HomeMy WebLinkAboutBLDG PERMIT #5260
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I' City of Cape Canaveral, Florida .. I
I ELECTRICAL PERMIT /5260 i
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I PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 ==-j
j- . PERMITINFORMATION. I LOCATION INFORMATION
r ~ermit #:5260 Issued: 8/29/2007 [ Address: 7912 AURORA CT - '--
Permit Type: ELECTRICAL , CAPE CANAVERAL, FL
Class of Work: 434- Add./Alt. & Reroofs Res. i Township: 24 Range: 37
I Proposed Use: See specific use - residential I Lot(s): Block: 30 Section: 23
Sq. Feet: Est. Value: i Book: Page: I
I~c....o........s........t....:............................... 70.0.00 Total Fees: 45.001 Subdivision: CAPE VIEW TOW NHOMES ~___I
Arnf.>unt Paid: " Date Paid: 1 Parcel Number: 24 3723CG
CONTRACTORINEORMATION I OWNER INFORMATION . .
Name: HOOG ELECTRIC COMPANY 1 Name: -WELCH, STUART ---- I
I Addr: 210 JEFFERSON AVENUE I Address: 4 CENTER STREET
CAPE CANAVERAL, FL 32920 SEA BRIGHT NJ 7732
Phone: (321 )784-2529 Lie: EROOO~842 L Phone:
~ Work Desc: INSTALLNEW200AMPRISER I' .'
APPLICATIONEEES
r"ECTRfCNEW45.00 I - · · ... .
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I'....... ............. ... . Ihspections ReqUired -.
Final Electric I 1 I
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. APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY: I
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR I
I IF CONSTRUCTtON OR \NORK IS SUSPENDED, OR ABANDQNe:D FQRAPEf3!OD OF 6 MONTHS AT Jl.NY TIME AFTER WORK 1$ STARTED. -J
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNO'vV THE SAME TO BE TRUE AND CORRECT. ALL PROViSiONS OF LAWS AND I
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
LEEREORMANr.F DE.CQNSTRIIr.TION
i 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 I
I YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF j'
I COMMFNCEMENT. .... ~I
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I r AUnjoRlzED~NA TUREIDATE I
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Date: ff; CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION
Permit #
(321) 868-1222
City of Cape Canaveral Building Deparhnent 105 Polk Ave. Cape Canaveral, FL 32920
You may download this application: www.mvflorida.com/cape. 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 WHEN PERMIT IS READY.
(Contractor/Owner-Builder is required 0 sign for the building pennit, unless indicated otherwise by affidavit. LD. may be required)
Address of Job Site: c.- / uRoi!.4 of Zoning classification: _ Flood Zone: _
Legal description of property: TWN: _ RNG: _ SEC: _ SUBD: BLK: - LOT: PB: PG: -
Property Owner Name: .s-re-,tL)&4te-rw €L-c f..- Phone: '7 J :-~- ~-Vi'; 0
Address: '79/,0 4~~/2/.J er- e" - r/
.C,
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
--J Type of Permit Brief description of work:
Building
: Electrical :.::L/J -~51'l-{~
B ~lumbmg I I
Mechamcal
Other
Type of Const. Occ- FPL lines City Sewer Will this
Square Type upancy currently available stru cture # of #of #of #of Valuation of work
--J Building Feet (lA, Group available to to serve have built-in stories dwel- bed- water
(please under VB, (B,RI, serve this this gas Hng rooms closets
indicate as roof etc) etc.) property? property? appliances? units
applicable) Yes/No Yes/No Yes/No
Commercial $
/
Y SFR $ ".., t7 <C?
/t'O .~
Townhouse $
Apartment $
'Condominiurr .'
oJ>
Other $
Architect/Engineer Name: Name of Company:
Address: -:._-~".^~.--- .
State License No.: Phone (office): Phone (ce11/pager.): Fax:
Primary Contractor Name: Name of Company:
I Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Electrical Contractor Name: 1<. .ff. i-l-~ Cr Name of Company: ~.J C- dL#r;re/;c ~?
Address: ,;2/0 .5~e:..~o,.) <4(.; Cf d:.', ,~/, ;$ 2'9 2-D
State License No.: V~Z..vvL Phone (office): "/fI'</- 2-t-z.-q Phone (ce11/pager.): ~:;Zyf{'~f?71 ~ Fax:
.
I Plumbing Contractor Name: Name of Company: I
Address:
State License No.: Phone (office): Phone (ce1l/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (ce1l/pager.): Fax:
Specialty/Other Contractor Name: Name of Company:
Address: i
State License No.: Phone (office): Phone (ce1l/pager.): Fax:
G:\Bldg.Dept.Fonns\BP APPLICATION Rev. July 20, 2006
...J Building Permit Application Checklist Notes
Completed Permit Application Current code edition: FL Bldg. Code 2004 (as revised)
Current survey showing all proposed construction and landscaping Check with Bldg. Dept. for setbacks
Notarized signature - OwnerlBuilder Affidavit If owner is acting as contractor
Sewer Impact Fee receipt May be deferred until CO. Unless job is remodeling
County Impact Fee receipt May be deferred until C.O.
Capital Expansion Impact Fee receipt Maybe deferred until C.O.
Sidewalk Impact Fee receipt Ifsidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500) Over $5,000 for Mechanical change out
Current Worker's Compo 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 offour 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: Record will be kept on file after initial submittal
State License Notify Building Department of contractor changes
Plumbing Contractor Plumbing<.:::ontractor/. .......
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
Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104
Electrical Load Calculations Plans must indicate person responsible for calculations
Electrical Riser All new service must be located underground
Plumbing Kiser Plans must indicate person responsible for design
NC 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 Suppression/Sprinlderli\larm specifications Requires Fire Dept. approval prior to iSSUa!lCe of permit
Pool Barrier Requirement Form (signed) 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 alllav/s regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the
Florida Building Code 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 Contractor/Owner and has the authority to apply for this permit.
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Applicant's ame: . if-. -H-tnJG Applicant's Signature: {;l/~$
Date: Site Address: 'Ji/l? A l//C-eJ/Z-4, (!l+',
PAr NAt<:>ru ""'" Anhr' "+n+~ ~+Fl~n';r~ r~n~+... ~+D_~...n_...l
.....'-'..1. ...L'f'-'L-Il.W.J u~,",v..u~y. lJ~V.J.. .lV.lua.,,,"-,VU.liLYVJ..JJlvVa,lU
Sworn and subscribed before me thiS:21 day of /L.J5c.JS-r , 20 01 , by eo b iiCX?9'
Printecrhame of Applicant
~ :vho produced identificati~n~ ~ _ _ or
o..,s-y P(l4~ Notary Public State of Florida
~ .... A ': Joy Lombardi /- h<
Seal: ~ cY., 1 My CommIssion D0688496 ~/ C;P'C ~
"9~ or;...o<1i' Expires 08/03/2011 y s/O ~
Ignature - Notary ublic At Large
G:\Bldg.DepUormsIBP APPLICATION Rev. July 20,2006 This form may be duplicated