HomeMy WebLinkAboutBLDG PERMIT #17-0750 (Canopy) 3
Date:3)~J I1--- OFCITY t'AP CANA VEIL Tracking*
BUILDING PERMIT APPLICATION Permit to -7 0
i
(32101b8-1222
City of Calx:Lnnu ar ti ti tlttinK Department trtment t'_0 tioa 326- I to Pitli. ='trcnue-Cape Canaveral,FL 32920
You may download this application y,m,,A c 1N.) 1t,;izecaZtderai-ut;g.. You ntay la‘ to: 132i)$(SS-1247. All applications must include the
backside of this form and 2 sets of supporting documents_ Important. Please complete the checklist on the back of this form and provide
other documentation as indicated on the checklist A copy of contract ma' he required. Application packages will not be accepted unless
complete.
i APPLICANT WILL Kt (.:ALL.. )WHEN PERMIT IS READY
(Contractor/Owner-Budder is required to cign frit the building permittutkss indicated otherstiise by affidavitID.may be required)
t Zotung classification: Flood Zone:
Legal description ��pt'ri:^tw,t+t�� �(";4,5
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Property Owner Name: 1 r2Ch ve6_.1- 4-A.,-. (....... _ .._- �._ _..___.Phone: O' -5- °
Address: _JCS jG n rs b t 1.:.v er JJI'1._._CQ:CFA._&.erz_d , FL__3)2..9._5/ _
Fee Simple Titleholder's Name orcihertitansa..ciy. Address:
Bonding Company: Address'
Mortgage Lender: .._ Address:
T Type of permit Brief description of work.
r-- — _.
Building j
t.- +
I Electrical
Plumbing
Mechanical
C)tlter - t. — — _._
_. __ ___
FPI rings ° (it.ower i r/or a of u di trot' a I
t Tyl�01 Square f ortst. Otto. currently r>,ailattle �`aluation atwq:k
'1 Building Fed I Type panty - t'oar•tn.' stories dwet- bed- water
(pkwsc under ' (E.4. ('!ossific/ 1 1•10,110b143co , to.erne 1 %mstudt ties rooms cbsets (Copy d Csnnaa iirtluu,rtr
rant VB. -tion eerie this this ,
i indicate as
l , Parlors nniIa j
ticttl+k' cru) (H,Rt R3 propene. prnpert)? ; Spates
1 W t etc) � es No Ve.^'ht,
.
i ommerciai �..W i,
SFR
S
t t
Townhouse _.—..._ �_
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Apartment — W.
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'. 1 fi
ICondaminiunt ) $
other _±"---
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Architect/Engineer Name° ' 1 . .4)1L q.`j ( Nan►e of C'ompaaru _.._
Address: ' . ,0 -t>ti.,)rifiSt?/`t'J t ' 32%-z.... �.
., ON �
State License No.: TPhone totiicc _- .T ��—�
�. � (� ll° rt ,
Primary Contractor Name: m __._Name of Company i
Address: I
State License No.: Phone(officer- Phone teen pager.) Fax: i
Electrical Contractor Name ..._.___. Name of Company
Address' �� _ I
State License No.: Phone(office) Phone tc;cil pager.) Fax _ t
Plumbing Contractor Name: ___.. Naive of Ccmpaity.
Address: it
jState License No_: Phone(office) .........Phone I cell:pager). Fax
Mechanical Contractor Name: Name of(on;pany:
Address: _-___ ___.._
State I..icense No Phone toflice Priono'to tl'pa�tter) fax
Specialty/Other Contractor Name: c N -f \arm u1 ,,orrair A j;'M±14 d- C c-.a y,r 1
Address:, 3 U. QOa _ 0, MJ .._. _._c"`' L.
State License No�X It'' (G CMZ _Phone(office) �Z1 ; J Phone(cell/pager: -7lo YG�+'l'Fax f Zil7„j3
•
V Building Permit Application Checklist Notes
Completed Permit Application Current code edition:FL Bldg.Code Fifth Edition(2014)
Current survey showing all proposed construction and landscaping Check with Blde.Dept.for setbacks
Notarized signature--Owner/Builder Affidavit { Ifowner is acting as contractor
Sewer impact Fee receipt May he deferred until C.O.Unless job is remodeling
County Impact Fee receipt May be deferred until C.O.
Capital Expansion Impact Fee receipt I 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
I
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 ail 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: Record will be kept on file after initial submittal
State License Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Il Mechanical Contractor Mechanical Contractor
Roofing Contractor Roofing Contractor
Swimming Pool Contractor SwimminLPool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor I �
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 inspection
Electrical Load Calculations Plans must indicate person responsible for calculations
I Electrical Riser I All new servi,r must be located underground
Plumbing Riser Plans must indicate person responsible for design
A/C layout Plans must indicate person responsible for design
I ( 1 Two sets of Energy Calculations Plans must indicate personresponsible for calculations
ILot Drainage Survey
Four sets of Fire Suppression/Sprinkler/Alarm specifications Requires Fire Dept.approval prior to issuance of permit
Pool Barrier Requirement Form(signed) Pool permits will not he 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 5th Edition. I understand that all permits require inspections as indicated and that it is the responsibility of
the permit holder to notify the building department when ready for inspection(s). This permit application is valid for 180
days 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.
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO COMMENCEMENT*
!\
Applicant's Name: .i t +y,1V Applicant's Signature:
Date: 3 -Z Site Address: 1�� CL ATL n ; 0 .0.
