HomeMy WebLinkAboutBLDG PERMIT #6933City of Cape Canaveral, Florida
BUILDING PERMIT
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Permit #:6933 Issued: 12/17/2009
Permit Type: WINDOWS & DOORS
Class of Work: 434- Add./Alt. & Reroofs Res.
Proposed Use: Townhouse (R-3)
Sq. Feet: Est. Value:
Cost: 1,182.00 Total Fees: 112.5C
Amount Paid: Date Paid:
,'6933
Address: 122 JEFFERSON AV
CAPE CANAVERAL, FL
Township: 24 Range: 37
Lot(s):8 Block: 17 Section: 23
Book: 36 Page: 9
Subdivision: SAN TOMAS VILLAS PHASE
Parcel Number: 24 372317 8
Name: GOLDEN GATE DOOR SYSTEM, INC. Name: RHODES, KEITH G
Addr: 160 VENETIAN WAY #102 Address: 138 HIDDEN COVE DR
MERRITT ISLAND, FL 32953 MELBOURNE BCH FL 32951
Phone: (321)449-4091 Lic: WD 129 Phone: (321)288-4297
Work Desc: REPLACE GARAGE DOOR PER SUBMITTED SPECIFICATIONS
1:inIN9310[CAI l041.]A i7
APPLICATION ACC
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.
ISSUED BY/DATE
s..�t L 1 bit
HNt # phi.
U , PRIZED SIGNATURE/DATE
PRINTED N#E:� �< trgarc°vr7 a-5
Dec 17 2009 12:20PM G 321-449-9108 p-2
t• `�
CITY OF CAPE CANAVERAL Tracking4 _-2 3� �
—� -T� ---sBUILDING PERMIT APPLICATION rwmitM 2
(521) 668-1222
City of Cape Canaveral Build inf. Department I u5 polk Ave. Cape Canaveral, FL 32420
you may download this application: You may fax to; (32.1) 868-1247. All apps ieations must 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 maybe required. Application packages will not be accepted unless complete,
APPLICANT' WlILL BE CALLED WHEN PERMIT 16 READY.
(Contractor/Owner-Builder is required to sign for the building Permit, unless indicated otherwlge by affidavit, l.D. may be required)
Address of .cob Site: /C2, 7 >�"��.` L� Zoning classification: Flood Zone;
Legal description of property; TwN! RNG: SEC: - __suaD: BLK: LOT, Ps: fG:
Property Owner Name: ' Phone!_ t
Address:
Fee Simple Titleholder's Name (if"hurthan owFlcr): Addrew
Bonding Company: Address:
Mortgage Lender: Address:
Type ?f Conn. I Orr- FPL lln« ctly 5e�r cr t
Square Type upancy currently availubte structure Mor ++or Mof tint VNIuatloo ufwark
Building Feet (iA, Group avaliable to Ua sCrm hove built-in lind- bid- k
inlnscn under VB. IB.R1. scrvc this this Rao I [. rooms cioseM
ommerdal
FR
panment
Architect/Engineer Name:
Name of Company:
Address:
State License No..
Phone (office):
Phone (cell/pager.):
Pax:
Primary Contractor Name:
Name of Company:
Address:
State License No.:
Phone (ofFv.e):
Phone (cell pager.):
Fax:
Electrical Contractor Name:
Name of Company:
Address:
State Ucense No..
