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HomeMy WebLinkAboutPermit #18-0151 - 7605 Ridgewood Avenue - 11/21/17 ,,'' / City of Cape Canaveral, Florida iiil, ,4:'? Building Permit PERMIT#18-0151 CUSTOMER#007570 PHONE: 321-868-1222 INSPECTIONS& FAX: 868-1247 PERMIT INFORMATION T TION1NFORMATION Permit#: 18-0151 Issued:11/21/2017 Address:7605 Ridgewood Ave Unit#6-1 Permit Type: EL Cape Canaveral FL, 32920 Cost: 1000.00 Total Fees: 124.00 PERMIT EXPIRATION DATE: 5/20/2018 Amount Paid: 124.00 Date Paid: 11/21/2017 CONTRACTOR INFORMATION OWNER INFORMATION Name: Brevard Electric & Lighting LLC Name: Daniel Smith Addr: 395 Carmine Dr Address: 7605 Ridgewood Ave Unit#6-1 Cocoa Bch, FL 32931- Cape Canaveral FL, 32920 Phone: (321)747-8428 Phone: (321)458-3965 State Lic#: EC13002865 Local Lic#: APPLICATION FEES BP-Main:60.00 BP-Plan: 30.00 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: 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: ADD FANS IN BEDROOM & LIVING ROOM, ITSALL NEW 100AMP PANEL & REWIRE LIVING ROOM AREA(DUE TO 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 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—. 4 i . G UU'(J (� ,,; ,'/d i l Iib(if 1 AUTHO•IZED SIGNATURE/DATE ISSUED/DATE Print—+ C'6– / //6"-- I1/c1!?O17 B:43 AM COY466;--5 Tat PRINT NAME l Tr' .Cr) sh ivount MA) i-;1,v.. Aiount $12LL i 4' 1 tf-, CD Date:ivev - 7) — z60 CITY OF CAPE CANAVERAL Tracking# j CO L.(' RECEIVED BUILDING PERMIT APPLICATION Permit# I r_ 015 I NOV 1 7 2017 (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.citvnfcapecanaveral.o g. 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: 76ers 4ei (j 9 c5-_ fi(—coning classification: Flood Zone: Legal description of property: TWN: R SEC: SUBD: BLK: LOT: PB: PG: Property Owner Name: <-�rtrU ea_ Ssr, ' Phone: 32 / itCP,s 6,r- Address: Ile Jr— /-1 . W ,,c I,S _-kv _// A r ea-p., Cskim.4„4„A._ 7 z25 z a Fee Simple Titleholder's Name(ifothererthan owner): Address: Bonding Company: ` Address: Mortgage Lender: 1.(__( / /1-6 44,79../2._ Address: 4 Type of Permit Brief description of work: 6uilding r Electrical i'97, .t vi --" --J` i L�s? � j L v Plumbing Ste( i't' ZOO Mechanical w ,./C,, yxP s��c� f P 4.44141t C 1 IV i ( ) Other Type of Square Const. Occu- FPL lines City Sewer #of #of #of #of #of Feet Typeane currently availableValuation of work Building pancy available to to serve Concrete/ stories dwel- bed- water (please under (IA, Classifies Asphalt ling rooms closets (Copy of Contract Required) indicate as roof VB, -tion serve this this Parking units applicable) etc) (B,RI.R3 property? property? Spaces etc.) Yes/No Yes/No Commercial $ — SFR $ Townhouse $ Apartment $ Condominium $ // tsr/b --co Other $ Architect/Engineer Name: Name of Company: Address: State License No.: Phone(office): Phone(cell/pager.):_ Fax: Primary Contractor Name: Name of Company: Address: State License No.: Phone(office): Phone(cell/pager.): Fax: / Electrical Contractor Name: 4..4, 4.612Name of Company:f' f,e.� - 24-4772ic 7 (,LC, Address: i`7 J C/4 ,tc s r C©t --_ -Gil— ke—_C_ 3S2 5 a State License No.: 1.366 a S' Phone(office): Phone(cell/pager.): . I 1N7)(2P Fax: Plumbing Contractor Name: -Name of Company: A- 0 ki, Address: State License No.: Phone(office):— Phone(cell/pager.): Fax: Mechanical Contractor Name: Name of Company: Address: State License No.: Phone(office): Phone(cell/pager.): Fax: Specialty/Other Contractor Name: Name of Conlifa.ny:•' • s. A..: .. , Address: ` State License No.: Phone(office): Phone(cell/pager.):.. Fax: 1. L -4 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 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/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: Record will be kept on file after initial submittal State License 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 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 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: , 1, �`/7 /499f Applicant's Signature: +417- 7 ,_ Date: V f.7— 26 7 Site Address: 7669S I V, W c9-o+ � (J .