Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
166 Center St - street address file
l~ ~o.~s ~ 7 3 ~ 9 37 3 ~~I 39~~ ~y3s'.. 2oe~= ~a~ C~~C~ i C~C~C ~ r~~~~~J q'1- ~B - boa, y q~1-~Ots~ -z~ -Floor 2002 2 Q 25 ~"n 7'cr ~ro V - 7b rc~e w' K 75 X055 E~cc-~" Pan~.~ _ _ City of Cape Canaveral, Florida ~ BUILDING PERMIT ?1975 PHONE: 321-868-1222 INSPECTIONS 8 FAX: 868-1247 PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 1975 i Issued: 3/03/2004 Address: 166 CENTER ST Permit Type: BUILDING ALTERATION ~ CAPE CANAVERAL, FL Class of Work: 437- AA&C Nonres/nonhousekeep ~ Township: 24 Range: 37 Proposed Use: BUSINESS Lot(s): Block: Section: 23 Sq. Feet: Est. Value: Book: Page: Cost: 14,500.00 Total Fees: 392.50 Subdivision: Amount Paid: Date Paid: ! Parcel Number: 24 3723J1 E1 CONTRACTOR INFORMATION OWNER INFORMATION _ Name: SUNSHINE STATE CONSTRUCTION INC Name: DELUCIA, JOSEPH L Addr: 4000 S ATLANTIC AVE Address: 650 HERITAGE HILLS UNIT A WILBUR BY THE SEA, FL 32127 SOMERS, NY 10589 Phone: (321)756-6265 Lic: CGC059137 i Phone: 386-446-7722 Work Desc: INTERIOR PARTITIONS & ADD/RELOCATE FIRE SPRINKLER HEADS PER PLANS APPLICATION FEES BUILDING OVER 2K 125.00 AFTER THE FACT OVER 2K 125.OOTpLAN REVIEW OVER 2K 62.50 FIRE PLAN REVIEW 50.00 ELECTRICAL -REP/ALT UNDER ~ 30.00 j CELLED PERMt~ C RED EXP - ~ _ Inspections Re uired Final CAB items, if applicable I i _ APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY: NOTI E: THI PERMIT BE MES NULL AND VOID IF WORK OR NSTRUC I N AUTH RIZED I NOT OMMEN ED WITHIN 6 MONTHS, R IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED. 1 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. _ _ ~ _ ~~%a / ISSUED /D~ ~ ORIZED IGNA~ /DATE ~ (I ~??%69/2~+~5 1~: r-~ ~~1-=~°5-262? SOES~Pfl~;N ELECTP..Ii~ P~`C~E a1 ~I7'"'Y ~F C.A~~ CANAV~:RAL AUI~HUR~ZATION FURM City t~fCape Catiaverd Eh,;lding t}epaxUneut i0a Rrtlk Ave, +Ca C`ene~+erol, F1.32920 (321.) $~18-121'2 (Ynu may do bsd,this uuthot•ixstion: www•-mvElun~.g~rxxJcane, 1(ou may fax to: (321) S~$-1247. ~;z f _ Date: Permit GDNTI~AC'I'(3RS AND SUBCUN'I"1tAC`l'C)12S -PLEASE HAVE YOUR SIGNATURE N~'iTARIL~Ja AND SUEiMIT ~NIS F(]R'!,i WIT~i* TAE PERMIT APl'LICATIQN. i ~~~.1 # 1---} 1 ~ ~~y - herebt~ ButhW'ize ~ ~ ~ U ~ s ~Y (°~ate L.ioe~tx F(n43ur`rr Ir'mne !'i.I~ASF PR tN7} («1G+larrriznd F'c=eon - F'Gfd4fl PR[NT~ to obtain a ~erznit arr. my behalf under ttry stag license as issued by the D~arnnen~t of Fltrcin,t~s And Professional Iteg~.itation, ~''onstructiora Industry Licensing ~caard , f~C'i ~ µ(~t~Lir~rnec Alwnhrr) for the job site described. below. TYpe of Permit .~t-'`.~C' ~ f' ~_I C~~1 ~ , ~ Hutldi ~ ~ _ Warne rsf Property (7wner _ y ~ti~nblltg ~ r'Z-~ ~ r ~ 7 E' ' ~ f C` i Flecirics>ei Addaress o€ jab Site M~hanicai Roofing T. Swing k'anl - S~cialry Sttx~cture Si of Li,cextse Haider C1tl7er - Slte+c:ify- For Notary use only" state of }Monda~G'atztsty of t3reverd Sworn and subscribed !)efc73'C me this (~~a day of •-~4'~'" , Mt7 C~ by ~~rt iY, ~ -~-6, • ~ .m...... Naas of Ay~piicatn wlaa pmdu~ctzcl identification: _ cr is parsonalty (mown iQ Sesi : x• ~ a , RettCB B+OWt11Ari , ~ Comtk~seionill)~1+15475 / E,~~-~~ ~:z..~ E,rpiras: Mor 23, 2009 [3andd Thou :+~tipntiq 9ottdind rro., the ~+:~~{g.i~q>r-Forrru~~At+chori~stism Funa This Carry txµyy 6a dup4icamd ~~g ~lt°~.~ Lu~~~ ~ _ f ~ ~ CU i~ivi. - fit r' ji ' ~~u~ i'h~ why ~h ~ i ~ J C City of Cape Canaveral, Florida ii, 71s BUILDING PERMIT v,"2825 PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 2825 Issued: 1/06/2005 Address: 166 CENTER ST Permit Type: BUILDING ALTERATION CAPE CANAVERAL, FL Class of Work: 437- AA & reroofs-commercial Township: 24 Range: 37 Proposed Use: BUSINESSLot(s): Block: Section: 23 Sq. Feet: Est. Value: Book: Page: Cost: 15,000.00 Total Fees: 267.50 Subdivision: Amount Paid: Date Paid: Parcel Number: 24 3723J1 El CONTRACTOR INFORMATION OWNER INFORMATION Name: RYSKCON CONSTRUCTION INC -Name: DELUCIA, JOSEPH L Addr: 2 MARKET PLACE STE D Address: 650 HERITAGE HILLS UNIT A PALM COAST, FL 32137 SOMERS, NY 10589 Phone: Lic: CGC037470 Phone: 386-446-7722 Work Desc: INTERIOR REMODEL PER SUBMITTED PLAN 411(7-13 ------------- -- APPLICATION FEES - BUILDING OVER2KELECTRICAL - REP/ALT UNDER 2 56.00-1 PLAN —REVIEW —OVER -21<7--62.50 FIRE PLAN REVIEW 50.00 Inspections Required -Pre-Lath Final —APPROVED APPLICATION ACCEPTED BY: PLANS CHECKED BY: BY: 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. I iti U Al /zzz ISSUED BY/DATE ,;UTHOIZED SIGNATURE DATE ~ l_.:1 ~ Y U~ l;Al'~ I;AN A VENAL ~ BUILDING PERMIT APPLICn.TION City Cap anaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920 ~ (321) 868-1222 Date: Permit # :Z~~ 5 (You may download this ap licat' n: www.m~florida.com/canc. You may fax to: (321) 868-1247. Important: A checklist is provided on the back of this form. Complete the checklist and provide other docwnentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete. CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY. (Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by a(Tidavit. I.D, may be required) Address of Job Site: G~~~ti~~~E-- y ~ ~i?.~''~i~ C'1/~~/~~-r~/~ /c-,~ .~~.9~ Legal description of property: : ~ RNG: ~3 ~ SEC: SUBD: BLK: LOT: ~ PB: PG: _ Name of Property Owner: ~ ~i~,,~!!i'~,% Pro erty owner phone number: -~/4~y"~syc Address of Property Owner: ~ D .,Pi. /,~1~.~ j / ~ ~„?jj Community Appearance Board approval date: /U Site Plan approval date: ~ Type of Perrnit Brief description of work: Buildin ~ z ,.~v'->" ~ Electrical y v/ Plumbin Mechanical ' ; Other Type of Square Const. # of # of dwelling # of # of Total valuation of work Building Feet ~+Type stories units bedrooms bathrooms Commercial g SFR $ Townhouse $ partment ~ $ Condominium g Other g ArchitecUEngineer Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Primary Contractor Name: D~ ii uj ~~'Sz~2n/! Name of Company:~~s ~~®.r1 ~~~,swr,a,-.