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BLDG PERMIT #18-1295 (A/C)
City of Cape Canaveral, Florida Building Permit PERMIT #18-1295 CUSTOMER #007123 PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247 PERMIT INFORMATION LOCATION INFORMATION Permit #: 18-1295 Issued:6/8/2018 Address:7605 Ridgewood Ave Unit #17-1 Permit Type: MER Cape Canaveral FL, 32920 Cost: 3100.00 Total Fees: 204.25 PERMIT EXPIRATION DATE: 12/5/2018 Amount Paid: 204.25 Date Paid: 6/8/2018 CONTRACTOR INFORMATION OWNER INFORMATION Name: All Brevard Air & Heat LLC Name: Charlotte Calicchio Addr: 6205 Banyan St Address: 7605 Ridgewood Ave Unit #17-1 Cocoa, FL 32927- Cape Canaveral FL, 32920 Phone: (321)362-2099 Phone: (423) 278-4687 State Lic#: CAC1818842 Local Lic#: APPLICATION FEES BP -Main: 85.00 BP -Plan: 0.00 After the Fact: 85.00 BP -Surcharge: 4.25 Fire Plan Review: 0.00 Re Inspection Fee Paid: 0.00 Plan Revision Fee: 0.00 Plumbing: Mechanical: Date Plan Revision Fee Paid: Electrical: Sewer Imapct: Temp CO: Capital Expansion: Sewer Tap: Concurrency: INSPECTIONS (for complete list of required inspections refer to Hard Card) 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: A/C CHANGE OUT (1.5 TON), NO DUCTWORK 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 COMMENCEMENT. Sign & Date —= L �I –�% ... ,,a . tit AU H RIZED SIGNATURE / DATE ISSUED / DATE Print 's PRINT N ME E�:: :. 2i C2�hL lircunt s0. 00 Amount .$20q. L� oio Applicati n Fee: $30.00 CITY OF CAPE CANAVERAL 4. Permit #100 POLK AVENUE CAPE CANAVERAL, FL 32920 Tracking #(321) 868-1220 phone (321) 868-1247 fax Application Date:buildingforms@cityofcapecanaveral.org 1< Pennit Total: APPLICATION FOR BUILDING PERMIT Florida Building Code in effect: 61h Edition PROPERTY INFORMATION JUN 0 8 2018 TWP: RNG: SEC: SUB r: BLK/PAR: LOT: Site Address:'JANIC_ # Street/ city Zip Owner's Name: Tel hds tan— Ca 1I CCA 0 C ",r( a -9 P_ q7-3 - 2?8' `>tle V7 La" / first �^ Telephone Number Owner's Address: -700S'2Idat Wood Av– 1 (-.1 lG�►tet t�r� Zip CONTRACTOR'S INF'' FORMATION (APPLICANT) 'r Qualifier Name: 4kelS /i 0_` (1<A � C $ i 18,4 a Last _ First _ 1 License # Company Name: Address: 310 L•%• t a r01 A /��✓.� � C� Ld9- 3 2rl 2 7 # Street (,it\ lir Phone #: E -Mail: PROJECT INFORMATION "Residential ❑ Commercial /Site Plan #: Describe Work To Be Done:/ u(2—k dil, a✓ U 6 Cost of Project: $ -510 O Proposed Sq. Ft.: (copyof contract required) SUBCONTRACTOR INFORMATION: (total neNs construction) PRINT FIRST & LAS"h NANIL Plumbing: License: Phone: Electric License v. Phone: HVAC 'l �- 0 a fWG( Lravrsr �y Phone:I31v2,ZCJC(I Roofing: License =: Phone: Specialty: License #: Phone: FORM DATE: 3'26'2018 PAGE 1 of FORM: Ai,hi Site Address: Owner's Name: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE YOU SCHEDULE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Intl. ** NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county or that may be required from other governmental entities such as water management district, state agencies or federal agencies. APPLICANT'S AFFIDAVIT Application is hereby made to obtain a permit to do the work and installations as indicated. I acknowledge and accept responsibility for compliance with all applicable codes, regulations and ordinances as well as the payment of all legally constituted fees regarding this development application, including but not limited to ALL REVIEW FEES, PERMIT FEES, IMPACT FEES AND RESERVATION FEES. azzjnL Ajs��, Name (Print): Owner/Agent/Contractor ignature: Owner nt/Contractor Date: /I - 9--t'T State of Florida County of Brevard Subscribed and sworn to before me this(ff)-lday