HomeMy WebLinkAboutBLDG PERMIT #18-0535 (Pool deck)City of Cape Canaveral, Florida
Building Permit
PERMIT #18-0535
CUSTOMER #007884
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
$- .,:P �INFORMATIONt,, = ;
LOCATIO�N�INFORNIATION * r -
-Amit
: _
Permit #: 18-0535 Issued:2/14/2018
Address:7605 Ridgewood Ave (common area)
Permit Type: DECK
Cape Canaveral FL, 32920
Cost: 4600.00 Total Fees: 169.00
PERMIT EXPIRATION DATE: 8/13/2018
Amount Paid: 169.00 Date Paid: 2/14/2018
CONTRACTORFINFORMATIONE
OWNER INFO" T-1IOIV f j
Name: CJ's General Contracting Inc
Name: Ridgewood Condominiums
Addr: 561 Dream Ave SE
Address: P.O. Box 510842
Palm Bay, FL 32909-
Mellbourne Beach FL, 32951-0842
Phone: (321)213-4410
Phone: (321) 784-8660
State Lic#: CGC1509293
Local Lic#:
APPLICATION,FEE_S` x 5 f t
BP -Main: 90.00 BP -Plan: 45.00 After the Fact: 0.00
BP -Surcharge: 4.00 Fire Plan Review: 0.00 Re Inspection Fee Paid: 0.00
Plan Revision Fee: 30.00 Plumbing: Mechanical:
Date Plan Revision Fee Paid: Electrical: Sewer lmapct:
Temp CO: Capital Expansion: Sewer Tap:
Concurrencv:
INSPECTIONSr(for complete: list of;required inspections refer to Hard Card), .. i
NOTE: Once an inspection is approved by an authorized inspector the permit expiration date is extended six (6) months
from date of inspection.
Permit Desc: EXTEND & WIDEN POOL CONCRETE DECK
INSPECTION APPROVED BY: DATE:
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 COMMENCEME
Sign & Date11 y
A ORIZED SIGNATURE E ISSUED / DATE
Print —� o N , ` L� ce-1i s
PRINT NAME Ocl' }.' 1-
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Datej bs-/ CITY OF CAPE CIANAVEF AL Tracking # `
RECEIVED BUILDING PERMIT APPLICATION C 3S
JAN 25 2018 (321)868-1222
City of Cape Canaveral Building Department - P.O Box 326 - 110 Polk Avenue - Cape Canaveral, F1.32920
You may download this application: www.cityofcapecanaveral.org. You may fax to: (321)868-1247. All applications must include the
backside of this form and 2 sets of supporting documents. Important: Please complete the checklist on the back of this form and provide
other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless
complete.
APPLICANT WILL 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: 7 !c'O5 RIDa,- btloep AUE Zoning classification: Flood Zone:
Legal description of property: jwN: Rl\G: SEC: 23 SUBD: BLK: LOT: PB: PG:
Property Owner Name: a'gt�mda Co,s o/l'rit/� ii•w AMP
11" f-- Phone: dei/- 1�5�' X66 e
Address:
Fee Simple Titleholder's Name (if othertllanowner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
q Type of Permit Brief description of work:
Building 5X: EAfo 1AA,0Cr4 P664 0J54;,k G��.uc,zLiE
Electrical
Plumbing
Mechanical
Other
Type f
yp o
Sq uare
Const
Occu-
FPL lines
City Sewer
# of
# of # of # of
# of Valua6000fwork
�f Building
Feet
Type
pancy
currently
available
to
Concrete/
stories dwel- bed-
water
(Copy or Contract Requncd)
Name of Company:
under
(IA,
Classi5ca
available to
serve
Asp halt
ling rooms
�
closets
(please
-roof
VB,
-tion
serve this
this
Parldng
units
indicate as
Phone (office):
etc)
(B Rl,R3
Property"•
9
spaces
State License No.:
applicable),,
Phone (cell/pager-):
Fax:
etc.)