~r~., ..,z,~ Address: ~ ~l~~r'~ j~<., , (>~l ?j ~~l l~L 3/37 State License No.: ~tr ~ 3 ~ y L>Phone (office): Phone (celUpager.): Fax: Electrical Contractor Name: Name of Company: - Address: State License No.: Phone (office): Phone (celUpager.): Fax: Plumbing Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Mechanical Contractor Name: Name of Company: Address: - State License Phone (office): Phony cell/Wager.): Fax: Specialty Contractgr Name: Name of Company: Address: ~ - State/Local License No.:-. Phone (office): Phone (ceiUpager.): Fax: ~ _ 62i01i2005 11:08 ;217849c35 PAGE 01 ~ Eaildin Permit liratioa Citecl~li+t (general requirements) Notes COt'ti feted PPxtriit liCatioa Conant code aditioa: FL Bta~ Code 2001 {aa revived} Current serve aho all m conatevetioca A!so aNovr ~ e:rthttt ~ enaanstm. ~ttltnea. see.., Notarized ai stun, ()?vnerlSu;tder Affidavit [Eownw• is .atus sa contractor Sewer • -Fee reset t Msy be detEtted 1 c.t9. Unless job is remudetina Corm XttX rYd Fee tece' t y dnfared uatit C.U. C ital E ~sion Fee tecei : ritssybs dsllrred .c~. Sidewalk Fee rece' t _ tf atdcwatk e~ on fat Recorded Warran Ikcd / Proof of Own,eesh' Ca of Rscordeet Notice ot'CosneneacameuC`vvst• ,5{i0 Prior w fiiat imyoccioo (Oust is for Machanic~l) Gtnreat Worker's >u'arrtp. Policy i Exee>lapsiaa Record wtn be oo tik after mm 'trot COII7Rl11cU A atlce Hoard A torsi For wok vial 4om Pnbtlc Rigfit ;wsy Platter' and Zo ' L oard Site Plaa' Vast For ~ wnstitirctia+ of tour units err mtxe Concurretzcy Forms _ For nt?vt+ canat~uctioe not pact of appa'ef' sits plan Primary tvar?ttactor's Stan f.iceaLw: _ - xacord wm be kvpk an file a8er initial sulmittsl SubGO>ItriCtor's AtRhol'1T8ibtty: rcecord well kept on lily after initial subu?ittat ~ Stater Llcera8p Not=iy 8uilcling Dep.,,~onerrtafcoc,esectuz changes Plurrtb' Captratxor Plwnt~rng Contractor ~lectilcal Cor~t~actor Eloctrical CoaLrndor ^ Mechaniarl Goatrttctor v Mechaatcal ContrxcWr r [Jontractor _ _ S. ' ~ " .Pool Conttacxor Srviintnia Tyoal Cpi~taactnr Gas ComtraFtor Gas Ctmtrtlctar Cuntr$ctor 3pxishy Coatractnr . For F.$:C. 1 . ~ , ;Tvr~s; i{ st~tid.ccn7#~ction drawings (three stets if com3nt:rcialj; e,, ,0a . ~ ' . . ..Cad , z , i ,W. _ _ ~AYl'E~ '~tt£ er/ farm iticacions R usres ~ a,od fat T _ _.....-inept Ftmri" si cwt as b: . Uo ~ - _ _ 7iit tts.t~p-tint wcirk and installatiani~ $s itf~iic~tlped. I r~ty ttrat as work o'r Ap~ ~ _„y, ~ ~>Y~A3t~e fo o a ~ , irlstn l;?ea Ao pr~tar toth~~;g~s of.a painiit and that aft woik wilt Ee (~"tr'forllaetl tr1 C6i~t the st~xie`ids and~;~es+°~onstructaot~t to tlt~~ $y~ siFq?tng, appli~t affirms Ehat"atl"above is tend curt and tt~.~sho l~v~-a;~zed;a~er t~~~-~urtox~~~.#~c ~v~ner and has tie au~ftotiy to a_. ` y ft>"~ permit. - ~A~Ti~n~sYNaat~ ~ S z A t , ~Piica>at's S~tur+e: r _ . _ _ - ~ _ path ~ w* a = . ~ ;t: ~ A~~r;,~-~ ~ t.~, T~= f ~ t Fo;q =t~b~y: SrCta~ cif F3arida. t>otn>~ of B a ; , _ , v - ~ _ $w~rr , ~ r ,Gi4}' d~ ~ ~~j~t,; . r 24,;~, ~ r = k 1; . ' . ~ ;,,1~5%~~t ..._.Y. _ . _ _ 9_ ~ ~ _ ~ ter- ~ i~ ~ ~.r< . ~i~'etrtt'~`xiafi3xf~ : ! ~ _ $ LIY a. di • ~ kr 4 . ~o~m~ tame. - ~ , Expires Jt1~?12, 2008 Seal: 'kaF eawaTiorwe•tn~..so..lna eaotesto+a S Sipwturs -Notary Public At Large 4~tY. i€ .cSii.tl} !fe a'4 ..5"`i ~ IN. l r;`: 'i x~ 1 1 . , ' - -t~ti wi. a . G Pitl~lt'~',~' ~;tr 1.,' 9 u 1 y.. ~ ~ d, v .Tivs fbrq,'~' p~, f. ' . ' ~~!'S~'i.i w~N'.°+ilt.f~s~,' C'.D .x'"`. 8t4 ~.kit~.+.~i i.~-"+~irr :'.Y ~ - ,;1 . ~ , . , p - .i~~+ it« ~~i~kr {e, err.. '.CS. ~a':.L'.~' A. h. t w. FNCf1 .•tiq.` tuj.~.'.?i.'1~~1 A 4~-. Syr i f1~~, i~ ~ ~ ; t f'' `SL - .,l .-..v. - r - ~ , . _ . ~ ~Di~Ft~ ~C32v"i'RACx ~R 'r AYR. ` i N.' pi`C~~~.~~. i.~a: ~~~X d $r3 h ^1.riy. 1,L~~ 13L, - ~f~ ~r~,,~ ; G'.r'I,Sfi r - _ _ _ ~hy _ , f; . fi ~~'~s' b e a~~ ~ CfF ~~,fl~t~A ' u ~ r' a ~ ..k TyRC~'ES~+~3I,aI~ R~ i yl.~+n' ~C~IST :~s£ P~..ok ~i 2,~~."-, ~~~fi~.~Mrk ~ 3 ~~+FPI~??~"3 ~2~'Sr.>s,Z~~~x~j~ ~~~r`Z~ ~~JA?'' e d ; ~ ! ,,,,,,,.,..;:._T .mss---~-- - ~ _ t ~ _ - "#d ~ ~ ~,~,v ~ ~ _ . ~ `~.,C7~7'`~' ~..~~~:~t ~"~~~'~R~tt~f'~Q.N fit:. ` - ~~'<'i2~'I' alt _ ~"y+.}`J =Sti cT~ i~(~.Pt~Y AS'~~~ ~1~~ L~~° ~VM( _Y r k 7 3~ z l.? 3 v.~. d {e R ~ S r F%..~t_t...''':c'.a a: • P.~Y3k' !~.f~AS'F, c;~G+R~~ 4 ~ Y~,:e.,,ry+!^..',: f~: 1 F~.~rr; FIB; r ~ „YU -.rn...~----"- SUQ VHS 7`J ,Y nayv +,f fit: Ta ~•;ySkoosY Cons..ruceia+ 44~3a1'•- 01/Lbr`2445 `e».;~. ni~zcFas- ~ a>~ ~rlia,IM ~ C yr ~,,,,~/~pi%.! i r lira?UI"[Hi'~,.~._.,.„, ~ _ Tt+la3 c~RTi~ic,?-t~ as :x;:uka7 ns ~ ~n~.rTca~t or- ~~urr#~TU, rr p-AX 0567 d6-3S14 pNIYAND CONr'ER".s NO R~!iTS !3PfyN'THt ~.~RTi1'11=ATE -Ww~St"' (386)4.•46 i~2~ T, A7 E DpES NtdT 'r~'~IENTJ, E7CT'EVS7 OR HOI.pER.THt$ CER 'F!C f'iLas!' a:ss-ast Znaurars. 6~~¢ ALTERTH~WIOV RliGEAFF~t~ED~YfNEP7LdG#F,~S~F--LAW ~ d8K5 ia~1l~ 7ewr,~ PWw~y _ ~ NASC ~ Suvtt~ ~ #N5L•REFiSAFfQRLa#NGCC}VF~iAf3E _ 10190 P,a'!~! Cnast. Fi. 3x164 _ ,hs~~-~ A Svuxhcrn-Uwne- rs Iersura!ac~ Cs? ,is;rq~a + ySkdon t:on3trtscian iac ;N3,r~r<;.e ----'.r. 2 Market Place 5:a p _ `---i i~uc~_~Fl ~ i*~xlm Caast ~ FL ' i13~ IVFiL f11.F1 '1 y ?WDIC.ATED NCff'tv1TW$7AtdDIPrO T!~!E pbUglf~f 4P ifJ3URAhiC%'s ISM©$ELO1ti" rii.VL 3EirN ISSUEQ FO T!f>:1~16UPf~D NAMFDA9bV~ FOp 7~IE ~ pL1CV P~lOf3 Ati'Y' f1F.~`viP~NEP17. TkIRM OR ~a:VCI~oW 01~ C,nlt :XXU' TtACT OR OTMgR DpOt1f!#ENT Wf!H RF~PECI T'7 vVhflC~t T~3YS t2FD{'ft"r'TC~+TE MAV SE r.SEUED 5Y TE9~ 4 ~3JG:fES DE9CRIB~v ~FEI~i IS 8L`BJ~V^T TO Ati. T4.~ S'~R1~5_ E.ti~ f9vi0!~ AhD G01'sJTYT~.i a rJ~ S.K;N MaYPERTAiN,THE6NMUFIAS'~:',gFrrORDEC FtFDUCF~:~Y~AtbCIRIMB. PDUCiF1a A4iGR~A~~ T~~~~f SHC3VJNMa r1A`?BBL:.