HomeMy WebLinkAboutBldg Permit #17-1123- 166 Center St- 6/15/17Date:1.1
RECEIVED
JUN 15 2017
1)1LSO
CITY OF CAPE CANAVERAL Tracking # ct9
BUILDING PERMIT APPLICATION Permitlf
(21 )86 &1222
City ofCapt Plhavcral Building Department -P 0 Box 32,6 - 110 polk:Aventic -:Cape Canaveral; FL 32920 •
You may idowpioad this application w•WW.citvocc_weeanaveral.orc. You may fax to: (321)868- 1247 A11 applications must include the
:backside ofthis.form and 2 sets ofsupporting doetunents .important : Please COMplete the .checkliSt. on the back Of this forth and provid
:other documentation as indicated on the cheeklist, A copy OfeontraCt May be reqUired. Application packages will not be accepted unless
complete.
APPLICANT WILL:BE CALLED: WHEN PERMIT IS:READY
((ontradtor/Owneri•Builder is. required to sign for the building perrnil unless jildicated othetWi§e by affidavit. 1..D, rna3:,:be requii•ed)
Address of Job Site: / 66 C.,e1,11--er- .s.--1-- Zoning•c.14ssificationt Flood Zone:
Legal description Of property: TWN: RNG - 'S1 . -:C: -SUBLi: BLK:- LOT: PB: PG:
Property OwnerNae: .7,-0..e h - veri-- , L. L e..... - Phone: i 32.1) 11,3 -ii -7 300
Address: /66 e .4_// -Pr 1- . C.:41)8 CA vi el 1,./pr-fi. 1I FL., 32-cizo
Fee Simple Titlebolder's Name 0! tither than owner ) „ , . Address:
Bonding company Address:
Mortgage Lender: Address:
q}.ype ofpermit-
V Building
Electrical
Brief description of work:
H Ct 0 E/-4 jet- e`.174r-VC7f:Gf
Plumbing
Mechanical
Other
Type :of Square const; ,.,Cit sewer:
Building . Feet Typepuncy currently available.,
(please under (IA,. (lassilica available to :to serve
inditate as roof VB;. Ltion serve this tbis
etc) (B;Rl.R3 ProPeri)? property?
pplicable) ' MC.) . YesiNo Yes/No
#of it or '0of # of - # of
Concretef•- stories • 'dwer- bed water
Asphalt., • : lingiio rooms closets
Parking n
Spare
Valuation of work
(Ccipy Contract Itcquiren:
Commercial
SFR:
$
Townliotise
Apartment
-1
ondominium
Other
Arch itect/EngifieerNatrie:.." ...._g_:•:.42..4,_ :.- : • ,•:'• •::: Name, Of.',.Company::',(Z.; .g k (4-1-er P rt SeJ.,c--
Address: j '7. -J -.-.--,A,5--0 frt .8-4; '
',
ri,-11-t_T....s-4,41-tii
i
State License No 1Z z 3 its-. 7 Phone- (office): . 32.4) i/S-3-616ftiorie (cell/pager.)t • • Fax
Primary Contractor Nate:. . . • ."- • . : : - NamelocCompany: '
. :
AddreSs: : : - • . . .
StateLicense.NO .: Phone -(office): " Phone (cell/pager.): : FaX:
.Electrical Contractor Name: ) -•• ' 'Name of'Company:
-,.-
, ,. . ,
Address: . . _ .
„ , :. ,
State License NO:: ' • Phone (office): • - .: :-: , : : ..Phohe (cell/pager): :: . . Fax
. •
Pluinbing Contractor Name:: .:Name of com..........;. „
pany:
. .
Address: - . . : . . . .
State License No.: Phone (office): : :. •; • Phohe(cellipager.); Fax
--
fvfechanical Contracior Name:, Name Of Company:
..