Yes/No
YesMo
ommercial
$
$
FR
$
Townhouse
S
jment
$
ondominiu
$
her
Architect/Engineer Name:
Address:
AIA
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Name: -z,
Address: 5'6-1 OrCAm
ftARso/V
5'4 R!j
Name of Company: C i rS 6AAIERAL
Ifo iJtfAC:E#P11�,X,
State License No.:Cmc,166 92413/66 92413
Phone (office):
Phone (cell/pager.):14- Z/ 3/y/6
Fax:
Electrical Contractor Name:
Address:
;VA
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Address:
IUA
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
i7/.i
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address:
AlA
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager-):
Fax:
J Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code Fifth Edition (2014)
Current survey showing all proposed construction and landscaping
Check with Bldg. Dept. for setbacks
Notarized signature — Owner/Builder Affidavit
If owner is acting as contractor
Sewer Impact Fee receipt
May be deferred until C.O. Unless job is remodeling
County Impact Fee receipt
Maybe deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
If sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over $7,500 for Mechanical change out
Current Cert. Of Liability Ins./Worker's Comp. Policy / Exem tion
Record will be kept on file after initial submittal
Community Appearance Board Approval
For all work visible from Public Right -Of -Way
Planning and Zoning Board Site Plan Approval
For all new construction of four units or more
Concurrency Forms
For all new construction not pari of approved site plan
r/ Primary Contractor's State License C C Q 3
Record will be kept on file after initial submittal
Subcontractor's Authorizations'
State License
Record will be kept on file after initial submittal
Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
Roofing Contractor Roofing Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings:
Per F.B.C. 104
Three sets of sealed construction drawings
Per F.B.C. 104
Truss layout and reaction summary
Cut sheets and shop drawings will be needed at time of inspection
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
All new service must be located underground
Plumbing Riser
Plans must indicate person responsible for design
A/C layout
Plans must indicate person responsible for design
Two sets of Energy Calculations
Plans must indicate person responsible for calculations
Lot Drainage Storey
Four sets of Fire Supp ression/S rinkler/A]arm specifications
Requires Fire Dept. approval prior to issuance of permit
Pool Barrier Requirement Form (signed)
Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all
laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida
Building; Code 6th Edition (2017). 1 understand that all permits require inspections as indicated and that it is the
responsibility of the permit holder to notify the building department when ready for inspection(s). This permit application is
valid for 180 days from date of submission. By signing, applicant affirms that all above is true and correct and that he/she is
an authorized agent of the Contractor/Owner and has the authority to apply for this permit.
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT*
Applicant's Name: �L�<fo� /� �EARSaN Applicant's Signature: ( �'—
Date• /— a X -aOl s, Site Address: %e' S `.Qg6 C,41-aw- /It:....
z
For Notary use only: State of Florida, County of Brevard
Swom and subscribed before me this day of , 20�, by Z�Ej F- .4 e-5
Printed name of Applicant
w o produced identification: or
is personally known to me.
MARY TERRY
Seal: My COMMISSION 1 FF 9a693p-
EXPIRES: Apr1130, 202p signature - Wouuy Public At .arge
^hP�P Bonded rims Notary Public Underwriters
This form may be duplicated.
®cFN m8m%,, OR BK 8075 PAGE 2421.
a U Recorded 01/234/201'0 at 01:51 PM, Scat Ellis, Clerk of Courts,
Permit No_: "5113f5lio No.: o..._..� r .....
#Z
NOTICE OF COMMENCEMENT Pgs1
State of Florida
County of Brevard
The undersigned hereby gives notice that improvement will be made to certain mal property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: 7605 Ridgewood Ave Cape Canaveral Florida 32920 24 3723-CG-39-7.XA
(legal description of the property, and street address if available)
2. General description of improvement Extend 1 Widen Pool Derck
�L 3. Owner information or L.cssec information if the Lcssec contracted for the improvement:
_-...�, a. Name and complete address: wDcenr000 CONDO OF CAPE CANAVERAL 7GOs .Z��yCwoa ,t7yi: a!!4 076 04'A-10 vef fel
as 4J�
b. interest in property:
c. Name and complete address of fee simple titleholder.
