWner to
c.-ry ttre,tOl1lMto .-.d. other neeecsay Irmnnce.
Authorized Signmn
,. NOTE:- This'COi1fi'iCt-fj IegaIy binding ancl may be withdrawn by Customer and/or SOlar ThennaI Shield Jnc.wtthln three (8) busi-
ness days.
2. In event or default. SoIar'ThermaI Shield is entitled to damages and reasonable attorney's fees to be paid by plI'chaser.
3. No, vertlals will be' honored; *4, Interest wll be charged on overdUe accounts. /
ACCEPTANCE OF PROPOSAL / I
The above prices.; speetfteations and condition. are utl.tactory. and are hereby accepted. You are authorized to do the wor1c as
$J>OdI\ed. I'ay,/ "Z .-. .. outlined .-.. pc.... ~ #.JS'o~rl.J'~
Date__ z... . / Y'" ';).boo__ Slg1atur~ C>( Q fL ~ 0 /.
PletJ..se ~'fv....V\ \IV f","'+e 7-or cof"f' 7h .....""k.y" v.
._-.--....._.~,~" ..................- .., "'~'-""-~..-.~~------_..~.,_..-
-- ();j/13/0U 14:05 tAX 336 769 H5B6 .... C. FOAM 141004/005
,
I l1'J1 c ~I~ ~I I
I I
I
NORTH CAROLINA FOAM INDUSTRIES
P. O. BOX 1521 · MOUNT AIRY. Ne 27030-15211
I
I
I
11198
I NCFI SPRAY SYSTEM 591-3.0
i
A QUALITY NCFl SPR.<\Y POLYURETHAl\"E FOAM FOR ROOFING APPLICATIONS
NCFf Spray Foam System 591-3.0 is a two part system deslgned for roofmg apphcations where the compres~lVe strength
(45 psi) provides a greater resiStance to foam fracture than is offered by foams of lower densIty. NCE 591-3.0 has been
fonnulated with HCFC 141 B as the blowing agenr.
Typical Physical Properties of foam made with NCFI Spray System 591-3.0*:
In Place Density (Nominal) 3.2 Ibs. per cubic foot
I Core Density (Nominal) 3.0 Ibs, per cubic foot
, Moisture Vapor Transmission 2-3 perm in.
k Factor O.l~
As with all insulating materials. the k
Factor will vary with age and use condItions.
Compressive Strength 45 pSI
Maximum Service Temperature 1 8 iff (note paie 2 under Proper
Temperature of Optimum AdheSion)
Closed Cell Content Over 90%
Result of ASTM E-B4 00 finished foam applied to cement board:
2 in. Thick
Flame Spread k:ss thUD 75
Smoke Deyeloped Over 50(1
Underwriters Laboratones ClassIficatIon:
I Class A roof covering when applied per NCFI GRA\'ELEDFOA\~ SpecificatiClris or covered wilh lJquld top coatings as
I specified in U.L. Roofing Systems and Materials DIrectory.
Accepted as Roof Deck COn3UUCtiOll Nos. 136, 181. and 206 (fOOilll directly over metal deck) as specified in V.L. Roofing
I Systems and Materials Directory. This acceptance is based on U.L. 1256 and 790 tests.
D.L. fire re..istance rated 2-3 hours per design no. pn3. Per U.L. 263
U.L. listed wind uplift resistance at 160-165 psf per D.L. 1897.
The above ratings are nOl intended to reflect hazards presented by tt 's or any other material under actual fire conditions.
CODES AND GUIDES FOR APPLJCATION INFORMATION:
1. Southern Standard Building Code, Section 2603; Evaluarion report I,D.: 9810
2. BOCA BasIc Building Code, Section 2603
3. ICBO Unifonn Building Code, Section 2602
4. 51->1 Fire Safety Guidelines for Use of Rlgid Polymethme Foam lnsul;;.. ion in Building CbnstrucIlOIl (U-l OOR)
For ?foper use, re:er to NCFI 591-3.0 Processing Recommendations (Page _) and the codes and guides listed above.
(;AUTIOf": Polyurethane foam produced fOlTll these chemicals may pre~ent a risk of fITe under certain application if
exposed to excessive heat and oxygen, ie.. welding and cuttin.g to~ches. See reverse side for prediction of fire hazard and
I guide for safe application,
"''1'0 serve only as a guide. Values silown are average \lalues obtameu from JaboralO.l1i specimens.
Uno 1"1 U.s.,o
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03/13 00 14:06 FAX 336 789 9586 N. C. FOAM @OO5/005
NCFI591-3.0 APPLICATION INFORMATION
EQUIPMENT A~1> COMPONENT RATIOS PREPARATION OF SURFACE TO BE SPRAYED
Standard Polyurethane Spray Equipment is required. NCFl All surfaces to be sprayed must be clean, dry, and free of
S91-3.0-R is connected to the resin pumps with NCFl 591. dew, frost, and moisture, All metal to which foam is to be
3.0-A being connected to the isocyanate pumps. The applied must be free of oil, grease, rust, etc" Primers should
proportioning pump ratio is 1 to 1. Please see NCFI be used where necessary. Please refer 10 NCFI's "Special
Processing Recommendations (page 3) for proper Bulletin on Recommended Procedures for Applying NCFl
temperature and pressures Spray Foam Systems as Insulation on Exterior Roof
Sur faces."
PROPER TEMPERATURE AND OPTIMUM FOAM
REACTIVITY PROPER TEMPERATURE FOR OPTIMU\f
ADHESION
Below are the recommended air temperatures with the
proper version of 591-3.0 for roof work. When :.he surface to be sprayed will have a service
.temperature between 120'F and 180'F (#6 oil and resin
50~ to 65'F 6O'F and above 75"F and above :ants;, the surface to be sprayed should be 120'F or above a:
Fast Regular Slow time of spraying. For temperature over 180'F please contact
NCFI for ;pedal recommendations.
Care in selecting the proper reactivity version 591-3,0 is
needed for the combination of adequate CUring on overlap WEATHER PROTECTION OF FL~ISHED FOAM
edge~ and reasonable texture of foam surface.
The fmlshed surfaL"e of sprayed polyurethane ~hould be
Minimum temperature for application of fast vers.ion is SO'F. protectt:d from adverse effects of ultraviolet rays of direct
For lower temperature applications, contact NCFI. ~unlight which can cause dis:::oloration and dusting.
Prcte;:tive ';0verings are acceptable that have been designed
STORAGE OF CHEMICALS for use willi ;xolyurethane foam.
Keep temperature of chemicals 80<P to 9O'F for several days VAPOR BARllIER PROTECTJON ON COLD
before use. This warm liquid temperature is needed to give STORAGE WORK
proper mix temperature at the spray gun when using NCFI
591 processing recommendations. Storage temperature When sprayed pclyurethane foam is used on exterior roof I)f
shou1d not exceed 95"F. Keep drums tightly closed when not freezer or cooler buildings. the exterior coating on the foam
in use and under dry gas pressure of 2-3 p:;i after they have should be a. ,,'a.por "Ianier. This is because of severe vapor
been opened. Under proper storage conditions these drive from hot roof 0 cold interior.
chemical systems havt; a "sbelf life" of six. months.
PREDICTION OF FIRE Il>\ZARD I:"i
SAFE HANDLING OF LIQUID COMPONENT CONSTRUCTION
Use caution in removing bungs from 55-gallon d....um. NCFI 591-3,0 is designed for exterior roof insulation. NCFI
Loosen 3/4" bung and let gas escape before compietely 591-3.0 is not designe<.: for interior use. NeFI has many
removing. Avoid prolonged breathing of vapors. In case of other systems designed for interior use; however, where any
contact with eyes, flush with water for at least 15 minutes foam is sprayed lfl building interiors its exposed surface
and get medical attention. RJr further infonnatioo refer to should be pro1ecr.ed fmm fire hazard by l!Z" portland
"MDI-B~ Pol~:urcthane Foam Systems: Guidelines for cement plaster or 112' gypsum board or equivalent per
Safe Handling and Disposal" published by the SOCIety of applicable building ":00,:
the. Plastics Industry, 1801 K Street NW, Suite 600K,
Washington, OC 2000(5:
The irlorma1lcn en our oala 8"&010 .. 10 Neill cU6lom... ," d~lormlr.ing _h~r 0lJ0" producll ars suftabls for 1holr ap~lioali"".. The Ctls:nmEtS must satisfy Il'1emsel_ as 10 the suilabllly lor
speclfle OIlSes. flaM Carolina Foam 1000ustrles warrants anly tnallhll malerlaJ sMf mile! Its specilica~Qns; Ih" wa;nr.,1\'f is in iiw 01 all "'he, wrlr.en or c."wrillen, ..."",,,...:! or implied we""""...
llI1d NQrtI1 ClIr1>inll Foam I nc:I..uiN ~It< d,,,,,'m.. any wt.l'M1nty of m.ren~labl!lly, t1tn_ for a P8rt'CUIar pur"".e, o. frtHldom Irom o.\.nl In~ingllmsn1. Accordingly, bujlSf assumes al risk.
wh_ III to It,. "" d 'MS mm",al. Buyer. ,",cl\JsJvs remedy"" 10 any bread'! 01 watl'llnty. negllClence Or otner cJaim $11..1; be imlllJO \0 tre l'<~Oh"'" price ollhe mater~. Failure to dlare
strlCly 10 any l8COmment:led procadure5 ahal ...11...... North CsroIina Fr""" In<.1uslrl.. oI8U IIllbifity wiln '""peel to tho "'alari.. or the use t~er"oI.
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03/13/00 14:03 FAX 336 789 9586 S. C. FOAM i4J OOZ, 005
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I IN1~ ~lF\1 I
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I NORTH CAROLINA FOAM INDUSTRIES
I P. O. lOX 1628 . MOUNT AIRY, Me 21831.1528
I
11/98
NCFI SPRAY SYSTEM 591-2.8
A QUALITY NCFI SPRAY POLYURETHANE FOAM FOR ROOFl..'1G APPLICATIONS
i NeFl Spray Foam System 591-2.8 is a two part system designed for roofing applications where the compressive strength
\ (45 psi) provides a greater resistance to foam fracture than is offered by foams of lower density. NCFI 591-2.8 has been
fonnulated with HCFC 141 B as the blowing agent.
TYPical Physical Properties of foam made with NCFl Spray Sy~tem 591-2.8*'
ill Place Density (Nominal) 3.0 lbs, per cubic foot
Core DensIty (Nominal) 2,8 lbs. per cubic foot
Moisture Vapor TransmissIOn 2-3 perm in.
k Factor 0.15
As with all insulating materials, the k
Factor will vary with age and use conditions.
Compressive Strength 45 PSI
Maximum Service Temperature 1 gOr (note page 2 under Proper
Temperarure of Optimum Adhesion)
Closed Cell Content Over 90%
Result of ASTM E-84 on finished foam applied to cement board:
2 in, ThIck
Flame Spread Less than 75
Smoke Developed Over 500
I cations: ~
is product is Classified to UL Standards and requirements by Underwriters Laboratories Inc. when used in
accordance with UL's Roofing Materials and System DIrectory anellor UL's Fire ResiSTance Directory. Wind /
I ~lift resistance rated at 160 - 165 psf (depern::ing on construction). ./
<s>- This prodUct is Approved by Factory Mutual Research Corporation subject to the conditions of Approval as a
I I'M spray foam roof insulation system for use in Class 1 roof construction as described in the current edition of the
. C roval Guide. Wmdstorm rated 1-60 to 1-180 (depending on construction).
The above ratings are not inrended to reflect hazards presence y . s or an D er matena un er actual fTe conditions.
CODES AND GUIDES FOR APPLICATION INFORMATION:
1, Southern Standard Building Code, Section 2603; Evaluation report no.: 9810
1. BOCA Basic Building Code, Section 2603
3. lCBO Uniform Building Code, Section 2602
4. SPl Fire Safety C.J\JideJines for Use of Rigid Polyurethane Foam Insulation in Building Construction. I U-lOOR,
For proper use, refer to NCFI 591-2.8 Processing Recommendations (Page 3) and the cOOes and guides lisr.ed above.
CAI.;TION: Polyurethane foam produced form these chemicals may present a risk of fire under certain apPlica~
I exposed to excessive heat and oxygen, I.e., welding and cutting torches. See reverse side for predictIOn of fire haz2rd an
I guide for safe application.
.To serve only as a guide. Values shown are average values obtained from laboratory speclmens.
I Litho i~ US A
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03/13/00 14:04 FAX 336 789 9586 K. C. FOAM ~OO3/0()5
NCFI 591-2.8 APPLICATION INFORMATION
EQUIPMENT A!'\"D COMP01\"'ENT RATIOS PREPARATION OF SURFACE TO BE SPRAYED
Standard Polyurethane Spray Equipment is required. NCFI All surfaces to be sprayed must be clean, dry, and free of
591-2.S.R is connected to the resin pumps with NCFl 591- dew, frost, and moibture. All metal to which foam is to be
2.8-A being connected to the isocyanate pumps. The applied must be free of oil, grease, rust, etc. Primers should
proportioning pump ratio is 1 to 1. Please see NCFI be used where necessary, Please refer to NCFI's "Special
Processing Recommendations (page 3) for proper Bul;etin on Recommend~d Procedures for Applying NCFI
temperarure and pressures Spray Foam Systems as Insulation on Exterior Roof
Surfaces."
PROPER TEMPERATURE AND OPTIMUM FOAM
REACTIVITY PROPER TEMPERATCRE FOR OPTIMUM
ADHESION
Below are the recommended air temperatures with the
proper version of 591-2.8 for roof work, "''hen the surface to be sprayed will have a service
temperature between 120'F and 1801" (~ oil and resin
5O"F to 6S'F 60'F and above 75"F and above tanks), the surface to be sprayed should be l20"F or above at
Fast Regular Slow time of spraying. For temperature over lBO"F please contact
NCFl for special recommendations.
Care in selecting the proper reacdvity ve:-sion 591-2.8 is
needed for the combination of adequate curing on overlap WEATHER PROTECTION OF FIN)SHED FOAM
edges and reasonable texture of foam surfa..:e,
The finished surface of sprayed polyurethane should be
Minimum temperature for application of fast version is 50"F. protected from adverse effects of ultraviolet rays of direct
For lower temperature applications, contact NCFl. sunlight which can cause discoloration and dusting.
Protective coverings are acceptable that have been designed
STORAGE OF CHEMICALS for use with polyurethane foam.
Keep temperature of chemicals 8ifF to 9O"F for several days VAPOR BARRIER PROTECTION ON COLD
before use. This warm lIquid temperature is needed to give STORAGE WORK
proper mix. temperature at the spray gun when using NCFI
591. Storage temperature should not exceed 9SOP. Keep \\'hen sprayed polyurethane foam is used on exterior roof of
drums tightly closed when nol in use and under dry gas pres- freezer or cooler buildings, the exterior coating on the foam
sure of 2.3 pSl after they have been opened. Under proper should be a vapor barrier. This is because of severe vapor
storage conditions these chemical systems bave a "shelf drive from hot roof to cold interior.
life" of six months.
