HomeMy WebLinkAboutBLDG PERMIT #7638Permit #:7638
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
City of Cape Canaveral, Florida
BUILDING PERMIT
PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247
Issued:
ress:
/7638
SIGN PERMIT CAPE CANAVERAL, FL
437- Add/Alt/Roofs-commercial Township: 24 Range: 37
BUSINESS Lot(s): Block: Section: 23
Est. Value: Book: Page:
500.00 Total Fees: 49.001 Subdivision: TECH VEST
Date Paid: I Parcel Number: 24 3723JI E1
Name: HRADESKY, EDWARD L
Addr: 166 CENTER ST
CAPE CANAVERAL, FL 32920
Phone: (321)783-8474 Lic: CGCO23846
Work Desc: SIGN PER SUBMITTED SF
Name: TECH -VEST LLC
Address: 124 ST CROIX AVE
COCOA BEACH, FL 32931
Phone: (321)783-8474
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OF
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
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ISSUED BY/DATE
COMMENCEMENT.
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AUT ORIZED SIGNATURE/DATE
PRINTED
Date: CITY OF CAPE CANAVERAL Tracking #
BUILDING PERMIT APPLICATION Permit #
SEP 0 9 2910 (321) 868-1222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920
You may download this application: w-ww.cityofcgpecanaveral.org. 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 pennit, unless indicated otherwise by affidavit. I.D. may be required)
Address of Job Site: 141le L/' d�2y ..-fir_' Zoning classification: ®Z Flood Zone:
Legal description of property: TWN: RNG: SEC: SUBD: BLK: LOT: PB: PG:
Property Owner Name: 111557' AA Phone: 3421 - 7 8'3 -,?41741
Address: �o�' l (7AO/,L' �oC,®� %J'/�� �Z. 3a g
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Type of Permit Brief description of work:
Building
Electrical
Plumbing
Mechanical
Other l l - 5/ e w 72 5 /P/�F ®/-- 00.v r, - V I �- I
Architect/Engineer Name:
Address:
Type Of
Name of Company:
Const.
Oce-
FPL lines
City Sewer
Will this
Primary Contractor Name: 4,5D
Address: 1,2,41 7' /WJ
A. I
CSO .4-�
kfd Name of Company:
/:_4
4
State License N46�,C ®A3 kV 4,
hone (office): 783' 84/7 Phone (cell/pager.):
Fax:3S`0 4/
Square
Type
upancy
currently
available
structure
# of
# of
# of
# of
Valuation of work
Building
Feet
(IA,
Group
available to
to serve
have built-in
stories
dwel-
bed-
water
(Copy of Contract Required)
Specialty/Other Contractor Name:
Address:
(please
under
VB,
(B,Rl,
serve this
this
gas
ling
rooms
closets
indicate as
roof
etc)
etc.)property?
property?
appliances?
units
applicable)
Yes/No
Yes/No
Yes/No
ommercial
$
SFR
$
Townhouse
$
Apartment
$
Condominium$
Otherllstri
Architect/Engineer Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Name: 4,5D
Address: 1,2,41 7' /WJ
A. I
CSO .4-�
kfd Name of Company:
/:_4
4
State License N46�,C ®A3 kV 4,
hone (office): 783' 84/7 Phone (cell/pager.):
Fax:3S`0 4/
Electrical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Address:
Name of Company:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code 2007 (as revised)
Current survey showing all proposed construction and landscaping
Check 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 receipt
May be deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
if sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over $7,500 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 -Of -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 after 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 Gas 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 summary
Cut sheets and shop drawings will be needed at time of insp.
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
All new service must be located underground
Plumbing Riser
Plans must indicate person responsible for design
A/C layout
J Plans must indicate person responsible for design
Two sets of Energy Calculations
Plans must indicate person responsible for calculations
Lot Drainage Survey
Four sets of Fire Su ression/S rinkler/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 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 the authority to apply for this permit.