For Notary use only: State of Florida,County of Brevard
Sworn and subscribed before me this v day of, ,20 t'� ,by r`n •
Printed name of Applicant
_ who produced identification: — -or
---,Xis personally known to me.
JOHN L BALLARD
Seal:
MY COMMISSION*GG065926
" ?ovogp EXPIRES January 25,2021 Signature-Notary Public At Large
,
This form may be duplicated.
•
GIST Certificate of Flame Resistance , : a
ow
� O' /711
` t:�i CAL_A
Issued By: SINCE _s
F RE T P� HERCULITE PRODUCTS INC
Registered Fabric ABERDEEN ROAD COMPANY
or Concern Number PO BOX 435 Date treated or manufactured:
F-06901 EMIGSVILLE, PA 19175-8310 02/28/2017
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.
ci;Y. GV!I en 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
J with the laws of the State of California and the Rules and Regulations of the State Fire Marshal.
Name of chemical used: Chemical Registration#:
Method of application:
X ' (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 Registration#: F-06901
fabric or material used: REINFORCED VINYL 9
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 # 00000000001036436344 CUSTOMER ORDER NO. Michaels shop
CUSTOMER INVOICE NO. 1501235
YARDS OR QUANTITY 3.00
DESCRIPTION Weblon Coastline Plus #CP-2719
62" Driftwood Gray (Standard
Pack 50 Yards)
_ ITEM NUMBER 857219
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.
ABC AWNING AND CANVAS CO INC
2270 AVOCADO AVE.
MAILING ADDRESS
MEI RC)IJRNF Fl 32935
Cape Canaveral, FL Code of Ordinances Page 1 of 1
•
Sec. 110-654. -Awnings and canopies.
(1) Add awnings or canopies to provide variation to simple storefront designs in order to
establish a horizontal rhythm between structures where none exists and add color to a
storefront.
a. The size, scale and color of the awnings shall be compatible with the rest of the building
and shall be designed as an integral part of the building architecture.
b. Awnings and canopies shall be constructed of high quality, substantial materials which
must be durable and fade resistant and maintained in good condition and replaced
periodically.
c. Canopies and awnings that span an entire building are discouraged. The careful spacing
of awnings that highlight certain features of a storefront or entryway is encouraged.
d. Canopies and awnings shall be located a minimum of eight feet above the sidewalk.
Canopies and awnings may extend into the required setbacks by up to 50 percent of the
required setback providing they do not impede pedestrian flows and or restrict utility and
drainage easements.
(Ord. No. 11-2012, § 2(Exh. A), 7-17-12; Ord. No. 07-2015, § 2, 8-18-15)
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05/19/2017 12:13 FAX 3212531902 ABC AWNING&CANVAS CO INC IJ002/002
CFN 20171055551,OR BK 7893 PAGE 2291.
. Recorded 05/19/2017 at 10:50 AM,Scott Elis.Clerk of Courts,
• Brevard County
• tt Pgs:1
NOTICE OF COMMENCEMENT
STATE OF ��ir t 0.-� A. 23
COUri Y of_ t ar
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement.
I. Description of property:(legal description of property,and street address if available)�C L• ��
r _ ' pe I ' • `i- `� a � '-
2. General description of improvement, r -•J.--; ` n iti• ` a
3. Owner information:
a. Name and address: _ . -%ft S -�.(... _ . • V. - _ •. - . 1193c7
b. Phone number: la.)-45e-1-7360
•
C. Name and address of fee simple titleholder(itother than owner): k
4. Contractor.•
.s.. Na±.,.z.,3 scidrecr: a 1_Cci4,14.3 3. ?)S ..
b. Phone number:
5. Surety:
a. Name and address: ► i •
-
b. Amount of bond S 1 " VA c. Phone numb=
6. Tender.
a. Name and address: rJ 1 A —�
b. Phone number al A
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 Xa)7,
Florida Statutes:
a. Name and address: 6.1!A ,
b. Phone number:
S. In addition to}timselt Owner designates the following person(s)to receive a copy ofthe Lienor's Notice as provided in Section 713.]3(1)(b),
Florida Statutes:
a. Name and address:
b. Phone member. j..1/1�
9. Expiration date of notice of commencement(the expiration date is one(1)year from the date of recording unless a different date is specified)
•WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED I II+ROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTIO.. 713.13,FLORIDA STATUTES,AND CAN RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NO r` 0 COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU t ' • r• 0:TAIN FINANCINO, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORD r 0 YO • B OF COMMENCEMENT.
••
Signature of Owner or•• •er' Authorized Officer/1r,-�•r/P i - Jec1
Signatory's Title/OfficeM�f ,j '" BE'k.-
The foregoing instniment was acknowledged before me this 4 day of • ,2.131 '7 by
,„e . E1MCr (name of pe -• A.,_-21 • _±ei .Lk. (type of authority,...e.g.
officer,trustee,attorney in fa for * •Vo am.t f party on behalf of whom instrument was executed).
Signature of Notary Public-Statim• de
Print,type,or stamp con . .ion — •fNotary Public
410',....N DENIBE M.ROY M.
* • . " *M Y XPIRES:ES:OM1 FF 198010 person lKnown, OR Produced Identification
1 EFebfuay 18,2018
freoc Borded1ts Build Miry Mk* Type of identification produced
Veri .;i.n . t• c• n' a•:�. s es
Under penalties of perjury,I declare that I have read the foregoing and that the facts •ed in it: • e •the best of my knowledge and belief.
Signature of n= si:' •_above