PREDICTION OF FIRE HAZARD IN
SAFE HANDLING OF LIQUID COMPONENT CONSTRUCTION
Use caution in removing bungs from S5-gaHon drum. NCFI 59t-2.8 is designed for exterior roof insulation. NeFI
Loosen 3/4" bung and let gas escape before completely 591-2.8 is not designed for interior use. NCFI has many
removing. Avoid prolonged breathing of vapors. In case of other systems designed for interior use; however, where any
comact with eyes. flush with water fOT at leasl ] 5 minutes foam is sprayed in building interiors its exposed surface
and get medical attention. For further information refer to should be protected from fire hazard by l/2" portland
"MDI-Based Polyurethane Foam Systems: Guidelines for cement plaster or 1/2" gypsum board or equivalent per
Safe Handling and Disposal" published by the Society of applicable building code.
the Plastics Industry, 1 BOl K Street NW, Suite 6OOK,
Washington, DC 20006.
Ths InlCrmellon 011 ocr daIS ~ I. 10 assist o",lomer. In detelT!1inl"ll _ our prodlJds "'" su~llbI" for 1hs~ app"O ,tic..... The ou.tDm.... must sati.fy lhe-1'l&el_ "" te IIle .cilabilily lor
apecl!lc ...... Nortn enna FOMlI""...lrlat w.....nts onl~ lha1I~. .-natarlal enall meet IIll ~ficalon.; lhl. ....rranty i. h iiG" of all oihGr ...nUon or unwritten, __ '" implied _Ii""
B'd Nonh Carol... F~m IrlCltJSlrie8 1!IlIP_ly dlaCla'ms BJ'1Y warranlv or meroM.nlabill~y. ftlnesa lor a pal'liClJIar purpose, or rrcladO", Iron Pate111nf.1I1Q!lIt>Enl. o\cCCldil1Ql~, i:lu~... 8SSU!Tl8S al lisle
wha\,.".. .. to !he use of 111<1 mal8l'10I. Bu~ e.oclush<e ,.."edy as 10 ."y breach of WllIfOl'Ily, n<>glig-.. cr Ciner oIaim ...,sD be .imited to Ihe purch...e pnce of (11" meterio.l. F..I..,e to ed""",
sIr1c\ly to .", ""'''''''''elided ",,,,,ad'u_ .haII r.IM Nor.h Carolin~ Fo.", lndJstrie$ of .Uliability ...~h _p8CI 10 .... mal...i&' cr the "~e the.....,l.
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FROM: SOLAR THERMAL SHIELD FL/32576 FAX NO. : 551 664 3740 Mar. 16 2000 01:37PM Pl
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Prepared By/Retum TOl
N~ Solar' 'I'hemalShield
Ackirc:ss: 8540 US HWY h 'Sebastian~ FL 32976
:s NOTICE OF COMMP.NCPN.ENT
.
Thcuu.dccsizncd. h.tnby ci~ .notlar that improvement 'Will ~ m&c>> to ctrta.iu nal prop~. lLnd in .c:cordante
with Cb.a~tor ~13. Plorl~.S~ th. ~ow1n,l. ~onnation i.s proY1d.ed iA tbi& Notice-of Corumcncel'Ae,lu.
1. Complac lqa1 description of pro~rty: Twn$hip t 0( t.; . 'aa.nge = :3 1/ .. a"-'
, Strlft addnar . See: .:>
Lot: /O.OI-ltiJ:BlOCk: t] t;k. Sub #:' cS
2, Gc.o.cral dcscnptioA of lmprovemCAt: Application of a Complete POlyureth~nQ Reroof
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Daniel H., ACl.,:CCC027416, 8540 US HWY 1", Sebast.ian FL 329'76
5. Slltety .l?h 561-664.-310S, Fax 561-664-3740~"" .'
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8. ~ ACI4.i~on to himself, O"'A~ -IuC.OII clio foDo,.,m; pCl'$OQ(s) to> rCQClve A copy of the ll<<nor's Notit;1 ail"
provided in Sect10a 113.13 (1)(b), PlQrlda Statutes1 (lWne wi ad~) ,
9. Expira.tion date 01 AotI= of Commenceft\ent (~e expi"bon date,it 1 year [tQm the date of rccol'~t:, unless a. .
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CITY OF CAPE CANAVERAL
BUILDING DEPARTMENT
PLAN REVIEW PROCESSING SHEET
TYPE OF PROJECT: f\l u.Lft - ~~J 'i (C:. ^d.~ \"0
PROJECT ADDRESS: f~t> J c> hl\ so t\ /we
DATE DEPARTMENT RECEIVED: 3~llf-<>o BY: G..~
1. Zoning: Date: 3 - I ~ - 00 Approved: G.s,.v.....
Hold: Additional info required:
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4. Plumbing: Date:
Hold: _ Additional info requir :/
5. Mechanical: Date: Approved:
Hold: _ Additiorwl info required: A 0, Inf. me___
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Hold: (Refer to fire ~port)
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Date sent to fire: Date returned:
7. Process oversight: Date: Approved:
Hold: Concurrency? Y N Additional info required:
-
Applicant contacted? Y N ~
Date forwarded to Admin. Asst. for permit issuance: (?~.:f.t?1 By:
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BUILDING ALTERATION
CITY OF CAPE CANAVERAL
PERMIT #: 94-00242 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 06/23/94
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: DEBRA AND SHARON KNIGHT PHONE: (407)-799-2764
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: COASTAL CONSTR. MANAGEMENT, INC. PHONE: ( )- -
ADDRESS: 2425 N. COURTENAY PARKWAY, SUITE 14 LIC #: CGCOO0855
CITY: MERRITT ISLAND STATE: FL ZIP: 32953
WORK: REMOVE WALL AND INSTALL SLIDING GLASS DOOR.
DESC:
ELEC. CONTR:
PLMB . CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 1200.00 BLDG: 50.00 PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 50.00
TOTAL PAID: 50.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
'S, (-~ \-\t< j fY\ c,- r',\ l', rnCrltc'-.n 'l, ()i c' r' c CI..0,
* * * * * NOT ICE * * * * *
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 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU
INTE.Nr:l LENDER OR ANY ATTORNEY
BEfOR
A OF CONTRACTOR OR AUTHORIZED AGENT ~' /AfL /d-
DATE
d~/ ~~' m~ b / ~/!i!L
(APPRO D BY DA
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f:~.Y..I$...:I:..Q.N,....I.Q.......P..~.f::.t!..II.Is.P.._...f,~.A.N9._.;.. W A L T E R C. B o W MAN
ARCHITECT .J(- ENG I NEER * PLANNER
BOWt1AN ARCHITECTS'& ENGINEERS
August "'-, 1'3'34
Mr. James E. Morgan,Building Official
CITY of CAPE CANAVERAL
105 Polk Avenue
Cape Canaveral, FI or ida, 32'320
F~e : SIESTA DEL MAR UNITS 303/304
e.~Y-.:I.:.$.J..Q.N......I.Q...J:=:.!=.J~t!J.I.I.gP......f.:.b.A.N..!?
Sliding Door Installation
Walter C. Bo.....man, AIA/PE
Dear Mr. Morganj
As we discussed; I am submitting belo..... the change required in the
construction of the header for the ab.:tve door install at ion,
because of the existing construction found at the site which
d iff er ed from the original t:onstruct ion dl'"awings. Essentially
what was found was a Vel'"SlOn of a poul'"ed tie beam In the top t,,,;o
courses belo..... the cast-in-place concrete floor slabs. Rathel'"
than disturb this construction .....e changed the header design fl'"om
one of structural framing (shor ing concept) to t.....o 4" )~ 6" y; 3/8"
steel angles place on either side an wedged under the e:dst ing
version of a tie beam. These alr e interconnected with 4 spaced
3/8" through bolts and bear on the 4" 7~ 8" wood jamb posts
anchored to the fill ed cell bloc k const-ruct ion either side of the
opening. The balance of the finish constr-uction IS in accordance
with the permitted plans on file with your office. I will be
rendering a final certification of this construction, by letter to
the Condominium Association and the Unit Ownel"s, ....,i th a copy to
YOLl for YOUl" f i 1 es. I hereby certify that the construction; to
be accomplished in aCCOrdance with this revision to the plans on
file, will resolve the conditions found during demolition.
I trust this response satisfies your requirements for a revision
to the permitted plans for this' project. Please contact us at
(407) 452-8100 if any further clarifications are required.
Respectfully submitted,
):&~r___~
Walter C. Bowman, AIA/PE
WCB/wb
cc: Ms. Sharon &: Debra Knight, O.....ners
Siesta Del Mar Condominium Association
Art Morgan, Attorney for the Knights
55 MCLEOD STREET # 103 * MEF~RITT ISLAND, FL. 32953 * 407-452-8100
j
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-
I INS PEe T ION R E QUE S T I
Permit #: 9400242 Inspection Type: BAFN
Type: BA Request Date: 09/28/94
Location: 430 JOHNSON AVENUE District:
Contrctr: COASTAL CONSTR. MANAGEMENT, INC. Insp. 10: TOM
Date Inspection Desired: 09/28/94 Time Inspection Desired: : .
.
I INS P E C T ION RES U L T S I
Vehicle 10: TOM Inspection D
Site Odom: I
Insp. Date: 09/28/94 Reinspection D
RESULTS OF INSPECTION IF CORRECTION IS REQUIRED
----------------------- -------------------------
Pass D Correction D Reinspection D
Required ?
Reinspection Fee D
CORRECTION CODE OR COMMENTS Required ?
------------------------------
ADD I T ION A L NOT E S
FINAL - SLIDING GLASS DOORS
-------------------------------------------------------------------------
-------------------------------------------------------------------------
-------------------------------------------------------------------------
-------------------------------------------------------------------------
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CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
THIS IS NOT A PERMIT TO START VYOIlK. IT IS AN APPliCATION ONLY AND WILL
PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLE
THE INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COpy OF Tl
FOLLOWING: (HOMEOWNER PERMITS Am: EXEMPT.)
Stato Llconso
. . County Occupational Licenso and Competency Card
L1ahility ($100, $300, $25 Thollsand) and Workman's Compensation Insuranco
Suroty Bond payahlo to this City ($1,000) (Only If City OCCllfliltionnl License l1e<111irr.d,)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~
TYPE OF PERMIT: BLDG ~ ELEC - PLUMB - MECH - OTHER
PROPERTY OWNER: DEBRA & SHARON KNIGHT PHONE: 868-7729
ADDRESS: .f3o .JtJH1./~O A) AvE.. c;.,L ~"II!~l-
STREET ADDRESS OF JOB SITE: 130 .J()#AJ~f>~ Jv'G.. tA..PL ~~J/e.~&
LEGAL DESCRIPTION: LOT - BLOCK - SUBDIVISION
OTHER UNIT 30JA & J04C, SI3STA DSL MAR
.
TYPE OF CONSTRUCTION RENOVATIOglZE OF BUILDlNG ~(TOTAL SQ.FT.)
NO. OF STORIES MAX. OCC. LOAD NO. OF DWELllNG UNITS
USE ZONE NO. OF PARKING SPACES ...
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE
TOWNHOUSE APARTMENT CONDOMINIUM X COMMERCIAL
CONTRACTOR NELSON DAVIS STATE L1C. It CGCOO0855
2425 N COURTENAY #~ PHONE 459-?1 J1
ADDRESS MM;RRIT1' TST,ANn "F'T, ?95J
ELECTRICAL ST A TE L1C. It
ADDRESS PHONE
PLUMBING STATE lIC. It
ADDRESS PHONE
MECHANICAL STATE lIC. tI
ADDRESS PHONE
OTHER STATE L1C. tI
.'
ADDRESS PHONE
NATURE OF WORK TO BE DONE: REMOVE WALL AND IN3TALL SLIDING GLASS DOOR
VALUATION OF WORK/CONTIlACT: $ 1200.00
NOTE: This applicntion is valid for 15 worl<ing days after which time, unless a permit has been
drawn, this form and all nttachments will be destroyed.
.,
Date: ;zr~
Signed:
Licenseo, Agont of l1ecord or Ownor
.. .
-~~.- -- ~..
cJ-~ -. ~_.._~
,
PEIUvHT FEES
'" LIVING ENCLOSED O'l'IIElt
AREA AHEA
::'j DUILDXNG PERNXTS CIIAP'l'EH J'l-)-A
Duscd ,on Squure FootuCJc'
DU.ILDING PERHI'l'S CI f^P1'En. ::;-1S
Da::;cd on Valuation
nUXLoING PEltHI'1'S /'\XSCELL^NCOU:'; cJ...,....,z;::. 8 1..- (,,-<.,) ','
o u::; e tl 0 n J ,\ -/-,1 ~ .': J\ U. J
I ~v. v-/ ~ ~tJ :FO-
ELECTlnCl\L PErtHIT JIJ7-C.l
PLUHqXNG PEIU1I1' 5'1-)-0.1
HECllANIC1\L PEffin'r S-17-0 "
PLl\N CHECK FEE /1/t-~ .f/--r-u ~;I~ _ I) __-
TOTAL PERHIT FEE
. .11 FIRE IHPACT FEE ~J7-0J .' II
MOON Tl1U 5'1' . FUN 0 (FLOJ\I OA 5'1' A TUTE5 ) '. II
One cen~ per ::;quare [oo~ under roof
CON CUllRENCY NAN AG EN E>I'l' FBE I
SEWER IMP^CT FEE SJS.Ol
S1::\oIEH TAP FEE
.TOTl\L SEI'lEH. FEE ..
"
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OffICE USE ONLY: VEH.IFICNl'ION
GEl'lElU\L CONTIU\CTOn. ELECT1UC^L PLUHDXNG l-lECII1\NIC^L
COUNTY LICENSE ,
'. .
COHPETENCY CArto
IN SUltJ\N cr;
SURETY 001'10
CI1"l LICENSE
5'1'1\'1'E LICENSE
.:,HOme Fort ^ LESSEE, nENTEl't, Hl\N^GElt, on ^GENT HUGT I[AVE ^PPHOVAL OF JJEG^L
. ONNE11 OF HE CORD . IfOHEO\'INElt~, CONDOHINIUHS, l'O\'lNlfOUSES on OT![El~S*, \'lITH ^N
l\SSOCINl'10N CONTROL, ARCHITECTURE'1\ND DUILDING cnITE1U^, HUGT H^VE APPH.OVl\L
SIGNED D'I TI[E GOVEHNING DODY.
*OTIlEn~ IS TO INCLUDE COVENANTG I COIWIT:rON~ ^No nE~THICT:rON:'; ^S HECOItoED OH
OEEO; lIO\'/EVEn, '1'1lX0 OFFICE IS ItEsPONGIDLE ONLY FOrt ODT^INING COHPLIANCE \'lITll
THE ZONING ORDINANCE.
1 , '-""'_" -'T d 17" ~. , II!I:~_
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BUILDING PERMIT INTERNAL AUDIT FORM
Permit #94- 1. tj :A Date 6 -- J:3 -- (0
Property Owner l? <2~ (A- c-. ~ha,/~", k 1-':; (;- /-J T
street Address of Job site ~,-7cJ )Jhn,jA", A -J'-.l
Description of work to be completed !L~'),j..;...: l-./ ,.fl I I / ') ,~ j ;9 II C- I "'I...':. \ cI J(J I S
Valuation of work to be completed: V: I I':) 0 11 d l".'