-iV ~CYFFFECt! v6UCY'~t uurt5 ~~a~ ~ TypROF~tI~,,,~,,,, ~ ~ ooucvKUw~+ v ~ ulPE[MWU6C UC.:;Ri~~hY. s - 54a7,~Qa ~I~~~,u_uaswirv 20633637114 04/30/2f104 04/34/20x15 ~-or~ti~e,_ _ a~ T00 , X~ (X;Mt~1:iM:,A'.,Cl£NL~~~LL?AFA'.:t'r ~ ,AFJEYA:K1+wegr~ ~ ,'.'~.fMy`MACfE ~,~'h::1.1P1 =`Glib'"AfAL.~A,;W SrLJt;RY _ 50040 s 6P~i;ALf.txi?r_u~.iE 1~000,4U _ ~oa~~ s ~o~v%rt~Aac ~ 1,040 0#U... CEty't.a3'~i;Alr L'NI't Ar.:al~S r%F. .-w~ # v;w~ .rEC's ~ i?;noMOdwFUws~ta*~' f ~eawcae-~+) ~ atirA~ o gpCS lY :h,]URY i g ~ i~,LL A'Mf~EU Ai.!T(~ Y~~Fd9`"~.~ I 3 ~ .~-....r...~....+......r~--- 5G~CCi'I~U AUTOS i ~~,_Y'~.,4R~ i M-~_ t~F F,m:datl r S ~nWNEC AU7C~ CR'JPF.R1vD.95ML~E 6 ~ s ¢~er rccianil .r ,..~}...,,,~,,,,w,.._. _ 'f}'''''~'~ a~rcow.v-CAa~,A:~ia~n~ ~S Cr1RA~t.4R&utt { ~ `...__i .q TfInV...~...~...t~AG'.: ~ Aur w; o y g ~~~a.'T~' oi<ti:r, a~ ~ F%cf83rlAip+'~@I1A U/~8q.J17.-~ ~ ,'.rE'CA7f Gv`CItR ~ CLA; 4~S 6tAC7E ~ ~,`i g r,~oucT?s4f ~ 8 414RIQ:R50DIIfnE?1SA'lsOit LMD i E.L fs1J!ACZ1D_~v'f _ S rFyiL.0YER3'ifABIIJ?"r i - MY PSi~sE"ORPJudiWc.F,'F..XE•.?'IV= { E.l. `vs~+~` ~EA ZMF:.PYt ~ S •OP~'sC£R'MC M°TiEXCYs?'M i7~ f Ei, D1E~Af~-f~Gl!!'Y :iNI~. S Myaa dear ~+.M1d+t BHGGtAIPf"~.+YS6'O"+8 no's-_._ .nMtR YJ' i~CR6mON VF'~4'+tWb . 4PC?TiOJB f 161d3FY ! E7tC'J: NORB ACiDFS' 8K Ew46ft6E1fEWr r }ipE,p~il pfYJ4E'3Krti8 SN~yJLA Aart' 00'?HE AaW~YE DESG~ED POLK~G~ 8E iANC£S.:.FD 4~Fi+C+1E Ef(9tgA11A1` C+DTE't!~R~sq-, Ttw>< IW5iSINQ'.N'.KMiE.R `r'fM.l tTIDfAY~991 S`O YrA:'. 10 DAYS YFRf7'YEW wcrnr,~?Qyba fXRTtRGd17F 6iPtD7R WAl~kD?C1'!nE bE~Y, City of Cav: Canrv~ra'1 Attn- Tork1 iorl+zy CBO a aur=Adtu~~oFTAlLSUe~vwcn~~e+a.~~ao~aoc~c.IC~ar.aWae~a~r~?r P fl Box 326 oFaxvawo~ravr~fr+~:r~R.frsAC~Kr-cc~a~rT~s,~rv~ Cape canave~ •sl , ~4 3..'.920 ,wravF~urr~P+s€:+~rra-r+iff _ G~tnna Hicks,. _ACSR?7RCKI _ ~ ~ AWiiG 86 R'70D1rb8} Fes: d:~213$6a-1217 - - ~~&1l~'~FID CQRFCIRATU~N 1897H ~.-rn~r~ ~A`: tl~1. f9ar, :;C~ ~t7&J4 ~~F~:~~B'.P~1 P3 FRSA-5Y `fabov~ the FtQBL FLCrRIpA i:OCFING, SHEET METAL&A!ft GONi7,rl4NING CCNTkAGTC<<SASS:-CWYIC'•'i _ RSA _ ~ - ° ~ P.d, $dX4407• WNiTEit PAe{iK~ F1,32793•(407} $7't-FRS1? 1-800-767.37x2 a i'aX (,t07) 871.2520 CERTIFICATE OF tNSUifiA~i~E COPY pROVIDEID TO: ISStJl~D TO: L;ity of Cape Canaveral ~ Ryskcan Constz~uctzan, Inc ~ 10;i Pnik Ave. 2 Market Place PO Box 326 Suite D Cape Canaveral 3292rJ-0326 palm Coast FL 32137 - ~ATTN:7odc! Marley CBO Date: 01/26l2A05 rf~IsisCoeexrtifyf?eat Ryskcen t;onstruction, Inc. ! Mc1I`xet Place Suite Palm Coast Fl. 32137 6eing aub}ec1 t~ the provlsians of the Florida Workers' Con<pensatlon A:L has ascurecl ;I~t payment of eompensatbn by insuring t0?c+r risk wttb the FLORIDA RWFiNG, SNIFFY ONE i'AL a AiR CONDITIONING CONTRACT4R5lb550GiATIUPI Sl:l.'F' INSURE3tS FUt~1D_ ^OVEIRAGENUMBER: fi70-iJ32rf21 LIMkTS ~ Workers' Compensation Seatutay - S'ta~ a# Florida EFl»ECT!VEDATE: U1/E1l2005 _ Employers' Liability 6100,000 -Each Aeeldent EXPfRATION UI1Tf=: 31l(.:~ /2006 $700,000 -Disease, Each Femiplayr~e 1500,000 • Disease, Policy Limit R~lflRKS: iVon-canceies~ie w~ draut 30 days prwr written noticR, except forr rtonapaymerrt of premium which will bee 10 daywriicen notice. This certll9~;ate Is not a policy ~ °ld of it~eff ao.~o not afford any insurance. Nothing contained in this rrertifiaate shall bz cssrtst+'uettd es lXtRnfJlnq eove~ age not aNarAed ay the poucylies} shown above or as afksraing Is?6q ranee to any ih$a11ed not named aboVQ. This cSroVtds6 coverage for Florida palicyholderS and Florida tlORticik anpl0yeC5 only. ar.as 9rei0d, a Deebie Kemmerer - undanK'i:+c ~+wK FRSIitIK >:it&J4SIF . . M.. y. ltd, - ~ / ~ 1 ism • /~D~i ~ ~°~r~ t/ ~ d - - ~~I/~j~~~ L' fir, ~ k / ~ i + ~ ti's" ~ i a r ~ / ~ ~ Y NVe`' Sara E. Nunxla o lr`°y ~P I * Commission # DD337~228 1 s~F'F=r1 F~ ~ N~1. hilly. ~~c 21~l~~ Qt4: rl?Pt'3 F1 i'G,G 5iE'.' /J„~~r¢ jG ~'t,A11/v~~ ,7" e4+r~ ~/3'~•e,. ~~rv'~G. C'anr~.~s''~"C'~ ~`G7^c.' ;~r~/~ ~""~'NrA/~ a~.G j1U j- y`~rK~,s~1 gyp :.t~'! ~D.?~7/ ,o r. tt ~ ~1\ P r ~ ~ ~ _ J ; r ~ G~. !rf~Vtlt~''3f r r.7''. tht;...~ .+r+tEBy 7t _ ` ~ ,,y„'~ SyJ~MN RNioY oa?o~ rst!e p°-senat;y ppa~xt +F ?R~Cao~+OG~igi4Yc to rre k~owr'.a ue itta flera4n whc tx C.ReO t!?e ~w.rr ~artwrv 2w, ~ofl7 breQo+nQ ~nst+:~'?rts. Ord ackr~aw!cdyt.", tlrat n- a~~cutdG !*w sru^+~ 'vs trap act ana tls.:,~!~ N01+:~ j ~~i+G o,°~~ ~ 7 ~ - ~ ' _.r.------~-- r : r-. ~ 1~, r"" ~.d-was ~~s •u:tit ~^snao?aWn^ ~annr.~,x d~.~:Fn ~n ~n ~~u ~ ~ CITY OF CAPE CANAVERAL o~_ i%"r ~ ' BUILDING PERMIT APPLICATION City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920 ~ (321) 868-1222 7 D~ Permit 2 8 2 e~ Date: ` (You may download this pplica4ion: www.myflorida.com/cape. You may fax to: (321) 868-1247. Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete. CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY. (Contractor/Owner-Buil/de/rJis require/d//t~o sign for the building permit, unless indicated otherwise by affidavit. LD. may be required) Address of Job Site:. ~ ~ ~ir~~ i_ y ~5 ~~~~-5, ~~f je~~l~~i Legal description of property._,.: ~TWN: RNG: ~z SEC: ~ SUBD: / BLK: LOT: J PB: PG: Name of Property Owner: si~~~ pia-vGi~- Property owner phone number:3a'~ -yyC 7J.~ Z. Address of Property Owner: ~ ~ ~ / j i'~~~ ` j~j!-~ S U~/ ~ J~. Community Appearance Board approval date: Site Plan approval date: ~~~-9G71~~~ ~ Type of Permit Brief description of work: Buldn ~SprJ~S i.~.~_1~XS''" Electrical ~ ~j= . rX ~ S i %u lr Plumbin Mechanical ~7~f~ Other - u ~ -~i~>''~'fj~ ,7 t-,rP~ r,~,:~(' Type of Square Const. # of # of dwelling # of # of Total valuation of work ~ Building Feet Type stories units bedrooms bathrooms Commercial ~ o~r> ~ ~ ~ $ "wc~ SFR $ t Townhouse $ Apartment $ Condominium $ Other $ 1 Architect/Engineer Name: S ~ 1~ ~'f;1q ~ S v~Name of Company::~,;_ Sz /~•~Ff t~l, ~9 y` ~.SS~ Address: (9 ~ ~ j /y~ ~F'~ i?~-r.~~ ~ State License No.: } ~ y ~ i 5 /Z Phone (office): Phone (celUpager.): Fax: Primary Contractor Name: ~Zr>av S/L .vi. ;s-;` Name of Company: vv~v~%~iiv_r- s;>'y% ~.x,,s~;~.,~ivx Address: t Z~ .5, iL.r~>~ is ,;,vi~~v~ i/`!= 5'~~ State License No.: 'C'- G{ L' v / 3 7 Phone (office)~,2l 7s G~rIGS Phone (celUpager.): Fax: Electrical Contractor Name:~_ 1 ~ ~ 5~/yJ7 ~ Name of Company: r~r,~i~' S'~ivr~=>3 ¢ Address: ~ ~ 7L~ /~/G~~i~-~.-- ~~I .,5 / ~7 State License No.: J.;.E'. ~jZ~/ ,3S f7 Phone (office):~(~ - Ss' Phone (celUpager.): Fax:,~,~5 ~ Plumbing Contractor Name: ~f Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Mechanical Contractor Name: /v Name of Company: Address: State License No.: Phone (office): Phone (celUpager.): Fax: Specialty Contractor Name: ~ arf 1K~ ~~cy~~ Name of Company: 1 ~ 5~~ 5 Address: y~C~ S C.C~~Tu t2U2 Lcn uc~t~~ f~L 3:27507 State/Local License NO.:G57yc.~ocx~,;zm~I'hone (office): _ 55S`5 Phone (cell/pager.): Fax: 7 .~-2/77 • 2 ~C= c ` ~ Building Permit Application Checklist (general requirements) Notes Com feted Permit A lication Current code edition: FL Bldg. Code 2001 (as revised) Current curve showin all ro osed construction Also show any existing structures, easements, utilities, etc. Notarized si afore - OwnerBuilder Affidavit If owner is acting as contractor Sewer Impact Fee receipt May be deferred until C.O. Unless job is remodeling Coon Im act Fee recei t May be deferred until C.O. Capital Expansion Impact Fee receipt Maybe defected until C.O. Sidewalk Im act Fee recei t If sidewalk exists on lot Recorded Warran Deed / Proof of Ownershi Co of Recorded Notice of Commencement (over $2,500) Prior to first inspection (Over $5,000 for Mechanical) Current Worker's Com . Pobic / Exem tion Record will be kept on file after initial submittal Communi A earance Board A royal For work visible from Public Right-Of--Way Plannln and Zonin Board Slte Plan A royal For new construction of four units or more COriCUrrenC FOrmS For 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 Mechanical Contractor Mechanical Contractor Roofin Contractor Roofin Contractor Swimmin Pool Contractor Swimmin Pool Contractor Gas Contractor Gas Contractor Specialty Contractor Specialty Contractor Construction Drawings: Per F.B.C. 104 Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104 Electrical Load Calculations Electrical Riser All new services must be located underground Plumbin Riser A/C la out Two sets of Ener Calculations Four sets of Fire Su ression/S rinkler/Alarm S ecifications Re uires Fire De artment review and a royal Lot Draina a Surve Pool Banier Re uirement Form (si ed) 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 and laws regulating construction in this jurisdiction. By signing, applicant affirms that all above is true and correct and that he/she is an a riz,~d agent of the Contractor and the Owner and has the authority to apply for this permit. j~ f _r'. Applicant's Name:., r` , _ . Applicant's Signature:. y~._ ,~f ,-°a ~ ; Date. Address: ~ ~ - ' ,cr - , _ . ~°.1 For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this . ~C, day of D~c~ ~t~?~ , 20c~ `t , by .~~1,. v.. .moo; r` 5 Name of Applicant .who produced identification: or is personally known to me. ,4~~:':'PY~;. JOY DAINE Seal: MY COMMISSION a DD 237771 y•. :;s EXPIRES: August 3, 2007 ';F'•••'~P`~ BondedThruNotaryPublicUndeiwnters Signature-Notary Public At Large ~F R,.. G:\Bldg.Dept.Forms\perTnit APPLICATION 10-6-04 This form may be duplicated. - t.yi 1 1 Ll..IU• Building Permit per s u q are footage Total Sq, Ft. (Living Area): _ 2 Total Sq. Ft. (Enclosed Area): 4' Building Permit based on valuation :............1~y/ ~ ! ~ '"Z- Total Sq. Ft. (Living Area): ~ ~ ~ ~ Total Sq. Ft. (Enclosed Area): Building Permit miscelIaneous .,"s Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Tclectrical Plumbing Mechanical Building Permit Pian Check Fee.......... - ~ z Fire Dept. Plan Check Fee Radon Trust Fund; sq. footage Concurrency Management Fee - Capital Expansion Fee Total Buildin _ ~ ~ . g Permit Fees:...... SEWER PERMIT FEES: Sewer Impact Fee Sewer Tap Fee Total Sewer Permit Fees ~ ~ 0 3 a~' City of Cape Canaveral, Florida BUILDING PERMIT 1975 PHONE: 321-868-1222 INSPECTIONS 8~ FAX: 868-1247 r-~ PERMIT INFORMATION ~ ~ LOCATION INFORMATION Permit Number: 1975 Issued: 3/03/2004 Address: 166 CENTER ST ~ i~ Permit Type: BUILDING ALTERATION CAPE CANAVERAL, FL ~Q ~ 6 Class of Work: 437- AA&C Nonres/nonhousekeep Township: 24 Range: 37 ~ Proposed Use: BUSINESS Lot(s): Block: Section: 23 Sq. Feet: Est. Value: Book: Page: Cost: 14,500.00 Total Fees: 392.50 Subdivision: Amount Paid: Date Paid: Parcel Number: 24 3723J1 E1 CONTRACTOR INFORMATION OWNER INFORMATION Name: SUNSHINE STATE CONSTRUCTION INC Name: DELUCIA, JOSEPH L Addr: 4000 S ATLANTIC AVE Address: 650 HERITAGE HILLS UNIT A WILBUR BY THE SEA, FL 32127 SOMERS, NY 10589 Phone: (321)756-6265 Lic: CGC059137 Phone: 386-446-7722 Work Desc: INTERIOR PARTITIONS & ADD/RELOCATE FIRE SPRINKLER HEADS PER PLANS 'APPLICATION FEES BUIL N V 2K 125.00 AFTE E~AZ~~VE~2 2K 125.00 PLA REVIEW OVER 2K ~ 62.50 FIRE PLAN REVIEW 50.00 ELECTRICAL -REP/ALT UNDER ~ 30.00 Ins actions Re wired Final ,AB items if applicable - P L B~ E PPR V B ~ Ofb~WOR(~OR~ONSTi~DC`rIOiTAU~FIbRiLI~f~Nb~C6NiiJIEFICED WITH~iJ~MOfJ fH R 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 P„RESUME 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. 7 _ ISSUED /DATE ~ ORIZED IGNATURE/DATE ~~~~II i? • V BUILDING NEW CONSTRUCTION CITY OF CAPE CANAVERAL PERMIT 99-00181 MASTER PERMIT - PROJECT 95- AT DATE ISSUED: 05/05/99 PROJECT ADDRESS: 166 CENTER STREET PCL#: E LOCATION: 166 CENTER STREET LOT SUBDIVISION: BLK OWNER NAME: TECH VEST PHONE: (407)-783-7030 ADDRESS: 400 W. CENTRAL BOULEVARD CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 GEN. CONTR: GRINNEL FIRE PROTECTION PHONE: (407)-299-3430 ADDRESS: 4702 PARKWAY COMMERCE BOULEVARD LIC 812077000196 CITY: ORLANDO STATE: FL ZIP: 32808 WORK: INSTALL SPRINKLER WET PIPE SYSTEM ON 2ND FLOOR. NOTICE OF DE5C: COMMENCEMENT SHALL BE RECORDED PRIOR TO INSPECTION. ELEC. CONTR: PLMB. CONTR: MECH. CONTR: SPECIALTY: VALUATION: 22800.00 BLDG:ibS•~ PLAN REV: SQ.FT. ELEC: FIRE IMP: i 6(,.00 OCC. TYPE: CONST TYPE: PLMB: RADON: FIRE ZONE: USE ZONE: MECH: CONC: CAPITAL EXPANSION: TOTAL DUE: 331.00 TOTAL PAID: 331.00 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY KC-x KCT,Cz'm,~ CGVFD REF * * * * * N O T I C E * * * * 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 O OBTAI FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY ._B~FOR~ RD YOUR NOTICE OF COMMENCEMENT. (S TURE OF`CONTRACTOR OR RIZED AGENT) _~/DATE s (APPR D BY) ~ / ~ DATE ~ City of Cape Gnaveral gip:?.` ~ 2004 D STREET EXCAVATION PERMIT 93 3G,C3G UatC: Pcrmiasion is hcrcby granted to: ' ` G' ' ~~S ~ Occupational Liccsuc 1~ Addms: ~a'~~-- ~S?- C%oIX ~C~fI ~h, Ft! 3~?3 / Pelson in charge: I f f~'~ eC d?~pL Bo~~ To install by: Lack and Bare Excavate by open cut: .Mini Ram Method: f ~ I R ~ P~ ~~o ~ (Noma of Btred) (Loali«+ Udng: _ _ for. ^ /J (Siza of CaKn~ (Bias of Pipe ar ConduK ~ This work wit/ commence: ~ and be completed by: Working howl shah be limited to (insert limitations, if any): /~)c~ /~1~~'~ia~-~1L~/.~~ The following conditions arc to be maintained during 8rsd after operations: ' Proper safety precautions taken {2lashcrs, flagmen, barricades, otc.} Rubbish and excess earth rcrtwvcd if well pointing is accessary, discharge line shall empty into storm drain manhole ii possible. Street flooding kept to a mWmttm. Sod replaced by displaced n>atuial or new material of tike type, All work to be done per drawings on reverse side of this permit. ~ ~~,PsNN~ ~ ' ~ e ~ ~ %~j J ~ Approved: Approved: / (Putr is a .Director} Y M.n~g Approv s DIRECTIONAL BORE: 35 LF IN RO.W. TO CONNECT TO 12" PVC WATERLINE ON THE NORTH SIDE OF CENTER ST. 6" HDPE WATERLINE WILL BF. DIRECTIONAL BORED FOR ANOTHER 247 LF TO PROPOSED BLDG WITHIN A 15' WIDE CITY OF COCOA UTILITY EASEMENT PER ORB 5084 PAGE 1100. (City of Cocoa approved water plans on 1/20/04) i b~ DBPR ABT-6001 -Division of Alcoholic Beverages and Tobacco Application for Alcoholic ~r~~ Beverage License and Tobacco Permit STATE OF FLORIDA ~"~,a,,~~,_~#,~ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ~1~,~'~ 1940 North Monroe Street Tallahassee, FL 32399-0783 1. NOTE -This form must be submitted as part of an application packet If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Piease submit your completed application and required fee(s) to your local district office. This application maybe submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. httn://www.state fl us/dbpr/abt/contact/index shtml SECTION 1 -CHECK TRANSACTION REQUESTED Trade Name (D/B/A) u r~ C CiQ,E,~ T Win/ S Transaction Type: New License Do you wish to purchase a Temporary License? ?Yes?No - Series Requested Type Requested ~ nC SECTION 2 -CHECK LICENSE CATEGORY J T Retail Alcoholic Beverages ? Alcoholic Beverage Manufacturer ? Beer/Wine/Liquor Wholesaler ? Retail Tobacco Products ? Passen er Waitin Loun e 6 If the applicant is a corporation or other legal ent ty, enterEthe name asl egistered with the Secretar on the line below. y of State Full Name of Applicant Corporate Document # R~~i~ A-R/~ kN A ~T Trade Name (D/B/A) FEIN Number o ocial Secu~~jb~~S © siness lepho a Number / Locati n d ess (St ee and Number) ~ _ 10 City 5 x.20 ~~~F ~ f~ ~~`R 1,.~ Cou~~n~ ~ Stat L Zi Code Mailing Address (Street or P.O. Box) City County State Zip Code Resi~,ent A ent/ Contact Person ~ 2 Phone Number Street A dr ss City pp~~ ~`S~ ''li''~~'~ C~U~~3,~'f ~ ~ Sta~ ~.z. d 3 *Social Security Number Under the Federal Privacy Act, disclosure of Social Security numbers is voluntary unless a Federal statute specifically requires it or allows states to collect the number. In this instance, disclosure of social security numbers is mandatory pursuant to Title 42 United States Code, Sections 653 and 654; and sections 409.2577, 409.2598, and 559.79, Florida Statutes. Social Security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations. Social Security numbers must also be recorded on all professional and occupational license applications and are used for licensee identification pursuant to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Welfare Reform Act), 104 Pub.L.193, Sec. 317. The State of Florida is authorized to collect the social security number of licensees pursuant to the Social Security Act, 42 U.S.C. 405(c)(2)(C)(I). This information is used to identify licensees for tax administration purposes. 7 SECTtOtV 4 -PARTNER, OFFICER, STOCKWOLDER PERSONAL INFORMATION This section must. be completed. for each applicant or person(s) directly connected with the business, unless the~are current licensees. 1. Trade Name (D/B/A)- - 2. Full Name Social Security Number Home Phone Num er Date of Birth S - 7~' - gt ~ ® 3~ ~ £'3 3 ( J~ Sex~i¢~ ~'T Ra Height /~r~ Weiq~ ® Eye Col H~ Co~ 3. Are you a U.S. citizen? Yes ? No f no, immigration card number or passport number: 4. Home Address (Street and Number) ~ ERA R-~5e`? o ~.Rnf,~ city St~~ Zi ~ d 3 1 5. Do you currently own or have an interest in any business selling alcoholic beverages, wholesale cigarette or tobacco products, or a bottle club? ? Yes ~No If es, rovide the information re uested below. The location address should include the cit and state. Trade Name (D/B/A) License Number Location Address 6. Have you ever had any type of alcoholic beverage, or bottle club license, or cigarette, or tobacco permit refused, re oked or suspended anywhere in the past 15 years? ? Yes ~ N o If es, rovide the information re uested below. The location address should include the cit and state. D/B/A Name Date Location Address 7. Have y u en convicted of a felony or an offense involving alcoholic beverages anywhere? ? Yes ~o If yes, provide the information requested below and provide a Certified Copy of the Arrest Dis osition, as re uested in the A lication Re uirements checklist. Date Location Type of Offense 8 8. Have you ever been arrested or issued a notice to appear in any state of the United States or its territories? ? Yes ~No If yes, provide the information requested below and a CERTIFIED COPY OF THE DISPOSITION. Attach additional sheet if necessary. Date Location Type of Offense 9. Are you an official with State police powers granted by the Florida Legislature? ? Yes ~No If yes, provide details: NOTARIZATION STATEMENT "I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45 and 837.06, Florida Statutes, that I have fully disclosed any and all parties financially and or contractually interested in this business and that the parties are disclosed in Section 12 of this application. I further swear or affirm that the foregoing information is true and correct." STATE OF COUNTY OF APPLICANT SIGNATURE The foregoing was ( )Sworn to and Subscribed OR ( )Acknowledged Before me this Day of , 20 , By who is ( )personally known to me OR ( )who produced as identification. Commission Expires: Notary Public (ATTACH ADDITIONAL COPIES AS NECESSARY) 9 SECTION 5 - DESCRIPTION OF PREMISES TO BE LICENSED _ _ AB&T AUTHORIZED SIGNATURE REQUIRED Trade Name (D/B/A) 1. Yes ? No Is the proposed premises movable or able to be moved? 2. Yes ? No Is there any access through the premises to any area over which you do not have dominion and control? 3. Neatly draw a floor plan of the premises in ink, including sidewalks and other outside areas which are contiguous to the premises, walls, doors, counters, sales areas, storage areas, restrooms, bar locations and any other specific areas which are part of the premises sought to be licensed. A multi-story building where the entire building is to be licensed must show each floor plan. No architectural drawings are acce ted. ~To~ ~ ~ ~ 1lrE c7r+~ ~ ~ ~ E ~ r~r,~ ~ N~ S~-d ~ ; a r 6 ~'~'fcr S rvra~- ~ ~T~~ ~ i C7 i''G~-T ~ is `nrS DBPR Authorized Signature Date ? Approved ? Disapproved Comments 10 SECTION 6 -SALES TAX _ _ _ _ TO BE COMPLETE[}'$Y THE DERARTMENT OF REVENUE Trade Name (D/B/A) - The named applicant for alicense/permit has complied with the Florida Statutes concerning registration for Sales and Use Tax. 1. This is to verify that the current owner as named in this application has filed all returns and that all outstanding billings and returns appear to have been paid through the period ending or the liability has been acknowledged and agreed to be paid by the applicant. This verification does not constitute a certificate as contained in Section 212.10 (1), F.S. (Not applicable if no transfer involved). 2. Furthermore, the named applicant for an Alcoholic Beverage License has complied with Florida Statutes concerning registration for Sales and Use Tax, and has paid any applicable taxes due. Signed Date Title Department of Revenue Stamp: 11 SECTION 7 -ZONING _ TO_BE C_OM_PLETED BY THE ZONING AUTHORITY GOVERNING YOUR BUSINESS LOCATION ..Trade Name (D/B/A) - - v r ~ •P~- i l~~r~ Street A re s City ' C nt Stat Z' Code Are there outside areas which are contiguous to the premises which are to be part of the premises sought to be licensed?" ? Yes a~ If this application is for issuance of an alcoholic beverage license where zoning approval is required, the ..B zoning authority must complete "A" and "B." If zoning is not required, the applicant must complete section A. The location complies with zoning requirements for the sale of alcoholic beverages or wholesale tobacco products pursuant to this application for a Series ~ license. Signe /'.s COQ ~~Cre •~ate ~ . /d ~Od,S! Tit ~ B. Is the location within the limits of an "Incorporated City or Town?" des ? No If yes, enter the name of the city or town:~'~ ~ 12 SECTION 8 -HEALTH TO 6E COMPLETED BY THE DIVISION OF HOTELS AND RESTAURANTS OR COUNTY HEALTH AUTHORITY OR DEPARTMENT OF HEALTH _ OR DEPARTMENT OF AGRICULTURE 8: CONSUMER SERVICES Trade Name (D/B/A)/A) - - ~ _ - ~ - Street Address City County State Zip Code The above establishment complies with the requirements of the Florida Sanitary Code. Signed Date Title Agency ` SECTION 9'-CONTRACTS OR AGREEMENTS These questions must be answered about this business for every person or entity listed. Copies of a reements must be submitted with this a lication. 1. Yes ? No Is there a management contract, franchise agreement, or service agreement in connection with this business? 2. Yes ? No Are there any agreements which require a payment of a percentage of gross or net receipts from the business operation? 3. Yes ? No Have you or anyone listed on this application, accepted money, equipment or anything of value in connection with this business from a manufacturer or wholesaler of alcoholic bevera es? 13 _ .SECTION 10 - CORPORATE:FELONY CONVICTION Trade Name (D/B/A) Has the applicant corporation been convicted of a felony in this state, any other state, or by the United States in the last 15 years? ? Yes ~~No If the answer is "Yes," please list all details including the date of conviction, the crime for which the corporation was convicted, and the city, county, state and court where the conviction took place. (Attach additional sheets if necessary) ' DOCTION 11 -`SPECIAL LlC NSE REQUIR MENTS Please check the a ro nateE E5 NOT APPLY TO BEER AND WINE LICENSES pp p Special Alcoholic Beverage License" box of the license for which you are applying. Fill in the corresponding requirements for each Special License type. ? Quota Alcoholic Beverage License ? Special Alcoholic Beverage License ? Club Alcoholic Beverage License This license is issued pursuant to ,Florida Statutes or Special Act, and as such we acknowledge the following requirements must be met and maintained: Please initial and date: Applicant's Initials Date 14 SECTION 12 - DISCLOSURE OF INTERESTI=D PARTIES Note: Failure to disclose an interest, direct or indirect, could result in denial, suspension and/or revocation of our license. Trade Name (D/B/A) , 1. List below the names, titles and percentage of stock held for all officers, directors, stockholders, managing members and general partners of the corporation or other legal entity for which this license or permit is being sought. Attach extra sheets if necessary. If the applicant is a limited partnership or limited liabilit com an , attach a list of all limited artners and members. Title/Position Name President Stock Vice President Secretary Treasurer Director(s) Stockholder(s) Managing Member(s) General Partner(s) Bar Manager (Fraternal Organizations of National Sco a onl 2. Are there any persons not listed above who have guaranteed or co-signed a lease or loan, or any person or entity who has loaned money to the business that is not a traditional lending institution? ? Yes ~'No If yes, you must list the person(s) or entity and indicate which of the below applies. Name Guarantor Co-signer Lender Interest Rate List ~ ~ ? ~ ~ ? ~ ~ ? 15 SEC7tON 13 -AFFIDAVIT OF APPLICANT ' NOTARIZATION REQUIRED Trade Name (D/6/A) "I, the undersigned individually, or if a corporation for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the above and foregoing application and, as such, I hereby swear or affirm that the attached sketch or blueprint is substantially a true and correct representation of the premises to be licensed and agree that the place of business, if licensed, may be inspected and searched during business hours or at any time business is being conducted on the premises without a search warrant by officers of the Division of Alcoholic Beverages and Tobacco, the Sheriff, his Deputies, and Police Officers for the purposes of determining compliance with the beverage and retail tobacco laws." ``I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45 and 837.06, Florida Statutes, that the foregoing information is true and that no other person or entity except as indicated herein has an interest in the alcoholic beverage license and/or tobacco permit, and all of the above listed persons or entities meet the qualifications necessary to hold an interest in the alcoholic beverage license and/or tobacco permit." STATE OF APPLICANT SIGNATURE COUNTY OF APPLICANT SIGNATURE The foregoing was ( )Sworn to and Subscribed OR ( )Acknowledged Before me this Day of , 20 , By who is ( )personally known to me OR ( )who produced as identification. Commission Expires: Nota Public 16 _ __SECTiON 14 - Ct1RR~Nt GCENSE~ UPbATE DATA SHEET This section is to be completed for all current alcoholic beverage and/or tobacco license holders listed on the a lication to ensure the most u to date information is ca tured. Last Name First Middle Current License Number(s) Date of Birth Social Security Number" / / f. Street Address City State Zip Code r Last Name First Middle Current License Number(s) Date of Birth Social Security Number" / / Street Address City State Zip Code Last Name First Middle Current License Number(s) Date of Birth Social Security Number' / / Street Address City State Zip Code Last Name First Middle Current License Nur"nber(s) s" Date of Birth / / Social Security Number" Street Address s A City State Zip Code 17 FOR_DIVISION USE ONLY - DO NOT WRITE BELOW THIS LINE Trade Name (D/B/A) ~ - CODE: FEIN NUMBER Cit Count TYPE FEE TOTAL Approved by Date Audited: Unaudited: District Office Date Stamp District Office Received Date Stamp District Office Accepted Date Stamp 18 DBPR ABT-6021 -Division of Alcoholic Beverages and Tobacco Fingerprint Affidavit STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1940 North Monroe Street Tallahassee, FL 32399-0783 If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application may be submitted by mail, through appointment, or it can be dropped off. A District Office Address and Confact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. http://www.state fl us/dbpr/abt/contact/index shtml Please include your official fingerprint card and $47 fee with this affidavit. Do not staple anything to your fingerprint card or highlight any portion of the fingerprint card. Please use black ink only when filling out this affidavit. AFFIDAVIT In compliance with Florida Beverage Laws and Regulations, I hereby certify: ~ Full Applicant Name Mailing Address City State Zip Code The person stated above was fingerprinted by me for the State of Florida Division of Alcoholic Beverages and Tobacco, and that the attached fingerprints are his/hers. Officer Name and Badge Number (please print) Signature of Officer Department 1 BA EVAA ~~a~~ggo~ BOARD OF COUNTY COMMISSIONERS O - p FLORIDA'S SPACE COAST ~ C Greg Lugar, Director, Economic Development & Legislative Affairs (321) 633-2004 ~ , Y County Manager's Office Brevard County Government Center, 2725 Judge Fran Jamieson Way, Building C, Viera, FL 32940 '~~oRt~P January 23, 2001 ~O Mr. Bennett Boucher p City of Cape Canaveral PO Box 326 Cape Canveral, FL 32920 