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Home My WebLink AboutBLDG PERMIT #11662t- e RECEIVED BUILDING PERMIT APPLICATION 7ft9b L57• 010 2 `50' JAN 12 2615 (321)868 -1222 Per's t-* City of Cape Canaveral Building Department - 7510 N. Atlantic Ave. - Cape Canaveral, FL 32920 You may download this application: www.cityofcapecanaveral.org. You may fax to: (321)868 -1247. All applications 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 may be required Application packages will not be accepted unless complete. APPLICANT WILL BE CALLED WHEAT 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: %f/ ZCr®,*ems -} >+� Zoning classification: Legal description of property: TWN: RNG: SEC: SUBD: BLK: LOT: Property Owner Name: 014 Phone: _ Ax Address: 'fl z ee �� < Fee Simple Titleholder's Name (ifs than owner): Address: Bonding Company: Address: Mortgage Lender. Address: Flood Zone: _ _ PB: PG: Architect/Engineer Name: Address: Type of Permit Brief description of work: Cont. Building FPL lines City sewer Electrical cf " 4_VtGe_ 2LO Abase— # of Plumbing # of State License No.: Mechanical Building Feet Other Bey Architect/Engineer Name: Address: Type of Square Cont. occn- FPL lines City sewer # of # of # of # of # of State License No.: Phone (office): M- &0- 772i Phone (cell/pager.): 3z /- 1j3/°- 10/100 Building Feet Type Bey currently available Concrete/ stories dwel bed- water Valuation of work State License No.: (please under (Lk Classifies available to to serve Asphalt State License No.: ling rooms ciasets (Copy of Cnnumd Requhvd) indicate as roof VD, -tion serve Oils this Parking units applicable) etc) (13,R1,R3 property? property? Spam � Yes/NO e i Commercial $ FR $ go Townhouse $ pw tment $ k eii r $ Architect/Engineer Name: Address: Name of Company: State License No.: Phone (office): Phone (cell/pager.): Fax: Primary Contractor Name: Address: I!Zq �afy°c Ave. Name of Co any: �P � 1 MJ293/ dra, mac, State License No.: Phone (office): M- &0- 772i Phone (cell/pager.): 3z /- 1j3/°- 10/100 Fax:. -Qk Bfcj?- ozda Electrical Contractor Name: s -A �ya Address: 3&o sy`m ice• es eyg=,f. .41fre- &��v�� /. Name of Company: -)%!/15 ;L. jr 329�V `i5i, State License No.: AR 13o j`i3�s Phone (office): 3/- 7r g- OB/y Phone (cell/pager.): Fax: M -7U- 5z73 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: y I Building Permit Application'Uheckliist Notes Completed Permit Application Current code edition: FL Bldg. Code 2010 (as revised) Current serve showin all proposed construction and landscaping Check with Bldg. Dept for setbacks r 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 defencd 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 Liabft Ins./Worker's Comp. Policy / Exemption Record will be kept on file after initial submittal Community Appeararice 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 Concuzrenqy 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 State License Authorization: Record will be kept an file after initial submittal Notify Building lgpartment of contractor changes Plumbing Contractor Plumbing Contractor Electrical Contractor Electrical Contractor Mechanical Contractor I Mechanical Contractor Roofing Contractor Roofing Contractor Sw ming Pool Contractor Swimming Pool Contractor Gas Contractor Gas Contractor Specialty /Other Contractor Specialty /Other Contractor Construction Drawings: Per F.B.C. 104 Thm setts Of sealed constrnetion drawings Per F.B.C. 104 Truss layout and reaction summary Cut sheets and shop drawings will be needed at time of insp. Electrical Load Calculations Plans must indicate person responsible for calculations Electrical Riser All new service must be looted underground Plumbing Riser Plans must indicate person responsible for design A/C la Out Plans must indicate person responsible for design Two sets Of Energy Calculations Plans must indicate person responsible for calculations Lot Drainage Surve Four sets of Fire S ression/S er /Alarm specifications Requires Fire Dept approval prior to issuance of permit Pool Barrier Requirement Form si ed 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 Flori a Building Code 2010 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 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 Contractor /Owner and has the authority to apply for this permit. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED P#4OR TO COMMENCE NT's Contractor's Name: elllfalrS 3V./ Contractor's Sign Date: b2- &1!;- Site Address: Z I2. W, 0r� a. For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this �_ day o , 20 1 by �� E'.S Printed name of Annlicant who produced identification: is personally known to me. Seal: r ,, SUSAN JUUANO .- MY COMMISSION # FF 114287 EXPIRES: April 17, 2018 •� %R! .: Bonded Tire Notary Pum Undembrs or vl,,� at-VI 911-1- Signature - No Public At Large i• Documentary Deed Tax $4,830.00 THIS INSTRUMENT PREPARED BY AND RETURN TO: Elaine Mahnke ISLAND TITLE & ESCROW AGENCY, INC. 2245 NORTH COURTENAY PKWY MERRITT ISLAND, FL 32953 File No. 14 -3889 SPACE ABOVE THIS LINE FOR RECORDING DAT THIS WARRANTY DEED, made the 31st day of October, 2014 by STUART WELCH, a single man, herein called the grantor, to CARMEN ANDERSON, unmarried whose post office address is 7912 AURORA CT, CAPE CANAVERAL, FL 32920, hereinafter called the Grantee: (Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) W I T N E S S E T H: That the grantor, for and in consideration of the sum of TEN AND 0011WS ($10.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confums unto the grantee all that certain land situate in BREVARD County, State of Florida, viz.: Lot 13, Block 24, Avon By The Sea, as per plat thereof, recorded in Plat Book 3, Page 7, of the Public Records of Brevard County, Florida. TOGETHER with that portion of the vacated right-of-way of Ocean Avenue recorded in Deed Book 345, Page 510, lying Easterly and adjacent to the platted East line of said Lot 13, Block 24, Avon By The Sea, as per plat thereof, recorded In Plat Book 3, Page 7, of the Public Records of Brevard County, Florida Subject to easements, restrictions and reservations of record and to taxes for the year 2014 and thereafter. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2013. File No.: 143889 JP - - -- . Page Two of Warranty Deed IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in the presence of: ELAINE u"KE Witness #2 Printed Name STATE OF FLORIDA COUNTY OF BREVARD STUART WELCH 25 E. HIGHLAND AVE., ATLANTIC HIGHLANDS, NJ 07716 The foregoing instrument was acknowledged before me this 31 st day of October, 2014 by STUART WELCH who is personally known to me or has produced bt&&A, U ,4W,( as identification. SEAL sue. a�e1, am E. MWM M7 COgI+RSSiDr1 t EE X5415 Notary Public EXPIRES: Apr020, 2017 �r''�oF�°e�� go�dTf�uBNdarySe�v6eea Printed Notary Name My Commission Expires: File No.: 14 -3889