•
Address:
State:License No.: Phone (office): Phone (cell/pager.):. Fax
SpepaityPthet ContraCtot Name: ..ktitz_ ffn,,RA6f___ Name of Company: I/ . 15.C.jijuil ,t1 CI
I
Address: 2..,7-1 A1/4/0(' ,A --z) Ave_ N\ C_Ity)21 r)-4,_.„ Pit-- aZ-ci.3.5-
i
State License Nt:/:;4Zgl ITILlecy, Phone (offi.ce)() 2;53-147(iibPlicine. (cell/piget):(14,1).-ilo--c-2-7_1 Fax:,
___________
1,,,,,„,-c-,- -poiss
$ullding Perin►t Application Checklist;
Notes
Completed. Permit; Application;
Current code edthon L Bldg.,Code Fifth Edition.(2014)
.Current,suryey.showing.alll,proposeii construction acid landscaping
Notarized;
signature -Owner/Bwldei Affidavit "
Check With Bldg Dcpt:;:for etbacks:
lfowner"is°actuig as cot tractor
Sewer impact Fe&.ieceipt
Maybe deferred until C:O Unless; lob rs remodeling;
;County Impact Fee:receipt
May be:deferred until C.O.
Capital:Expansion.ImpactFee receipt
Sidewalk Impact Fee;receipt '
Maybe;deferred unttlC 0
ifside`valkfeatsts ifi lot
Recorded' Warraii Deed /. Proof o'f,Ownersliip::
Copy of Reeiirded Notice Of Comrriencement.(over. 52,500}`
Current Cert.iOf iiabrhty Ins;/Worker's Comp Policy / Exemption,
Community Appearance Board Approval
Over $7 500fbr Mechanical that ge
Rcc ird will b'e. kept ori ile aver inihal submittal:
i or,ail work:.visible from Public Right Of -Way,
Planning and Zoning.Board Site:Plan Approval,
For allnewconstruction of four units or`niore
:Concurrency:: Forms
For:'all new construction fiat parte approved site plan
Priinary Coritractor's:State License:"
ReCard tivilllbe kept oiffile'atter°inittai Submittal
Subcontractor's
State -License,
Authorizations; .
Record wdl be.keuteri file afteriiiitiat siibmittat-
Notify Building Department of contractorchanges
Plumbing Contractor;
P umbing Contractor; ,
Electrical Contractor.
Mechanical. Contractor
Roofing Contractor
Stivitnming;P;oo1,Co"ntractde
Gas'Gontractor-
Electrical Contractor
Mechanical Coitactor
';Roofing Contracfor
Swirnrning Pool Contractor,
`Gas Contractor
Specialty/Other Contractor
Specialty/Other Contractor
Constructitn''DrawinQs:
P.er 1;B;C; 104
Three sets ot'sealedconstruction drawings
PerF'BC,104;
Truss:layout and reaction summary_,
Electrical Load Calculations;.
.c shects and'sh i drawings will?be ties led'at time of nrs'pection
.Plans nYust'indicate:pei'son'respoiisiblefor calculatidis` ` -
`Electrical Riser ,.
All new`serVice'niustbelocated underground.
PlurribingRaser.
Mans muni indicate person respansibie for design
A/Clayout..
Plans nurse indicate Pers Sn reVonsible for design
TWO sets of Energy.Calculations.
Plats; must: indicate person responsible for calculations
Lot;Drainage Survey_ . _•, _ _.
Your sets,of Fire:Suppression/SprinkleriAlarm specifications
liequiresH'ire:Repo approval prioi.to issuanceofperinit
.Pool Barrier R.eyuirement•Form (signed);'
'Pool ;'perinits:will not.he issued:without barrier'
Application ts :hereby-:tnade'to obtain a ;permit to :do. the work and installations as indicated: '1 certify that no work or
installation has commenced prior to the issuance of wpermit, andtk that all work will be performed to meet the; standards of 'all
laws regulating construction itythis)u"risdiction The Building Code An" effect at the time ofthis application is the Florida
Bui;ding 'Code 5th Edition I understand that,.all permits require it specttons as indicated and that it is the responstbiltty.of'
t}i;e permit holder to notify tbe'.building department when: readf. for innpectton(s). This permit application is valid for.:1.80`
days from'date 'of submission, :By signing, applicant :affirms: that .all .above` is true and ;'correct. and that '1011c:4 an
authorized agent':of the Contractor/Owner andhas tfie authority toapply for this permit.
*ALL OTHER APPLICASLF!'STATE:Oit FEDERA4 kERMI1S MUST $BE OBTAINED elppg.TO COMMENCEMENT*.
Applicant's'N'arrie TC-04-�t� `Q .Applicant's Signature;;
Date:o(n/IS/ l'
Site Address: 96 ( "' ..2,1%
.For Notaiy useonly: State. of Florida, County of Brevard:
wornarid subscribed,before,nme this (S'r`` day of ,gyp ,.2017 ;.:
who produced identification or
is personally known to me,
Seal:
JOHN L BALLARD
MY COMMISSION itt GG0651126
Nrz
EXPIRES January 25.2021
T,i is,fOrm-may_ tie: duplicated.
