HomeMy WebLinkAboutBLDG PERMIT #19-0217 - 166 Center St - 11/19/2018City of Cape Canaveral, Florida
Building Permit
PERMIT #19-0217
CUSTOMER #008055
PHONE: 321-868-1220 INSPECTIONS: 321-868-1204 FAX: 321-868-1247
P,�ERM r tINFOi2MA�TIO.N
LeCAii INFORMAL N
Permit #: 19-0217 Issued:11/19/2018
Permit Type: EL
Cost: 1500.00 Total Fees: 146.50
Amount Paid: 146.50 Date Paid: 11/19/2018
Address:166 Center St Uint #200
Cape Canaveral FL, 32920
PERMIT EXPIRATION DATE: 4/24/2019
CONTR eTOR INFORMACTION{ 4 „ FOWNER
INFORMATIU s . - . c
Name: ENK Electrical Services
Addr: 4995 North Cocoa Blvd
Cocoa, FL 32925-
Phone: (321)877-8510
State Lic#:
Local Lic#: 17 -EL -CT -00060
Name: Ralph Perrone, Mgr
Address: 53 Ridge Ct ,
Rockledge FL, 32955
Phone:
,i =' �; ,APtVCATION'FEES
`r' 'its ,
BP -Main: 75.00
BP -Surcharge: 4.00
Plan Revision Fee: 30.00
Date Plan Revision Fee Paid:
Temp CO:
Concurrency:
BP -Plan: 37.50
Fire Plan Review: 0.00
Plumbing:
Electrical:
Capital Expansion:
After the Fact: 0.00
Re Inspection Fee Paid: 0.00
Mechanical:
Sewer Imapct:
Sewer Tap:
', INSPECTIONS: (for complete list:of required inspectionsrefer. to.Hard CaiclY,''<
NOTE: Once an inspection is approved by an authorized inspector the permit expiration date is extended six (6) months
from date of inspection.
Permit Desc: INSTALL NEW LIGHTS & SWITCHES
INSPECTION APPROVED BY: DATE:
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.
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MightSign &Date
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AUTHORIZED SIGNATURE / DATE ISSUED / DATE
Print —►14( 3-\\A `. �' CCN-Kjek-
PRINT NAME 11/1q/7019 10:59 AM t.-F7M
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CITY OF CAPE CANAVERAL
100 POLK AVENUE
CAPE CANAVERAL, FL 32920
(321) 868-1220 phone (321) 868-1247 fax
buildingforms@cityofcapecanaveral.org
A pl'cation Fee: $30.00
Permit #
Tracking #
Application Date- J
Permit Total:
r®
APPLICATION FOR BUILDING PERMIT
Florida Building Code in effect: 6a' Edition
PROPERTY INFORMATION
TWP:
Site Address:
Owner's Name:
Owner's Address:
RNG: SEC: SUB #:
16 (:) C 5A -
OCT 20 OM
BLK/PAR:
(Qt0e., Ca-NGuiscS) `��w 3.Q��c�
StreetCity Zip
Z-fXie3 LLC
Telephone Number
Ca-C4—r t c 32Ca r
# Street
CONTRACTOR'S INFORMAT
,�l
I
,,ION (APPLICANT)
Qualifier Name: (3"OC1ZwE6t) -.
City Zip
'cr OuDGb
Lastl
- First License #
Company Name: EQK gl kC-�C�e� Sec0,.cr5 (LC
Address: ��j (00 �_;� �C� PW -44 15Icc•ck -PC 3..25:3--
# Street City Zip -
Phone #: 3e,214-11-370 Fax #:
E -Mail: e n Ike Icc-t-c. Cac ot: I . CfiPi
PROJECT INFORMATION ❑ Residential
Commercial Site Plan #:
Describe Work To Be Done: t
j Cost of Project: $
I (copyof contract required)
Proposed Sq. Ft.:
(total new construction)
SUBCONTRACTOR INFORMATION:
PRINT FIRST & LAST NAME
Plumbing:
License #:
Phone:
Electrical:
License #:
Phone:
HVAC:
License #:
Phone:
Roofing:
License 4:
Phone:
Specialty:
License #:
Phone:
FORM DATE: 3/26/2018
PAGE 1 Of 2
FORM: APPL
FINAL INSPECTION IS REQUIRED Failure to obtain a final inspection may result in a penalty. I
Site Address: /ka Cei/e2 �7 X176 ,Af73 CAr8 CA4NAtlee-k-
Owner's Name:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE YOU
SCHEDULE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. Intl.
** NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county or that may be required
from other governmental entities such as water management district, state agencies or federal agencies.
APPLICANT'S AFFIDAVIT
Application is hereby made to obtain a permit to do the work and installations as indicated. I acknowledge
and accept responsibility for compliance with all applicable codes, regulations and ordinances as well as the
payment of all legally constituted fees regarding this development application, including but not limited to
ALL REVIEW FEES, PERMIT FEES, IMPACT FEES AND RESERVATION FEES.
Edwpo 1.krz,(VAe,
Name (Print): Owner/Agent/Contractor
No�zk
Signature: ver/Agent/C
ontractor
Date: / �O
State of Florida
County of Brevard ��✓
Subsc ed nd sworn to before meds G5 day
of \ig.C2 17- , personally
win Trixicu2'�
appeared
who is per
DISCLAIMER: The City of Cape Canaveral's approval of
this development permit does not create any right for the
permittee to obtain a pernzit from a state or federal agency.
Further, pursuant to section 166.033, Florida Statutes, the
City of Cape Canaveral shall not be liable for issuance of
this development permit in the event a permittee fails to
obtain any other required approval, fails to fulfill
obligations imposed by a state or federal agency, or
undertakes actions that result in a violation of state or
federal law.
The issuance of this development permit is expressly
ovally known o me or produced conditioned upon the permittee obtaining all other applicable
as identi4oattrig t, orfederal permits if any, prior to the commencement of
Seal
��`�'yP;.•••�•••�.� rtsyelopment authorized by the City's development permit.
� � •• OAR .. _ . , _.. _ . �.
a
Comm. Expires } _
=Feteurey 12, 2022 ?
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FORM DATE: 3/26/2018
PAGE 2 Of 2
FORM: APPL
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October 22, 2018
I, Tony Graybeal, owner of the property located at 166 Center St in Cape Canaveral Florida give Steve
McCrory and Revive Church permission to proceed with electrical work and permit as needed.
The electrical contractor is ENK Electrical Services LLC.
Tony Graybeal
PG Properties 166
Debbie Lou Kiss
State of Florida
,No $7 My Commission Expires 03/30/2022
Commission No. GG 179288
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October 23, 2018
This contract serves as an agreement between ENK Electrical
Services LLC, (17 -EL -CT -00060) and Mr. Steve McCrory and
Revive Church. ENK Electrical Services LLC will be doing
electrical work at 166 Center St, suite 200, Cape Canaveral, FL
32920. Revive Church will be responsible purchasing the cost of
electrical material (estimated $500-$700) and permit. The cost
for labor will be $90 hr. and will not exceed 16hrs. this is with
the understanding there will be volunteers to help with the
project. Payment expected at the completion of the first 8 hours
for hours worked.
Edwin onzalez
McCrory
NA.
Steve
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