HomeMy WebLinkAboutBLDG PERMIT #6929City of Cape Canaveral, Florida
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BUILDING PERMIT /6929
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
FERIIIT INFt�F.MATI®N_ .. _
LC?CATft'3N INFORM
ATI
Permit #:6929 Issued: 12/16/2009 Address: 8699 ASTRONAUT BLVD
Permit Type: SIGN PERMIT CAPE CANAVERAL, FL
Class of Work: REPAIR/REPLACE Township: 24 Range: 37
Proposed Use: BUSINESS Lot(s): 4 Block: Section: 15
Sq. Feet: Est. Value: Book: Page:
Cost: 1,000.00 Total Fees: 60.001 Subdivision: N/A
Amount Paid. Date Paid: Parcel Number: 24 371500 778
i3N1"RACT0R''INF09MATC0N ?WNERN i3RMATION
Name: BERRY SIGNS, INC. Name. LAGGES, KYRIACOS
Addr: 1740 HUNTINGTON LANE SUITE #100 Address: 6811 N US HWY 1
ROCKLEDGE, FL 32955 COCOA FL 32927
Phone: 321)631-6150 Lic: ET11000613 Phone:
Work Desc: REPLACE SIGN FACE (KELSEY'S)
ARPI_ICAT ON FEES...
BUILDING UNDER 2K 60.00
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pect'ions Re+ trire�#_
Final (-
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APPLICATION ACCEPTED BY: PLANS CHECKED Bl P&--- _ ARPR.OU€D B`�
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.
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.
1
ISSUED /DATE THORIZED SIGNATURE/DATE
PRINTED A E: g
�J
I V CITY OF CAPE CANAVERAL Tra king # Of r r;2 3
DEC 16 2009 BUILDING PERMIT APPLICATION Pere# 6929
(321) 868-1222
Ciq of Cape Canaveral Building Department 7510N, Atlantic Ave. Cape Canat-eral, FL 32920
You may download this application: w-xt-sr.mYflorida.com/cape. You may fats to: (32.1) 868-1247. All applications must include the
backside of this form. Important: Please complete the check -list on the back- of this form and pro -vide other documentation as indicated
on -the checklist. A copy of contract may be required. Application packages will not be accepted miless complete_
APPLICANT WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Ovmer-Builder is required to siggn for the building permit, unless indicated other -vise by affidavit. I.D. may be required)
Address of Job Site: _(� c/'�/' �s ci1 �,_ _ Zoning classification: C1 Flood Zone: 14
Leal description ofproperty: ?ern=: R -WG: SEC: is stsD:S6"ter: LOT: PB: iotfL ;,2
Pro,
P
p�
Phone:
Address:nc;ct , 3,i 3 d
Fee Simple 'Titleholder's Nance (if other than on-jaer): Address.-
Boladuag Company: Alk Address:
Mortgage Lender: _ _ lyk Address:
Type of
Y, Building
(Please ----.
�Y
indicate as
applicable)
Type of Permit Brief description of work
Building
Electrical
Plutnbrrag
Mechanical
L/ tither
Type of
Y, Building
(Please ----.
�Y
indicate as
applicable)
Squaw
Feet
under
roof
const
Type
{L1.
---VB_
etc}
occ-
upancp
Group
--tB�l- ----.
etc.)
FPL URI"
currently
as actable to
-
3eii°i tlli5
pimpeitt�?
Yes/No
0b, Sener
ava�able
to sere
- ----.
this
property?
Yes/No
AN this
stture # of # of # of
ruc
have built -i, stories dwel- bed-
--- _ ling --- -rooms...
iF.� -. 1771115 -.
appliances?
Yes/No
# of '4 aluadea of work
water
...Closets.. _ _...
orninercial
Name of Company:
State License No.:
Phone (office):
Picone (cel ipager.):
Fax:
EIectrical Contractor Name:
Address-
Name of Company-
ompany:Address:State
StateLicense No.:
Picone (office):
Phone (cell/pager-):
S
i)wnhouse
Nanie of Company-.
State License No.:
Phone (office):
Phone (cell/pager-):
$
Apartment
Name of Company:
State License No.:
Phone (office):
Phone (celllpager.):
s
ondolniniu
S < Jy s
( State License No.: T t t G tt (1 r 3
PWric (office): 10hone (cell)pager_):
Fns:
s
ArcNtect/Engineer Name:
Address:
Name of Company-
State License No.:
Phone (officey
Phone (cell/pager.):
Fax:
Primary Contractor Nance:
Address:
Name of Company:
State License No.:
Phone (office):
Picone (cel ipager.):
Fax:
EIectrical Contractor Name:
Address-
Name of Company-
ompany:Address:State
StateLicense No.:
Picone (office):
Phone (cell/pager-):
Fax:
Plurnbin6 Contractor Name-.
Address:
Nanie of Company-.