CALCULATIONS FOR SPECIFIC PERMIT FEES:
BUILDING: V: $ ) d cJd dJ FEE$ Sd d ()
/
ELECTRIC: TYPE: FEE$
PLUMBING:
NEW CONSTRUCTION: TYPE: FEES
ALTERATION: V:$ FEES
MECHANICAL: V: $ FEE$
PLAN REVIEW FEE: $ \2= FEE$
RADON SURCHARGE: SQ. FOOTAGE (X) .01= FEE$
CONCURRENCY:
NEW: FEES
ALTERATION: FEES i
SIGN: $ 10.00(+) SQ.FT @.50 C = FEE$
STREET EXCAVATION: FEE:$25.00
FIRE IMPACT: $ 200.00 (X) UNITS = FEES
SEWER IMPACT:
RESIDENTIAL: UNITS @ $2210.04 + 25.00 TAP = FEE$
COMMERCIAL/ ~
INDUSTRIAL: UNITS @ $ =FEE$
CAPITAL EXPANSION IMPACT FEES: (SEE SEPARATE FORM)
Calculations verified by: #c
Permit approved as submitted: Y<- ) ak
Compliance Comments: NtJ f (,,\ f (')! t ~ d L,) /lo((
YlAr\( 1 ,<l.., f1^.J ()^ I . d /1..:. f<:'lt
'-
Date Returned to Building Department:
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CITY OF CAPE CANA VERAL
BUfLDING PERMIT APPLICATION
. JJiLS...lSJLO.LlLPEl1MJT T.O_S.tl\l\J_W_Q.rlKI--LLl.fl-J)J'LWJJ.Q.8JlQ.t'J~Ql\j..IaY AND WILL DE
PROCESSED AS SOON AS rOSSlnLE, YQ.\.LWJ1LOE CMU=P WHEN Jf JSJ1ffiQY I, COMPLETE
THE INFORMArlON DELOW ^ND INSUnr: l'HAT YOU I-lAVE ON riLE ^ COpy or TH~
rOLLOWING: (HOMEOWNEn rr:nMITS ^f1E EXEMPT.)
S\i\tO L1conso
, , COllolV OCO\lllntlonnl Ltconsu l\l1t1 COn\rHHCI\CY Cl\11I
LIi'1bIllIY (0100, ~::WO. $2!i Y"ollSonrll OInt! Worklllno's COIl\Jlcnsntiof\ II\$llrnnCO
SUfoly lloncJ pnynhlo to Ihls Clly [$ 1 ,0001 IQ.nI.'LlL.Gl!.v....QJ:Gl!l!1!IIMnl !Jrnn~o n!l(luiLru.L.1
. . _ . ~ A . . . ~ . ~ . _ . . _ . " . _ ~ _ w . _ . _ . _ _ ~ . . _ . . . . _ . . . _ _ . ~ _ - ~ . _ - ~ - . - . . . . ~ . . . w . ~
TYPE or PERMIT; OLDG.i:- ELr:C __ rt.UMO _ MECH _ OTHl:t1 ~ ,
~ 308 -4~Lks
PROPERTY OWNER: , ... r . PHONE: ~
ADDRl:SS: :1,)P JthnL-t2~~~-e. .~%,- "t...
STREET ADDRESS or: Jon SITE: . c::: + D.& (Vlc(..C ~
:) 'e.S c
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LUG^L DESCnlPTION: LOT DLOCI( SUODIVISION
- --- ..-~..........- ~ M . VA
OTI-IEn ........T .
-:->-~ .
, TYPE or- CONSTI1UCTION . ~ SIZl:: Of DUILDING ',(TOTAL SO.fT.)
NO. OF SiOn/GS. .. MAX, 'occ. LOAD __ NO, OF DWELLING UNITS .
USE ZONE . , . NO. or: p^nl<lNC SPACr:S "'- , .
TYPl; or OWN~nSH1P (CHECK ONE): DET^CHED SINGLE FAMILY flcSIDENC( . ~ , , --
TOWNHOUSE , AP^nTMENT ~ .. CONDOMINIUM. COMMr:nCIAL ~ .
CONTf\ACTOn 30\~' y:.,db-k(hq~-:hDh(A./! ST^T~ LIC. Ii ilW~ ' : ~
ADDReSS .- . PHONE .' -~ ~5 'i!9t/lJ
ELECTRICAL ~ ------' 5T A TI: lIC. II , ! . T- ,
"
ADonr.;ss . " " PHONE , r .a. ~
PLUMOING .. ~ -~ ST ATE LIe, 1/ ~ . .... ....
ADDBES$ _"- . .- ~ PHONE . ..... ........,
MECHANICAL , ~ srAT!:: Lie. /I --~ ....." .....
ADDRESS __ PHON[; "
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OTHGn ... , ~ . ST^TE Lie. II ---- . 1'1 , .
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ADDRESS , . PHONE - , -
NATURE or- WORI<.ro or.: DON~:_ ...-..-- ,
- - =L"Q') '}Cl.. L l CLfl 0'1\ of 8v:v /1-) (C~~rJ:2 Sh/L.-L-~ ~ . , -
VALUATION or- WOnl(/CONTn^CT: t.__._~ '~ '({DCa .00 ,_ l"f
I:iQI[h This npplicntion I!: vnlirJ for 1 S worldnn (Iny~; llrtcr which time, llnlcs~ n permit hns beon
drown, this form nnd nil nttnchmont5 will be destroyed.
'..
Dntc: \ )-rS-(~l\
1__
012 !d~ Sinned: ,f) ~"
IL~ 'U,~-~
, rL. b.l +t ~2..~ \ l? 2S ~t5 -()
.. .
.
_.,,_..,...,-~. ....- r"" '1"' .."q~,~."".. ,.. ... -~ _u,...._,.,~~,._
,:eJ J:' (j 00
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""""",-",:;
BUILDING PERMIT INTERNAL AUDIT FORM
Permit #94- I 1-1 Date / - 1-- cr!J:
Property Owner '-~ r ,'k e r--.
street Address of Job site JrIJ U )J~I"1JJ/) ~ ..j L'~
Description of work to be completed .J. ^ l~ i ~ II 1+ J ( I I ( PI/-' \ ~ -- It,, I J
Valuation of work to be completed: V: '6 dJLJ d()
-'
<I,.
"
CALCULATIONS FOR SPECIFIC PERMIT FEE~ ,du
BUILDING: V:$ ~ dJtJ FEE$' J
J
ELECTRIC: TYPE: FEES
PLUMBING:
NEW CONSTRUCTION: TYPE: FEE$
ALTERATION: V: $ FEE$
MECHANICAL: V: $ FEE$
PLAN REVIEW FEE: $ \2= FEES
RADON SURCHARGE: SQ. FOOTAGE (X) .01 = FEE$
CONCURRENCY: ,
NEW: FEE$ .
ALTERATION: FEE$ ,
SIGN: $ 10.00(+) SQ.FT AT .50 c = FEE$
STREET EXCAVATION: FEE:$ 25.00
FIRE IMPACT: $200.00 (X) UNITS' = FEE:$
SEWER IMPACT:
RESIDENTIAL: UNITS @ $2156.14 = FEE:$
COMMERCIAL/
INDUSTRIAL: UNITS @ $ = FEE:$
CAPITAL EXPANSION IMPACT FEES: (SEE SEPARATE FORM)
Calculations verified by: VC"
L-
Permit approved as submitted: {<=-\
Compliance Comments: Pu
Date Returned to Building Department: 1- '7 - L-
~"'" 'I ~ . .<>-- .~...._.~. ,."^.,,-_...._'''_....--.._-''''~.....-'''."''_.'''., .,-~.~...........'~,.,_... ,.....
- i6-
"
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 95-00013 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 01/06/95
PROJECT ADDRESS: 430 JOHNSON AVENUE ~. .) PCL#:
LOCATION: 430 JOHNSON AVENUE, . IT 504 LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA _// BLK #: 72
OWNER NAME: MOORE PHONE: (407)-783-7884
ADDRESS: 430 JOHNSON AVENUE #504
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: ROLLIX INTERNATIONAL INC. PHONE: (407)-259-2406
ADDRESS: 975 AURORA ROAD LIC #: COMP CARD #123
CITY: MELBOURNE STATE: FL ZIP: 32935
WORK: INSTALL HURRICANE SHUTTERS.
DESC: NOTICE OF COMMENCEMENT SHALL BE RECORDED PRIOR TO INSPECTION.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 7150.00 BLDG: 80.CD PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 80.00
TOTAL PAID: 80.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
S.c.Ya. m T. !'1l 0 n Q1) J. mO~ an
* * * * * NOT C E * * * * *
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 REC RDING YOUR NOTICE OF COMMENCEMENT.
~4 . / /
IGNATURE F CONTRACTOR OR AUTHORIZED AGENT DATE
/ / 07 /y~
DATE
~k- 1/' ;; "- "
""r - ~.~ __.."'""'.....__'.........._"""'"'.........r'~_'.-',.....,_..-""_""'_;.~"...................~'"''''''_'""'"'".....+~"","'.~----...~__
CIT','/Ci=lPE Ci=lr4. ,.' . OJ I
10/24/94 11 : 40 2: 407 7';;', :: t;'(I
.
.--'
qs- 000/3 . .'
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
JJ:ll.SJSJ!Ql ^ rEnMJLLQ_SIl\ILT_W_Q.llK,--LL1.fW)JLWJJ.Qf\JJQ~_Oi'J.LX AND WILL Dr
PROCESSED AS SOON AS POSSIBLe. YQ\.LWJ11...PLCLU.LEP WH~N rr.JSJ3.ffiQ..L." COMPLET[
THE INFORMATION DELOW AND INsunr: THAT YOU j-IAVE ON r-ILE ^ COpy or TH[
rOLLOWING: (HOMEOWNEn rr:I1MITS ^nE EXf:fv1PT.)
S\ilto llconso
, . County Occupntlonnl Llccnso nntl COlllpc(r.ncy Cnrcl
!..1;lbll11v (C100, $300. $2.~ Thou:lnnd) tI"') Worl<lllnn's ConWMSiltion losuranco
SUfOlY Qoncl pnynhla to \htl> City ($ 1 .000\ (Q.uID!.r.lti...Q.!:!;l1n!lIICll)nllJrnn~l) npo.\Jim.tlJ
. . - . . ~ . ~ . ~ . . . ~ . . - . * . - ~ . . . - . . . - - ~ . . . ~ ~ . . . . ~ . - ~ . . - - - . . - ~ . . - ~ - . . . . . . - .
TYPE or PERMIT; DLDG L [!LEC _ PI.UMO _ MI;CH _ OTHER A .-.
PROPERTY OWNEf1: vYlOore. PHONE' /83-'9B.zt
. .. --" V IF '
ADDRESS: !i)D JQhoson k-c .:it 50~~ ft ,
.. , .",
STREl:T ADDRESS OF Jon SITE: , _ S j ..e s tc,-- (lu/ I P" c,~r ... ..... 'I
LGG^L DESCnJPTION: LOT DLOCI< SUBDIVISION
--...-.. -- ...-~ ... ~ llf f ..
OTHEn , w ,
-:'"' .. . . . ~! Il5L .J.&d
TYPE or- CONSTnUCTION ..-11I SIZG OF nUILD/NO ',(TOTAL SO.fT.) , ....
, --
NO, OF STOn/GS. .. MAX. 'occ. LOAD NO. or- DWI:LLlNG UNITS .
US[; ZONE . , "'- _~ NO. or: PAnl(ING SPAces .- h , I .
TYPE OF OWNr.;nSHIP (CHECK ONE): DETACHED SINGLl; FAMILY l1ESIOENCE , ..... '" --
TOWNHOUSE ~ AP^nTM~Nr ,~ _ CONDOMINIUM COMMr:nCIAL .. ......M ..
CONTrlACTort 3(ol{ I,/-: Jh-k-rh~+-iCr"}ICl..-L. STAT~ L1C. II .~~ifO ..
ADDnT.:SS ~ I PHONe w .1 ......
Tb. 1
ELECTRICAL .. STATE. L1C. fI , ~
~ , t .:I .. ....
"
ADDRESS ,..,. 11 PHON[; A .J1- .
PLUMOING .. . .....-.- STAT~ L1C. fl M . .i.J.
ADDRESS ... , ~~ PHONE . , 1"1 L. r
MECHANICAL i ... . .- STArr: Lie. 1/ ... "" ----oq:rl A.........
ADDRESS _ PHONl; "
.- - . H' . "
OTJ.u:m r ST ^ TE Lie. II - . "IT J-" h.llt
~A ' "
ADDRESS . .. PHONE
NATURE or- WORICTO Ilrz DONE: ~~~~.llG\.-~ o-r l~y r1 c 0"- r--..Q
.
. Sh~~k.rS . p --
VALUATION or wonIC/CONTnACT: ~_ --- l\> ::1 ( 50 ", . , .
IiQIIl~ This upplicntion If:: vnlid for 15 worldng (IL\Y~~ after wl,ich timo. unloss n permit hns beon
drnwn, this form nne! nil nttClchmonts will be destroyod.
. 'II
Date; 7
Sioncd://>
/
(-
.. . .
~,.~_.~,'-- .. -~.....,~~....,~" "'N _..,_......_"".,_...._"',""'.,..,,,.....".;,....--.~ -,-"-'.,,.......-"'~."'--~.----"-"~""""'~
./
"P' . .
BUILDING PERMIT INTERNAL AUDIT FORM
/J 1-- q -' 1J -
Permit #94- Date
Property Owner lL1oJ(c
street Address of Job site Ii 30 --)d h t1 j dJh f)..; .: it:. ,)dij
Description of work to be completedJ/L \-1 A J I J-l\..JtLi..A~ J ~./1/,.J 5
Valuation of work to be completed: V: 7 / s;o ' do
~~'It. ./
CALCULATIONS FOR SPECIFIC PERMIT FEES:
BUILDING: V: $ -;; I ,S (j FEE$ ~J tJ<J
/
ELECTRIC: TYPE: FEES
PLUMBING:
NEW CONSTRUCTION: TYPE: FEE$
ALTERATION: V: $ FEES
MECHANICAL: V: $ FEES
PLAN REVIEW FEE: $ \2= FEE$
RADON SURCHARGE: SQ. FOOTAGE (X) .01 = FEE$
CONCURRENCY: .
NEW: FEES .
ALTERATION: FEE$ ,
SIGN: $ 10.00(+) SQ.FT AT .50 c = FEE$
STREET EXCAVATION: FEE:$ 25.00
FIRE IMPACT: $200.00 (X) UNITS'= FEE:$
SEWER IMPACT:
RESIDENTIAL: UNITS @ $2156.14 = FEE:$
COMMERCIAL/
INDUSTRIAL: UNITS @ $ = FEE:$
CAPITAL EXPANSION IMPACT FEES: (SEE SEPARATE FORM)
YL -
Calculations verified by:
Permit approved as submitted: L- -.s
'- c
Compliance Comments: tLJ
Date Returned to Building Department: I~ ~ .'~-
, ! . ......_.....-'......'_~_"_.,..,,c._.,,."..._'."-.:......._. II. .. _o;..".."_",,-<,,,.~...
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 95-00014 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 01/06/95
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE, UNIT 505 LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: SPIKER PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE #505
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: ROLLIX INTERNATIONAL INC. PHONE: (407)-259-2406
ADDRESS: 975 AURORA ROAD LIC #: COMP CARD #123
CITY: MELBOURNE STATE: FL ZIP: 32935
WORK: INSTALL HURRICANE SHUTTERS.
DESC: NOTICE OF COMMENCEMENT SHALL BE RECORDED PRIOR TO INSPECTION.
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 8000.00 BLDG: 80.00 PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 80.00
TOTAL PAID: 80.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
, Y1 J
~ (j
I
* * * * * NOT ICE * * * * *
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 COMMENCEMENT.