of d , personally appeared who is personally known to me or pro uced as identification, and who did/did not Notary Public Sig t�i KAREN HUTCHINSON MY COMMISSION N FF 951009 a EXPIRES: January 18, 2020 Seal "• ' r f ;�? Bonded Thru Notary Pudic Underwriters DISCLAIMER: The City of Cape Canaveral's approval of this development permit does not create any right for the permittee to obtain a permit from a state or federal agency. Further, pursuant to section 166.033, Florida Statutes, the City of Cape Canaveral shall not be liable for issuance of this development permit in the event a permittee fails to obtain any other required approval, fails to fulfill obligations imposed by a state or federal agency, or undertakes actions that result in a violation of state or federal law. The issuance of this development permit is expressly conditioned upon the permittee obtaining all other applicable state orfederal permits, if any, prior to the commencement of the development authorifed by the City's development permit. FINAL INSPECTION IS !SEQNIREN Failure to obtain a final inspection may result in a penalty. FOR\] DATE: '_'6;"_'018 Ilm;i 2 o1 2 FORM: API'I. A� D D D SALES - SERVICE - INSTALLATION CAC 1818842 PROPOSAL www.AlIBrevardAirandHeat.com 321-634-2659 Sales & Service Proposal submitted to: Date: ❑ Manufacturer Street: (Billing Address) Street: (Job location, if different) . /6v R i,C4� e VY ;e -#- Tons City, State, Zip Code City, State, Zip Code .,av�r�i ❑ Phone Home Work Phone Location L42- ? 3- 72' Evap. Coil # We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications set forth in this proposal. OPTION #1 _ ElManufacturer ... C % C11�Q17j ❑ C.U./pkg. Model # w<A y 18'Uyj{�fons 1� ❑ A.H.U. Model # VVAH I J& K.W. ❑ Furnace # B.T.U.H ❑ Evap. Coil # SEER I i4 PIPING - Use existing: Yes No ❑ Suction Line ❑ Liquid Line ❑ Condensate Drain ❑ Galvanized steel line cover Yes No ❑ Other CONTROLS El New Thermostat Model.! { v ��1 ❑ Other ELECTRICAL ❑ Connect to existing circuits ❑ New inside/outside disconnect or breaker amps ❑ New electrical wiring to new a/c units including proper breakers, piping and switches. Total Price .......................................$ .00 FPL Discount ..................................$ .00 Other $ .00 Dicounts r $ .00 Net Amount ...................... .-$x.00 Net Amount if paid by check/cash $ .00 Signatur ompry, {- Signet r A ` t �L✓� Date: (Customer) This Proposal may be withdrawn by us if not accepted within _ days from this date. All Warranty work will be done during regular business hours. OPTION #2 ❑ Manufacturer ❑ C.U./pkg. Model # Tons ❑ A.H.U. Model # K.W. ❑ Furnace # B.T.U.H ❑ Evap. Coil # SEER MISCELLANEOUS ITEMS COV)d bb l ❑ WARRANTIES © Labor warranty years; Parts warranty L.-_ years ED Compressor warranty by manufacturer years 0% Interest with Approved Credit 0% APR 36 Equal Payments required $ .00 monthly investment 0% APR 48 Equal Payments required $ .00 monthly investment 0% APR 60 Equal Payments required $ .00 monthly investment It is agreed and understood by the parties that all equipment and parts which are sold pursuant hereto shall not become fixtures or part of the real estate where they are placed. Said parts and equipment shall at all times remain personal property and the title thereto shall remain in the seller until payment in full is recieved. Buyer hereby agrees that all parts and equipment may be repossessed in the event of non-payment. 1 have authority to order the work as outlined above. I agree to pay all costs and reasonable attorney's fees if this proposal is placed in the hands of an attorney for collection.