Phone (office);
Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Nance of Company:
Address:
State License No.:
Phone (office):
Phone (call/pager.):
Fax:
Mechanical Contractor Name:
—Name of Company:
Address.,
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/ ter Contractor Nance:Lf
Name of Company: «-61
Address: 1,60 %
State License No.: —
Phone (office):
Phone (cell/pager.);
Fax;
G:\F.ildgd7ep4Formall3P APPLICtiTION Rev. July 24, ZC06
Dec it 2009 12;2OPM G
321-449-9108 P-3
Completed Permit Application
Current cede isdition: FL Bldg, Code 2004 IRS teriseo)
Current survey showing all proposed construction and landscapinjz,
Check with Bldg, Dept, for Setbacks
Notarized signature - Owner(Builder Affidavit
If Owner is acting AscentractM
Sewer Impact Fee receipt
May bs dc(erred until C.O. Unless job is rcmodc ing
Coun Irn act Fee receipt
May t; defcrrcd until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C,O,
Sidewalk Irn act Fee receipt
If sidewalk emirrs on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement over $2,100)
over 55,000 For Mechanical change out
Current Worker's Comp. Policy / Exemption
Record will be kept on five after initial W13111 7t R1
Community AREeetrance BoardApproval
For all work ,,isible Bcm Public Rikht•Ct=way
Planning and Zoning Board Site Plan Approval
For all newconatructionaffourunitsor More
Concurmne Forms
For all new ennstruction not part arappraved site plan
Primary Contractor's State License
Record x011 be kept an file after initis) submittal
Subcontractor's Authorizations;
State License I
Record will hckept Olt We after inilialsubmittal
Notify Building Dcpartmenl of vamraclor chandos
Plumbing Contractor Plumbing Contral=r
Electrical Contractor Electrical Contractor
Mechtnnical Contractor Mechanical Contractor
Rooflniz Contractor RoofinR Contractor
Specialty/Other Contractor Specialty/other Contractor
Construction Drawings: rer rm,c, ion
Two sets crstaticd construction drawings (three sets if commercial) 'Per F.B.C. 104
Electrical Load Calculations Plans must indicate person restxrn
Electrical Riser All new sarviee must bt: located u
u Pleas must indlvate person ruapm
Two sets of Energy Calculations Planf must indit:ute pareun rcspen
Lot Drainaize Survey
to
I not ba
Application is hereby inade 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 BuildineCode 2004 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 Contracror/Owner and has the authority to apply for this perm!(,
Applicant's Name: �i �- Applicant's Signature:
Date; >r -;-
//7/0 Site Address
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this jj&/day of �20 , by
Printed name of APDlicant
who produced identification: nr
is perso I t
RDrlda
Seal:
�apnp xn;N:': -1.' "? - . Signmure-Notar}'Puplic 1�rge
'WBIdg.Dept.Form , t rhix form may be duplicated,
t+)otery PUDReState or Florida
Radelle AlWon
My Commiasion DD761t356cfj Expires 04127+2012
Address: 2--m_ 73
�UILDING PERMIT FEES:
aailding Permit per square footage: .............................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
wilding Permit based on valuation:..:.... .1.. .. 0 -zz, .....:..............
To tal Sq. Ft. (Living Area): 1 s �- 7 S7c-� 1
Total Sq. Ft. (Enclosed Area):_
wilding Permit miscellaneous: .....................................................................
Total Sq. Ft. (Living Area):
3tal Sq. Ft. (Enclosed Area):
ectrical
umbing.............................................................................:................:.....
1
Alding Permit Plan Check Fee .......................... d
re Dept. Plan Check Fee................................................................................
idon Trust Fund: sq. footage ...............................
)ncurrency Management Fee.........................................................................
LpitalExpansion Fee........................................................................................
Total Building Permit Fees:...... f f Z ev
'.VVER PERMIT FEES:
SewerImpact Fee......................................................................................
SewerTap Fee...........................................................................................
Total Sewer Permit Fees .............
By: Date:
From:CITY CAPE CANAVERAL BLDG. DEPT321 868 1247 12/18/2009 02:48 #066 P.001/001
CITY OF CAPE CANAVERAL
AUTHORIZATION FORM
City of Cape Canaveral Building Department 7510 N. Atlantic Avc. Cape Canaveral. FL 32920
(321) 868-1222
(You may download this authorization: N=% v mvflorida.corn/cape. You may fax to: (321) 868-1247.
Date Permit #:
CONTRACTORS AND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE
NOTARIZED AND SUBMIT THIS FORM WITH THE PERMIT APP(LIICATION.
Company Name: #0 Oboe Is / ���• ��
hereby authorize /
(State Uccaac Holder's Name — PUASH PRIM
(Authorized Person— PLEASE PRWr)
to obtain a permit on my behalf under my state license(s) as issued by the Department of q
Business and Professional Regulation, Construction Industry Licensing Board/,) 1 �a)O
for the job sito described below.
Roofing
Swimming Pool
Specialty Structure
Other — Specify:
An authorization w411 be required for each permit
Name of Property Owner
Address of Job Site
Signature of License Holder
For Notary use only: State of Florida, County of Brevard ,, ' /'�}
Sworn and subscribed before me this w(� day of LD�C10944. 20� by ��%�A) (9 61W IC
1iwho produced identification:
is personally known to me.
Seal: aK ^u Nota sic S� Gf Florida
ad'�18 Asht3n
M, C.oinrntssior D078165E
nn�> 04/2212012
t3:�Btdg Daptiiim orm
or
7h6 fam may be duplicatcd
Iles 17 2009 12:20PM G 321-449-910a
Brevard. County Property Appraiser-- Online Real Estate Property Card
p-4
Page I of 2
GeneruI Psrcei info rmstfilan far 24-3`-23-i r-0000410-i10018.Ulu
Parcel Id:
24-37-23 -17-00000.0-
r�lOril2o�
FA
Acres: 0.09
Millage
koc O
Exemption:
Use
Code;
135
$0
0008.00
Code•
Assessed Value Non -School.
$171,000
$132,470
Assessed Value School:
$171,000
A areas:
122 JEFFERSON AVE , CAPE CANAVERAL 32920 Acct, Tax
2435645
" Site address iavrmatton is assigned by the Brevarcl t;ourLty A00resa Assignment utnce tar ZY-t-1 purposes, tris inrormarnon may not
reflect community locatloa of property.
TaNJDfQrMg1jQ11. is evaitable atth4 Brevar Q.:ctunty ' 'u& Collector's web .,Ste
(Select the back button to return to the Property Appraiser's web site)
Owner Information
Name:EZHODES, KEITH G
Name: 1RHODES. DAWN L H/W
IMalling Address: 1138 HIDDEN COVE DR
Cltv. State, Zivcode: IMELBOURNE BCH. FL 32951
Abbreviated Descriutlon
Plat Book/Page: Sub Name: SAN TOMAS LOT
0036/0009 VILLAS PHASE II 8
ViewPlat i r ret s Adobe, Acrobat Reader -file size. _anal
be�r8.4�
***Taxable Value Non -School: 1$171,0001$132,470
** Taxable Value School: JS171,0001 S132,470
" This is the value established for ad valorem purposes in accordance with s. 193.011(1) and (8), Florida Statutes. This
valued represent anticipated selling price for the property.
*1 Exiemptictis as rcfieeted on the Value Summary table are applicable for the year shown and may or may not he
applicable if an owner chaW has occurred.
The additional exemption does not apply when calculating taxable value for school districts pursuant to amendment
1.
Sales Information
official
2008
2009
Acres: 0.09
Market Value Total:
$171,000
$132,470
ISite Code: o
Icultural Market Value:
$0
$0
Screening
Assessed Value Non -School.
$171,000
$132,470
Assessed Value School:
$171,000
$132,470
Code
Homestead Exemption,,
S0
$0
QQI
** Additional Homestead:
$0
$0
*" Other Exemptions; -
$0
$0
***Taxable Value Non -School: 1$171,0001$132,470
** Taxable Value School: JS171,0001 S132,470
" This is the value established for ad valorem purposes in accordance with s. 193.011(1) and (8), Florida Statutes. This
valued represent anticipated selling price for the property.
*1 Exiemptictis as rcfieeted on the Value Summary table are applicable for the year shown and may or may not he
applicable if an owner chaW has occurred.
The additional exemption does not apply when calculating taxable value for school districts pursuant to amendment
1.
Sales Information
official
Sete Sale
Deed
Sales
11"*** Sales
Physical
Records
Date Amount
Type
Screening
Screening
Change
Vacant/Improved
BookfFa a
Code
Source
Code
] /3998
211992 $26,900
QQI
3QJ4/3856
8/1989 576,000
WD
*2* Sales Screening Codes and Sources ate fhom analysis by the Property Appraiser's staff.
They have ►moo bearing on the prior or potential marketability of the propert}.
http:l/www.brevardproperlyappraiser.corn/asplShow_pastel. asp?acct=243 5 645 &gen=T&... 12/16(2009
Dec 17 2005 12:24PM G 321-445-9108 p-9
rdAME°
P4PRE
r;iTY
NATURE UP St Pt'IGE
I
GARAGE DOORS SERVICES
GGD- DBA -MFI
Brevard County (321) 449-4092
Vera Beach (772) 562.8526
PHOIA " r
MOCEL BER1L NO. (' ! C,Q_p,
CHARGE
PROMISCO /
r --, �`_ r ., �; Gln. , •
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r.taln
COMMENTS TOTAL
{ � rdA71!RPA3
TECHNICAL
SERE
TIME
TIME
>1
PATE COMPLETEP % TAX
ICIGN
-CASH
1
cASH OF WORK' -'110H TOTAL
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OM
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City of Cape Canaveral
PERMITTED 0
JU
I
FOR C N N
,1
PERMIT No,,,.,—,'
REVIEWED
Review of this plan os not au&;n-7e V1018tiOn Of
any local, state or fedc"al caries, oTdinanc or statute.,,
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16' 1 7' 1 7
❑
]HPURTAN
AT TIME OF HURRICANE WARNING,
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MAKE SURE POST IS SECURE
AT FLOOR AND HEADER.