, ~, / / 9 / 15
SIGNATURE 0 CONTRACTOR OR AUTHORIZED AGENT DATE
6~~ 7, · ~olEf)r / /Jl:-/f!F
DA E
tJf:::- Y \ '
, (J ,~ l
I -"","--~-,,,,",,,-""~<,,,,,,.,-~~,.,,., '~""""'''''''''''-''''''''---''''''_____"~~"''''''V'' _ _~~_..",_..,.. '".__..___... ... .~ ~~
-
I INS P E C T ION R E QUE S T I
Permit #: 9500014 Inspection Type: BNFN
Type: BN Request Date: 01/27/95
Location: 430 JOHNSON AVENUE, UNIT 505 District:
Contrctr: ROLLIX INTERNATIONAL INC. Insp. ID: TOM
Date Inspection Desired: 01/25/95 Time Inspection Desired: 11:30:AM
I INS P E C T ION RES U L T S I
Vehicle ID: TOM Inspection D
site Odom: I
Insp. Date: 01/25/95 Reinspection D
RESULT~SPECTION IF CORRECTION IS REQUIRED
------------ ---------- -------------------------
Pass Correction D Reinspection D
Required ?
Reinspection Fee D
CORRECTION CODE OR COMMENTS Required ?
------------------------------
ADD I T ION A L NOT E S
FINAL HURRICANE SHUTTERS
--------------------~-~-~-----------------------------------
-------------------------------------------------------------------------
-------------------------------------------------------------------------
-------------------------------------------------------------------------
'IIlI' "17 1'" .- ~ \>t ,,,..""......~,.....,...-.--_..."." '..,.,,--.'- ~~._. ~...~._" -
, -_._~._----
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L'I.:'
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BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 95-00183 MASTER PERMIT #: 95-00183
PROJECT #: 94- AQ DATE ISSUED: 05/19/95
PROJECT ADDRESS: 430 JOHNSON AVENUE PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: SIESTA DEL MAR PHONE: (407)-799-2764
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: SMITH, GEORGE DBA CUSTOM FENCE PHONE: (407)-799-2087
ADDRESS: 738 SCALLOP DRIVE LIC #: FENCE
CITY: PORT CANAVERAL STATE: FL ZIP: 32920
WORK: INSTALL 650 LINEAR FT. OF 4 FT. HIGH GREEN VINYL FENCE PER PLAN.
DESC:
ELEC. CONTR:
PLMB. CONTR:
MECH. CONTR:
SPECIALTY:
J~h1
VALUATION: 4285.00 BLDG :.bD:oo PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC: A~(~OO
CAPITAL EXPANSION: TOTAL DUE:
TOTAL PAID: 64700
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
S,cJx fl'Of) :3. me Q(I ~ L lrf'or of\
* * * * * NOT ICE * * * * *
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 FINANC G, CONSULT WITH YOUR LENDER OR ANY ATTORNEY
BEFO RECORDING OUR TIC OF COMMENCEMENT.
5 I 2l.f I Cf5
AUTHORIZED AGENT DATE
. ~1 trz4~ Sf /7>/ 9-"
(APPROVry BY DATE
/0 -S-!lr/f.J 9J;o @A.,# 1/7 Y '.
if \lll"'~ II! j ~. ',j --,,,,,-,,-,,., '.... .- .",...."'.......;;...;..,<.......,.,--.......................--. r' -~.~.....""'__~~~_,._ "- --------
:' .;:' ~.,'~~:.t .~~ ... '. .,~ ," :~. .:. ." .
. . '.
\
,
..... q
; . .. I' I "
.::" ........ CITY OF CArE CANAVERAl.. . '.
,. DUILDING ))ERMIT API)LICATION 5-00 (2: 3
. .: :;: .... '. ,. . 'I . I . . ~ .
...:,: ./, . . . /' . . jJTTS TS' NOT' A PRRMlT TO START WORTe JT IS AN APPUCATTON ONT...X AND WILL nE"
. ' ...' . })ROCrlSSED AS SOON AS )>>OSSIDLE. YOU WILL 1m CA LLED WHEN IT IS READY. COMPLETE TIm
.':,'':' ";:" .' ~", INFORMATION DELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING:, ;
,~::" '" ..... , 'COWNEnJDUILDER PERMITS ARE EXEMPr.) . ,.
. '. 'j .
, :'.\, (I"; ..\ :
'. ';:;. I .',' ' STATT! nr:GISTr:nT!O CONTRACTon~:
/,. :.. . . Slalo Liccnso '.: ,.
'.':':";"r'" . . Counly Ooc:uplIlionaJ Licenso and Compelency Card . , 'I"
. :i ' '.. General Uabilily.Insurance ($100,$300,$25 11lousnnd), Workmens Compo or Exemplion
'<~, . ' ..... '.:" STAn: CERTlPfED CONmACTORS: '
. .,' Slalo Llcenso . . .
.. '. ~ . . , . General Liahilily Insurance ($Joo,$3oo,$25 11lousanl1), Workens Compo or exemplion. .
: ,
- - - - - - - - - - - - - - - - - - - ~.~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H;. - - ~ --- -- -- - .
...... ",: . : ,''1 TYPE Or: PERMIT: DLDG. ELEC. PLUMD. MECH. . OTHER FyU c.J::: .
.:'~'..::<::~,"'" <'. , PROPETY OWNER: 51 r;--:5- T /! - })EL /!l A 12.. - PHONE: ?7 9 - ? '-; (" Y. '
",.\.-. " '. .... ... . .
',>:.!,<.:' "< '..::', ADDRESS: t-J 3 0 '06t-\(lJ~o;{) A c..) c-' ':'. ',:<:,:
:.: -;~ 1.." : ,1.\ __ ,,--_ \ ' . .
, . ..' ,.,., . STREET ADDRESS or Ion SITE= . ~ ~ I~ '- ' I ".:: .
. ,_.: . .. I
.-':';':,:.:.:: :....:,. l, TYPE or CONSTR~Ct10N: ~(?/V C.E SIZE OF DUILDtNG (TOTAL SQ. FT.) ,,:'.
I. ,',',', ", :
, ".: ' ':'.. NO. or STORIES MAX.OCC.LOAD . NO. OF DWELLING UNITS ,
J', r. I:' .... I .
',,:,' ',',' 'uSE ZONE . NO. OF PARKING SPACES . ..,' , .
'. ';';' . ocB' ~XJC-4'"
. ...... .: ' . :..' ,TYPE or: OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMJL Y RESIDENCE .' '- '.:J~ .
.. ,: . ""':" 'TOWNHOUSE . APARTMENT CONDOMINIUM ~" COMMERCIAL~ ,'. \
. (-i _ ,
:. '~", ..:: CONTRACTOR .~ u' ..5-1 Oily\' F. C A,./ ( C STATE LlC. I .-iJT "5 6 "3/ (' ~. . ,
'.j .' '. ... . .. \. ..
, ." .. . ADDRESS .S) j- C-LOv,v Cl-/cEK D it. 'PHONE7 9 (- ~:Q"9"7
\ I .
I. Y (j "
.ELECTRlCAL . - olL\ ~1'T/VHv<.:n~7 L STATE LlC." ' ,
.. \ ~
I' . . ' ADDRF.sS PHONE'
I
,. PLUMnTNG STATE LlC.1
,.
'. ," ADDRF.sS. PHONE
" ,
'.: .. , MECHANICAL , STATE LlC.1 . '
: . I
. .. ADDRF,SS PHONE
.0.. .' I · . .'
'.. onmn' STATE. LIe. I .'
: '., ADDRESS' PHONE
..........:,:. NATUREOF'WOmC~OnEDONE(nESPECIFIC) L/I/,~---iHL'I- ?.s-C> L/r:::T 0("'::" ..',
,'. : .,' , . r . II/crt-!- G.-;2 <:7"/1....) i..-~/v/Jc .-
r~',::."'~"'~' '.~ . :. VALUATION OF WORK/CONTRACI' PRICE: $ .' :;v .5~ crl;J '.
~. .'. , .' ,; '1.. ... .". . . . . .
':. ,'..J' .,:; .;: :', ',:,,' NOm: "11s ~ppllralla~ Is "ali,1 for IS '~rklnl: daT' .Orr wllkb Ilmr, ,;nlnJa prrmll Jla. brm dr.'m, ,bir fonn and aJJ alfa~blntnls wiD bt.:: .
:.,;:....~:;~,=.,,~\.::...::..: dalrolrd.' '.. .. ',.- ~,',::':-" . .' '. :,' . <....
......; .'::.' Dale: v (' ( 9,-> .. .1
.:." '..r,',::, '0 ,: ., .0'
. . ~: .. .:~" . Sigl1ccJ. " . ,.
'. . '.. . .0... ~. . . .
.. ..
-- ..,., .~ ..,._,...,.,", "~"~",~",,,,,,","._,,,,,,,-,,,-.,,.,;.,,,,.~,,,~,,,,,,,,,,",,,"""""",---,,-,,,<>,,-,,,", ^.,^~' .....,....._....~,---~._.. .
."0 "
. . ,. " ,SECTION . LIVING ENCLOSED. TOTAL ..
, . AREA AREA " ,"
. '" BUILDING.PERlWT . ,
...,....'..',..- . .. .',
,I. '
BUILDING I"EIlMJTS ," ;
, ;': PER SQUARE FOOTAGE' 82A . " "
.' l' i j
. -, : BUILDING PERMITS ' ,
.. . : BASED ON VALUATION, 82A .. ..........:,:....
f .' ,
,'. ',' BUILDING I-ERMITS '-\\. J c-fJ..O
,,' . . MISCELLANEOUS 82A b.f1,,-c~-'~'
- ELECI1UCAL 82C '
.
. PLUMBING 82U
MECUANICAL 82D
'.: .
I, .'
,
",. : BUILDING DEPT. 82E
PLAN CIIECK FEE
4 lilRE DEI"T.
. ,PLAN CHECK FEE 18-94
, -
nOTILED GAS INSI"ECTION FEE 38-5
',1/2 FOR BUILDING PERMIT REV.li.NUE
. 1/2 IIOR lIIRE INSPECTION FEES
I' >:','.; ",' , '.' ~, I
, . , .
RADON mUST FUND F.A.C. 10D-91 PER SQ. FT. UNDER ROOF
, . DCA 112 CENT PER SQ. FT. . '
" ' . DnR 1/2 CENT PER SQ. Ii'l'. ,
,j ~
,I " CONCURRENCY ..
, ' ' MANAGEMENT FEE 90-22
. .
", .'. ,: ,~':<~ . '.0. /'. .:
CAPITAL' ..
. , .' EXPANSION 1i"EE 2-231 , :.' '.
. .
. , , ::;:01' . :' .': :':. '.... .: .
, me~ltjnI:JllinmGj~E.RMl:1.~JlIillSJ " I ::,.'..../... ,....
.... ..0. ' .
; .~ "
~~.l'V,~R.:P.ERMIT, .. .. ...... .:....::'.
.. . I .,'. ~ .'.
. . '. ,.'
. .. f.'
. , . SEWER IMI"ACT FEE 9~2J ." ....:: :'.::.
" !SEWER TAli l'EE 82-3 '. I .
. '0'
, '. tt,(!)~_: I" I I., ,,:.;:,',
," ,
" .
00 . . ..
. '0 0"
'.
. .
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.. , PROPOSAL
. {lu~tom genL!e, E ntetp'tl~ Proposal No.
Sheet No.
PORT CANAVERAL, FLORIDA J /
)fJ1 7~9-~087 :::{t70 ( Dot, / / i 7/ 9f
~ Db9-6.,
Work To Be Performed At
Name Street 0 e~ ~ ~..f!. a..
Street City State
City Date of Plans
State Architect /l11 /1 c... t17rI'l-<-
Telephone Number c:. ~
We hereby propose to furnish the materials and perform the labor necessary for the completion of
""'}, ~i ~ " ~., 4, / PT: 06 y 6X ~! I q ~-c. ,J:L/U.o<ft>. U.vvvr-- r~
Qat.. 'l- 'T~A~ t~.: ;}.}6 ~, ,~ ~frl C ~""\ V.iOL C_I~
~ ~ ?~: ,9.. ~. 'La L, trr \) \."^"r C ~""T~
~"'1?.A~~L: 1.yP~. .1.0' $..\ f* \'.J~ ~
x1 ,ct.a : lu .JL~x... - I ->/&:' ~, .;F .A.<'._' "
~~.A'rr-~", (VLQ U~..Q. C~
.J;;\-.Q5L "t)~ ~~ ~ ~./l..~
RJ~ (\..-.-.....0 ?I (L.Q CL.l...)'(j ~~ JF~;>............--1l.
.-:p, n..L{, ~ Q ..c.~t ~ s-.s -:l [) p,.;~'U- (~ "S.s.~ L\ b P f
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
Dollars ($ ).
with payments to be made as10 s: /0.5-' T (II,
S5-~o fluJ.. p't""
I ' '~ V. l.)O
I t.,-/ S5-20 139 'i.>. 00
J {'LA p.~
, i3
f L 905- 'Bo-v-t '" ~
g/ GD '1')" 1 1r1(~~.
(.!...AT,:
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I?- '..,)/ WALL ~C>V""" )) ~ ~
I' I I '1 Hi IV G-€..s ' .'
Any a1....'ion or d.viUion Iro.m .bov. lIP..ilicu;ons lnvoMnc ..... cOl1,., Respectfully sUbmltted"4J- .
will be- rXf'culed only uoon WnU.~n orden_ u.d will be-come an eUn ch....e ,. .
over and above the ut.mate. AU aanemenU contin.ent upon nrikrs Ice- 0 '/'
tdrnu or d~l.y. beyond our control. Interest at the rate of ]8' pu .nnum ' i\
wW be added to out.t.~ndina balance- ovu 30 da)'. old. Cudomer ..ref" to . \!.....
P.Y all co... 01 coU.d,on, ;ncludln, .ttom.y. I... if tI",.ccount .Iull b. Per ~ O~ '""\..
referred to an aUorney. Or If court .cUon'" neef'SU.ry tor coUeclion. I
Customer it tetpon.>>.ble for aU underaround IPrinkJer .y.-Lema and any
WldllS1'OWld work. Note....... This proposal may be withdrawn
by us if not accepted within 30 days
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do. the work as
specified, 'payment will be made as outlined above. i "\ C-::> / :
QJ / ."--"- 0 I
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SIgnature -' ...-> ,.'. .,- ,'- , -,'" .
Date J-1fl-/ 7 /97 r-- Signa:e <.--'.' .' ;~,.~. U""~ ~--
{/ I
-.--- -
,
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_ ___ __._._ .__.~.....~~",..:-,..._1--c<<-__~....~.;.;:........:.-:. _......;,....: ..:. _0. ,.. ...~:._ '.'- .:. .:..~~'o: ~.-. ~.-. ....__.:.: ., :<,.;.-: -, :;,,' _ ~ .: ,'..0 O. 0 . '.
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BUILDING PERMIT INTERNAL CONTROL FORM
Permit No.95- 00 / g 3 Date oS-//7/9~
,
Property Owner S/e:-'s 7'.4- .6 E L-, /PJAK
Street Address of Job Site Q30 CTo~A/S()".,j At/~
V;AJYL .