(if different from Owner listed above):
4. Contractor Information/Person responsible for the improvement
a. Contractor: CLIFFORD PEARSON 561 DREAM AVE SE PALM ABY FLORIDA 32909
b. Contractor's phone number: 321-2134410
5. Surety (if applicable, a copy of the payment bond is attached):
a. Name and complete address:
b. Phone number:
c. Amount of bond: S
(name and complete address)
NA
6. a. Lender. NA
(name and complete address)
b. Lender's phone number:
7. Persons within the State of Florida designated by Owner upon who notices or other documents maybe served as provided by Section 713.13(1) (a) 7, Florida
Statutes:
a. Name and complete address:
b. Phone numbers of designated persons:
8. a. In addition to himself or herself, Owner designates NA
of to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida
Statutes_
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement
a different date is specified).
expiration date will be I year from the date of recording unless
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF T11 NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR tMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO..MMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMIMENCEMEN'T.
(Signature of Owner or , or Owner's or Lessee's Authorized
Officcr/Di rec tor/Partner/Ma nager)
(Signatory'sTitle/Office)
The foregoing instrument knowledged before me this -?,3 day of S .~'/4!9-12 20
by (name person) as r Z_ (type of authority,c.g. officer,
trustee, attorney in fact) for le, � of p y on b a1f of whom instrument was executed).
(Signature of Notary P is - to of Florida)
,%WY P4� MARILYN A FUGERM/N (Print, Type, or Stamp Commissioned Name of N ry Public)
w * M' COWISSION 11 FF 915690 Personally Known OR Produced Identification
PW
t EXPIRES: Sept6rtlber2p,2019
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Page 1 of 3
CJ's General Contracting Inc.
CCC1 509293
561 Dream Ave. S6 Palm Bay, Florida 32909
Telephone 321-213-4410
This Construction Contract is made effective as of January 22, 2018 by and between
RIDGEWOOD CONDO OF CAPE CANAN F,RAi .florida 32920 and CTS GENERAL
CONTRAC"11NO INC. ("CTS") .
Contractor desires to provide Construction services to thvner and Ov ner desires to obtain
such services from Contractor.
THEREI'ORE, in consideration of the mutual promises set forth below, the parties agree as
follows:
SITE LOCATION: REDGEWOOD CONDO OF CAPE CANAVERAi, 7605
Ridgewood Ave. Cape Canaveral, Florida 32920
rn
CVm
SCOPE:
M
• Extend and Mden pool deck per approved plan
c.')
This includes building and construction materials, requisite labor and site security, and all
o m
m p
necessary tools and machinery needed for completion of construction.
TOTAL: OST ' 54600:00
PAYN .NT. Payment shall be made to Cd'S GENERA -L CONTRAC11, IG INC. In
histallmCts as follows;
50% DUE. UPON SIGNING OF CON'MACT -52300.00
HALAh`CE UPON COMPLETION - S2300.00
PERMITS: The Contractor shall obtain all neccssary building permits. The Contractor
shall apply for and obtain any other necetisary permits and licenses required by the local
municipal/county government to do the work, the cost thereof shall be included as part of
the Payment to the Contractor under this Contract.
INSURANCE. The Contractor shall maintain general liability insurance, workers
compensation insurance and builder's risk insurance for injury to or death of person,
7605 Ridgewood Ave, Cape Canaveral Fl. 32920
https://presentations.yesware.com/ec9l7a3f6c2aa9l360125 I ed9fd6ca45e48e18ed/f595267... 2/12/2018
Concrete.pdf
injuries or death suffered in accident and property damage and shall provide owner with
proof ol'such insurance.
INDEA1NIFICATION. CTS agrees to indemnify and hold owner harmless from all
claims, losses, expense -q, fres including attorney fees, costs, and judgments that may be
asserted against the owner that result from the acts or omis_%ions of CYS and/or 0'9's
employees. agents, or representatives.
FREF ACCESS TO WORKSITE, The Owner will allow free access to work areas fur
workers and vehicles and will allow areas for the storage of materials and debris.
Driveways will be kept clear for the movement of vehicles daring work hours. The
Contractor will make reasonable efforts to protect driveways, lawns, shrubs, and other
vegetation. The Conlractor also agrees to keep the Worksite clean and orderly and to
remove all debris as needed during the hours of work in order to maintain work conditions
which do not cause health or safety hazards.
