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HomeMy WebLinkAboutBLDG PERMIT #18-0787 (Fence)City of Cape Canaveral, Florida Building Permit PERMIT #18-0787 CUSTOMER #004230 PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247 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: ' :INSPECTIONS<(for complefe'llst ofrequlred mspectlons; refer'to N_ard 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: FENCE (1) VINYL GATE (6 FT HEIGHT/133 FT LENGTH) 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�i/ �/15 ! '�I�i i, % '� ✓ ^� I_ ��li AUTHORIZED SIGNATURE / DATE PrintTt+tytz�"P':� PRINT NAME ISSUED / DATE is ... ate, ...._.. _ .� Permit #: 18-0787 Issued:3/26/2018 Address:122 Jefferson Ave Permit Type: FP Cape Canaveral FL, 32920 Cost: 2000.00 Total Fees: 146.50 PERMIT EXPIRATION DATE: 9/5/2018 Amount Paid: 146.50 Date Paid: 3/26/2018 ^- CONTRACTOR 1NFORMATION �' `` �' a� OWNER,INFORMATION� £}..tri' K' Name: Name: Keith Rhodes Addr: - Address: 138 Hidden Cove Dr Phone: Melbourne FL, 32951 State Lic#: Phone: (321) 288-4297 Local Lic#: - ..-. � _ 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: ' :INSPECTIONS<(for complefe'llst ofrequlred mspectlons; refer'to N_ard 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: FENCE (1) VINYL GATE (6 FT HEIGHT/133 FT LENGTH) 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�i/ �/15 ! '�I�i i, % '� ✓ ^� I_ ��li AUTHORIZED SIGNATURE / DATE PrintTt+tytz�"P':� PRINT NAME ISSUED / DATE is ... ate, ...._.. _ .� Building Permit Application Checklist Notes Completed Permit Application Current code edition: FL Blde. 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 hlav be deferred until C.O. Unless job is remodeling County Impact Fee receipt May be deferred until C.O. Capital Expansion Impact Fee receipt Nlaybe deferred until C.O. Sidewalk Impact Fee receipt If sidewalk exists on lot Recorded Warrant Deed / Proof of Ownership Copy of Recorded Notice of Commencement (over $2,500) Over S7,500 for Mechanical change out Current Cert. Of Liabilit y 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 Drainage Survey Four sets of Fire Su ression/S rinkler/Alarmspecifications Requires Fire Dept. approval prior to issuance ofpennit Pool•Barrier Requirement Form (signed) Pool permits will not be issued without barrier Application is hereby made to obtain a pennit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pennit 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 6th Edition (2017). I understand that all permits require inspections as indicated and that it is the responsibility of the pennit holder to notify the building department when ready for inspection(s). This pennit application is valid for 180 days from date of submission. By signing, applicant affinns 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 pennit. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT* Applicant's Name: V, f N -TV+ r)tv. Q s;-% Applicant's Signature: Date: 3 jC/j I J Site Address: L Z Zy C ki-0 e__ For Notary use only: State of Florid , o nnty of Br yard Sworn and subscribed before me this 7' day of 20�, by r o produced identification: Elis personally known to me." Seal: sniptuepuq o!Ignd NelOV -': OZOZ'9l Nenuef, 600156 j Signature -Notary NOSNi!-'.. = - ^ t ay be duplicated. MY COMMISSION # FF 951009 EXPIRES: January 18, 2020 nded Thru Notary Public Underwriters is At Large V/ dater �'% / CITY OF CAPE CANAVERAL Tracking # 233 RECEIVED BUILDING PERMIT APPLICATION Permit # MAR 0 Q0 2018 (321)868-1222 t/1S -s 6 City of Cape Canaveral Building Department - P.O Box 326 - 110 Polk Avenue - Cape Canaveral, FL 32920 You may download this application: www.cityofcapecanaveral.orm. 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: 122— Siv_ r r t"_=Iol,� 6Jt! Zoning classification: Flood Zone: Legal description of property' TwN: RNG„ SEC: SUBD: BLh: LOT: PB: PG: Property Owner Nalne: T� E-- Address: kOO(Lf-) Com, Fee Simple Titleholder's Name (ifodrerthan owner): Bonding Company: Mortgage Lender: ,f Type of Permit Brief description of work: Building Electrical Plumb' anical Other T I f1 Address: Address: Address: 2_J5 v — A fCi. Type of Square Const. Occu- FPI- lines City Sewer # of # of # of # of # of Building Feet Type pancc currently available Concrete/ stories dwel- bed- water Valuation of work Required) Name of Company: under (IA, Classifica available to to serve Asphalt ling rooms ICopeofContract closets (please roof VB, -tion serve this this Parking units indicate as Phone (office): etc) (B,RI,R3 property? property? Spaces State License No.: applicable) Phone (cell/pager.): Fax: etc) Yes/No Yes/No ommer S SF S ownhouse S Apartment S ondominim S ther S Architect/Engineer Name: Address: Name of Company: State License No.: Phone (office): Phone (cell/pager.): Fax: Primary Contractor Name: Address: Name of Company: f4 0 State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name: Address: Name of Company: State License No.: Phone (office): Phone (cell/pager.): 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: Specialty/Other Contractor Name: Address: Name of Company: . State License No.: Phone (office): Phone (cell/pager.): Fax: -ti t I 5ET �7EgA/,� SEr QE,9A e City w l.ape i. Qnwnfzl IEwED � .3 03 � view of tins plan does not authorize violation of lm:ni, smie or f d,,eral cndee. ordinances or zt;at • :-- isw - SILIX OLK, �.Q• �6, -7 • 6�J' /2E.gsJR PLAT OF SURVEY PREPARED FOR: DA14N L. HARROLD & COUN.TRYWIDE FUNDING CORPORATION & GRALLA AND NORWICH, ATTORNEYS, AS RECORDED.IN PLAT BOOK 46o., PAGE . q OF THE' PUBLIC RECORDS OF BREVARD COUNTY, FLORIDA. •a , eva E�t/G.20ACh�/�IEN .t/D �Q CERTIFICATE: I HEREBY CERTIFY THAT THE SURVEY DEPICTED HEREON IS TRUE AND CORRECT AND MEETS MINIMUM TECHNICAL STANDARDS PURSUANT TO CHAPT HH -6, F.A,C. Q S V. EDWIN MILLS, P.L.S. �g FLORIDA CERTIFICATE No. 3807. DATE OF SURVEY 8 • oi- 8� BUNCH MAPPING SCALE ` SURVUYING = 707 b1I34LETT DRIVE Suitt 204 P.O: BOX 8442 CAY'L CANAVERAL, FLORIDA 32920 (4407) 78"174