Applicant's Name: K� i(Y-e , t( e Applicant's Signature:
q v �
Date: l ° Site Address:
For Notary use only: State of Florida, County of Brevard A/
Sworn and subscribed before me this day of '_:_ e- , ,:�- , . e `', 20 i �/,`by GC %64t )1( - Y
rwis
Printed name of A plicant
ho produced identification: � I L E -j 't -
personally known to me.
CHESTER W �LOV�— ERIN–G" V'�C"�
Seal; i- V OtDpgMISSION DD fi0?134
EXPIRES. February 20, 2011 Signature - Notary Public At Large
LN,
°P _Bonded ThruNota y Public Jnd r�mnters
_:: This form may be duplicated.
Address:__
BUILDING PERMIT FEES: S p
Building Permit per square footage: ............................................................ 7638
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation:................ 500 - c>.O .....................
Total Sq. Ft. (Living Area):5 z�4 [-en5sg1 SYS c, 0
Total Sq. Ft. (Enclosed Area):,
Building Permit miscellaneous: .....................................................................
Total Sq. Ft. (Living Area):
Tntal 0n F+ [-P"Ar. eA A-.XXX.eal:
Electrical.........................................................................:,.....................................
Plumbing......................................................................................:................:.....
Mechanical...........................................::..............................................................
Building Permit Plan Check Fee.....................................................................
Fire Dept. Plan Check Fee................................................................................
1�rtzzxnd:- �- s€estage ...............................
Concurrency Management Fee.........................................................................
Capital Expansion Fee..................:.....................................................................
Total Building Permit Fees:......
SEWER PERMIT FEES:
SewerImpact Fee....................................:................................................
Sewer Tap Fee.........
Total Sewer Permit Fees .............
Xoho
By: /[Date:,
4 / {� .�:
OWNER/BUILDER AFFIDAVIT
STATEMENT OF FACT
The Foregoing statement must be read and signed by the property owner. The
property owner must sign the affidavit in front of a Notary Public.
Florida State Statute, Chapter 489, requires construction to be done by licensed
contractors. You have applied for a permit under an exemption to that law. The
exemption allows you, as the property owner, to act as your own contractor even
though you do not have a license. You must supervise the construction yourself.
You may build or improve a single family or two-family residence, or a farm out-
L-1 11l%A11Lg. You may also build or 111Lpro V e a commercial l.lal bu11d11tg aL a coSL Vf
$75,000 or less. The buildings must be for your own use and occupancy. They
may not be built for sale or lease. If you sell or lease any building you have built
yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as your contractor. It is your responsibility to
make sure that anyone employed by you has the proper licenses required by
State law and by County or Local Ordinances. Any person working on your
building who is not licensed must work under your supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding
tax and provide workers compensation insurance for that employee, all as
prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
I have read and fully understand the Provisions of this instrument and agree
to the conditions listed therein:
10 Z
Owner) Signature i Address of Job Site
The foregoing instrument was acknowledged before me on this day
of L _,1- 20 / C0by Ur Aj.'e—', % i!
who is personally known to me or who produced 2
as identification ho did or did not take an oath.
JAF�-4taaY Ze CHESTER W. LOVERING
---- Notary Seg.
MY COMMISSION n DD 607134
otary Pudic n EXPIRES: February 20, 201
a lded Thre Notary Public Underwriters
State of Florida, County of Brevard --- ---
CITY OF CAPE CANAVERAL
AUTHORIZATION FORM
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920
(321) 868-1222
(You maN, doNN-ii oad tl authorization: iorization: iN-AN-7NN,.m-,,florida.com/cape. You ma"17 fax to: (321) 868-1247.
tl
Date: Permit 9: 76 38
CONTRACTORS AND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE
NOTARIZED AND SUBMIT THIS FORM WITH THE PERMIT APPLICATION.
Company Name: - � �,: ____ e,
MY.
1, 0 AVAa�) ), - 48 ktl , hereby authorize J/,�o _5
(State License Holder's Name — PLEASE PRINT)
(Authorized Person —PLEASE PRINT)
to obtain a permit on my hk-.hqlf jind.-r mi, etnti. aIoN iss-aeuuyuivj-.,upaiLiiiujiLuI
✓M., S.— lima., as ; A I- �+u
Business and Professional Regulation, Construction Industry Licensing Board e 6;C— 0.2 -?^(4
{State License Number(s))
for the job site described below.