UTHATIFS. The Owner shat) provide and maintain wmter and electrical service, Owner
shall, at Owner's expense permit the contractor to use, at no cost, power and water
necessary to the carrying out and completion of the work.
INSPECTION. The Owner shall have the right to inspect all work performed under this
Contract. All work that needs to be inspected or tested and certified by the engineer as a
condition of any government departments or other state agency, or inspected and certified
by the local health officer, shall be done at each necessary stage before further construction
can continue.
ENTIRE CONTRACT. `Phis Contract contains the entire contract of the panics, and there
are no other promises or conditions in any other contract whether oral or written
concerning the subject matter of this Contract. This Contract supersedes any prior written
or oral agreements between the parties.
AiVIF:N\'AMENT. This Contract may be modified or amended in waiting, if the writing is
signed by the party obligated under the amendment.
Owner:
Kidgewood Condo Association
By: �. � v �S . 'AP L
Owner/Agent
Contractor:
CYS GENERAL CONTRACTING INC.
r
Ey:
CLIFF6M) PEARSON
President
7605 Ridgewood Ave, Cape Canaveral Fl. 32920
Page 2 of 3
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City of Cape Canaveral
ANNUAL AUTHORIZATION FORM
City of Cape Canaveral Building Department / 110 Polk Ave, Cape Canaveral, FL 32920
Office: (321) 868-1222 / Fax: (321) 868-1247
DATE: - iY-,x C' l r
(You may download this authorization form: www.cityofcapecan averal.oriz)
CONTRACTORS & SUB -CONTRACTORS - PLEASE HAVE YOUR SIGNATURE NOTARIZED
i
Company Name: C �S�/Vr��2� �'o�r�+�'�iN =►•�c,
D 11*rA/Zs oA , hereby authorize the person(s) below to obtain a permit
on my behalf under my state license(s) as issued by the Department of Business and Professional
Regulation, Construction Industry Licensing Board (state License Number) e --
This
This Authorization will be good for one calendar year and it will be the sole responsibility of the
Contractor to inform the City of Cape Canaveral Building Department of any changes. It will be the sole
responsibility of the Contractor to renew this form annually. The City of Cape Canaveral will not be held
responsible for any permits leaving this office by any and all persons listed below while this document is
in effect. The City of Cape Canaveral will not be held responsible for renewal of this document.
1.Sy,tJ,r: i r LJ l -S 4.
2.
3.
61
Il
I.D. IS MANDATORY TO RELEASE PERMITS
SIGNATURE OF LICENSE HOLDER:
PRINTED NAME OF LICENSE HOLDER: �A(Z S76 -,"q
For Notary Use Only: State of Florida, County of Brevard
Sworn and subscribed before me this day of 201 by �1 id 12 U1�1
Who produced identification: �\ u br
0 Personally known to me
Seal: otary Public At Lar
, O--eo
J74NAV®KSNotary Public - 6tata 1 Florida
commission N GG 169698
=My comm. Expires Nov 13, 2021
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CITY OF CAPE CANAVERAL
INSPECTION HARD CARD
A O
BUILDING DEPARTtNIIENT24-HOUR INSPECTION LINE
(321) 868-1204
(3 21) —1) 868-1770 _ _t _ - (Request before 4:00 P.:N7. for next day inspection)
"WARNING TO OWNER": YOUR FAILURE TO RECORD A NOTICE OF
COMMENCENIENT 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
NO INSPECTION WILL BE PERFORMED UNLESS THIS CARD IS POSTED INA CONSPICUOUS LOCATION. PROTECTED FROrN] THE
WEATHER AND ACCESSIBLE -1-0 THE INSPECTOR. STREET NUi\IBER OF PROJECT MUST BE POSTED. NO INSPECTIONS WILL BE
WADE WITHOUT APPROVED, CITY-ST;At IPED PLANS AND SPECIFICATIONS AVAILABLE AT THE JOB SITE. CITY ORDINANCE
ALLOWS CONSTRUCTION NOISE BETWEEN 7A.iNL-7P.NL i\IONDAY-SATURDAY ONLY (34-1-54). NOTICE: IN ADDITION TO THE
REQUIREiNIENTS OF -1 -1 -IIS PERiVI1T, THERE NIA)"BE ADDITIONAL RESTRICTION'S APPLICABLE TO THIS PROPERTI' THAT NIAI'
BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE NIAI' BE ADDITIONAL PERi\IITS REQUIRED FROM OTHER
GOVERN`itMENTAL ENTITIES SUCH AS WATER i\IAN.AGENIENT DISTRICTS. STATE AGENCIES. OR FEDERAL AGENCIES.
