HomeMy WebLinkAboutBLDG PERMIT #8001City of Cape Canaveral, Florida /
MECHANICAL PERMIT J 8001
PHONE: 321 - 868 -1222 INSPECTIONS & FAX: 868 -1247
PERM IT INFO RMATION LOCATION INFORMATION _1
Permit #:8001 Issued: 5/03/2011 Address: 8699 ASTRONAUT BLVD
Permit Type: MECHANICAL CAPE CANAVERAL, FL
Class of Work: 437- Add /Alt/Roofs- commercial Township: 24 Range: 37
Proposed Use: BUSINESS Lot(s):4 Block: Section: 15
Sq. Feet: Est. Value: Book: Page:
Cost: 7,000.00 Total Fees: 104.00 Subdivision: N/A
Amount Paid: Date Paid: Parcel Number: 24 371500 778
CONTRACTOR INFORMATION - O_ WNER INFORMATION
Name: FLORIDA MASTERTEMP, INC. Name: LAGGES, KYRIACOS
Addr: 3475 N HIGHWAY 1, UNIT 1 Address: 4903 BANANA RIVER DR N
COCOA, FL 32926 COCOA BCH, FL 32931
Phone: (321)639 -3166 Lic: CAC1816171 Phone: (321)784 -0797
Work De-s PACKAGE SYSTEM CHANGE -OUT
APPLICATION FEES
MECHANICAL - REP /ALT OVER 2 100.00 BUILDING PERMIT SURCHARGE 4.00
I
Inspections Required _ - -- _
Final Mechanical
APPLICATION ACCEPTED BY: 71�� PLANS CHECKED BY: 1— APPROVED BY:
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
-[F OR LOCAL_ AW RFGI.II ATING CONSTRUCTION f1R THE PFRFi RMANCF GE CONSTRUCM -N.
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
GOMMENCEMEN
T
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pl _
I U D Y /DAT UTHORIZE �GNATURE /DATE
RINTED NAME: , / "--
RPR -2i -2011 03:56 PM T.L.EEERHARDT 321 632 6947 P.02
DRW � I CITY OF CAPE CANAVERAL Tracking el - o YQD
BUILDING PERMIT APPLICATION Permit ff Q 0
(321) 868.1222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave, Cape Canaveral. FL 32920
You may download this application: w.ci ants r . You may fhx to: (321) 869-1247. 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 maybe required. Application packages will not be accepted unless complete,
APPLICANT WILL BE CALLED WHEN PERMIT IS READY.
(Conhractor /Owner_Bullder is required to sign for the building permit, unless indicated otherwise by affidavit. 1.D, maybe required)
Address of lob Site: I Zoning classification: _ Flood Zone:
Legal description of property: TWN: RNG; SEC: SUBD: BLK: _ LOT: _ -- Pa;
Property Owner Name: Phone:
Address:
Fee Simple Titleholder's Name (if giber then ayner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Type of Permit Brief description of work:
Building
Other
ArchitectEngineer Name:
Address.
Type of
Building
(please
indleatc as
a hcabie)
Square
Ergot
under
roof
Const,
Type
(IA,
VA,
etc)
Occ.
upaney
Group
(B,Rt,
etc.)
FPL lines
currently
available to
serve this
property?
Yes/No
City Sewer
available
Iv serve
this
property?
Yes/No
Will this
structure
havo built -in
saw
appliances?
Yes No
N of
.tares:
0 of
awel.
ling
N of
be&
rootaa
Nor
water
closets
Valuation of work
Phone (office):
ommerciai
Pax;
,Blectrical Contractor Name:
Address: -__....__
_
Name of Company:
State Lieeme No,:
Phone ( office):
Phone (cell/pager.):
Fax:
P14mbing Contractor Name:
Address:
S
Name of Empany:
FR
State License No.:
Phone (office):
Phone (cell /pager.):
Fax;
Mechanical Contractor Name: -rtp,,r�
Address:
-i i%� r�a r a
Ck-%C'00_
Name of Company:
-a-, V9�t
State License No.: C I !rte Phone (office): 3� I- (a 11-111, G Phone (cellipager.):
Fax:
s
ownhouse
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Apartment
s
ondomini
�
Cher
S
ArchitectEngineer Name:
Address.
_
Name of Company-,
-- —
State License No.:
Phone (office):
Phone (cell/pager,).,
Fax:
Primary Contmctor Name:
Address: _
Name of Company:
- - --
State License No,:
Phone (office):
Phone (cell/pager.):
Pax;
,Blectrical Contractor Name:
Address: -__....__
_
Name of Company:
State Lieeme No,:
Phone ( office):
Phone (cell/pager.):
Fax:
P14mbing Contractor Name:
Address:
Name of Empany:
State License No.:
Phone (office):
Phone (cell /pager.):
Fax;
Mechanical Contractor Name: -rtp,,r�
Address:
-i i%� r�a r a
Ck-%C'00_
Name of Company:
-a-, V9�t
State License No.: C I !rte Phone (office): 3� I- (a 11-111, G Phone (cellipager.):
Fax:
Specialty /Other Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
0:1Bldg,Dept, orms \Building Permit Application Rev. August 20, 2006
APR -27 -2011 63:56 PM T.L.EBERHARDT 321 632 6947 P.03
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 affect at the time of this application is the
l luridaBuilding Qoda 2007 Rditto rt. 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 htVshe is an authorized agent of the Contractor /Owner and has the authority to apply for this permit.