Description of Work .::::r:::- N s' T JI1'/ LL FlEAJc€
Valuation of Work' V: if ~, ~ ~ .::) 0
CALCULATIONS FOR PERMIT FEES:
BUILDING: V: Y.;4Ps-. 0 Q FEE: b5:oo
ELECTRIC: V: FEE:
PLUMBING: NEW CONSTRUCTION TYPE: FEE:
ALTERATION: V: FEE:
MECHANICAL: V: FEE:
PLAN REVIEW FEE: \2= FEE:
RADON SURCHARGE: SQ. FOOTAGE @ .01 = FEE:
CONCURRENCY: NEW FEE: ALTERATION FEE:
SIGN: $10.00 (+) SQ.FT. @ .50 cents = FEE:
WELL PERMIT FEE:
STREET EXCAVATION FEE: SEWER TAP FEE:
FIRE IMPACT FEE: $200.00 @ UNITS = FEE:
,
FIRE INSPECTION PLAN CHECK FEE:
BOTTLED GAS INSPECTION FEE: ' 1/2 FIRE: 1/2 BLDG:
SEWER IMPACT: RESIDENTIAL UNITS @ $2210.04 FEE:
SEWER IMP ACT:' UNITS @$ FEE:
CALCULATIONS VERIFIED BY: RETURNED: 0 S';if I ~lS-
, .
PERMIT APPROVED AS SUBMITTED: COMPLIANCE COMMENTS:
, ~~.--..~.:d' .A,..:((' . ".,-""'. ~,Z S'(11/'l..f
.'. . /] ,")
",0 "'->-' 1,,...,.'7 .......I.il ;,,'J :,..
I
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.
MECHANICAL PERMIT
CITY OF CAPE CANAVERAL
PERMIT #: 94-00088 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 03/10/94
PROJECT ADDRESS: 430 JOHNSON AVENUE .....~,- PCL#:
LOCATION: 430 JOHNSON AVENUE LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: CLARION COOK Vni~ S-O~ PHONE: (407)-799-2764
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: DEIBERT, ALLEN V. dba M.I. Air, Inc. PHONE: (407)-452-5665
ADDRESS: P.O. BOX 1254 LIC #: CAC012709
CITY: MERRITT ISLAND STATE: FL ZIP: 32952
WORK: CHANGE OUT A/C SYSTEM. TRANE 43,000 BTU'S MODEL #TTR042/TWE042
DESC: 10.00 SEER
ELEC. CONTR:
PLMB . CONTR:
MECH. CONTR:
SPECIALTY:
VALUATION: 2800.00 BLDG: 55.00 PLAN REV:
SQ. FT. ELEC: FIRE IMP:
OCC. TYPE: CONST TYPE: PLMB: RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
TOTAL DUE: 55.00
TOTAL PAID: 55.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
S. Chapman J.Morgan J.Morgan
* * * * * NOT ICE * * * * *
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
INTEN T OBTAIN FINANCIN , CONSULT WITH YOUR LENDER OR ANY ATTORNEY
BEFORE R ORDING YO~R NOT CE F COMMENCEMENT.
"- / IS' / 94
.3
AGENT DATE
~ 3 / 10 /L!L
9AP~~6';;;
DATE
~
1 " ,"'~~_'_'_v..._,~' ,._,.^....,.,."".^""............ ~'I>"" .... -~~'-"
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CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
THILLS NOT ^ PEr1MIT TO STJ)r1T_W_OflJ\. IT IS Al:J~PPlICATION ONLX: AND WIl
PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMF
THE INFORMATION BELOW AND INSURE THAT YOU HAVE ON FILE A COpy OF
FOLLOWING: {HOMEOWNER PERMITS ^I1E EXEMPT.}
$Iilto Liconso
. County Occupational licenso ;md Compctcncy Card
Liability ($100, $300, $25 Tholls:lnd) :Ind Workman's Compensation InSllr:lnco
Suroty nond payablo to this City ($1.0001 (Only If City Occun<ltion<lr Licr.nsn neCluircd,)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .
TYPE OF PERMIT: BLDG _ ELEC _ PLUMB _ MECH L OTHER
PROPERTY OWNER: ~ ~, TL \ u;::S {1!s)(!) t. PHONE: ( q(i ~ .1.1 ~ q
ADDRESS: L\ ;c) :+O~l iLJ So U A\.\L Una I{ 502-
STREET ADDRESS OF JOB SITE: ~YVte-~
LEGAL DESCRIPTION: LOT - BLOCK - SUBDIVISION
OTHER
.
TYPE OF CONSTRUCTION SIZE OF 8UILDING ~(TOTAL SQ.FT.)
NO, OF STORIES MAX. OCC. LOAD NO. OF DWELLING UNITS
USE ZONE NO. OF PARKING SPACES -
TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY I1ESIOENCE
TOWNHOUSE APARTMENT CONDOMINIUM >< COMMERCIAL
CONTRACTOn ~.;c.. ,
~tfL , C AC. Ol" 1 0'1
\ f0 C2- STATE lIC. II
. $:\.
{.f' d-. S /- l\S"-S(o(PS
ADDRESS C'-( ~n-~5S PHONE
ELECTRIOAL STATE L1C. II
ADDRESS PHONE
PLUMBING STATE ltC. II
ADDRESS PHONE
MECHANICAL STATE L1C. II
ADDRESS' PHONE -
OTHER STATE L1C. II
, '
ADDRESS PHONE
NATURE OF WORI< TO BE DONE: Cl,t Av0~~ (Juf- r+((J. ~';;~ ~
4~; COD 'T'~(Jf+-- TT1LfJ4a/-Twb G4J.... ~ D ,0\0 S:G'f;12-
-VALUATION OF WORK/CONTRACT: $ ~ t
~ <g['/J. r
NOTE: This application is valid for 1 S worl<ing c1nys nher which time, unless a permit has bee
drawn, this form and all attachments will be destroyed.
I "
Date: e:tJif
Signed: .. . - -., 0U;)LJt-~
,
Licenseo, Aoent of nccord or Ownor
.. ,
.......~........."'-- '~.."'_.,..- .,.~ "'
- _..,~.._---",~.,-,.
. ,
})ERlvIIT F.EES
.
-
I, ' ' I
. . I ENCLOSED I
", LIVING
OT1IEH
1\ltt:^ 1\ltE^
; 'j DUXLDXNG PErtHXT::; Cf 11\PTEH :; '1-/-1\
DuGcd ,on Squolre Faa tollJC .
\
UUILOING PEru'lI'!'::; CIIAPTEH. S 1\ S
Dol~cd on valuation
BUILDING P EltHI'l'.s l,n:.s CELL^N J.::OU::; ~" ~
Da:;ctl on :';,\-/-,1
.
ELECTIUCAL PEHNIT ~'17-C.l
PLUMQING PEill1IT 5~7-D.l - tl>~ l' Jl.. ^, .0 )~
HECHANICAL PEI1NI'f 51\ 7-0 .. ~~'p;. ~#- ;}--5- ' 0 C
1':;"-~6 ~) ..,,,, .
PL^-N CHECK FEE
, TOTAL PEru.UT FEE -1f. S? ,~
.11 FIRE HlPJlCr FEr:: oJ7-0J .' II
MOON '.l'nU::;T' FUND (FLOHIDA STN1'UTE:";) " I II
Onc ccnt: PCl.- :;q\l~ll:C [oat: untIel." 1..-00,[
'- - --
CONCUnnE!-IC'l 1.\ANAG ENL:NT FEE I
~
SEWER IMPACT FEE SJ5.0~
SEl'lElt TAP FEE
- TOTAL S1;I'/E1\ FEE ..
"
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mnnmnmmllmm 1I111H llll m nlll! flHlIDlll [llITH! I r rm I If n n I III m !limn Illllllllll flllll!llIl! lITH l1111H m II J l/ll/llllllll filII/ill II H 1111 Inlll HI /lllnl II II/lH IllIIllllll mIl mrrrrllnn! /lUll [
OFFICE USE ONLY: V En! F! eNl'IOH
GEl-1El1J\L CONTl1J\CTOIZ ELECTHrC^L I PLUl-lDING 1-lECI [ANICAL
COUNTY LICENSE ,
" 'Cm'\PETENCY CAno
IN::;UltANCE
SUftE'l'Y DONO
CXTY LICEN::;E
STATE LICENSE
- -- -
':"Nome FOn. ALE:"; S EE, HEWl'EH, HAN^CEH, on ^CEl'IT l,\U::;T !l^VE APPHOV^L OF LEGAL
O\'lNEft OF Hr::CORD. 110HEOI'INJ::ItS, CONDOHllHUl'l's, TOI'IN1I0USE,S on OTHEHS*, 1'lI'!'11 AN
^SSOCIA'l'IOH CONTHOL, ^l\.Cl!ITECTUrtE 'AND DUILDINC CHITEHI^, l'lUST llAVE ^PPHOV^L
~;:CGNED D'1 TIlE CQVJ.::rtNlNG OOOY.
*OTJlEn::; IS TO INCLUOl~ COVENMIT::;, C01WI'l'ION::; A}/O HE::;'l'HICTIONS AS nEconOEO ON
DEED; lrOI'lEVEH, TIllS OFFICE I:"; HE'sl'ONSlDLJ.:: ONLY Fon OlJTAINING COHPLIANCE HITll
'I'HE 'lOI'IING OHDINANCE.
. '~'''~''''"'___"'''"'''''''''''.'''''''',,'''''''''''e;,,'''''J'''.''';''''',"
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4072421163 ROLLlX WT'L 123 POl JAN 30 '95 12:39
.. ..",.. NOTI.CE OF COMMENCEMENT
I--~. "~,,
} '''''CI'AIII lH IW,.I"ICAUI lj'\ . (/( )Lf-
StAta 01 florlda j
--..,
County 01 :1Sr~I/~~
Tho I.lIluorsl(lnod /totally 111/0fOlS nil cOllcornlltJ IhnL Ill1prov(Jmonl:; wllll1l1 rnnuo to cortnln 10ill f/rn,)nrty. Md ill nClcgrdlll1C
with socllon' "]1J.1:1 0/ tho FloridA Stnluto$. tho followlnO h~rolmntlon is :J11J1fJcJ ill lhh; NOT1CIi Or COMMftNCltMl:NT.
Louol do,u:(/pl.lon of IlroporW {lncluuo Strool Addtoll.ll Avnilnl.Jlol..h,.9.I.9....!R:.~~.........R.f1~9;.?;.~..:9:-:l......
....... ..~~~r::-.;. .'].?-~... .J:C::':-:-?~?:t.~ g .~.. .4;~....... .~~S-~~.9.~. ~. .~:;),.......... ~~r.?l?\ ~;,.. ~~........
. . . . . . . . . . .. " . . .. . . . .. . . .. .. . . . . .. . . . . , . .. , . . , . . . .. . ... . .. . . . , . . . . . . . . ,. . . .. .. . . . . ,.. .. . .. .. .. . ... .. .. . , , . . . . , . .. . . . .. . to . . ~.' .. . .. .. ,. .. . . . . ~ . . , .. . . . .. .~ .. .. . ~ . ..
G I d. I I SI . ':In.S'\ A-L.\..J"r ,\OW oF +-\s...l.. ft-,rt...l C ~~ ;? tt Lt.. l' T ~...s
anora o...(a J)\ on 0 rn,)rOVOnlonC:; ..,.........."......................."..........,.......I..,'.'" ......... ,. ........r::::f).......
· lli d k C l~e C:.)
Ownor ... .,.... ; .. \J.i. . ~. . ;..:.. 0 ...)p~. . :.,..:-.,............... 0.... ............. 0........... 0......... .. ..... .... -e.1\".....
<II j.'rp.Q .J9h0.~Q.tj Av-e-h\...~ Sl......\ ~ ~O5' . C_Lf~ ~y""\~_NCf::~,\ +c:-;-I~-ql
^ (ru.sl ....., .. t.... . .... .. ..."..,............... ,....."........ .....,.....)....... .. ...., .~c:::., ,.,.s:;.:, ..l...,,,..... ....
Ownor'$ "ntoroslln slto ot Iho hnprgVOfllOIH ... ~.... .. ;. . . . . . ..... ........ .... . .. ...... 0......... .. .. ,..... . . . . ..
rOO '5/1"1.110 rrt.l!..h.~u.JiJ,.n,tt11a,lt IlIftn o.wltAd _~__,". ~ ,t ~
}) ~. 1 'S" ~ ,r- '
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AtJt!tau ::!.(,,\;?.. ;~Rhn ~.~ Y:'l... .f:1~!?~':'i!:. ~ ..$+3.'~;. ~R~.. J.. .Ca~.. ~.t).:;;..w;...t;-R'~ l. ,. f.~. 0 ~ ~...<;t~ft~...
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ontrllc:tor..,:....................1I".. .n, to., .... ~>;) ..,i.,.j...41... ...J.........~.".......f..."..........,..,.......~..".~.,.....
Atlu ' 9..1 S" l:ru.,,'f'OY'~ r2.UQl..c;:;J rY1e.-v'loRU-V""N ~L. .; .LCi "b,:5' ~~.
ross ....,.... . .."... ..........1=i......................J...... ... ." ...,.,.....l.",,,...........~.......,........,....,.........".
:J,_
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~uru t r fl' any 1 ,,,,,,...........,.....,.,,..........,,.,,...........,,................ ~ · . 'I 'I . . . . , . " , . II , . " . . . .. . . .. . . .. I . .. .. . . " .." ., ~ ' ,. ... . . . . . . . .'. . . III .. ,.. t.tt ' . , ,
..
Ad.uross ........,.".,... 'I' 4' '" "',.. ~ ~,.,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,.,,,,,.,,,,,.,,, t"...""" 111.."" .A'llDunt of lJonu $ 'I...",... ~:~~.;... 'I
, AnV parson mnkinu n IOlln for tho canllruc\lon of tho Improvomonu:
. .
J N Dll'" ..."".. to . .. . . . .. . . . . . " , . .. .. .. . . .. . . . # . . . " " .. . " .. .. ... . . . .. .. . .. .. ... . " .. .. .. . .. . ,. .. . .. .. .. . .. t .. .. .. .. . . . .. . .. .. . .. .. " .. .. . .. .. .. .. .. ,. .. . .... .... to , I .. .. I ,'.. .. .. , .. , . .. .. .. . .. . .. !." .. t""'-
o w "
C) Atldras: .",.... I........................... I..........."..."........ It ~..... ....."... ".... "..'I..""... ......".. .. f""'"''.''' .., "............ "'.. ..... ..... .."..".,......... ...... ~.. ........ 4"."~' -c:-.
I'orson wl.lhtn tho :Halo uf l:lorh.lll tJoslunAtocJ ~y own\ll' uJlon whom Ilollt:lls bt UUlal' I.IgCUmOlllS nUIY lJo sarvod: ~..;:
N b nl 0 ........ . .. .. .. . .. .. .. . .. . .. . I .. .. .. .. .. .. " .. .. , , .. .. . .. .. I .. . " .. .. . .. . . .. .. .. .. .. ill " .. .. .. .. .. .. .. .. . .. . , .. . .. .. .. " . I .. . II .. " .. , " , . .. .. .. " .. . .. . .. .. " .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. " .. .. , .. .. .. " .. .. .. .. .. .
..
,AdcJ~~~..LL>..'~.....r............I..u'......~...~,'--.......p~~~......a...a."....-..... r T II . lIL.L.~111f
" . o. '0 ".".,. ow..., .0' an".. n,. I./lowl". 1'0"." I. ,...1.. . ..,.y 01 ./0. U.hO.... .0 .'0';"'" 'n S.,u."
r)"'~{;};d.,SI.'U'." IPm 'n ., own".: ~pllonl. . a ).
I r('\J) ( - ~;;J 1 I ) ~',~' a " ,-- ' .I, - '" p,~ .-, --4/Le.l") 0.. ~(? o.e-
~........;14 ...... ...... ....... .~..~~ l(,<'.....,....~.........../A... .......
