HomeMy WebLinkAboutBLDG PERMIT #4329
City of Cape Canaveral, Florida
BUILDING PERMIT ~329 I
i PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 I
Ih :PERMITINFORMATION............iii.iN[ . ... ......... ... .... ......... . ... L.OCATfONINFORMATION I
Permit #:4329 Issued: 6/19/2006 I" Address: 8699 ASTRONAUT BLVD
Permit Type: SIGN PERMIT I CAPE CANAVERAL, FL
I Class of Work: NEW INSTALLATION I Township: Range:
1.!PfOPosed Use: I lot(s): Block: Section:
Sq. Feet: Est. Value: I Book: Page:
Cost: 75.00 Total Fees: 25.00 Subdivision:
~~id: ... ... .Da~paid:__J.. Parcel Number: 24371500.778
CONTRACTOR..INFORMATIONi....... i.' OWNER' INFORMATION
IName:OWNER/BUILDER- Name: LAGGES, KVRIACOS
Addr: Address: 6811 N US HWY 1
. COCOA FL 32927
I Phone: lie: OWNER/BUILDER I Phone: .
I Work Desc: IE:~P()B'!\B'( i3,!\f\Jf\JE:BJ ~Vj\)EcC a4#1'- . :JJ)LY all' ~ )
, APPLICATION FEES
sUlLDlNGUNDER$2000 25.oo'i .--- I
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II...N.. lri$p~c;tiOri$.Re.quil'ed .
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APPUCATION~CCEPTED l:3Y:' 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
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND 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 PERFORMANCE OF CONSTRUCTION.
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
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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From:CITY CAPE CANAVERAL BLDG. DEPT321 868 1247 05/11/2006 05:11 #026 P.001/002
CITY OF CAPE CANA VERAL
BUILDING PERMIT APPLICATION
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canav~al, FL 32920
I 'l\ '.. l'l (321) 868-1222 9
Date: La'- \- Uw Permit #
(You may download this application: www,mvflorida.com/cape. You may fax to: (321) 868-1247.
Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as
indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Own~-Builda is required to sign for the building pennit, unless indicated otherwise by affidavit. I.D. may be rcquirc:d)
Address of Job Site:
Legal description of property: TWN: _ RNt _ SEe: _ SUED: BLK: ____ LOT: ~ PB: _____________ po: ___
Name of Property Owner: C\~\r\;e, 110IQ42,S Property owner phone number: 3~J,. 7f/ij~cr;q7
Address of Property Owner: 4Q()";. N,. rr;;:74:,.j ANA l\ClvC"-R- JSL.'-'D elf!;. 32.Q31
Community Appearance Board approval date: Site Plan approval date:
~ Type ofPemrit Brief description of work:
Buildin
Electrical
Plumbin
Mechanical
Other '("'"":
Type of I Square I ""O'18t. I "" -.... . # ofdwellil1g #of I fiof I ' Total valuation of work I
I v . I tt"V.L
~ Building Feet Type stories units bedrooms bathroolllB
Commercial $
SFR $
Townhouse $
Apartment $
Condominium $
.V Other 1!J. # ~C; $ rt.6.(90
Architect/Engineer: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (celllpager.): Fax:
Primary Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Electrical Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): phone (cell/pager.): Fax:
Plumbing Contractor: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pageL): Fax: I
Mechanical Contractor: Name of Qualifier:
Addresg;
State License No.: Phone (office): Phone (cell/pager.): ,Pax:
Specialty/O~k-~~!>C)?ntractor ,\A;Ot{V1Q;~. bv " ' \ WI/\Jt\4L Name Qf Qualifier;-
Address: n nq "'1 N J..\'::5 f"(i ~\Ol.lA{- Y:b l Ji;t "5;\-1.2.. a, r, , ~ , \
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From:CITY CAPE CANAVERAL BLDG. DEPT321 868 1247 05/11/2006 05:11 #026 P.002/002
9
.y Building Permit Applitation Checklist (general requirements) Notes
Completed Permit Application Current code edition: FL Bldg. Code 2004 (as revised)
Cuttent sUIVey showing all proposed construction Also show any existing structures, ell3emenf:s, utilities, etc.
Notarized signature - Owner/Builder Affidavit If owner is acting as contnlcto.
Sewer Impact Fee receipt May be deferred until C.O. Unless job is remodeling
County Impact Fee receipt May-be-dafe!rec:l-wtH-€.e.------------------- --------
Capital Expansion Impact Fee receipt Maybe deferred until C.O.
Side~a1klinpactFeereceipt If sidewlllk eltist9 on lot
Recorded Warrantv Deed I Proof of Ownership
CODV of Recorded Notice of Commencement (over $2,500) Prior to first inspection (Over $5,000 for Mechanical)
Current Worker's Camp. Policy / Ext'1.IIlption Record w.l1I be kept on file after initial submittal
Community Appearance Board Approval }lOT work visible from Public Right-of.Way
Planning and Zoning Board Sire Plan Approval For new constl'UOtion of four units or more
Concut.ten.cyFo.i'.OiS - - - For new construction not part ofBpprovca site plan
Primary Contractor's State License Record will. be kept on file after initial submittal
Sllbcontractor's , Authorizations: Record. will be kel't on 1i1e lifterilrl1ial submittal
State License Notif:Y Bulld.i1'l.g nq,ari:ment of contractorchangee
Plumbing Contractor Plumbing Contractor c.
Electrical Contractor Electrical Contractor -
Mechanical Contractor Mechanical Contractor
Roofi.n~ Contractor Roofin\! Contractor
Swimmin~ 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) Pa F.B.C. 104
Electrical Load Calcuiations
Electrical Riser AU new services must be:: located undt:rground
Plumbiruz Riser
AlC lavout
Two sets of Energy Calculations
Four sets of Fire SuppressionlSorinklerl Alarm Specifications Reauires Fire Deoartment review and aonroval
Lot DramalZe Survev
Pool Barrier Reauirement 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
and laws regulating construction in this jurisdiction. By signing, applicant aff1Il11S that all above is tIUe and correct
and that helshe is an authorized agent of the Contractor and the Owner and has uthority to apply for this permit.
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Applicant's Name: \'''- [> ~ ,,",,"",, ',"
<::---~ ~"~ trc}., N(Vvt JL::::::> Applicant's Signature: '/
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Date: Address:
For Notary use only: State of Florida, County of Brevard -~
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:sworn and sUbscribed betore me thisl (Pfi day of :'1 A-' [.....,' '<.,j . 20L)i'P , by --J J!/M{ (!tL/ ltt{ ljJ!lS
D whop Name of Applicant
or
lid-- is pers
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Seal: /U X- / ~K .."
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