HomeMy WebLinkAboutBldg Permit #7211- 166 Center St- 5/6/1005/FF0Q6/20110:04 321-385-2687
Date: ` / o i CITY OF CAPE CANAVERAL Tracking #
BUILDING PERMIT APPLICATION Permit #
(321) 8684222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, Fl. 32920
You may download this application: www,citvofcapecgpaveraLoag, You may fax to: (321) 86$-1247. AU applications must include the
bacicside 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 requited to sign for the building permit, unless indicated otherwise by affidavit_ LD. may be requited)
Address of Job Site: 1(g l.p Ce -t -t 4-E r s---1-. Zoning classification: Flood Zone:
Legal description of property: TWIN: RNG: _ SEC: SIJBD: BLK LOT: F13: PG:
Property Owner Name: " I E.C}-t -\1 eSI LLC_ Phone: ) t- 9,2-4QSS
Address: ley 5T. Croom _ 11
Fee Simple Titleholder's Name (if other than wow.): Address:
Bonding Company: •
Mortgage. Lender:
BOWMAN ELECTRIC
PAGE 01
7 211
Address:
Address:
I
Type of Pertnit
Building
Brief description of work:
1,1
Oce
upancy
Group
(B,R1,
etc.)
T-eievor
a nnQcQir
city Sewer
available
to serve
this
property?
Yes/No
4e.s
P isnbimg
#of
"014119
1
Poi
dwe1-
row
nano
Mechanical
4 o
water
closets
Valuation or work
/60
Other
Commercial
SFR
-V r
Type of
B g
(please
indicate as
applicable)
Square
Feet
under
roof
Coast.
Type
(1A,
VB.
Inc)
Oce
upancy
Group
(B,R1,
etc.)
PPL lines
currently
available to
serve this
property?
Yes/NO
city Sewer
available
to serve
this
property?
Yes/No
4e.s
Will this
?structure
have bujIt-In
gas
appliances?
Yes/No
mt.:,
#of
"014119
1
Poi
dwe1-
row
nano
#of
b
roams
4 o
water
closets
Valuation or work
/60
1/1
Commercial
SFR
Nanta
of Company: tra
rrn 5erum.e5 a .£.(e yK
la
Address: t-renc:
3
2S
S
- Phone (office): u4 - 355 L1 Phone (cell/pager.): Fax: '13'S- ,x,10
Townhouse
Name of Company:
Address:
State License No.:
Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name:
Name of Company:
Address:
State License No,:
S
Specialty/Other Contractor Name:
Apartment
Address:
State License No.:
Phone (office): Phone (cell/pager.): Fax:
Condominium
s
Other
5
Architect/Engineer Name:
Name of Company:
Address:
State License No.:
Phone (office): Phone (call/pager.): Fax:
Primary Contractor Name:
Name of Company:
Address:
State License No.:
Phone (office): Phone (cell/pogcr_): Fax:
Electrical ContyactorName:
-?SS
Nanta
of Company: tra
rrn 5erum.e5 a .£.(e yK
la
Address: t-renc:
3
.
(M1 MSS L 377 �1
State License No._ ei�tJ 13a-) 9
- Phone (office): u4 - 355 L1 Phone (cell/pager.): Fax: '13'S- ,x,10
Plumbing Contractor Name:
Name of Company:
Address:
State License No.:
Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name:
Name of Company:
Address:
State License No,:
Phone (office): Phone (cell/pager.): Fax:
Specialty/Other Contractor Name:
Name of Company:
Address:
State License No.:
Phone (office): Phone (cell/pager.): Fax:
0; 1BIdg.AcptFonas\Building Permit Application Rev. August 20.2008
05/06/2010 10:04 321-385-2687
BOWMAN ELECTRIC
PAGE 02
,l
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition FL Bldg. Code 2007 (as revised)
Current survey showing all proposed construction and Iandscaping
Check with Bldg. Dept for setbacks
Notarized signature — Owner/Builder Affidavit
If owner is acting as contractor
Sewer Impact Fee receipt
May be dcliTrol =tit C.O. Unless job is remodeluig
County Impact Fee recept
May be der e red until CO.
r ital. Expansion Im • act Fee receipt
Maybe deferred until C.O.