ROC, lMtf hkY
Printed name_of.Applicant
Stgnaturu Notary PubtieAt Large
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17P-1, ez
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GENERAL NOTES: •
I. ALL FRAMING SHALL BE 1" x 1\" x 1/8" 6061-T6 ALUMINUM,
2. ALL WELDS TO COMPLY WITH THE AWS CODE (LATEST EDITION)
3. ALL WELDED CONNECTIONS TO BE FULLY WELDED [N THE SHOP
4. ALL STRUCTURES ARE DESIGNED IN ACCORDANCE WITH
SECTION 1609 — FBC 2014, LATEST EDITION, RISK CATEGORY II.
5. ACCORDING TO SECTION 3105.4.2.1 CANVAS AWNING SHALL BE
REMOVED WHEN WINDS REACH HURRICANE WIND FORCES (60 MPH),
OR INSTALLED IN SUCH A MANNER THAT IT WILL RELEASE
FROM THE FRAME .WITH A WIND LOAD OF 25 LBS PER SQ FT.
6. ALUMINUM FRAMES WITHOUT CANVAS ARE DESIGNED TO CARRY
150 MPH — EXPOSURE "C" WIND LOAD DESIGN..
7. FRAMES WITHOUT COVERS DESIGNED AS PER ASCE 7-10, WITH
IMPORTANCE FACTOR BASED ON LOW HAZARD TO HUMAN LIFE = 0.77
8. ALL FRAMES HAVE BEEN DESIGNED USING THE RATIONAL ANALYSIS
:s .S& CANVAS Com,
(321) 2534960
Fay (321) 253-1
www.abcemaccat AdOQ 301JdO
P
91:2B6gxg64ii4'4r•
FHA Inspector # 1-335
Veteran Affairs # A-695
Special Inspector # 1058
Professional Engineer # 23451
R B Enterprises, Inc.
Design Systems Consultant
RANDALL BYRD, P.E.
2325 Jason Street
Merritt Island, FL 32952
Fax: (321) 453-4187
Phone: (321) 453-6564
Certificate of Flame Resistance
FIRE
Registered Fabric
or Concern Number
F-06901
Issued By:
HERCULITE PRODUCTS INC
ABERDEEN ROAD COMPANY
PO BOX 435
EMIGSVILLE, PA 19175-8310
Date treated or manufactured:
05/31/2017
This is to certify that the materials described below have been treated with a flame-retardant chemical or are inherently
nonflammable.
FOR: Trivantage, LLC
ADDRESS: 1831 North Park Ave.
CITY: Glen Raven STATE: NC 27217
Certification is hereby made that: (Check "a" or "b")
(a) The articles described at the bottom of this Certificate have been treated with a flame-retardant chemical
approved and registered by the State Fire Marshal and the application of said chemical was done in conformance
with the laws of the State of California and the Rules and Regulations of the State Fire Marshal.
x
Name of chemical used: Chemical Registration #:
Method of application:
(b) The articles described at the bottom of this Certificate are made from a flame -resistant fabric or material
registered and approved by the State Fire Marshal for such use.
Trade Name of flame -resistant
fabric or material used: REINFORCED VINYL
Registration #: F-06901
The Flame -Retardant Process Used Will Not Be Removed By Washing
DONALD E. KAUFFMANN
STEPHANIE MUMMERT, Q C MANAGER
Name of Applicator or Production Superintendent Title
RCNs # 00000000001054393100
CUSTOMER ORDER NO. sbs shop
CUSTOMER INVOICE NO. 1610330
YARDS OR QUANTITY 16.00
DESCRIPTION
Weblon Coastline Plus #CP -2718
62" Charcoal Gray (Standard
Pack 50 Yards)
ITEM NUMBER 857218
We hereby certify the above to accurately reflect the information contained within a "CERTIFICATE OF FLAME RESISTANCE" issued to
Trivantage, LLC from the registrant set forth above. A copy of the original Certificate of Flame Resistance is available upon
request to Trivantage, LLC and the registration information set forth above is on record with the California State Fire Marshal.
MAILING ADDRESS
ABC AWNING AND CANVAS CO INC
2270 AVOCADO AVE.
MELBOURNE, FL 32935