HomeMy WebLinkAboutBLDG PERMIT #18-0302 (PANEL/WIRING - HURRICANE DAMAGE) UNIT #8-1City of Cape Canaveral, Florida
Building Permit
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
PERMIT #18-0302
CUSTOMER #007700
BP -Main: 75.00 BP -Plan: 37.50 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 Imapct:
Temp CO: Capital Expansion: Sewer Tap:
Concurrency:
-'-.1-,'11INSPEC-T.ION$ (for complete lest of`'required Inspections refer to Haid Car"d)
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: CHANGE PANEL & CORRECT WIRING ISSUES FROM HURRICANE DAMAGE.
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 YOURPAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
If YOUR NOTICE OF COMMENCEMENT.
j 6l (Jfj r III
Sign &Date -41Z
AUTHORIZED SIGNATURE / DATE ISSUED / DATE
Print //"40�'d 5
PRINT NAME 01iU c�1i7 11:cc ='': C, 1700 X46`50
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SEE ' Ly0AT1ON INFORIIIATJONw"';
Permit #: 18-0302 Issued:1/2/2018
Address:7605 Ridgewood Ave Unit #8-1
Permit Type: EL
Cape Canaveral FL, 32920
Cost: 1500.00 Total Fees: 146.50
PERMIT EXPIRATION DATE: 7/1/2018
Amount Paid: 146.50 Date Paid: 1/2/2018
CONTRAfG70RINFORMATION -
__ .... __ v......
01NNER2INFORMATIONr
Name: Thomas Electrical Contractors LLC
Name: Charles & Sheridan Buhrman
Addr: 2828 Fountainhead Blvd
Address: 25 South Main St
Melbourne, FL 32935-
Plymouth NH, 03264
Phone: (603)490-3111
Phone: (603) 254-3326
State Lic#:
Local Lic#: 17 -EL -CT -00011
APPLICATION
BP -Main: 75.00 BP -Plan: 37.50 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 Imapct:
Temp CO: Capital Expansion: Sewer Tap:
Concurrency:
-'-.1-,'11INSPEC-T.ION$ (for complete lest of`'required Inspections refer to Haid Car"d)
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: CHANGE PANEL & CORRECT WIRING ISSUES FROM HURRICANE DAMAGE.
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 YOURPAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING
If YOUR NOTICE OF COMMENCEMENT.
j 6l (Jfj r III
Sign &Date -41Z
AUTHORIZED SIGNATURE / DATE ISSUED / DATE
Print //"40�'d 5
PRINT NAME 01iU c�1i7 11:cc ='': C, 1700 X46`50
Casenaur
ru, T .,,moi' iL= G�
Date z i 1
� 1416 -SO
..Tracking.#- /
Permit #
0 --
CITY OF CAPE CANAVERAL .
BUILDING PERMIT APPLICATION
nil; (3.21)868-1222
City of Cape Canaveral Building Department - P.0 Box 326- 110 Pblk Avenue -Cape Canaveral, FL 32920
You may download this application: www.cityof apecahaveral.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 1S 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:,7u US Q�t lu=wOu'A I\u U fx,t'" E Zoning classification: Flood Zone:
Legal description of property: TWN: RNG: SEC: SUBD: BLIC: LOT: PB: PG:
Property Owner Name: �� kC U h m. A j Phone: Ub3 t tq p- 31 I I
Address:
Fee Simple Titleholder's Name (if otberthan owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Type of Permit Brief description of work:
Building
ElectricalI iL sues , tow+
Plumbing
Mechanical
Other
Type of
Square
Const.
Occu-
FPL lines
City Sewer
# of
# of , #•of
# of ti of
Building
Feet
yp
Type
ane
p y
currently
available
Concrete/
stories dwel-
Valuation of work
bed- water
(please
under
(IA,
Classifica
available to
to serve
Asphalt
ling
-rooms - -closets (Copy or contract Required)
indicate
roof
VB,
-tion
serve this
this
Parking
units
Phone (office):
applicable)
Fax-.-
ax:Specialty/Other
etc)
(B,Rl,R3
property?
property?
Spaces
Phone (office)-
Phone (cell/pager;):;:.;
etc:)
Yes/No
Yes/No
Commercial
$
SFR
$
Townhouse
$
Apartment
$
Condominiu
$
ther
I$
Architect/Engineer Name:
Address:
Name of Company:
State License No.:
Phone (officti):
Phone (cell/pager.):
Fax:
Primary Contractor Name:.
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Electrical Contractor Name: M-1 lA5 1 o vyv A _
Address - C a �, k a 1 �v
Name of Com -rt-'g
11�T h �• 19 —:� --
State License 3 b yS
Phone (office):
Phone (cell/pager.):7�2. l $ct 6- 7aD.S Fax.-
Plumbing Contractor Name:
Address:
Name of Company:, ... '
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No;:
Phone (office):
Phone (cell/pager):
Fax-.-
ax:Specialty/Other
Specialty/OtherContractor Name:
Address:
Name of Company:
State License`No.:
Phone (office)-
Phone (cell/pager;):;:.;
NA
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
May be deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk lm act 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 / Exemption
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 part of approved site plan
Primary Contractor's State License
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'Draina a Survey
Four sets of Fire Suppression/Sprinkler/Alarm specifications . .
Requires Fire Dept, approval prior to issuance of permit
Pool Barrier Requirement Form (signed)
Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. 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 5th Edition. I understand that all permits require inspections as indicated and that itis 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 OBTAINE • R TO COMMENCEMENT*
Applicant's Name: M--Q\`e5 r Applicant's Signature:
Date: Site Address: %66% 1U7ewcodaxi um,7'148
For Notary use only: State of Florida, County of B,d
Sworn and subscribed before me this day of 20 by
�p 3F `�� or dinted name of Applicant
who produced identification: 11� 1
I-1 's personally known to me.
Seal:
PO,
,/c, GINGERWR1GHl' -
* * MY COMMISSIM d FF 158994 Si ure - tary Public At Large
EXPIRES: January 12, 2019
r�?pf��oa`9p B0ndedThrU8UdgelNoWry&ervkes This form may be duplicated.
Datek2 CITY OF CAPE CANAVERAL . Tracking �Z �_
i'v:,`U BUILDING PERMIT APPLICATION Permit #� e�
7. ;'j (321)868-1222
City of Cape Canaveral Building Department - P.O Box 326 - 110 Polk Avenue - Cape Canaveral, FL 32920
You may download this application: www.cit. ofcapecahaveral or . You may fax to: (321)868-1247. All applications must include the
backside -of this form and 2 sets of supe-orting documents. Important: Please complete the checklist on -the back of this form and provide
other documentation as indicated on the checklisf. A copy of contract may be required. Application} packages will not lie accepted unless
complete.
APPLICANT WILL BE CALLED WHEN PERMITIS.READY
(Contractor/Owner=Builder is required to sign for the building permit; unless'indicated ottierrrise by.affidavit. T:D. maybe required)
Address of Job Site- OS . Q4 t1.�,o��a �u a n.,� Zoning classification: Flood Zone;
Legal description.of property: TWN:RNGs SEC: SUBD: BLK: LOT: PB: PG:
Property Owner Name:., t IL�� v h fr M n Phone:
Address:_
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address: _
Mortgage Lender: Address: C)
,f Type of Permit Brief description of work:
Building
Electrical
Plumbing
Mechanical
Other
Type of
Square
Const.
Occu- FPI• lines
City Sewer
# of # of .
# of
# of (1 of
Building
Feet
Type
pancy currently
available
Concrete/ stories
dwel-
bed- water Valuation of work
(Please
under
(IA,
Classifica available to
to serve
Asphalt -
ling
rooms �- •closets (Copy dIntrad Required)
indicate
roof
VB,
-tion serve this
this
Parking
units
Mechanical Contractor Name:
Address:
Name of Company:
etc)
(B,RirR3 property?
property?
Spaces
Fax:
Specialty/Other Contractor Name:
Address:
applicable)
Name of Company:
etc.) Yes(NO
Yes/No
Phone (cell/pager.):
Fax:': ,' .
Commercial
Ed Cil W
$
SFR
PE 1 D
Townhouse
P .RMio.
$
Apartment
7lWV_1rW_j I D
$
ondominiti
n au
nze vto a o
$
then
c
� , MallicuTes
-r s annc ,
g
Architect/Engineer Name:
Address:
Name of Company: -
State License No.:
Phone (office):
Phone (cell/pager.):
Fax -
Primary Contractor Name:.
Address:
Name of Company:
State License No.:
Phone ('office):
_
Phone (cell/pager.):
Fax:
Electrical Contractor Name: M, 'A Les
Address:F-9j''j C c� v n. n . n
1 o :M to Name of Company: -Tt,\,a.i A a
c, v nub �-, L 3,5- 'i .
k ,6 ci ;, oqi btz5
State License No.�-_ R-1'0\5 3 YS
Phone (office):
_
Phdne (celUpager.):":�2 t7
` ci 6-7a;aSFax:
Plumbing Contractor Name:
Address:
Name of Company:.
State License No.:
Phone (office):
'Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No::
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:': ,' .