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HomeMy WebLinkAboutBLDG PERMIT #72316" et v/a �_ d P PHONE: 321-868-1222 Permit #:7231 Issued: 5/12/2010 Permit Type: PLUMBING Class of Work: 434- Add./Alt. & Reroofs Res. Proposed Use: Condominiums (R-2) (3 or More) Sq. Feet: Est. Value: Cost: 1,500.00 Total Fees: 75.0 Amount Paid: Date Paid: Name: KALM, DAVE PLUMBING Addr: 8167 CANAVERAL BLVD CAPE CANAVERAL, FL 32920 Phone: (321)783-1122 Lic: CFC048308 Work Desc: INSTALL NEW CLEAN-OUT umemg INSPECTIONS & FAX: 868-1247 7231 Address: 7605 RIDGEWOOD AV CAPE CANAVERAL, FL Township: 24 Range: 37 Lot(s): Block: Section: 23 Book: 3 Page: 7 Subdivision: RIDGEWOOD CONDOMINIUMS Parcel Number: 24 3723CG 39 Name: Address: Phone: APPLICATION ACCEPTED BY: 'L-- PLANS CHECKED BY 420 TYLER AVENUE CAPE CANAVERAL, FL 32920 868-0343 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR 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 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE • IMPROVEMENTS TO YOUR PROPERTY • INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR ANY ATTORNEY BEFORE RECORPINg • • OF • TuT li 11= ► UT ISSUED BY/DATE AUTHORIZED SIGNATURE/DATE PRINTED NAME: 4--144t__ C > GO ; " Date,RECEIVE"" CITY OF CAPE CANAVERAL Tracing # � �c� c MAY 112010 BUILDING PERMIT APPLICATION Permit #, (321) 868-1222 City of Cape Canaveral Building Department 7510N, Atlantic Ave. Cape Canaveral, FL 32920 You may download this application: NAiv«-.rnNflorida.con-dcape. You may fax to: (321) 868-12=47. All applications nnlst include the backside of this form. 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, uiiless indicated otherwise b-,,, affidavit. I.D. may be required) Address of Job Site: Zoning classification: Flood Zone: Legal description of property: TWN: RNG: 31 SEC: SUM: e t�- � BLs: LOT: PB: PG: Property Owner Name: f ,CJS 5z t, e) e, na W a 0 Ic Phone: Address: Fee Simple Titleholder's Name (i other than ovner): Address: Bonding Company: Address: Mortgage Lender: Address: Type of Permit Brief description of work: Building Electrical Plumbing i Mechanical Other Type of Const. occ- FPL lines CSty Sewer Rill this Fax: Prinian7 ContractorNatue: Address: Name of Company: Building Square Type uputcy currently available structure # of # of dwel- # of bed- # of water Valuation of work Plumbing Contractor Name: I) A -v : iC Address: 1916 -1 c AA �� im u� Feet (IA, Group available to to serve have built-in stories of Company: State License No.: (please under VB, (B,Rl. serve this this gas State License No.: ling rooms closets indicate as roof etc) etc.) property? property? appliances? units applicable) Yes/No Yes/No Yes/No Commercial $ SFR $ owulrouse $ Apartment $ Condominilln $ d C ther $ Architect/Engineer Name: Address: Name of Company: State License No.: Phone (office): Phone (cell/pager.): Fax: Prinian7 ContractorNatue: Address: Name of Company: State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name: Address: Name of Company: State License No.: Ph t!office'): Phone (cell/pager.): Fax: Plumbing Contractor Name: I) A -v : iC Address: 1916 -1 c AA �� im u� ��t L,jj!�, .7-/.,.L. CL < z Name of Company: h Ai u e Z < ct e. 1,2 Last G . State License No.: C. e c,c. �, Phone (office): -7,4> 2- 2_ Phone (cell/pager.): Fax: Mechanical Contractor Name:Name Address: 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: Building Permit Application Checklist Notes Completed Permit Application Current code edition: FL BIdg. Code 2004 (as revised) 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 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 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 offour 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 insp. 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 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 he 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 2007 Edition, I understand that all permits require inspections as indicated. This permit application is valid for six months 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. Applicant's Name: EAn L�' , Applicant's Signature: �� e Date: 3� -1 . , Site Address: /Z 1191 f tLjo o/ For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this /( day of *f4c( 20 .ttb , by Hwho produced identification: ""is personally known to me. Seal:L;p no+L Notary public State of FloridaJoy Lombardi MyCommissionDD688496 Expires 08/03/2011 or Printed name of Applicant Signa re -Notary Public At Large ~ ` Address:- _�/~[>'S– 30-2-1�1�,-_ �Jl=�- Total Sq. Ft. Area):— Total Sq. Ft. (Enclosed Area): 3Di}di`gPermit based 0Dvaluation: . Total Sq. Ft. 4rpn Total Sq. Ft (Enclosed Arpn)` 2 ;oilJingPermit miscellaneous: .................................................................. .. Total Sq. Ft Area): �otolSq. Ft(Enclosed Area): lactrical.............................................................................................. ~~`–^^` 1uozbing....................................................................................... ^''~--^~-'' ` 4ec}\anica}----..-----.--...–.–..~.....---^'--------''' ;uilding Permit Plan Check Fee ..................................................................... 'ire Dept. Plan Check Fce-----------------''--------.. ,adonTrust Fund: sq. footage ................................. � .oncurrency Management Fee ....................................................................... ` Expansion Fee ---.–.–.'~–^–^--''–~~'–'----'–'^^–'–^^ Total Building Permit Fees: ...... ` SewerImpact Fee ...................................................................................... SewerTap Fee ............................................................................................ Total Sewer Permit Fees ........ BY: Date: