HomeMy WebLinkAboutBLDG PERMIT #19-1515 (Fence) 8/12/19 E AMO
•-
f
City of Cape Canaveral, Florida
I tl
an
Building Permit
PERMIT#19-1515
GT W
CAM A"` CUSTOMER#002083
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
PERMIT INFORMATION LOCATION INFORMATION
Permit#: 19-1515 Issued:8/12/2019 Address:116 Jefferson Ave
Permit Type: FP Cape Canaveral FL, 32920
Cost: 2364.00 Total Fees: 229.88 PERMIT EXPIRATION DATE: 1/6/2020
Amount Paid: 229.88 Date Paid: 8/12/2019
CONTRACTOR INFORMATION OWNER INFORMATION
Name:Secure Fence & Rail LLC Name: Brian Hersom (Hersom-Taylor Trust)
Addr: 7635 S Hwy 1 Address: 116 Jefferson Ave
Titusville, FL 32780- Cape Canaveral FL, 32920
Phone: (321)338-7868 Phone: (321) 698-6641
State Lic#:
Local Lic#: 14-FE-CT-00044 j
APPLICATION FEES
BP-Main: 130.00 BP-Plan: 65.00 After the Fact:0.00
BP-Surcharge:4.88 Fire Plan Review:0.00 Re Inspection Fee Paid:0.00
Plan Revision Fee: Plumbing: Mechanical:
Date Plan Revision Fee Paid: Electrical: Sewer Imapct:
Temp CO: Capital Expansion: Sewer Tap:
Concurrency: Application Fee:30.00
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: INSTALL WOODEN FENCE (APPROX 68FT LENGHT)
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.
ptudi A
Sign&Date OR
1 ?
AUTHO IZED SIGNATURE/ DATE ISSUED/DATE
Print hd)()1
PRINT NAME 06/i2/019 3:1'4 PM 0O`5702C
Total MO]
Cash Amount $00.CO
CK 61576 Amount $2
.EE1
,
I11
, _
. $- ,71,2 ci 8_ ey
_ _ .. .
...__..
A' .r ation Fee: $30.00
A, CITY OF CAPE CANAVERAL
' 100 POLK AVENUE tiiPermit# �r'
ti4,,.. CAPE CANAVERAL,FL 32920 Tracking#
•(321)868-1220 phone (321)868-1247 fax i' /io
buildingforms@cityofcapecanaveral.org Application Date:
APPLICATION FOR BUILDING PERMIT
Florida Building Code in effect: 6th Edition
PROPERTY INFORMATION
TWP: RNG: SEC: SUB. y #: BLK/PAR: LOT:
Site Address: 1 L (Qfr- an I ue- ., 1.A/. r IM •
# Street City Zip
Owner's Name: SCrYN—Tay toy-Trust L L " tZ$(�(0b4 t
Last Filo 7;51 onneNuumber
Owner's Address: "LL 5 A banal t, Ver 6/vd. coei tl e�e-, 2 c
3i
# Street City Zip
CONTRACTOR'S INFORMATION (APPLICANT)
Qualifier Name: Jacobs, Kenneth. 14-FE-CT-00044
Last First License#
Company Name: Secure Fence and Rail, LLC. /
Address: 2300 Columbia Blvd. Titusville, FL. 32780
t; Street City Zip
Fax#: 321-567-3471 Phone#: 321-338-7868
E-Mail: tayloresecurefenceandrail.com
PROJECT INFORMATION )(Residential ❑(Commercial Site Plan#:
Describe Work To Be Done: ( QLQ 8 AA t OT l o 1 LtiGo 6tii C.• __
Cost of Project:SCR 3(02-1- Proposed Sq.Ft.:
(copyof contract required) (total new construction)
SUBCONTRACTOR INFORMATION:
PRINT FIRST&LAST NAME
Plumbing: License#: Phone:
i
Electrical: License#: Phone: €
}NAC: License#: Phone:
Roofing: License#: Phone: .
Specialty: License IL Phone:
t
FORM DATE: 3/26/2018 PAGE 1 of 2 APPL
.�__r .__ - _, __ .-�__.._.�._ ._.. _. _. __ ._ _ FORM: ..__._.
