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: