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HomeMy WebLinkAboutBldg Permit #16-0694- 8699 Astronaut Blvd- 8/15/1608/15/16 08:55AM FLORIDA MASTERTEMP 32163824734 II. 00p.02 'Date: (R ` rrr' /ti CITY OF CAPE CANAVERAL Tracking # 1 L_ RECEIVED BUILDING PERMIT APPLICATION Permit # 1110 — ( O ct (i -- AUG 15 2016 (321)868-1222 City of Cape Canaveral Building Departntcnt - 7510 N, Atlantic Ave. • Cape Canaveral, FL 32920 You may download this application: www.cityok, catlpvu;}l,,gng, You may fax to: (321)868-1247. MI 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 fi>r the building permit, unless incilc:nted otherwise by affidavit. 1.1), may be required) Address of,Iob Site: .2 a t f 0 nck.o.LILS Zoning classification: Flood Zone: Legal description of property: •rwN: MO:.--,„,„„„�, SIX: .•.___• SLIBD: .__ _ aLK: LOT; P13, PG: �_ Property Owner Name: lir ic.4 5 , .s,j.5rc.a_ — __ _ ._._� Phone: IP t »- - t _ _ Address: J 3�3 &r iO 1, W W. !.r)C.vc.mm. ; . , N''e . . '3;93 Fee Simple Tit:leholder's Name (if den- dam owncr): Address: Bonding Company: Mortgage Lender: Address: Address: 4 Type of Permit Brierdescription of work: Coast, Type (EA, VE3, etc) ()eel,- pane), t::tassifica •tk» (13,R1,R:3 etc.) II Buildin, I of Concrete/ Asphalt Parking Splices P )i or storica 1i or dwel. ling unit.$ WI 411 M Electrical nun t_jin.g_ Mechanical Volution of work (copy or Connaf Room') Fax• __ ~^ ” $ /On laic. to Electrical Contractor Name: Name of Company: )Cr,' 41L+.z Other ' / Type of Building (please indicate as applicable) .onnnercial square Feet under root Coast, Type (EA, VE3, etc) ()eel,- pane), t::tassifica •tk» (13,R1,R:3 etc.) PPL tines currently available to serve this property? Yes/No City Sewer available 19 serve this property': Yes/No I of Concrete/ Asphalt Parking Splices P )i or storica 1i or dwel. ling unit.$ $0 or bed,. rooms If or water Closets Volution of work (copy or Connaf Room') Fax• __ ~^ •,„ ,,,; Electrical Contractor Name: Name of Company: Address: 12190.00 Fax: !'lambing Contractor Nan►e:.. . ...... Name of Company; .----, .- Address: ..�_ .�.............,..W.....w....,,...�w,.. �_._._ ..... _ __ _ ___ _ e .. _..._.......,._. State License No.: Phone (office), Phone(cell/pager.): �..�.._�...____.............._ ...............,�-.,.,_ Fax: _ _ Mechanical Contractor Name:t mobs_- - . • - Name ame of Com1pany: - yr Townhouse ........._._r (" S,j5.Pi4`,2 ....._______State License No.:t l,e ly-.-„, Phone (office): , 1--,3'-,& le (cell/pager.); ..,,,.n.H;(k ..,,., Fax: 32ta_aJI ._, ." Specialty/Other Contractor Name: Name of Company: '” $ Apartment State License No.; _. Phone (office): ___�__ !'hone (cell/pager.);,,-__, Pax: $ Condominium $ Other $ Architect/Engineer Name: Nance of Company: _ .... • Address; State License No. _____L__„,,,.___ Phone ((sifice): ,.mm j'hone (cell/pager.): ___ w- ... Fax: _ Primary Contractor Name: Name of Company: _ Address; State License No,: Phone (office): Phone (cell/pager.): Fax• __ ~^ •,„ ,,,; Electrical Contractor Name: Name of Company: Address: State License No.: _ Phone (office): Phone (cell/pager.): Fax: !'lambing Contractor Nan►e:.. . ...... Name of Company; .----, .- Address: ..�_ .�.............,..W.....w....,,...�w,.. �_._._ ..... _ __ _ ___ _ e .. _..._.......,._. State License No.: Phone (office), Phone(cell/pager.): �..�.._�...____.............._ ...............,�-.,.,_ Fax: _ _ Mechanical Contractor Name:t mobs_- - . • - Name ame of Com1pany: - yr ....?4"15 N' ..W,�..i......9. _LXOL l4 ........._._r (" S,j5.Pi4`,2 ....._______State License No.:t l,e ly-.-„, Phone (office): , 1--,3'-,& le (cell/pager.); ..,,,.n.H;(k ..,,., Fax: 32ta_aJI ._, ." Specialty/Other Contractor Name: Name of Company: Address: State License No.; _. Phone (office): ___�__ !'hone (cell/pager.);,,-__, Pax: 08/15/16 08:55AM FLORIDA MASTERTEMP 3216382473 p. 03 .�.,, Building i'ermit Aiglestien Checklist Notes Current code edition; FL Bldg, Code 2010 (as revised) Completed Permit Application Current survey showitmailm s5ec1 construction land landscl;pina Affidavit mmmm�mm� _ +C,•he k with Bldg^ beet for setbacks MWw.Y—„,�K._ _ ifowner is actiitit as contractor Notarized signature - Owner/Builder Sewer Impact free r(ceij May he deferred until C.O. Unless job is remodeling County Impact Fee receipt May be dctcrred until Co. Ca )italItix lausion !mew Fee recei of A Pim )t ”--. "µw"w Ownership over $? 50U Corn . Pplicy / 1~xem lion roust Approval — Maybe deferred until C.O. If sidewalk exists on lot _.............,.. WWW.,..,.........................�.,...W.,.—,..W.—,.,...W.......�w....,�....�" Sidewalk int actPoe receipt »..,.....w...WW.�.............w,....,.. Recorded Warranty Deed / Proof Copy of Recorded Notice of C:omme•ncement Over $7,500 I'or Mechanical change out Record will be kept on tile tfeririitial submittal —.-----.— Irtr all work vi ible from }Mille Egitt-Of-Woy Current Cert. Of Liabilit sins /Worker's ___Spriarluspiv A earance Board Plannitiand Tonin Board Site Concurrenoy.f ornia u ...... _ _ ............. pnSlruCt unitsma - For all 'new of Ain]. ore For all new construction not part of nppr�>ved site plan Record will be kept on file elleriridial submittal Primary Contractor's State License —+r Subcontractor's State License Authorisations: Plumbing f: ontractor • Eicctrical Contractor— — Record will he kept on tile atter initial submittal Notify Bathing Nominal of contractor changes Plumbing Contractor .,---.---- . ... � ------,-_--- Electrical Contractor-�'—'-- Mechanical Contractor Mechanical Contr{rotor Roofingr,Contractor Rooj Contractor Swimttrin fool Contractor Swimmin Pont Contractor -_� Gas Contractor Cias Contractor Specialty/Other Contractor Specialty/Other Contractor Per F.B.C. 104 Construction Drawings: Three sets of sealed construction drawings Per F.B.C. 104 Truss IayyOi tinct reaction summary, Electrical load Calculations Cut sheets and shop drawings will be needed of time ofinsp. Plans must indicate person responsible for calculations Electrical Riser All new service muse be located underground PlumbinRiser _ Plans must indicate person responsible fir design A/C: rout Plans must indicate person responsible for design Two sets of EnergyC:alcutations 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, f 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 PRIOR TO 00541 tk:NCEM> NT" Contr'actor's Name: '� Mc; s 'f ' �'� • Contractor's Signature: Date: Site Address: For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this 15 'i`". day of All% who pt'oduced identification: or is personally known ca"°,a,•,,,, HOPE M PERRY a Notary Public • State of Rortda Commission m FF 2311111 41, ;-� ' My Comm. Wires Aug 26, 2019,!! •: ??.41011° Poled 1LIl0UalMoral Ala I Seal: , 20.1 , by ;I�It� n4CR `L r iir"Y !l� )71 Printed name of Applicant iignature . Notary Public At Large This tbrin may be duplicated, 08/15/16 08:55AM FLORIDA MASTERTEMP 3216382473 p. 04 "1"13i.. Pi RTI www a;tiridircr,•tnry:ors Certiflcate of Product Ratin.s •r< AHRI Certified Reference Number: 7653045 Date: 8/15/2016 Product; Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: NXA460GKC" Indoor Unit Model Number: FEM4X60"81. Manufacturer: TEMPSTAR Trade/Brand name: TEMPSTAR Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY LA MD, M$, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name.; l.d SEER N.SERIES R4lOA AC ManufOlder::crietponifblo::ta'r•the rating ot,this'.systeM•coiitiainattonls';'>~>«i pS AR' :;:::;` :`` ::;' ;'' ;• Rated' fo lows in accordance with AHRI Standard 210/240.2006'fdt` limitary' Air-Coriditiontxi• ' 'arig i'r+�aouroe Heat •(Mini'p. Equipmertt•and•subjest.to verification'of.rating•accuracy'•by,AHi 1 sponsored, itigepphd@ttkthird partYle.:0 0 • . • ;fao(in" ti • r+ ,• EEFt•,';R' �tlfi' '�•�'liolin`� g'( S>wK#`tatng'(Cootlrlg)i 14:00 .• .• IEEA Rating (Cooling): • Relines, followed by an rauluri .k t') Indloute a voluntary range of previously published dela, vtlIess accompanied veal a WAS, which Uldicalt an Involuntary rotate. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes nu representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) fisted on this Certificate, AHRI expressly disclaims ail liability 'Or damages of any kind arising out Of the use or performance of the product(s), or the unauthorized alteratWn of data listed On this Certificate, Certified ratings are valid only ter models and configurations listed In the directory at www.alhridlreetory.org, TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHFU, Ws Certificate shall only be used for Individual, personal and Confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; entered WO a computer database; or otherwise utlhIa:d, in any form or manner or by any means, except for the user's individual, personal and Confidential reference. CERTIFICATE VERIFICATION The Inhumation for the model cited on this certificate can be verified at www,abridirectory,org, Cl)Ck on "Verify Certificate" Zink and anter the AHRICertified Reference Number mmol the date on which the certificate was issued, whtrh is listed above, and the Certificate No., which is listed al bottom right, .'—"""',.e••••—•_•••—••••_••••••.••_••__—•••••••••••••,,,••,—••_..__......._.....,, 02014 Air -Conditioning, Heating, and Refrigeration Institute f CERTIFICATENO„ 13115737986M 1000,, Alk•doN41TIUNING, NKANN% A REFRIGERATION IttfiTI?UTE lou ;(:AIS, Ilk Wino. "ii fli r1.