An authorization will be required for each permit
7' 44 C
Name of Property Owner
C44 r�*00;,-4 �— —r ;rA
Address of job Site
Signature of Licens"o er
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this day of 20 / 0
by
' who produced identification: . fit.. 1415 &or Name of Applicant
1 -1 is personally known tome.
I
Type of Permit
Seal:
Building
Plumbing
Electrical
Mechanical
Roofing
Swimming Pool
Specialty Structure
Other - Specify: cj/' 6-A,>
7' 44 C
Name of Property Owner
C44 r�*00;,-4 �— —r ;rA
Address of job Site
Signature of Licens"o er
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this day of 20 / 0
by
' who produced identification: . fit.. 1415 &or Name of Applicant
1 -1 is personally known tome.
I
G:'aldg.DeptForms'Authorization Form
This form may be duplicated.
CHESTER W. COVERING
Seal:
My COMMISSION# DID 607134
EXPIRES: February 20, 2011
Bonda d Th, u Notary Public Unde
G:'aldg.DeptForms'Authorization Form
This form may be duplicated.
Clifton L. Gurr, PE
Registered Professional Engineer No. 6098
Special Inspector No. 1067
General Contractor No. 29909
1642 South Banana River Drive
Merritt Island, Florida, 32952
Phone (321) 453-3565 Fax (321) 453-1734
11/04/10
Building Official lip P" "Z�t 'w*�
cD FOR,
D
6
City of Cape Canaveral :v W
X%
'UNI
Cape Canaveral, FL. 32920
Reference: Sign for Tech Vest LLC Building, 166 Center Ave.
Dear Sir;
I have designed The required fasteners for the mounting of the eight foot diameter (split
in half) alumabond sign that is proposed to be installed on the concrete tilt up front of
the referenced building. Please refer to the attached sketch.
The designed attachment hardware are W x 2" SS tapcons with SS washers, maximum
16" O.C. with Vedge distance around the periphery and across the center of the sign,
screwed into the concrete panel (min embed 1 -3/4").
The maximum wind imposed pull out load on the worst case condition is 123 lbs. per
tapcon. The rated allowable pull out load for a'/" tapcon with 1-3/4" embed is
2,100 lbs./4 = 525 using a factor of safety of 4.
I hereby certify this sign installation meets the City of Cape Canaveral wind code.
Thank you for your kind assistance.
OFFIHCDEE
Very truly yours,
', �E6098
C1 n L , G
1 04
B' DIA SIGN
SPLIT IN HALF
MAX 5.32 X 46.3 =
LOAD 246 LB FOR 2
\M
LOA
LOAD
D
AREA SCREWS OR
1.33X4 = 123 LB PER
5.32 SF SCREW
11
/4"X2"SS TAPCON
W/ 1/2" SS WASHER,
16" O.C. MAX
SIGN NTS
WIND LOAD INFORMATION BASED ON CHAPTER 16,
2007FLORIDA BUILDING CODE
DESIGN BASED ON THE FOLLOWING:
1. Basic Wind Speed= 130 14PH
2. Wind Importance Factor - I
3. Wind Exposure = C
4. Applicable Internal Pressure Coefficient = I
5. Components and Cladding to be Designed for Wind Loads as Follows:
Mean Roof Height = 25 feet
EFFECTPM WIND LOAD PSE
MAD AREA WALLS
50 SO FT + 36.7 .46.3 ZONE 5
Where Acting toward; — Acting Away
0177CE CXI-3110v'
GENERAL NOM'.
1. ALL CONSTRUCTION TO BE IN ACCORDANCE WfTH THE FLORIDA
BUILDING CODE AND CITY OF CAPE CANAVERAL BUILDING CODES.
SIGN ADDITION
TECH VEST LLC BUILDING
166 CENTER STREET
CA P E CANAVERAL, FL.