•
Site Address: t ' kP iC(Pa-son
Owner's Name: tACKSOrn � i3r O �-
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE YOU
SCHEDULE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT Intl 'JJ
** NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county or that may be required
from other governmental entities such as water management district,state agencies or federal agencies.
APPLICANT'S AFFIDAVIT
Application is hereby made to obtain a permit to do the work and installations as indicated. I acknowledge
and accept responsibility for compliance with all applicable codes,regulations and ordinances as well as the
payment of all legally constituted fees regarding this development application, including but not limited to
ALL P. IEW FEES,PERMIT FEES,IMPACT FEES AND ' SERVA/ O. FEES.
(
S s(1e: Con ractor Signature: Owit:• (Agent
Date: Loll 1 ' q Date: to t
State of Florida State of Florida
County of Brevard County of Brevard
Subscribed and sworn to before me this -7 day Subscribed and sworn to before me this -7 day
of J(_51"--L ,2619 , personally of J(f v-'4-- , 2-1)1 ej , personally
appeared KFNNFTH JACOBS JR. appeared 5flat/ -/-erSOn
who is personally known to me or produced who is personally known to me or produced
as identification, 2e— as identification,
and hi ,/'did not ,ke an oath, rand o 'did nota n oath.
4
Notary Public Signature 0
�111igi ' Notary Public Signature
,\ 0� ASO,,, M i BiiAi/?
,g,,,
Seal `.�am•, Ol ASeal 0CLOjARf ,
nnv comm.EOe's _ ti FresAlive
2,2023 29 _
322120 — i3 20
` Sia
pUB0G0��0�� PUB\-
,(1)
OF fry,\\\ .,STAf Of ;O`\�
FINAL INSPECTION IS OE NEN Failure to obtain a final inspectionniraki-Oeblt‘in a penalty.
FORM DATE: 3/26/2018 PAGE 2 of 2 FORM: APPL
•
. ; C(SDfm
A✓Gil/69•rH�-5E�3 � 9N To 9h v/GGAy r-
a.e.3 .'G. 7 B. -34 �-q6 - /3
1
- .q-,/.'• Ia". 2
SEr .?CRAP I' /., ' -./r i.:•;:e i
4
/o'P.U. 'O E.
r EEe4ij.
I\ -.PAJ.p
W WIII 20.0'
0 o N•
` � d 0�1 13
.91
•K e 3 IV, .Ea r I 9
a.
0 O 1; 20.0' --•-` QI
I J ko w
5 s'• ' �.o'
, o
v 1° U
IL
2oO' I (I`
ol t)0
•
Nye• ,, s Q
N' 00 �
oer NI
. .6e4,e • e4,o Adz--0.55•44,A.%8g' tie'o�"w
'
c- -, - ' •'t/ M 0,64
V(/J
Z ( 46-,e/m4
FLAT-OF SURVEY PREPARED FOR; CARROLL A. & CLARISSA CLARKE
e•or 5 , s.sv ror7405 4,/ee444e, 4.4"./••• Sl"
AS RECORDED IN PLAT BOOK leo,PAGE 9 OF THE PUBLIC RECORDS OF
BREVARD COUNTY, FLORIDA.
.aEn.eiae' •CEGei2 To to40 i74477
7•v&.✓o• 8o'-7/a✓ 9-0/-84.
44 6s- 4CHMt,vrr, ,;/off
CERTIFICATE:• DATE OF
I HEREBY CERTIFY THAT THE SURVEY DEPICTED SURVEY BEACH 11A,PING
HEREON IS TRUE AND CORRECT MD MEETS 6'0/-B
MIN
/NUN SVItVISrXI.11TGr •
CHNICAL STANDARDS PURSUANT TO SCALE AND
CHAPT 1 -6, P.A.C.
4,, // °/ / /-ZO' 707!IDD
I
[IV8
Os00
P.O.110K
V.EDWIN MIW.ALe. CAPS CANAVE4A1..P11.O1 IA
sumo
FLORIDA CERTIFICATE No. J1307 •007}788-111711
•
City of Cape CanaVCral
PERMITTED FOR 4 S •TRU' T 1`I
PERMIT No. I ,
REVIEWED .
;:,view of this plan does not authorize violation of
k c•i!.hair ru'fe.ie,d codes.ordinances 1e •r?': '