A- Jst~. /....?...... .. . .. .. .. . . .. f-7r;3. tZti/JtJ?t;!.It. ... ~ . ;,~~f!!. .f:?;t:1rJi.. 0 .. ..... .......
Till:; $"t\C€ FO/\ nIlCOOIH./I" un ONL'f 0..:....... .~~..&,.J, .... , ..........g t
, . ,-' ""':', OWJt'... a;;; _
~ ' ~.~~rf Clert< CifCUl't &utt SwOtn to {Jnu $ulJ~crllJolJ 11010to ma 1111$ " ~ ' ~
Rmlorded and V~{Ill'.'d ~TU\fa.r(l ~~ fL , 10 a..t") . ...... .. . . . .. .. . . . .. .. . .. .. . . ·
~ rg.. ~MnIl> ~ ........................II.Y 01 ....... J , , · . i!;:o,r.!1... .. . . . . . . . . . . . . . . .1 ,...~.5."
. trust Fund -1 . n~.~'!l!) , . ., it!7 .(/ . ~ ~
<:ot p.Oecd ~)(l:l~ulx___ .,.................. . . ~~.. ... .~. ;d.,...-. ..
,....3m '__" , . .
Stamp.Mtg ro1f1t Tx _.. - -.--
_ ~Nltie Chg~.~;' Rofund___--
. ,--, ....---......-.....-....-......... .
r-o ~.. ~ d ,- ."'""''''''.............,~--,~~..,..."._-~..~'''-'"'".,.~"......,;-~..~'''...~,-----~'''''.............-.....................,..-...-
,- //!""~;:/
MICROF lLiViED FEB (, ,~,e ...'
8]
February 28, 1985
Mr. Artis A. Gunn, Building Official
CITY OF CAPE CANAVERAL
Building Dept.
105 Polk Ave.
Cape Canaveral, Florida 32920
RE: Siesta Del Mar, A C Power
Dear Artis:
I have inspected the A C Power installation at
Siesta Del Mar Condominium site and I am satisfied the
installation lS adequate and In compliance with NEC.
Sincerely,
#t/If&
) ;<<t. '( ~~
Robert L. Cason
PE 11514
RLC/mhk
CC: Anthony Vilas
Joe Scott
Clare Cooke
Jay Cooke
~ ~ ------..
C jty of Cape Canaveral, Florida
DATF 1'--- ,/.f- [ /' PER~IT No. .
OWNER' ~ ~'5'1.v j J,,,, / mav-' ,0c~-f;, ~
ADDRESS ~1':3() ~
,) ,d:OA/;!cJ e--
Inspections ;;k/l /(/!/
1. Footer
2. Rough Plumbing )~1 (eCA./ll f> ~/~/'
3. linteL
4. Rough Electric
5, Fina
Other
MICROFILMED FEB S7
r'--'-~--""'-"""'-'-~-~~~ ., ". - . . . -
I DBR,283 L1180)
.~. (
1 Florida
I
DEPARTMENT OF
BUSINESS REGULATION
CERTIFICATE OF OPERATION
f THIS IS TO CERTIFY THAT ,
,
i '. T ( <:, T ^ OLl. ~\ P. H
; I Hi J() HI S0'; AVE
I
I cr,f'[ CMH\\lf..:~iH. fL 31920
f
has complied with the laws of the State of Florida and is authorized to operate the elevator
i bearing the below serial number as a F' ^ ~ 5 [N tJE R ELEVATOR
!
~..,-----,------- ,.,----------:-- '';'" :~.."
! Issued by
DIVISION OF HOTELS AND RESTAURANTS
I Bureau of Elevator Inspecllon
, Tallahassee. I'lorida
SERIAL NO, LANDINGS CAPACITY EXPIRATION DAtE
,1(., ,Iii 0 ;) 2SUn LUS 8/0 11 ~
/
,
INSPECTED BY ~J~' INSPECTION -z.1 is"
__ DATE Ol..- ...-
This certificate shall be framed in metal with a glass cover and shall be posted In the
elevator car or on, near, or plainly visible from the dumbwaiter or escalator,
NOTICE: Any person removing or defacing this certificate without authorization is subject
to imprisonment or fine (Sec. 806.13, F.S.). NOT TRANSFERABLE.
i NO. SMOKING '
, --'-_.....__._-~._.._" ' .
, Chapter 823.12, F.5. Smokihg ih eH!vlltors UNLAWfUL .-It:. it!'uttlawful tot I
anb person to possess any ignited tobacco product ot athl!lt': ignited ~ :",/
SIJ stance while present in an elevat:.oI. Any person wh(hYio1ate8'~thJ.l!J
section is gUilt~ or a misdemeanor of the second de~t.i, puriiabable.a
provided in 5.77 '.082, 5.715.083, $.775.084 ,,',,:; " ,', ;',~ ,
, - B-'abU.~J
;.
~ .( I.
L. - - - . - . -- . - - .. ~. ........- . ~ '-...-.... ~_.~-....".-. -...,1.-
It. .i"
..... ... ~ . 1>'" ,...... " .. -- __""k'~.""""'~_
. ~
.
~l'r;RO~f' '1~ED FEB 87
February 28, 1985
Mr. Artis A. Gunn, Building Official
City of Cape Canaveral Building Dept.
105 Polk Avenue Cape Canaveral, Florida
re: Siesta Del Mar Condominium
I am the managing owner of the Siesta Del Mar Condominium and
do hereby acknowledge that there exists a question regarding
the Fire Rating of the installed wire glass windows and ajoining
frame hardware in the Elevaror Lobbies in our building. I hereby
agree that I will provide the Manufacturers ratings in compliance
with the code or will modify or replace the Storefronts and
glass to come into compliance within 90 days of today's date.
I understand that failure to comply with these terms will result
in revocation of the Certificate of Occupancy.
- oY-, -P9./l
Clarion E. Cooke
Vice president
J. and L. Development Co. Inc.
"""'~"''''''.'-'"'">''''''';"'''''''''''''''''_''"'''-''_'_k''~'''''''',_''''",,,,--,,, ~.'>"" .
-
BUILDING NEW CONSTRUCTION
CITY OF CAPE CANAVERAL
PERMIT #: 96-00037 MASTER PERMIT #: -
PROJECT #: 94- AQ DATE ISSUED: 01/24/96
PROJECT ADDRESS: 430 JOHNSON AVENUE #505 PCL#:
LOCATION: 430 JOHNSON AVENUE #505 LOT #: 10,14,
SUBDIVISION: AVON BY THE SEA BLK #: 72
OWNER NAME: DAVE SPIKER PHONE: (407)-868-4643
ADDRESS: 430 JOHNSON AVENUE
CITY: CAPE CANAVERAL STATE: FL ZIP: 32920
GEN. CONTR: BROWN, JOEL E. PHONE: (407)-784-3397
ADDRESS: P.O. BOX 561 LIC #: CBC012966
CITY: COCOA BEACH STATE: FL ZIP: 32931
WORK: REMOVE TUB AND INSTALL SHOWER, MOVE PARTITION AND INSTALL ELECTRIC
DESC: IN WALL, SOFFI~ AND LIGHTING PER SUBMITTED DRAWING.
ELEC. CONTR: BrOLOn? 50;5 E~O 132.8'1
PLMB. CONTR:Brol1..::n? Sf n.S C (V+C02t)
MECH. CONTR: '
SPECIALTY:
VALUATION: 4000.00 BLDG: 60.00 PLAN REV: 30.00
SQ. FT. ELEC: 25.00 FIRE IMP:
occ. TYPE: CONST TYPE: PLMB: 50.00 RADON:
FIRE ZONE: USE ZONE: MECH: CONC:
CAPITAL EXPANSION: TOTAL DUE: 165.00
TOTAL PAID: 165.00
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
~:L en YnCu1 h ,C:r r tf1Stead h I CIrlnskcul
* * * * * NOT ICE * * * * *
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 COMMENCEMENT.
0..,/ C ~'7/L~- ---- / / d. 5 / 9(;
ATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
r)
1(~/ (J/1"r~~ l / li!Ii-l 9C/
A"PPRO D B DA
09
C:L ~ Id-
........- ~.,...._,'" - _.....
.
,.' l1h"-OO)J'/
........
".. CITY OF CAI'~ C^NAYEnAJ~
, . nUILDING })lW.M1T A))!)LICATION
, , '.
.
,
mTS TS NOT A PJi:RJ\.1TT TO STATrr wonK. IT IS AN APPLTCA lION ONLY AND WILL 'm~
PROCESSED AS SOON AS })QSSIllLE. YOU WILL Tm CALLED WHEN IT JS nEADV. COMPLETETIm
. , INFORMATION nELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING:
(OWNERfnUILDEJl PERMITS ARE EXEMJYf.)
ST^Tp.IlliQ!STTmrm CONTRACTOR=1: -R Q.X-,
. 51110 Licenso ' Q..... 'i '. G c:=
: Counly OccllJ1alional License Dnd ComJ1clcncy Card \, C\ ___ Lf ~ - J
GeRenl Lilbilily Insurance ($100,$300,$25 11Ious:tnd), Workmcns Compo or Exemplion C\ S \
STATE Cr:RTI:mD CONTRACTORS: '. " \ \ ' ~ w ~
SllIle Llcenso B.
General Lilbilily IRsllrnncc ($100.$)00,$25 11101lSDRlJ), WorkeRS ComJ1. or Exemplion
,- , . \ ;;P~~-F-P~;~;;'~ ~CD-G~ = ~E~~;." ~.. ;Cu";n:,X.:. "M"~~r~--':"O;17;R- ----------- -- -......
, .
" ',. .. 1) /f'Y f S///rlf PHONE: lJ"hY' !/ttl3
PROPETY OWNER:
..
, , .... ADDRESS: t/30 7F t/hIAJ5~ '# 505
, STREET ADDRESS or Jon SITE:
TYPE or CONSTRUCTION; 1!f:r1 #]lIt. SIZE OF nUILDING (faTAL SQ. FT.)
NO. or STORIES ( MAX.oee.LOAD NO. or DWELLING UNITS
USE ZONG - , NO. or, PARKING SPACES .
lTYPE or OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE !
TOWN) rOUSE APARTMENT CONDOMINIUM X COMMERCIAL __
CONTRACTOR /},fC1uJ;V .;.. 5c?e/ 5 5!ATE LIC.I Cfl!-6/z:.q6f;
,
, ADDRESS' PHONE .'
ELECTRT~AL 61f ~ or S' cWs. (/f)Ii{ 1 tf/t) STATE LlC.1 .[ If DO / J Z? 7
ADDRRSS I b tJ IJ /1-'1 /71( C IJ 6 DO, (JOr PHONE 7?5" Lf 52. / c(
PLUMnING JJ /I ~ y. S' C?rJ.5 ('ii{()(),OrJ STATE LlC. I Cr C'Oc;{)OZb
ADDRESS /0((( ,$ If. L ( tf/p c.rJ 'PHONE ? Tt/ 3J17
MECHANI CA r.. STATE LIC. I
. -
ADDRJi'SS PHONE
onmn STATE,LIC. I
ADDRESS' . PHONE
NATURE OF' wonK ~O Ill! DONE (1m SPEcIFrq 1/ [ 1'1 tJ1' L rt:til / J)S 711-0:'. (5' /I A/(l~ '
~ /1t7Y'[ ~ /f'A' 7i (( t:J?J of f:j[C /A) M) #-J-L. IJCI/[ P SPr// ( /Alf}"'#Ll. LI,7T5
.. 4tcO ~
VALUATION OF wonK/CONTRACT PRICE: $ .
. .
, . NOTE: 11lb ~ppllcAIIDn b nli<l for IS wClrklns: c1:lYJ InrI' which lIllie, l;nlt'S' A pl'rmllluu b<<n drawn, Ihis (Dnn Ind All IUlclunenl. wlU be
l f :..1 '
, . dr.1lroyw. '
. . ,: 00 ~ '. n.,o: ~<j6 .
, , :fox ~',r-IS :3,- 8 \ Ct3
" i
" " Sil:llet):' ~
---. . '-'" -
-.>--,...- -"..<_.~.~
--.,.- - ---_.- "-.-- ----
~~,~
, ,
. "
'. ..
SEcnON LIVING ENCU)SIID TOTAl.. :
AREA AREA
~!iJ~I?~~Q.~~~~~Ill
nUlLI>ING l'lmMITS
l'Ell SQUAlm Ii'()OTAGE 82A
I1U1LI>ING l'mtMITS
BASED ON V AI.VA 1'ION 82A ,
rf-flr,''';- ,Ir ~'/) .J-- 'C (- i)~.r)
"] l" /. ~. I ,,-' !.' ..'
/
nUlLlllNC 1'lmMITS
MISCI~LLANlroUSa.c / 5;:J ~A
ELIOCTRlCAL 82C r,r)'~ j--'_
. rc'(~C,!-," '~\_j ~.
I'LUMnlNG 828 [',._1/, ~ ,r. ~ .'
::-^ .--- -,'
t (I I, , \ \,- ! ~' -
, .'
" MECHANICAL 82U
, ,
nUlLI>ING 1lI\:1..... 821\:
I'LAN ClII~CK Flm .'~~' (\ I ,r~,~)
l,mE nEr''''. ,
I'LAN CHECK 1'1m 13-94
nO'n'LIm GAS INSPECTION FEE 38-5
1/2 FOn. BUILDING PERMIT nEYI~l'{UI~ P'
0
1/2 FOil Film INSI'ECTION FI~ES
RADON TRUST FUND If.A.C. 10D-91 PER SQ. FT. UNDER ROOI? .,
DCA 1/2 CENT l'lm, SQ. I'T.
.
DI1R 1/2 CI~NT I'ER SQ. Ii....
0
, .
. ..
CONCUlUtENCY . ..
MANAGF..MI~NT Ii'EE 90-22
:
.. .
CAPITAL . I: ..
,
I~XI'ANSION Jilm 2-231 '.. . . ."
.. . .
.. , ,
u:.o;OOiU (Jml>1NQjl~l~nMniiliJ~ESJ /6 (;;r],) I
~~WEl('IPERMlT
.' . '.':"'#4" .1 ~ . c. ~.;.. ..... :01, .. ~. ,. h
~EWER I~I'ACT FEE 94023
.
SI!:WI!:R TAl' I.J\:I\: H2-)
,&[0~i~iA.'!rll.lt~E.WJi:lltrJi:lU\I.I.:.l~mm.s;
.
_.........,"'''''"'','.....''''...._..'''..,_..'.._'lII. t ~ ,',;"-,""","""",,",,,,,,"<"_'."'__1~_""."."~""_'_"''<<''"''''''''_''''~''''''"''~- -,......'''''''"-~.......--_~......~~"-,.,'';,:,-,...,,,.._,.....-. -'~---_"'_-"""'-"'_""""
. .
BUILDING PERMIT INTERNAL CONTROL FORM
Permit No.96- ()OD31 Date--.l' :?~ -9 (p
Property Owner~~\~ <<' Pi keY
Street Address of Job Si te 4~ 0E>~X"'\ C\.~~ #505
Description of work.R~'e-'4; Ins-b..ll.. 6.k...:;o.~"" ,i"l~~.-:h-\1Gl'-.~t.ns tallekdr((.. l n~c:J..\1
~~ ~ ltS ~ p.R->".s.;:. kHhA~ cL<-o.--;.::.,-~.