(#9-itl -32_S Z o Lit nit 4 I For Notary use only: State of Florida,County of Brevard i Sworn and subscribed before me this ( 7 day of /V Ou ecs.�v ,20 /7 )_,by / ►tP 44"Q Print name of Applicant ho produced identification:P.- or is personally known to me. SP;� � � �� I Ak�•. RICHARD KENDALL DAY Seal: •` My GQMMISSION#rFFf 5Y49tT ' 4�,4,!•.,/ EXPIRES Septt*mber 9,20t8 Signature-Notary Public At . ge (4•7)3S-et 53 Florid:Nota Servico.C.m is form may be duplicated. 1; 1 C) 4, X Date: " /7 - , CITY OF CAPE CANAVERAL Tracking# (p d.____________._________ BUILDING PERMIT APPLICATION Permit# r01 5 1RECEIVE® NOV 1 7 201 (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.citvofcaheca+layeralors. backside of this form and 2 sets of supporting documents. Important: Please complete the checklist on You may fax to: (321)868-1247. All applications must include the other documentation as indicated on the checklist. A copy of contract may be required. Application packages rldte. the backswill this form and runless P ges not be accepted unless 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) Legal description Site:of property: C �i� r " / p p rty: TWN: RN6 Zoning classification: Flood Zone: Property Owner Name: SEC: suBD: Address: �dC J' �, ��- ,..5's��s7 �---BLK: LOT: PB: arMitallinPr PG: Fee Simple Titleholder's N.' e Of ther`tl an owner): C tr+iv ,4�C_ P� Phone:�2 y st-p 3G 6r-- Bonding Company: a Mortgage Lender: ,A/ , / Address: Address: h? Address: © Type of Permit Brief description of work: rn i B ilding il II1 ligaMillINI II Plumbin• „!�.. Af S - 7n/ + ram v f ■ Other r -l' t 017c-e' -- Type of Square Const. Occu- FPI.lines Building Feet Type at)sewer under panty currently available #of #of #oe #of #of (please (IA, (.'lassif;ca available to to serve Concrete/ stories duvet- bed- Valuation of work indicate as roof VH, tion serve this this Asphalt lin water applicable) etc) (B,Ri,R3 Property? Parking g rooms closets (Cony orconarn Required) property? units . ommercial 11.111.....11111L......1 _ etc.= Yes/No Yes/No Spaces .SFR _� City C i C LP'' (;ana�ve, __ . ::: 11TTUD +1R LO _`�UniffeWilimirezistimaialipvimmillillilltilill�--� ,ii, ial ondominiu � Architect/Engineer Name: Address: Name of Company: State License No.: Phone(office): phone(cell/pager.):- Primary Contractor Name: "' Address: —_____-____Fax: Name of Company: �-- State License No.: _ Phone(office): phone(cell/pager.): Electrical Contractor Name: .� Fax• Address: �� - • 7- S - -- Name of Company:_ --..,e-w, State License No.: 6 -C 0� l-c-�- IL ' �`f '/C dS Phone(office): ---. . ?_g Plumbing Contractor Name: ---- -me Phone(cell/pang; ager.):221_7 47 �Zp Fax: Address: -----.-_____� Name of Company: - �, State License No.: -- ----___ __.___Phone(office):_ Phone(cell/pager.): Mechanical Contractor Name: Fax: an Address: Name of Com State License No.: Company: Phone(office): Phone(cell/pager.):Contractor Name: Fax: Address: Name of Con4 sant':- • "--- State License No.: Phone(office): (c Phone(cell/pager.):., - Fax 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 ATE: 4)00(} — — 2 0/-) (You may download this authorization form: www.cityofcapecanaveral.org) CONTRACTORS&SUB-CONTRACTORS—PLEASE HAVE YOUR SIGNATURE NOTARIZED Company Name: I1r (jA,tC C 4,fi i u,, I, , hereby authorize the person(s) below to obtain a permit on my behalf urSder my state license(s)as issued by the Department of Business Regulation, Construction Industry Licensing Board (State License Number) and Professional �Z- a 28 G,,(— 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. /64-L..L—)G • Z I / 4. 2. 5. 3. 6. I.D. IS MANDATORY TO RELEASE PERMITS SIGNATURE OF LICENSE HOLDER: 11� �4 /i 1J PRINTED NAME OF LICENSE HOLDER: //e P..,/ For Notary Use Only: State of Florida, County of Brevard Sworn and subscribed before me this /.1 day of /UaJew, / , 20/7, by /41",/, r, 'd I Who produced identification: or Personally known to me =�� T "r�; RICHARD KENDALL DAY Seal: COMMISSION #FF158490 Signature- Notary Public At Large: ` � � r lr EXPINES September 9, ,p18 407)391)r• ,;) Florid.n 1.1i3r;SBfYICB.CUI 11