HomeMy WebLinkAboutOCTOBER 2020 BUILDING PERMITS ISSUEDCITY OF CAPE CANAVERAL, FLORIDA
Accesssory Structure Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1340
ISSUED: 10/01/2020
EXPIRES: 04/17/2021
LOCATION:
OWNER:
CONTRACTOR:
380 HOLMAN RD
2436277
Zoning:
Cost: 2,450.00
DOUGLAS CONRAD WILSON TRUS
Phone:
Fax:
Housman's Aluminum & Screening Inc
2911 DUSA DR STE C
Melbourne FL 32934
Phone: (321) 255-2778
Fax:
Work Description: Back porch fill
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Discount due to resolution 2020-12
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
2,450.00
2,450.00
1.00
Fee Total:
Amount Paid:
Balance Due:
65.00
65.00
4.88
$134.88
$134.88
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
(L.DH
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Rough - Underground
❑ Lintel
❑ Slab
- Roof/Sidewall Sheating
❑ Rough - Plumbing
Final - Electrical
LJ Dry-In/Flashing
Window & Door Bucks
❑ Insulation
❑ Final - Plumbing
❑ Rough - Electrical
❑ Framing
Final - Building
1 Pre -Power
CITY OF CAPE CANAVERAL, FLORIDA
Residential Plumbing Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1346
ISSUED: 10/01/2020
EXPIRES: 03/30/2021
LOCATION:
OWNER:
CONTRACTOR:
5801 N BANANA RIVER BLVD 931
2436121
Zoning:
Cost: 850.00
CARREIRO, NOEMIA; CARREIRO, A
Phone:
Fax:
Accurate Plumbing Solutions Inc
168 BAHAMA BLVD
Cocoa Beach FL 32931
Phone: (321) 432-4282
Fax:
Work Description: Install Shower Pan, Valve and Toilet.
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Permit Valuation Fee
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
850.00
850.00
1.00
Fee Total:
Amount Paid:
Balance Due:
45.00
45.00
4.00
$94.00
$94.00
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
LdiH
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Shower Pan Leak Test
❑ Rough - Plumbing
❑ Final - Plumbing
'7 Underground Plumbing
CITY OF CAPE CANAVERAL, FLORIDA
Re -Roof Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1350
ISSUED: 10/13/2020
EXPIRES: 04/11/2021
LOCATION:
OWNER:
CONTRACTOR:
6600 SHUTTLE WAY COMMON
2447235
Zoning:
Cost: 62,300.00
N/A - CONDO COMMON AREA
1980 N ATLANTIC AVE
Cocoa Beach FL 32931
Phone:
Fax:
Tech Systems Inc
1801 N WICKMAN RD STE 3
Melbourne FL 32935
Phone: (321) 259-2246
Fax:
Work Description: roof over, mechanically attach 1/4" roof coverboard, and 45 mil FiberTite
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Discount due to resolution 2020-12
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
62,300.00
62,300.00
1.00
Fee Total:
Amount Paid:
Balance Due:
215.00
215.00
16.12
$446.12
$446.12
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
(ZS' 1
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Re -Roof Dry -In
❑ Final - Building
❑ In Progress
CITY OF CAPE CANAVERAL, FLORIDA
Re -Roof Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1351
ISSUED: 10/13/2020
EXPIRES: 04/11/2021
LOCATION:
OWNER:
CONTRACTOR:
131 TRANQUILITY WAY COMMON
2447305
Zoning:
Cost: 62,300.00
N/A - CONDO COMMON AREA
1980 N ATLANTIC AVE
Cocoa Beach FL 32931
Phone:
Fax:
Tech Systems Inc
1801 N WICKMAN RD STE 3
Melbourne FL 32935
Phone: (321) 259-2246
Fax:
Work Description: roof over, mechanically attach 1/4" roof coverboard, and 45 mil FiberTite
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Discount due to resolution 2020-12
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
62,300.00
62,300.00
1.00
Fee Total:
Amount Paid:
Balance Due:
215.00
215.00
16.12
$446.12
$446.12
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
(ZS' 1
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Re -Roof Dry -In
In Progress
❑ Final - Building
CITY OF CAPE CANAVERAL, FLORIDA
Right of Way Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1357
ISSUED: 10/16/2020
EXPIRES: 04/14/2021
LOCATION:
OWNER:
CONTRACTOR:
5801 N ATLANTIC AVE
2447995
Zoning:
Cost: 0.00
N/A - CONDO COMMON AREA
1980 N ATLANTIC AVE
Cocoa Beach FL 32931
Phone:
Fax:
Ivy H. Smith Company LLC
5250 Triangle Parkway
Norcross GA 30092
Phone: (386) 281 6958
Fax:
Work Description: AT&T to bury 210' of proposed fiber from existing manhole along Tanker Turn Rd., south to existing handhole, via
directional bore.
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Fee Total:
Amount Paid:
Balance Due:
$50.00
$0.00
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
d
AUTHORIZED SIGNATURE / DATE
INSPECTIONS:
Final - ROW
CITY OF CAPE CANAVERAL, FLORIDA
Driveway Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1358
ISSUED: 10/23/2020
EXPIRES: 04/21/2021
LOCATION:
OWNER:
CONTRACTOR:
254 CHERIE DOWN LN
2430776
Zoning:
Cost: 5,200.00
GRINTER, WILLIAM BARRY
Phone:
Fax:
Wagner Pavers
403 HAWK ST
Rockledge FL 32955
Phone: (321) 633-5131
Fax:
Work Description: Excavation of Driveway to street and front courtyard
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Permit Valuation Fee
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
5,200.00
5,200.00
1.00
Fee Total:
Amount Paid:
Balance Due:
72.50
72.50
5.44
$150.44
$150.44
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
LdiH
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Final - Driveway
Pre -Pour
CITY OF CAPE CANAVERAL, FLORIDA
Residential Mechanical Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1359
ISSUED: 10/19/2020
EXPIRES: 04/17/2021
LOCATION:
OWNER:
CONTRACTOR:
140 OCEAN GARDEN LN
2442738
Zoning:
Cost: 6,850.00
CONNER, JAYNE M
Phone:
Fax:
American Air & Heat of Brevard Inc
4055 RIOMAR DR
Rockledge FL 32955
Phone: (321) 632-2653
Fax:
Work Description: HVAC EXACT CHANGE OUT
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Permit Valuation Fee
2.5 Percent
Standard Item
State Surcharge
6,850.00 75.00
1.00 4.00
Fee Total: $79.00
Amount Paid: $79.00
Balance Due: $0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
AUTHORIZED SIGNATURE / DATE
INSPECTIONS:
Final - Mechanical
CITY OF CAPE CANAVERAL, FLORIDA
Demolition Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1365
ISSUED: 10/02/2020
EXPIRES: 03/31/2021
LOCATION:
OWNER:
CONTRACTOR:
413 WASHINGTON AVE
2433301
Zoning:
Cost: 6,000.00
BSL REAL ESTATE LLC
Phone:
Fax:
Mark D Derman Building Contractor Inc
PO BOX 924
Cape Canaveral FL 32920
Phone: (321) 868-1003
Fax:
Work Description: Demo existing home and outbuilding to build a new single family residence on the property.
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Permit Valuation Fee
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
6,000.00
6,000.00
1.00
Fee Total:
Amount Paid:
Balance Due:
72.50
72.50
5.44
$150.44
$150.44
$0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
Utility
Final - Demo
CITY OF CAPE CANAVERAL, FLORIDA
Re -Roof Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1366
ISSUED: 10/02/2020
EXPIRES: 04/14/2021
LOCATION:
OWNER:
CONTRACTOR:
155 KING NEPTUNE LN
2443 932
Zoning:
Cost: 6,935.00
EARL, BRYAN; STAVROS, EVE
Phone:
Fax:
Kaiser Roofing Inc
130 SEMINOLE AVE
Titusville FL 32780
Phone: (321) 567-5750
Fax:
Work Description: Complete re -roof. Tear off existing roof, replace any rotten wood, dry -in using peel and stick underlayment then
installing Certainteed Shingles.
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Plan Review Income
Permit Valuation Fee
2.5 Percent
Standard Item
Standard Item
State Surcharge
6,935.00 75.00
6,935.00 75.00
1.00 5.62
Fee Total: $155.62
Amount Paid: $155.62
Balance Due: $0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
;3)
AUTHORIZED SIGNATURE / DATE
INSPECTIONS:
❑ Re -Roof Dry -In
❑ In Progress
Final - Building
CITY OF CAPE CANAVERAL, FLORIDA
Building Permit
Phone: 321-868-1220 Inspections: Schedule Online
PERMIT #: P20-1367
ISSUED: 10/13/2020
EXPIRES: 04/14/2021
LOCATION:
OWNER:
CONTRACTOR:
214 MADISON AVE
24 -37 -23 -CG -14-12
Zoning: R2
Cost: 18,400.00
DUPARSH FAMILY TRUST, THE
840 RAINTREE AVE
Rockledge FL 32955
Phone:
Fax:
HelpUBuild Services LLC
2195 N TROPICAL TRL
Merritt Island FL 32953
Phone: (321) 543-7677
Fax:
Work Description: Installing New Drywall, Interior Doors, Cabinets & Flooring, windows and doors This work is in Uniit C
Stipulations:
SUB CONTRACTOR (if applicable):
Fee Description
Fee Category
Quantity Item Total
Permit Valuation Fee
Plan Review Income
2.5 Percent
Standard Item
Standard Item
State Surcharge
18,400.00
18,400.00
1.00
105.00
105.00
7.88
Fee Total: $217.88
Amount Paid: $217.88
Balance Due: $0.00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT
ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
(ZS' 1
AUTHO ZED SIGNATURE / DATE
INSPECTIONS:
LI Dry-In/Flashing
❑ Final - Plumbing
❑ Roof/Sidewall Sheating
E Slab
❑ Pre -Power
Final - Mechanical
I Rough - Mechanical