Valuation df Work V: 4,odo.cc>
CALCULATIONS FOR PERMIT FEES:
BUILDING: V: 4,oaD.0D FEE: (Pb.D 0
ELECTRIC: V: u., DO.DO FEE: C?S ,('50
PLUMBING: NEW CONSTRUCTION TYPE: FEE:
ALTERATION: V ,~CC>. DC FEE: 50.00
I
MECHANICAL: V: FEE:
.
PLAN REVIEW FEE: u,D .00 /2= FEE: 30.00
RADON SURCHARGE: SQ. FOOTAGE @ .01 = FEE:
CONCURRENCY: NEW FEE: ALTERATION FEE:
SIGN: $10.00 (+) SQ.FT. @ .50 cents = FEE:
WELL PERMIT FEE:
STREET EXCAVATION FEE: SEWER TAP FEE:
FIRE IMPACT FEE: $200.00 @ UNITS = FEE:
FIRE INSPECTION PLAN CHECK FEE: SQ.FT. @.025 =
BOTTLED GAS INSPECTION FEE: 1/2 FIRE: 1/2 BLDG
SEWER IMPACT: RESIDENTIAL UNITS @ @2,210.04 FEE:
SEWER IMPACT: COMMERCIAL UNITS @ FEE:
CALCULATIONS VERIFIED BY:--L~ DATE RETURNED: 1 # ::J4- <14>
PERMIT APPROVED AS SUBMITTED: ~ L(? COMPLIANCE COMMENTS:
~ ... ."".__.~__.,._.._u,.,__~..........,.,~.. .....~. ~"_,"-..._..,,",~~",,, ----_.~...,.",~"_..~-.,._.,._,._"...,..~.,.."_..
10/03/95 15=35 ~ 40' 799 3170 CITY/CRPE CRN. P.01
.
" ,.,.., 96
' . CI'[\I_flE..CA J:'~,C^Il^ '~Im^ t. r ~ 00
. .... 1lOlf-lHNG I'IWMIT AI'I'LlCATION ~b~
.
nU5-Is-b1~JLS.T.AJrriW.B.Ko-lt..JUlLAr.r..LT.C^ TION-DtnX AND wn~l.. '1ll\.
JlnOCESSlm AS SOON AS possmu~. yOt I WI1.I,JlltCAlJ.illIUYJ I EN IT JSJilillUY.. COMIJLETJC In m
. , JNJlOIlMATION n~LOW ANn INSUlt);: 1'1IA'1' YOU JlA Vg ON FILl~ A CDI'\' 01~ TUg li'OLLOWJNG:
(OWNmllHUlLDRlllJltllMITS AltfC EXEMPT.) ,
ITA1:/U\ IKilli.nm Illl.J:n1:JTJi^ cmB 5=
. S"lo Llec/lso . ·
. Counly OccIIJ1alional LicensD antI Competency Cuu
': Oeneral LhlJlIily rnntrance (SIOO.$300,$2S 1110l1nnlt), WOI~mcns Compo or ThcOlpllon
$TAT!! CIHITIEUH"> Cmnn^GIQl~: ' .
SIAle License '
.. OCIICIAI' Uahilily Insl1ll111Ce (Sloo,$)00.$25 'nlOIlSQIIlI), Wo.l:cns COlnp. or nHl1lplioll
~_~~..~~___~~___~__~~~__~_~___~~_~~~__~_~__~~__~~_"~""~_~_~_~MP~"
.. ' TYI'H 01: I'HHMIT: BLDG. _ ELHC. _ "!.lIMO. _ MECII. --..:.. OTIIHIl
, . . . PROP!ITY OWNER: 5 teste- \)e( tJw..y C9r-~ 1> VV11 ~'-~VV\ ;'I!ONH:
. . .... ADDRESS: ~3 n ~"bY\ f\ve t II ~f11i! eY' li..l Fe.-?, J.... '1 Jj:,
. '.STRnm'^DDnr:ssor-JOnSIT/~: 0 . t\ 7Jf\ f1e & (l.O\.vevo.-l Fe:32- 2"D
'TYPH or COHSTllUCTION' o't>' kffLbV~,~'JtH'o (I'OTAL SQ. PT.)
NO. OF STonms MAX.OCC.LOAD NO. OF DWHU.lNG UHITS
USE ZONf! . , NO. or, PAnKING SPACr!S .
~ TV!'!! OF OWNmtSIIIP. (CIII1CIC OHf:): DETACHED SINGLE FAMILY ItES1DENcn I
.rOWNIIOUSI! CONDOMINIUM COMMHltCIAI..}Q
(J. . ~
CONTHA CTOll S:.1'ATg UC. I PC () l:;;l -, S 1
'Annnr!Ss .2U.5 ' N( ~l\'M ~~ PI- PrIONg -,~ ~- ~V7 J'
EL1~CTnT~AT. _ ST^T~ LTC, K
A nmtE.SS l'1I0NI~
NJj~lIIINC STATE LIe. K
AnOllESS, ,JnONg
l-omCIIANICAI. STATE I.1c. I .
Annll E~~ I'll ONE
OTmm STATIt,LtC. I
ADonHSS . .
NATIJltE OF worU( ~ro JIlt DONr~ (1m SPEClFrC)
'C' / <' e;
.. VALUATjON OF WOnIC/CONTItACr pmCE: $ .~ it ()
. I
" Nom: ",11 ~I'(lllcallon Is \'lilieS for IS \Yor~lnc: Illl)'1 aOcr which lillie, l:nlHI . (lulIIll t.ol Iocen drawn, IhtJ form aOll .n allacl"nenll "jUror
f . ...'" ilCllro)'ClI. '
."J~-CA :"--/8::).-8\CI.3 n."j" ~" 4? . ,
,,' ;< !'IJ:IICI1:,.-/ ~~-
--""'""'.'......~,'>,.~-~,........,,;...._~_........._~-,........~-....--,.
J1 e n c j, 'c7;/: ~;f) ~t "I \. 'ryd ;:~ (; J ~~ Ie 791. C" I'{" -- >?c ("'(-
iC' _~" '1./ v
________.....,'.. c"""..:,,~.,, ,"'-"">,,....
",'
OWNER AUTHORIZATION
-12 J>--, ? 0.1- {/l,.cs,u_r..~ J?.- "J1,.. H- 1';_ pm. 1-:.
I CL 14.,,,:, ..... Ce.el<t! hereby authol:izechristopher R~'Chapman
of Chapman Pools, CPCO-12759, to obtain a swimming pool building permit for
my property located at 1-j,3;J .1Q~o,':&;<J &J. Curt' (r:,Q(wd
,. I further understand that the value of tl1e work authorized by this permit exceeds !
$2,499.00, in accordance with P.S. Chapter 7.13 of the Construction Lien Law. I
Sworn to and subscribed before me this
/'3 day of B()J1~ 19~ .
Notary Public, State of Florida
""'~'~"'" TIM STANLEY
/fi~l\."~~:" MY COMMISSION * CC 503961
~.~ :~j EXPIRES: October 22, 1999
, ~~. o~. Bonded TllN NotarY Publlc Underwllt8"
personal;:";~nown OR Produccd Identification /
(
fr'.( tI fils Lr (tA <V
Type oi' Identific~tion Produced
............,.,.,..._'....,,' .....~,..._.,_, 't ~ ......._-""-^....~"~ ",. .,.~, '~'''--'"'
.. -,._,_., ,-....~.,..-
.
BUILDING PERMIT INTERNAL CONTROL FORM
Permit No.96- OO;':)(pd Date CD' ~'4.C{ ~
Property Owner ~S-t~\\Y\G-"'~d.o ~S~ Lxlc..
Street Address of Job Site ~~() ~o~ <..t~ ~
Description of Work ~OV~ ~'S:W ~ Vh~\\fC':)c \
V: t J qL:,O .60 \
Valuation of Work
CALCULATIONS FOR PERMIT FEES:
BUILDING: V: II q ({)() < ~'"'0 FEE: f!Jb LaD
ELECTRIC: V: FEE:
PLUMBING: NEW CONSTRUCTION TYPE: FEE:
ALTERATION: V FEE:
MECHANICAL: V: FEE:
PLAN REVIEW FEE: /2= FEE:
RADON SURCHARGE: SQ. FOOTAGE @ .01 = FEE:
CONCURRENCY: NEW FEE: ALTERATION FEE:
SIGN: $10.00 (+) SQ.FT. @ .50 cents = FEE:
WELL PERMIT FEE:
STREET EXCAVATION FEE: SEWER TAP FEE:
FIRE IMPACT FEE: $200.00 @ UNITS = FEE:
FIRE INSPECTION PLAN CHECK FEE: SQ.FT. @.025 =
BOTTLED GAS INSPECTION FEE: 1/2 FIRE: 1/2 BLDG
SEWER IMPACT: RESIDENTIAL UNITS @ @2,274.13 FEE:
SEWER IMPACT: COMMERCIAL UNITS @ FEE:
CALCULATIONS VERIFIED BY:~ DATE RETURNED: (('.~~~ (p
PERMIT APPROVED AS SUBMITTED: ~ D LP COMPLIANCE COMMENTS:
" 1 ,~~..-~>--,..~ ,....,.,.- "-""".'-" "'lI"""...... ........-.,.. ~ " ,", m'
BUILDING PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL ~ g
N<;? 7007 105 Polk Avenue ~ ~
TELEPHONE: (407) 783-1391 See. 23/24S/37E I I ~
'______________.__________'__..__. ,--.---, ----'-1 r:1
JOB ADDRESS I ""
430 Johnson Avenue Apt. 304 DATE: 2-26-91 I '"
J ~-'----.-.--..,--.-' ,---------j
LOT NO, BLK. TRACT
1 ~~~~~. 10, 14 & 15 72 Sie~t..? De} Mar___~_SEEATTACHEDSHEET~-,-_-.__.-_. ::r: +:>
Owner Mailing Address Zip Phone ~ ~
2 Howard W. KUUXX Crusey Same 784-1091 ~ c....
Gen, Contr. Mailing Address Phone License No, "-' a. g..
3 Owner/Builder ~ I~
Elec,Contr. ."n".. .' ~;d.- Mailing Address z..-2P-~I/ Phone License No, 10 g
4 Hartman IS ElectriC"1339 Nelson Court Ro.ekledge, FL..3.2.955. 784-ill9J_____ffilOJ,6.4._________,___2 ):>
Plmb, Contr. Mailing Address Phone License No. ~ ~
5 ~
__.._.___ C
Mech. Contr. Mailing Address Phone License No. ro
6 ):>
_.,___,_______.______'____..__'_ __.. "0
Rooting ContI'. Mailing Address Phone License No, ~ I
7 ,_________..,______.______ W
Specialty Contr. (Other) Mallmg Address Phone Llce%e No, ~
8
--.-----------. -~-,--~---~_._-------
USE OF BUILDING
9 Resident" 1 10 Class of work: ONEW OADDITION OALTERATlO~_~~:PAIR, XJMOV=--.E.~~~O\~_..
11 Describe work:
OOMKXX Move non-bearing wall per submitted drawing.
. - --~---_.__._~-----~--_.__._-_._-_.
.-_._-~._.__._-_._.._.._._--._~_.._-------._-----------
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED
12 Valuation of work: $950.00 TEL: 783-1391, ALLOW 8 HOURS RESPONSE TIME
--- .-. ----.--....--- --.-----..---.-------
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Divisi on
- -- .------ --~------
,_______' Size of Bldg, No. of Max.
(Total) Sq. Ft, Stories Occ. Load
._...- --- ._._---~_._--- ----.------
SETBACKS: F R RS ~.S Fire Use Fire Sprinklers
Application Accepted By: Plans Checked By: Approved Foor Issuance By Zone Zone Required elVes 0 No
- OFFSt'fiEETPARKING PACESREouTREI5-
No. of
J. Mar an Same Same Dweliing Units Covered Uncovered
. NOT ICE SpeCial Approvals Req~ir~ed Recei';ed N;'t \{eq-~~red
---~-------- -------
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZON'N~;
DAYS AFTER PLACEMENT OF SLAB. HEALTH DEPT. --- -- -'--"--
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FI RE DEPT.
AUTHORIZEDISNOTCOMMENCEDWITHIN6MONTHS,ORIFCONSTRUC. SOIL REPORT ----- ,----.-..-..--
TIQN OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 .---..-.'- -,-----
MoNTHS, OTHER (Specify)...___ ...._.._..___
I HE.REBYCERTIFYTHATI HAVE READ AND EXAMINEDTHISAPPllC/I'llON
ANi> KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS ~ FEES CODES
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Building $20,00 Southern Standard"
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR , ,--
CANCEL THE PROVISIONS OF ANY OTHER Sl'ATE OR LOCAL LAW REGU. ElectriC $20,00 National ElectriC"
LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Plumbing Standard Plumbing'
Mechanical Standard Mechanical"
-"
Other
TOT A L 'as adopted by ordinance.
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
tlL. ;?L/1 Lil 'DIN{; OFFICIAL ~ lr"' J" ......
.)f Cape Canaveral, Florida
4~ -eLl PERMIT No,~ f) OC~ ~ ___
, r "C'
'-.j \.. ,:~y:.~-' \"\ .' . -
j , '2'0 '~--x+)nsc)n {)p'\, 3C)J--I_
T)une.Y\ * I
,pections
i:ooter~__
.. Rough Plumbin
3. Linte
4, Rough Electric
...'."'/"~
( 5, Fina.C ~
'--"--
Other L#/
Rejected
Li : ()D INSPECTOR
~l.'''~'.'',_"""
.
~ CITY OF C^I'I;: ClIN^VEn^J.
nu I I,D T \'Ie I' j':ltl'1T .\' ^ P P 1. T ell 'I' T em
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PROI'ER'I'Y OWNER: JiQWAAtz_M {lX't,J:5h .. . .1>IIONE_za-1_ .,.,!LxZL
^DDRESS: .4~3.Q._.~.'2_tf.!y'~g,~,..uA~~, A~I)T. 3Q-L/ _..__..._..,_....._ '.n...........,.._..
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NO. OF ~;ToruE:;_...____ t1l\X. ace. I,OM) Nt), or: rH,n:J,l,TNC mll'J'~;.._..... ",.....,
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NATUIU:: OF \WIU( TO BE DOJ>H:: MOUC-!\0N4C.a.Lf:-4A.Uyt;, .WA,~.~. ,_.'..... .'nU '.,..
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No'rICE: OWN E I{ / U U I L D E R S
OWNEn/lJUIIJDEllS 01;' ONI.': OH '1.'WO-f"^MILY UNIT DWEr..l.,INGS, on COMMlmCl^L
IJUILDING[; UNDJ::n ~; 25,000 IN V^l,UE, ^Im )i:XE:MI"J' FHOM '1'111:; J{I;;GUIJ^'1'ION~; M;
[;1.';'1' FOHTII IN 1"I,OHID^ STNl'U'J'E::; IJU9 WIII::N IJIJlJ,DING FOR 'l'11I';1H OWN U:,;J:; AND
OCCUPANCY ONIJY.
TilE SMJE oJ{ Lt~^SE I on Of'L;'EHING l;'OH SAI,J~ on 1,1~ASJ~~, OF SAID S'rHUC'l'UHE IS
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^ CIUMINAl. VIOL^TION PUNISIIMH']~ M; ^ M.l.SDEME:^NOH Of TilE SECOND DEGREe. !
