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
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ISSUED / DATE
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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�
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Name:
Name: Keith Rhodes
Addr: -
Address: 138 Hidden Cove Dr
Phone:
Melbourne FL, 32951
State Lic#:
Phone: (321) 288-4297
Local Lic#:
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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
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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:
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City w l.ape i. Qnwnfzl
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view of tins plan does not authorize violation of
lm:ni, smie or f d,,eral cndee. ordinances or zt;at • :--
isw - SILIX OLK,
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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