Sidewalk u . act Fee rete i t
of Ownership
(over $2,500)
If sidewalk mists on lot
Recorded Warranty Deed / Proof
Over $7,500 for Mechanical change out
Copy of Recorded Notice of Commencement
Current Cext.Of Liability Ins./Worker's Comp. Policy / Exemption
Reoord will be kept on file after initial submittal
Communi Are earance Board
Planning and Zoning Board Site
• • .rove.),
Plan Approval
For all work visible from Public .Right -Of -way
Far all new construction of four units or more
For all new construction not part of approved site plan
Record will be kept on file atter initial submittal
Concurren Forms
Primary Contractor's State License
Subcontractor's
State License
Authorizations:
•
Record will be kept on file after initial submittal
Notify Building Department of connector cages
Plumbing Contractor
Plumbing Contractor
Electrical Contractor
Electrical Contractor
Mechanical Contractor
Mechanical Contractor
_
Roo r • _ Contractor
Swimming Pool Contractor
Roo r i 1 Contractor
Swimming Pool Contractor
Gas Contractor
Gas Contractor
Specialty/Other Contractor
Specialty/Other Contractor
Construction Drawings:
Pa F.S.C. 104
Three sett: of sealed construction drawings
Per F.B.C. 104
Truss layout and reaction summary'
Curt 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 undergrorurd
Plumbing Riser
Flans must indicate person responsible for design
A/C layout
Plans muot iinlliaNte persan responsible for design
Two sets of Energy Calculations
flans must indicate prion responsible for calculations
Lot Drainage Survey
Four sets of Fite Suppression/Sprinkler/Alarm s. ecifications
Requires Fite Ian. approval prior to issuance ofperwit
Pool Barrier ' ' . orient Form si ar ed
Fool 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 ail 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
Flab ;l ; g f`nAaffudition. 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: Ke -r1 ickt)y -rain Applicant's Signature:
Date: '51/
Site Address: / , to �•r ST
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this (Q day of ri1a.•-� , 2()j j) , by \L4.y1 - ctiA
Printed name of Applicant
who produced identification:
is personally known to me,
Seal:
or
Notary Public State of Florins
Gwendolyn selingar
4) My Commission D0799610
Of r. Expires 05125/2012
O:\B1dg.DeptForms\ Building Permit Application Rev. December 17, 2009
SignatuT/' Wry Public
This form may be duplicated_
BUILDING PERMIT FEES:
Address:
�1egod-o r4
Building Permit per square footage -
7211
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation- ffD , o o
Total Sq. Ft. (Living Area): is f- Lk
7S o ,o
t - c ,rx l o -o
Total Sq. Ft. (Enclosed Area): s -t) 0n
Building Permit miscellaneous -
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Electrical
Plumbing
Mechanical
Building Permit Plan Check Fee Vo .
Fire Dept. Plan Check Fee
Radon Trust Fund: sq. footage
Concurrency Management Fee
Capital Expansion Fee
Total Building Permit Fees- /moo , o
SEWER PERMIT FEES:
Sewer Impact Fee
Sewer Tap Fee
By: r
Total Sewer Permit Fees
Date:- // v
05/06/2010 10:04 321-385-2687
BOWMAN ELECTRIC PAGE 03
Bowman Services & Electric, Inc.
Mailing Address
3795 Hammock Road
Mims, FL 32754
ER13013279
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OFFICE COPY
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CS COMPLIAHCE
Phone: 321-264-2554
Fax: 321-385-2687
City of Cape Canaveral
PERMITTED FOR ' T1'J CION
PERMIT No,
��
REVIEWED r42 JT4 i/D
Review of this plan dos not authorize violation of
any local, state or federal codes, ordinances or statutes
0
11
rn
0
0
0
391 R" MN
ELEV. CO JTROLLER
ELEVATOR
POWER UNIT
10
NOTE; LAYOUT MAY BE ISD ADJUSTED
BUT MUST NAVE T: CLEAR OVER
/MY EQUIPMENT
MACHFNE ROOM
1) 220V 4OPMP SINGLE PHASE
FEED. 3PH FUSED DISCONNECT
REQUIRED, EXTRA POLE IS FOR
BATTERY AUX. CONTACT
2) 120V 15 AMP LOCKABLE
FUSED DISCONNECT FOR
CAB LLG!f11NG
3) TELEPHONE LINE
4) LIGHTING SOATiH ARD GFI
5) 4' FLOUR. 2 TUBE
UGHTS W!TUSE PROTECTION
6) SMOKE DETECTOR VVIN ORM.
HM -CLOSED DRY CONTACTS
- PPM INTO CONTROLLER
7) HEAT DETECTOR REQUIRED
JIRED
(ONLY F ROOM SPRERINLED)
WA TO TRIP SHUNT TRIP. 120V
FEED MUST BE MONITcieo
8) CLASS ABC 5LEI FIRE
EXT1PI USHER MIN.
2) THERMOSTAT -
MUST Ct7NTR+OL NC INTO ROOM
OR E)IHALST FAN
10) 3S"DOOR V 'CH DOOR CLOSER
SELF LOOKNG HARDWARE,
E,
THIEASHOLD, 1 1/2 HR RATI
TECt1VEST LULA ELEVATOR
PROJECT: 9666 CENTER STREET
PAGE 3
COMPANY: SOUTI-EAST ELEVATOR, QVC.
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