HomeMy WebLinkAboutBLDG PERMIT #11269 (appl & plans)Date: RECEIVED CITY OF CAPE CANAVERAL Tracking # kr- OF630
AUG 14 2014 BUILDING PERMIT APPLICATION Prinit# 1126 9—
(321)868-1222
City of Cape Canaveral Building Department - 7510 N. Atlantic Ave, - Cape Canaveral, FL 32920
You may download this application: www.cityofcapecanaveralgjg. 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 sign for the building. permit, unless indicated otherwise by affidavit, I.D. may be required)
Address of Job Site:.. kt� 9 9 L:Loocza" 81vd Zoning classification: Flood Zone:
Legal description of property: TWN: RNG: _ SEC: — SUDD: BLK: — LOT: P13: PG:
CAO -
Property Owner Narne:_ K PICA e -S
Y G c, C c) s U, —Phone:
Address: 6alaano'_ L _3
Fee Simple Titlehol der'i-Narne (if other than owner): ro 3 (3
Address:
Bonding Company: Address:
Mortgage Lender: Address:
of Perrnit I Brief description of work:
Electrical
Plumbing
Mechanical
Other
Typeof Square Const.
Occu- FPL lines City Sewer
#of
#of #of
#of
# of
Building Feet Type
pancy currently available
Concrete/
stories dwel-
be&
Water
Valuation of work
(please under (1A,
Classifica available to to serve
Asphalt
Hing
rooms
closets
(COPY of Contract Required)
indicate as roof V13,
-tion serve this this
Parking
units
applic etc)
,able)
(B,111.113 property? property?
Spaces
etc.) Yes/No Yes/No
Llrommercial
$
JSFR
ITownhouse
Apartment
Condomini nj I
$
Other
F$_
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