Applicant's Name: Applicant's Signature:
Date; -q— �7 -_ ± Site Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this _ 9:), day of _r ; l , 20—iL, by s b f �A r
Frintcd name of Applicant
who produced identification: or
is personally me_ MN►1MO M w II _ i
lPtrtWler7trft tN�li tI l Mt, 11 W
Aw tO t11 (iMl FWW
Seal; q "�
,
C&TAW a 0 OD M
Q :\Rldg.Dept,Forms\ Buildin
L-..
Signs rp -Notary Public At
This tbrm y be duplicated,
BRUdin Permit Application Checklist
Notes
Con] leted Permit A licatlon
Current code edition: FL Bldg, Code 2007 (as revised)
Current solve showing all ro osed construction and Iandsea in
Check with Bldg, Dept, far setbacks
Notarized s' lure — Owner/Builder Affidavit
If owner is acting as contractor
Sewer Im pct Fee receI t
May be defeated until C,O. Vnlm job is remodeling
Colin Im sat Fee recei t
May be deferred until C.O.
Ca ital Expan ®ion Itrt act Fee recei t
Maybe deferred undl c,o.
Sidewalk Im act Fee reaei t
If sidewalk Was on lot
Recorded Wacran Deed / Proof of Ownershi
Co of Recorded Notice of Commencetnerlt over $2,509)
over 57,300 for Mechanical change out
Current Cart. Of Liabili ins,/Worker's Comp. PoliC / Exem tion
Record will be kept on file niter initial submittal
Community Appearance Board Approval
For all work vialble Ki—Public Righwf- -Way
Plttnnin g and Loning Hoard Site Plan ATC-
For all nFw carutruction of four units or more
Croyal
oncu renc Forms
For all new construction not pan of apptoved site plan
Primary Contractor's State License
Record will be kept on file after initial submittal
bconrractor's Authorizations;
Record will be kept on file after initial submittaJ
State License
Not* Building Department of oanawtor changes
Plumbing Contractor klumbing Contactor
lectrical Contractor Electrical Contractor
Mechanical Contractor
Mechanical Contractor
Roofltt Contractor
Rood Contractor
Swimming Pool Contractor
Swimming Pool Contractor
Gas Contractor
Gag Contractor
Special /Other Contractor
Specialty/Other Contractor
ConstraetionDrawings:
FarF,B.C, 104
Three sets of seated construction drawings
Per F.B.C. 104
Truss layout and reaction summTX
Cut sheets and shop drawings will be nmdcd of time of rose.
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
All now m-dee must be located underground
Plumbin Riser
Plans must indicate pema responsible 10r design
A/C layout
Plans must indicate person responslble far design
Two sets of Energy Calculations
Plans must indicate person responsible for calculations
Lot Draina a Surve
Four sets of Fire Su ression/S rinWer /Alarms eei,dcations
Requires Fire Dept, approval prior to issuance ofpertnit
Pool Barrier uirement Form sI ed
Fool permils will not be lase 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 affect at the time of this application is the
l luridaBuilding Qoda 2007 Rditto rt. 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 htVshe is an authorized agent of the Contractor /Owner and has the authority to apply for this permit.
Applicant's Name: Applicant's Signature:
Date; -q— �7 -_ ± Site Address:
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this _ 9:), day of _r ; l , 20—iL, by s b f �A r
Frintcd name of Applicant
who produced identification: or
is personally me_ MN►1MO M w II _ i
lPtrtWler7trft tN�li tI l Mt, 11 W
Aw tO t11 (iMl FWW
Seal; q "�
,
C&TAW a 0 OD M
Q :\Rldg.Dept,Forms\ Buildin
L-..
Signs rp -Notary Public At
This tbrm y be duplicated,
BUILDING PERMIT FEES:
Address:-
Building Permit per square footage: ......................
........ ...............................
Total Sq. Ft. (Living Area):,
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation: ................ ?� . o ...............................
Total Sq. Ft.
Y((Living Area):14 z-k- = 725—
x s- S-
Total Sq. Ft. (Enclosed Area): )Or)-00
Building Permit miscellaneous: .....................................................................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical........... ............................... :....... ...............................
L'J umbing ......................................................... ...............................
.....................
Vlechanical........................................................................... ...............................
3uilding Permit Plan Check Fee ..................
.................... ...............................
'ire Dept. Plan Check Fee ................................................. ...............................
Zadon Trust Fund: sq. footage
,oncurrency Management Fee ....... ...............................
.... ...............................
- apital Expansion Fee ..................:.. ......................I........
..... ...............................
Total Building Permit Fees:...... /0 �/ n �,
'EWER PERMIT FEES:
Sewer Impact Fee ......... ...............................
.............. ...............................
SewerTap Fee ........................................ ...............................
By:
Total Sewer Permit Fees .............
)ate:
L1