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Home My WebLink AboutBLDG PERMIT #11043t Date: CITY OF CAPE CANAVERAL BUILDING PERMIT APPLICATION Tracking # Permit # 11043 (321)868-1222 City of Cape Canaveral Building Department - 7510 N. Atlantic Ave. - Cape Canaveral, FL 32920 You may download this application: www.ciI3ofcapecanaveral.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 WHEN PERMIT IS READY (Contractor/Owner-Builder is required to sigh for th7building permit, unless indicated otherwise by affidavit. I.D. may be required) Address of Job Site: r (ogol r�s /;� f 1 e3i u.�. '��, Zoning classification: Flood Zone: Legal description Of prop : T": RNG: SEC: SUBD: BLK: LOT: PB: PG: Property O Mme. Od Phone: '3M -i2! - do -36 Address: �j Fee Simple Titleholder's Name (if other than owner): Address: Bonding Company: Address: Mortgage Lender: Address: Type of Permit Brief description of work: Building qt® cam. S Electrical E.0 - Plumbing Mechanical Other Type of Square Const. Occu- FPL lines City Sewer # of # of # of # of # of 'J BUII(�mg Feet T Type anc P Y currently available Concrete/ stories dwel- bed- Valuation of work water (please under (IA, Classifica available to to serve Asphalt ling rooms closets (Copy of contract acquired) indicate as roof VB, -tion serve this this Parkin g units Specialty/Other Contractor Name: Address: applicable) etc) (B,R1,R3 � Property. � property. Spaces etc.) Yes/NO Yes/No Commercial toou ti $ SFR Townhouse $ Apartment $ Condomini $ Other II Architect/Engineer Name: Address: Name of Company: State License No.: Phone ( ffice): Phone (cell/pager.): ax: Primary Contractor e: Address: �71n Name of Com any: • State License No.: C_5'l' T Phone (office): ft ? —&jftf Phone (cell/pager.): Fax: Electrical Contractor Name: Address: elt& An e_i® La. coc®� Name of Company: 32g3( State License No.: Phone (office)* Phone (cell/pager.): Fax: 7,?�(_• 33CL5 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: G:,BIdg.Dept. Pcmns�Building Pennit Applicatiou Rev. May 16, 2012 '0W 1r ; 4 Building Permit Application Checklist Notes Completed Permit Application Current code edition: FL Bldg. Code 2010 (as revised) 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 May be deferred until C.O. 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 If sidewalk exists on tot 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 Liability 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 insp. 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 Suppression/Sprinkler/Alarm specifications Requires Fire Dept. approval prior to issuance 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 all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida 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. A *ALL OTHER APPLI LE STATE OR EDERAL PERMITS MUST BE OBTRI O N Contractor' Name: Contractor's�SSignature: Date: Site Address: G l > +� For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this 2 / day of ®, 20 d %, by Printed name of Atmlicant H-4ho produced identification: or is personally known to me. .;�,iS•W� P�.o= JOYI.OMSARDI Seal: *: '? MY COMMISSION I EE 094753 = O-V'f EXPIRES: August 3, 2015 qp; ?•• Bonded 7hru Notary Pubfic Underwhers G:1131de.Dept.Fomis\ Building Penunt : pp ication-77—M7", 2012 Z/ -6, 1 Signature - Notary Public At Large This form may be duplicated. s Address: BUILDING PERMIT FEES: Building Permit per square footage: ........................................................ 11043 Total Sq. Ft. (Living Asea): Total Sq. Ft. (Enclosed Area): Building Permit based on valuation: ...............17.44V.49-... 610 .®....................... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): BuildingPermit miscellaneous: ..................................................................... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Electrical.....................................................................:...................................... Plumbing.......................................................................................................:..... Mechanical ............................ ............................................................... ............... Building Permit Plan Check Fee..................................................................... Fire Dept. Plan Check Fee .......t..................................................................... Radon Trust Fund: sq. footage ............................... `A ConcurrencyManagement Fee......................................................................... CapitalExpansion Fee........................................................................................ Total Building Permit Fees:...... SEWER PERMIT FEES: SewerImpact Fee....................................,................................................ SewerTap Fee....................................................................................... Total Sewer Permit Fees ............. By: Date: / �� Joy Lombardi From: John Cunningham <jcunningham@ccvfd.org> Sent: Tuesday, June 17, 2014 2:06 PM To: Joy Lombardi Cc: Gary Stepalavich Subject: RE: Demo Interior Walls - Commercial Joy, We have reviewed the permit and have no comments at this time, Thank you From: Joy Lombardi fmailto:J.Lombardi@cityofcapgmnaveral.org] Sent: Friday, June 13, 2014 10:57 AM To: John Cunningham Cc: Gary Stepalavich Subject: Demo Interior Walls - Commercial Johnny, Do you need to review this? Joy Joy Lombardi Senior Secretaryl Permit Tech City of Cape Canaveral 7510 N. AtlanticAve.iP.O. Box 326 City of Cape Canaveral, FL 32920 e-mail.- 1. Lombardinay, yofcapecanaveral org Phone (321)868-1222 Fax (321)868-1247 www az oWecanaveral.o "Customer Service Above & Beyond" Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic email to this entity. Instead, contact our office by phone or in writing Florida has a very broad public records law. As a result, any written communication created or received by the City of Cape Canaveral officials and employees will be made available to the public and/or media upon request, unless otherwise exempt. Under Florida Law, email addresses are public records. If you do not want your email •J. Bell Electic, Inc. J. Bell Electic, Inc. 321-784-1072 p.2 321-784-1072 p.1 CITY OF CAPE CANAVERAL AUTHORIZATION FORINT Cfty of Cap,*. Cvmvessl BuQd1ng Dcpuw ml 7510N. A4ande Ave. Cape Canaveral. FL 32920 (3Z1) 558-11222 (You may downlwW this stdhaAmtion: wr vwAtvafc anavei.oYa u mayfax to: (321) 868•-1247. 17►ate: �' Permit CONTRAC': ORS AND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE NOTARIZED AND S'UBMiT THIS FORM WITH THE PERMIT APPLICATION. Company t I, To % herebyauthorixe (SmaeLieeasa •slSame—AtEASEPti1N71 (Au0w&W?man —FLYA5LPRMT) to obtain a permit on my behalf under rely state liewse(s) as issued by the Aepamr em of Business and Professional Regulon, Construction Industry Licensing Board 0 f 39 1 ' {StstaLicertaeNu�ebei+�o�l for the jab site described below. Aire authorization Will be required for ew-k permit Build'unlg Plumbing ,. electrical •• �.:•. •. Medlanicsl hoofing swimming Pool ' Specialty Structure Other -- Specify: 'Name of Property Owner Address of job Site gaatnxe of License Holder f4A/y• . „ b . h For Noury use only. State of Florida. County of8mard Swc, and subsoibed before me this . day of g—r . . 200 y __., by Nwe erA,ppli mil %vho produced idcatificatiou: or is parsonally known to me. —_-- QVI'MPAULA 0. WELLS e_ CGIMN sloe s EE 972708 seal: Endres FaWM 7.2017 �_ e1Mftl'fh++LyF�Mr...w�u G!0dBMe;PUFoMMMhmi=hGM Fmm M-372 This *=may bn duplleuld. 100/t00a Rd 3SWAGHS V83 060189818E XYA 61:Z1 vloz/EZ/90