State License No.:
Phone (office):
Phone (cell/pager-):
Fax:
Mechanical Contractor Nance:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (celllpager.):
Fax:
t SpecraltF'/t3tlleI Contractor Name: Name of Company: f e . r -1
I /address: � / E ��' � i �� lk 'et�Y 4 s"Y
S < Jy s
( State License No.: T t t G tt (1 r 3
PWric (office): 10hone (cell)pager_):
Fns:
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: Fl, Bldg. Code 2004 (as revised)
Current survey shoaling all pro osed construction and landscaping
Cheek 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 recd t
May be deferred until C_O.
Capital Expansion firipact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
1f sidewalk endsts on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over s5,000 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 -Elf -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 atter 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 Gras 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 Surnrnary
Cut sheets and shop drawings will be needed at time ofinsp.
Electrical Load Calculations
Plansmustindicate person responsible for calculations
Electrical Riser
All new service most be located underground
Plumbing Riser
Plans must indicate person responsible for design
-Tyypt' — -Calculations
Flans must indicate person responsible for calculations
Lot Drainage Survey
Four sets of Fire Suppression/S rinkler/Alarin cations
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 2007 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 authority to apply for this permit.
Applicant's Name: I ®v`' i ( ��(t C Applicants Signature:
Date: I — Site Address:
For Notary use only: State of Florida, County of Br rd
Sworn and subscribed before me this \ day of 20
Printed name. of Applicant
who produced identification. or
is personally known to me.
ZYPf:'•, SHERRYCAZESSUS
Seal: a _ MAY COMMISSION # W 853614 °�
EXPIRES: 0 March 24, 2613 Signature - lac ar} Pub '` At Large
op F Bonded Thru Notary Public Underwriters 44
NM
`
Address: XAR&,ya
BUILDING PERMIT __-__^
Total Sq. Ft Area):
Total Sq. Ft sed Area):
Total Sq. Ft. Area
Total Sq. Ft (Enclosed Area
Building Permit miscellaneous: .....................................................................
�
Total Sq. �t �r�n\
c{^ ~ -----/^
Total Sq. Ft. (Enclosed Aren\'
Electrical..............................................................................................
—.-----
Plumbing.—.—.-------_.......___..______.__._.____..._.___.__..__
`
Building Permit Plan Check Fee ......................................................................
FireDept. Plan Check Fee ................................................................................
Radon Trust Fun& sq. footage .................................
Concurrency Management Fee..—..---...—.----.-.----.—.—'....-.-`
Expansion Fee ---.—.—^---''—'---'--''--'---'—'—''---'
.L ota}0oJI-~Permit Fees: ...... �
3EWER PERMIT
FEES:
`
SewerImpact Fee ......................................................................................
SewerTap Fee ...........................................................................................
By: Date:
THIS DESIGN IS THE PROPERTY OF BERRY SIGNS, INC, AND MAY NOT BE REPRODUCED, ALTERED OR DISTRII
�• CUSTOMER KELSEY'S
.. DESIGN BY
DESIGN# BS4947
ST -LIC #ET1100613
1740 S. HUNTINGTON LANE ROCKLEDGE, FL 32955 (321) 631-6150 FAX (321-631
2m
R avow now Y ° — - City of Cape Canaveral
PERMITTED F R C TIT IC7v
COMCOMPU PERMIT Ido, -
i
REVIEWED
7 nvRe�view of this p a of eat craze vi lett OT c
THOUT THE EXPRESSED WRITTEN PERMISSION OF BERRY�c lgiate or federal codes, ordinances or statzttes
Ii- • esu
i'til , Z
DATE UL LISTED # UPON REQUEST 1 '
;ALE NTS® REVISION Doug Czetwinski,P.E.
Rockledge, FL 32955
OR VISIT US @ WWW.BERRYSIGNS,COM FL PE #40088
I
L)BO It U,-) uz.-Z(p t:5t:r\KY Z)IUINJ,-D
November 30, 2009
Contractor: Dennis K. Berry
Company: Berry Signs Inc.
OZ 100 101400 P. I
1740 S. ► untington Lane
Rockledge, FL 32955
3121-631-6150
M
License# S
121-631-8435
1, the above named licensed contractor, hereby authorizelthe following person(s)
\-/I
Dennis K. Be
Contractor
kk of Florida, CDUR4 of Brevard
mmer.
-4.
Signature of Contract Plate
Sworn to (or affirmend) and subscribed
ed befor6 me this
day of ��tQ-mbe-x 20_Ce_b -)P -n
L
dPersonally known_�Drivers ID#.
e AN -Ax' a -A ja.MFMMMEML
�)ignatur Notary Public Print or Stamp Name 1AycommissiDm*DD821W
!N OW Mm" PLUc d__
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LICaff T-IJVfi UPTHE VIVACE CaAsOT
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