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IN ADDITION, '1.'lm OWNER DJ~COMES ]:"IAIJL/~ AND HESPONSIJJLE F'on TilE EMPIJOYEES
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liE /JIH/~S '1'0 ASSIST IN TilE CONS'1.'HUC'1'ION PllOJ/:;C'J'. '1.'1I1S HESPONSIIJIlJI'l'Y
INCLUDES, DUT MAY NOT DE LIMITED TO, 'rilE fOrti/OWING:
A. WOlU<M^N I 5 COMPENSN.l'ION: fOil WOHI\.MEN INJurum ON TilE JOB
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IJ. SOCIAL SECURITY T^X: MlJ[;'l' D/:;DUC'l' l"llOM EMPJ.,OY EE IS W^GT:;[j
AND MATCll WI'l'1I OWNEH'S FUNDS
C. UNEMPLOYMENT COMPENSA~ION: MAY on M^Y NOT BE nEQUIHED
D. PUULIC LI^BILI'l'Y
J:: . l~EDEH^L WI'l'II110LDING TAX
I /llmEIJ Y ^Cl<NOWLEDGJ~ 'rlJNl' 1 "^ VI.:: HEAl) AND UNDt~HS'l'^ND 'rilE ^BOVE NO'l'ICE
ON '1' II\'; 2:;- DAY OF' ~-&f<vlJA1), 19_2/-'
, OWNEn/IJUI1,DEn
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BUILDING PERMIT APPLICATION
Jurisdiction of
CITY OF CAPE CANAVERAL ~ g
N~ 6818 105 Polk Avenue ~' ~
TELEPHONE: (407) 783-1391 Sec. 23-24-37 I ~
JOB ADDRESS -------------,---- -,..--.--- .. ,-_.---,-, I I ~
430 Johnson Avenue , ___.____..______~~~~: Sept. 18, 1990 J
LOT NO, I BLK. LACT
LEGAL (0 SEE ATTACHED SHEET)
1 DESCR. 10 14, 15 72 A.Y..QD,_B.Y.Jhe...$,ea______________.____.
Owner Mailing Address Zip Phone
2 Siesta Del Mar, 430 Johnson Avenue, CapeJ[an_aYer~l
Gen, Contr. Mailing Address Phone License No,
3
Elec, Contr, Mailing P.ddress Phone License No.
4
-------------~----
Plmb. Contr. Mailing Address Phone License No.
5
._-------- . ---,_._-,----~-
Mech, Contr, Mailing Address Phone License 1'110.
G
.-.-.------- ------_._-------- ----
Rooting Contr, Mailing Address Phone License No,
7
~_._-------------------------,-
A'r'fcl\~\X C,1X11unpmUIn & G 1 as s Mailing Address Phone License No,
8 Cocoa Reac.b.-...18.4:.0.6.3L__87 3000flS.L_________
USE OF BUILDING
9 DADDITION DALTERATlON OREPAIR DMOVE OREMO\lE
------_.._,.._~ --_.~.__._-
11 Describe work:
Install aluminum awning
---_._--_.._._.__._-------------_._--~._._."
.-.--.-----.----.--..--------.-----------
---,
NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED ~
12 Valuation of work: $1, 150 TEL: 783-1391, A'::I:-.o~_~. HOURS RESPONSE _T~~_~____
SPECIAL CONDITIONS: Type of Occllpancy
Const, Group DIVIsion
- -- ---- ----~-----
Size of Bldg, No. of Max.
(Total) Sq, Ft. Stories Occ. Load
-.,.---.--..- -- _._--_._-~------ --.---..-.-
SETBACKS: F R RS !.:~ Fire Use Fire Sprinklers
Application Accepted By: Plans Checked By: Approved For Issuance By Zone Zone Required [JYes 0 No
OFFSTffEETPARKlNG PACESREOlJTRED
J. Morgan Same Same No, of
Dwelling Units Cov&red Uncovered
NOT ICE Special Approvals Required ~eceiV:~.__..__,_ _N01~:quire~_
FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR ZONING
DAYS AFTER PLACEMENT OF SLAB, HEAL TH DEPT,'---"--
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Fl RE DEPT,
AUTHORIZEDISNOTCOMMENCEDWITHIN6MONTHS,ORIFCONSTRUC- SOIL REPORT ---- --.-.-,
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD or 6 -, ----.-.,- ------
MONTHS. OTHER (Specify) _,_ ____ ______,_
I HEREBYCERTIFYTHATI HAVE READ AND EXAMINED THISAPPLlC/\'IION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS l!< FEES CODES
COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Building Southern Standard:----
OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR
CANC THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU- ElectriC National Electric*
L~ CONSTRUCT R THE PERFORMANCE F U TION. Plumbing Standard Plumbing*
Mechanical Standard Mechanical*
ignature of Contractor or Authorized Agent
Other
Signature of Owner (If Owner Builder) (Date) T d\\"lA1L!'Y *as adopted by ordinance,
..
THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK:
fV( p ..2-, II 7'
~.................._,.....;,"""'.''''". _'~'^'''._rl'."",,,'. "~"4<'" ,','~" ,.,~~..",~,,,.,,,,,,,,.,,,,,,",,,..;......".. 'd....~~.'"..._~,~ ., "_""~'-' ~." .......'-"- <.,",,, '" .~.,.<~".., ~"~~"'''"....''';,,,'' ,." ""''''_''''''"~'''''_'''''_'''"."''''''~-='''''' ~"U
C it~ o~ ape Canaveral, Florida
DATE 7' / PERMIT No. 0,,?/,9
OWNER r - --/1 P /.::- j. /fl/l K
,J ('/:; 5 /"
ADDRESS fL~ ~ Jj .r1/~" ~ /\,/ /7 -
- " {/ ,c
Inspections l1uul/1/ //1/4
1. Footer
2. Rough Plumbin
3, Linte
4. Rough Electric
5, Fina
Other
Rejecte~ 1ft,o,
'fZ" j::'
'.
CITY OF CAPE CANAVEnAL 6 P / g
BUILDING PElnnT APPLIC/\'PION
T1LLe._J..$ ....NQ1'_A.....P ERHJ'l'_J'O. S1' A WI'.J,",OR K: T'I'., I S AN ..,1\ P P.TJ.Ic;l\'~IQJL.Q.NJ./( MID HI 1.1.. n E
PROCESSED AS SOON AS PO.';SIBLE, Y01I,\HI.I,. IIF: CALLrm \>JIlEN._,ToTjS_READY.,u
COMPLE1'E DELOY! AND INGURE 'l'1l/\'1' YOU !lAVE ON FTLE A (;VR,RI~N~~, COpy OF TIlE
FOLLOWING: (HONEOHNER PERMI'l'S ARE EXF:t1P'1')
State License ~
County License and Competency CArd
L i iI b i 1 i t Y (S 1 00 , $) 0 0 I S:2~) ']' h 0 U ~; CI n d l and H 0 r k m i1 n 's Co Tn pen S Cl t ion
InsurClnce
Surety nand paYClblc to this City (~] I OOD)lQT):Ly.._jJ~.__C;:5,.t,Y~,Q<:,.(;llD0.U,0.!1nJ~
l.t C;.QT~~, Q _.r:. Q. g \\5:1;. Q~l L
------- -------- - - -- - -- -7-- - - - ----- -- -- -_.- -- - - - ,-- - -- - - ---- -- --- --'- -- ---
TYPE OF PERMI'!': DLDC. _.~.___. ELEC. _,_, PLUHll '..,___... ,-mcll. _____ OTIHm_______
PROPERTY OWNER: _~2.rle~__.:Dd.J:1ttr.-,h--.n....-..-.....PI[ONE------------.-
ADDRESS: __':l~ _.J 6'^~__A_~,--Q~-~~--
STREET ADDRESS OF L:r.QI}....sI.'I'E:__..~~._......."....._..h,..'_....____..h_'..._._.__..____._.___......~__
t () 1'-1
LEG A L DES C RIP T I ON: LOT-f_..~ n LOC f(1~.. SUB D T V I ~; ION .&(1) A./' li$--T1iG"..~S~-,---_-
OTIIE R ____,____________..__.._____ .,...__._..__..... ........... .........'. .....___._...,__._,_____
TYPE or eONS'fRUC1'ION :A-l~I11.1!l4:t~'!l,i~[" nUn,DING ('fO'fAt. SQ, FT. 1..-1;2..; ~:l+
NO. OF STORIES __...__._ N^X. OCC. IJOAD .,.._ NO. or;o DHElJLINC UNI'I'S_________..,..
US E ZON l~,,,_,uh,,__,,,,,__,,u_'___hh_""""_"" '..'", NO, OF PAR KING S PAC r-:~; ......_.....____,_...._,......____
TYPE OF OHNERSHIP (CHECK ONE): DE'J'ACIIED ~;nICI.J': FAMILY RESIDENCE
--_.---,-~--------------
TOWNHOU S E ....____._._' ^ P ^ R 'J'J1F:N'l'_____..n... CO N nON I N T U r'l__~~. C OMH E R C I A J,
CONTRlICTOR_~~<lIM.~G.~ S'l'lI'1'E [,Ie. II fu~~~I.rnalO <I~-3
ADORES S _...lL'i_1L,..B ~~~_~___~"'" c.B. P I ION E II ..."J.~,~=~ ~ L.-----.----
EL ECTR I C A J,J __.__........_._._...........___...._, ...._ u...,.. ... ..,....' ..", ~; T A 'I'l~ [, Ie. 11........_____....._..__._......_._._..,__...__.._
ADORES S ___,_.._...____.____.__.__._____ h, .,. "., ". ,,'.. ..,__. p 'lONE /I __.__,......_._._.__..,_____.___..__....... ___ u.
PLUM DING _____.______..__.__._._.._...,..__,.._.__...-._...... ~j 'I' ATE: 1, J C . /I _____..__...._.._______.___.__
, ADDRE S S _~_.__._____..___.,. ......._._.._.. P IrON!': 1/ .________._.
,I MECHANICl\IJ________.~__.,._......_,_.__.__._..._.__...__.._ ~j'l'^'I'E l.IC. II
. - ~- ---_._--~----,----_._-----
I
I,
, ',ADDR E S S __..______._____._.__.. P] I ON E It ._..___~___.______
I
. OTHER ..___.....__...._,,_,......_. STAT!': TJIC. 11__._.
ADD RES S ._...,______.......,____. P , 1 ON E II _____
_._-------_._-_._--~---~-
NATURE OF WORK TO OE DONE:
----->_._-----"-- ~ ',--.+... ------ -- -- - -- --------------~----------~---- ----
--------.-----.-..1-.......--.....--......-.....".... ,...... .. . _, .. - _'n _'__, _.. __..___ ._.. .___.________,.._._...___...___
VALUATION OF WORK/CON'I'RAC'}': $.JlS0~...u...n.. .'....,.........__.____...._.._
NQT]~_;_ '1'hi~; i1pplicdl,:ion1s villid /UI- l'l IFl)'J~inq dilY~; <If tel' uhi,ch time,
un 1 e s s Cl per m i t has bee n (1 r iH" n ,Ud,!1 t 0 nn un d elll Cl t t il C h e d Tn ate r i Ell
will be destroyed.
Do (" : uuqf~---_u_u
" i,"",,] : - i~,;;~;c ~'^~~;;Tii"~~ 0 cd --;;:0--;; n " r
-,- -----..~....,.~ --_..."~...",~... _...~,....__.,~~~._._...._~->~=,-....._~.~, .-..... ._~-.-,...,,-------,-_.~,_._..- >
L.iv. ^l'P.Cl ~~nc:} .:.l}r 1;.0- other
-~-_.. -....----
Building Permits Chupter 5/n-^
Bused on Squure FooLuge
._.__ ..---.-0 . "___'. . --_._--- ~ --~-- .._.~--_._- ---_.~_._- - --- ._----~---
Building Permits ChClpter 547
LJased on Valuation
- . -'-'-... ". -- ~. .._- -. - . ~~--- - --- - . --.- ---.---..- ,-_._-~--
Building Permits l1isc:. -1 ~ tJ()
l)Rsed on 54 ./ - 4 ('
.d__ _._- -'.--'-.-- ~,.._._-+- .-. _..~._~
Electrical Permit 547-(.1
-.----. -.+--,--.- -..- .------'.'---'--"-'---. -'---
Plumbing Permit 54"/-B.l
-..- "..-..------- ---.- ..._------_...--
~lcchanic:al 547..!)
- -- .- . ->----- .-- --_.."--- - -_.._---_.__..~_.-
Plan Checl< fcc
.-. '- ---- ___._____~____L_ ._.__
Total Permit Fcc
-~-_._._---- ------,--~ -_.-._--~----- ._-
Sewer Impact Fcc 5 J'/- 0 J
__ 0"-- .-,.- ---- +-'-'._- -.------
Sewer Tap Fee
-. -.- _..~.. _.~----. ----.-..-"-- - .-..- _._-----~-_.- -.-
Tolal :Jewel' Fee
---." - - -------.- ---- ---------- ----- ---_._.--,----
Fire Impact Fcc 5 J"/ - 0 J
-------...-'----,---.- -.- - --.. --- --._- ,--
Fire Impact Fee 5J7-05
..-- _....-- -----.- ~------- -- - - -- ._-------"-
Total Fire lmpnct Fcc
----- -~-- ---
Radon Trust Fund ( FIJ Statutes)
1 cent per square [ooL 1l11c1cr"'I:oof
. .. '--'~---'-'-
-----------------------------------------------------------------------------
OFFICE USE ONIJY; VERI FICNl'ION ;
General Contr.:lctor E.lcctl:.icaJ. !'),U!11})JJ19 Mechilllicul
__,._.,___.___.~_._____ .0____._.----,,---.-- ._.. _.__._. - .....- ..- ..-. . - - ..u___.... ___..______ .....
County Vi.cense ,- _u_.._ ____.._._.,____.~__ ___~__'___ _ 'n_ -'---.." ---- .----- .-- _.___k_.._,__.__~___._"_____ . __._
Competency Card .... .-~------------~-- --_..- '---'.- ._----~.- - - -------~-- -------_. - - --
Insurance -.-.. --~-_._--_.__..- -------.~._._--- ------ .-.-.- -----... --.- .------ - - ----~- - ----
Surety Bond ..-. ---, - ._._--"-_._,~---- -_._----..~.._-- _ __u._ -. -- _n~______ -- --.--
City '-license ----- --..--- .----_.--------. - -- .'. .--'- -_._.._-_.~-----." - - - .------- ----- -- .~--- ----
S La t c I., ice n 5 e .u_..___ ___'_ _.____.__ ____ _______.u__,o _ _ ______ _ _ _ ___.__."_"__.u__"_ ----.--
Work [or G les_see, renter, ll1<1l1iJqer. aqellt 111 U r; l have <lpprova] or lcqZll owner
or record_ lIomcowncrr.; . co lId om j,-II,i. 1I11l~; . l. () w 1111 ell I~; c;. or 01- 11 C 1- ;. * . with .:J1l
ilS[,;OC.i <lLioll cOIll..rol. il1:cll.i.I,ccl..\I1.'C ;l\ld I J\ I i, I rl j, 11 U ,: 1- i \ c r i ;1 . rn \ I ~: I hilVP ilPPl'OVill
signed by the governing body.
~ Others lS to include covenants, cOIHli 1.:i.01l[; ;:lIld rc:c;trictions u ~.; recorded on
deed; however. this office i ~; rcsllonr;:i.hlc 0111'1 [nr ollLi1ininG camp] j .:1IlCP. wi, III
lhe ZoninG Ordill;lncc,
I c .. --"'-""-- ~ ..~ - ''.....It t--.l!"" -r - ~~"