MAKE SURE ALL CABLES ARE
LUUP01 AR(JlJtW PAST.
1-71
1Y J u
ALL RMLER CAMERS
AND 1010ES ARE (14 GAJ
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Dec i7 2009 12:24PM G 321-449-9108 P-14
i � l.au�� r.y yYY•u� � �..w,•vV
Date Submitted
Dace validated
Date Pending FBC Approval
®ate Approved
11-.. Y. ,vy L vrY. •..r r
iZj16/20Q8
Ci/^v7i�v^v�
Q1/14/2004
02j03120t)9,�'�
;Summary of Products
Go to Page
FL 0 1Model, Number or Name
11800,21 7400 7524 and 7825
{ L,imits of Use
Approved for use in HMHZ; No
Approved for use outside HVHZ; YCS
( Impact Resistant: No
Design Pressure: +251-25
other Approved for use outarde HVHZ
L1800.22 17400, 7524 end_;
_milts of Use
Approved for use in HVHZI No
Approved for use outslde HVHZ: Yes
Impact R@ilitant: No
Design P'ressurst +10/-Z4
Other: Approved for use outside HVHZ
11800^ 23 17S24 and 7825
_imital of use
Approved for use In HVHZ: No
Approved for use outside HVHZ: Yes
impact Rwsistentl No
Design Pressure: +37/-37
Othar¢ Approved for use outside HVZ
0 0 Paget/40 0
ap to 16' wide sectional garage door dwg 3133r 75
:n4tallation Instructions
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Verified By: Naser R. Keyvan 53779
Created by Independent Third Party: No
!valuation Reports
Created
p Eo 9' Yftde aectlanai garage ®dor dwg 1i3r20
:nstallation Instructions
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el_t18110 RD 11 iits il j4 6 7875 7524 4126.odf
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Verified By: Never R. Keyman 53774
Created by Independent Third Party: No
:valuation Reports
door dwo 310737
installation Instructions
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verified By: Naser R. Keyvan 53774
Created by JndcpenderntThird Party: No
-valuation Reports
FLi l8OD go A val .ati itodf
0.24 7524 and 71125 i
u to 18' wlae sectional ars a door aw JlunUt
Limts of Use
MOAllnU4n Instructions
roved for Live in KVHZ: No
F1 7'in00 RU IS install 702¢ 7625 747 2 412&,g
roved for use vutwide HVHZ; Yes
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act Resistant: No
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1pn Pressure; +32/-32
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er; Approved for use outside HVHZ
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Verified By: Naser R. Keyvan 53774
Created by Independent Third Party: No
Evaluation Reports
Created by Indee endent Third Party: Yes0.25
7524 and 7825
up to 16'+nide sectlonai are a doordw 10925
Instaliation Instructions
or Use
Approved for use In HVHZ; NoLjjZQ4
0 It ins all 2926 7825 752-4 4126,pdr
Approved for usa outrside HVHZ; Yrs
r-11.
i Impact Reslst>ante No
verified By: t"laser R. Keyvan 53774
Design Pressure; +75/-25
Created by Independent Third Party: No
Other; Approved far use outside HVHZ
Evaluation Report&
Created by Independent Third Party: Ye8
^to 16' wide sectional garage d_a_ar dwq. J 1103
11600.26 7524 and 7629u
Limits of Use
Installation Instruetlons
-----�� Approved for usa In HVHZ: No
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Approved for use outslde HVI+Z: Yes
1 Impact Resistant: No
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Other: Approved far Use outslde MVH?
AVerlfled By; Naser R. Keyvan 53774
Created by Independent Third Party: No
Evaluation Reports
FL11800 RO AF wal aar(on df
y
Created by independent Third Party: Yes
7end d 7925
u to 9' wide sectional era a door dw 111137
i11960.Z7
I= of Use
Instatliatlon Instructions
Approved for use in HVHZ: No
u11601; go 2�'6 767 7524 4125,otf
!
Approved ror use eutalda HVHZ: Yes
Impact Resistant, No
verified By: Naser R. Keyvan 53774
i
Design Pressure; +371-37
Creates by independent Third Paityl No
!
Otherl Appmvel for use outside HVHZ
Fvalustlnn Reports
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created by Independent Third PaKy: Yes