DATE: V�_Ilwlt BUILDER: CJ'S GENERAL CONTRACTING INC
WORK TYPE: EXTEND & WIDEN POOL, CONCRETE DECK
PERMIT NO: 18-0535 ADDRESS: 7605 Ridgewood Ave (common area)
INSPECTI0N DATE
APV'D
INSPECTION DATE APV'D
PRE-POUR (Drivcs%av/si1n/pnst)
V,
❑
RE -ROOF: NAILING AFFIDAVIT
❑ FOOTING
❑
RE -ROOF: DRY -IN
❑ UNDERGROUND PLUiNIBING
❑
ROOF COVERING IN -PROGRESS
❑ SLAB (No inspection Nvithout an
approved Form Board Survey-)
❑
POOL: STEEL AND GROUND
❑ 1`r LINTEL
❑
POOL: DECK
❑ NVINDOW AND DOOR BUCKS
❑
POOL: SAFETY BARRIER
❑ ROOF/SIDE\VALL SHEATHING
❑
TIE -DOWN
❑ FRANIING
❑
!MECHANICAL
❑ INSULATION
❑
ELECTRICAL
❑ DRYWALL (Firewalls nail.)
❑
PRE -POWER
❑E:IR� T:�PING
_:.:
❑
PLUiNIBING
NOTICE OF CO!NUM ENCE!NI ENT —
RECEIVED
CAPE CANAVERAL PUBLIC WORKS
1 (321) 868-1240
❑
SE\VER TAP
❑
DRIVEWAY (Sidewalks required)
CAPE CANAVERAL. FIRE DEPT.
(321) 783-4777
❑
PROVIDE LADDER
❑ FIRE SPRINKLER SYSTEi)i.
❑ F1 RE ALARM SYSTEM
❑
SITE Fli\`AL
❑ FIRE SUPPRESSION S1'SfENI
r
-FINAL (Required for all permits)
NO INSPECTION WILL BE PERFORMED UNLESS THIS CARD IS POSTED INA CONSPICUOUS LOCATION. PROTECTED FROrN] THE
WEATHER AND ACCESSIBLE -1-0 THE INSPECTOR. STREET NUi\IBER OF PROJECT MUST BE POSTED. NO INSPECTIONS WILL BE
WADE WITHOUT APPROVED, CITY-ST;At IPED PLANS AND SPECIFICATIONS AVAILABLE AT THE JOB SITE. CITY ORDINANCE
ALLOWS CONSTRUCTION NOISE BETWEEN 7A.iNL-7P.NL i\IONDAY-SATURDAY ONLY (34-1-54). NOTICE: IN ADDITION TO THE
REQUIREiNIENTS OF -1 -1 -IIS PERiVI1T, THERE NIA)"BE ADDITIONAL RESTRICTION'S APPLICABLE TO THIS PROPERTI' THAT NIAI'
BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE NIAI' BE ADDITIONAL PERi\IITS REQUIRED FROM OTHER
GOVERN`itMENTAL ENTITIES SUCH AS WATER i\IAN.AGENIENT DISTRICTS. STATE AGENCIES. OR FEDERAL AGENCIES.
DATE: V�_Ilwlt BUILDER: CJ'S GENERAL CONTRACTING INC
WORK TYPE: EXTEND & WIDEN POOL, CONCRETE DECK
PERMIT NO: 18-0535 ADDRESS: 7605 Ridgewood Ave (common area)