Dear Mr. Boucher: The Brevard County Board of County Commissioners is considering adopting an ordinance exempting WorldTravel Partners located at 166 Center Street in Cape Canaveral, Florida of select ad valorem taxes under the County's Economic Development Incentives Program. As an eligibly criteria under the County program the company must not be in violation of any federal, state, or local law or regulation governing environmental matters. This letter is to request your assistance by reviewing your records and advising me as to whether WorldTravel Partners has any pending citations. Please contact me at (321) 633-2004 if the City of Cape Canaveral has information regarding this matter. Sincerely, Gregory .Lugar Economic Development ~ Legislative Affairs Director f~ , ( , ~ - - -7,~%~,-~ ,-fir n ~ o ~ 27 ~3"~--~i15 ~ ~ of ~ ~ ~ ~ ii /ss BUILDING NEW CONSTRUCTION CITY OF CAPE CANAVERAL PERMIT 98-00219 MASTER PERMIT - PROJECT 95- AT DATE ISSUED: 06/01/98 PROJECT ADDRESS: 166 CENTER STREET PCL#: E LOCATION: 166 CENTER STREET LOT SUBDIVISION: BLK OWNER NAME: TECH VEST PHONE: (407)-783-7030 ADDRESS: 400 W. CENTRAL BOULEVARD CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 GEN. CONTR: GRINNEL FIRE PROTECTION PHONE: (407)-299-3430 ADDRESS: 4702 PARKWAY COMMERCE BOULEVARD LIC 812077000196 CITY: ORLANDO STATE: FL ZIP: 32808 WORK: INSTALL FIRE PROTECTION SPRINKLER SYSTEM ON 1ST FLOOR AND DESC: UNDERGROUND PIPING. ELEC. CONTR: PLMB. CONTR: MECH. CONTR: SPECIALTY: VALUATION: 34777.00 BLDG:do(>.(~0 PLAN REV: SQ.FT. ELEC: FIRE IMP: ai?.So OCC. TYPE: CONST TYPE: PLMB: RADON: FIRE ZONE: USE ZONE: MECH: CONC: CAPITAL EXPANSION: TOTAL DUE: 411.50 TOTAL PAID: 411.50 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY G- . S M , G. 3. M ~ ~ CC Y F D 5arne N O T I C E 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 OBTAI FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFOR RD YOUR NOTICE OF COMMENCEMENT. ~ / / ~8 (SI TUR OF CO O OR HORIZED AGENT) DATE ( OVED BY) ~ / ~ / DATE Fes, 7 s5(o City of Cape Canaveral, Florida ELECTRICAL PERMIT X2002 PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 PERMIT INFORMATION _ LOCATION INFORMATION _ Permit Number: 2002 Issued: 3/11/2004 Address: 166 CENTER ST Permit Type: ELECTRICAL CAPE CANAVERAL, FL Class of Work: REPAIR/REPLACE Township: 24 Range: 37 Proposed Use: BUSINESS Lot(s): Block: Section: 23 Sq. Feet: Est. Value: Book: Page: Cost: 30,000.00 Total Fees: 300.00 Subdivision: Amount Paid: Date Paid:_ ' Parcel Number: 24 3723J1 E1 CONTRACTOR INFORMATION _ OWNER INFORMATION Name: BOWMAN SERVICES & ELECTRIC INC. Name: DELUCIA, JOSEPH L Addr: 2870 LIONEL RD. Address: 650 HERITAGE HILLS UNIT A MIMS, FL 32754 SOMERS, NY 10589 Phone: (321)264-2554._. Lic: ER0013547___ _ Phone: 386-446-7722 - Work Desc: CHANGE-OUT ELECTRICAL SERVICE PER SUBMITTED PLAN APPLICATION FEES ELECTRICAL -REP/ALT UNDER ~ 200.00 PLAN REVIEW OVER 2K 100.00 i i i i i Ins sections Re uired Underground Electric Temporary Power Pole Final Rough Electric Miscellaneous Final Electric ;Final Electrical Pool APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:~ 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. _ " y~ <.s _ >~ic.C ISSI D BY/ ATE `UTHOF~ ED SIGNATURE/DATE ~ ~ ~ ~ 7~ , ~-~TY OF CAPE CANAVE~ ~AL ~ ~ BUILDING PERMIT APPLICATION City of C pe Canaveral Building Department 10~ Polk Ave. Cape Canaveral, FL 32920 _ (321) 868-1222 2 O Q 2 Date: ~ ` y Permit # (You may download this application: www.myflorida.com/cape. You may fax to: (321) 868-1247. - Important: A checklist is provided on the back of this form. Complete the checklist and provide other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete. CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY. (Contractor/Owner-Builder is required to sign for the building permit, unless indicated otherwise by affidavit. I.D. may be required} Address of Job Site: (p ~l/1< 1> ~ %!~~i ; C~/,~Z/.~~1~~~~~'x- t'=l, y,~Zj Legal description of property: TWN: itNC:r..a~'7% sec: suBD:.~NI.~~.«?.~ BLK: LOT: PB:~~S PG:.3~1 Name of Property Owner: ~5.~~.~ ~~~C`?i/3. Property owner phone number:." - ~z/~ - y5~~ Address of Property Owner: ~ 3 ~®a ~ ~ •2f G'r F~/~~?1 ~s 3 ~ ~ 3 7 Community Appearance Board approval date: Site Plan approval date: ~ Type of Permit Brief description of work: Buildin Electrical , ~~s i' l~i~C'~i~s~[. /,`~~~s~~ ~,%ta Plumbing Mechanical Other Type of Square Const. # of # of dwelling # of # of Total valuation of work Building Feet Type stories units bedrooms bathrooms Commercial v~ ~ $ ~v SFR $ Townhouse ~ Apartment $ Condominium $ Other $ Architect/Engineer Name: ~ %,~95~~ Name of Company: Lc~- Address: ~f 3~/ ~ ~e~2.>G-i~...~~/~ ~l~i'1`~:. /1~i,7-~=~Jv~=''''t'`:~ f=°.ti~i~~~:~ ~~2 yv State License No.: Phone (office): o7t~al chi o~ Phone (cell/pager.): Fax: ~ Sid?°~a~e~ Primary Contractor Name: Name of Company: Address: State License No.: Phone (office): Phone (cell/pager.): Fax: Electrical Contractor Name: + ~~'l / r'h~ _ Name of Company: Dt~'~~ .Si>,~y;~~ 9-/;L,~d 12k~, ~ Address: o~ J7~ /V ti~ ~ !prep ~~i~ J I ~ 75 State License No.: ~,~©C~ ~ 3.~ `l'7 Phone (office): ~(~~-~5S'f Phone (cell/pager.): ,3? ~ 7 Fax:. -,?fir' 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 Contractor Name: Name of Company: Address: State/Local License No.: Phone (office): Phone (cell/pager.): Fax: G:\BIdg.Dept.Forms\BP APPLICATION ~ Building Permit Application Checklist Notes Com leted Permit A lication Current code edition: FL Bldg. Code 2001 (as revised) Current surve showin all ro osed construction Notarized si ature -Owner/Builder Affidavit If owner is acting as contractor Sewer Impact Fee receipt May be deferred until C.O. Unless job is remodeling Coun Im act Fee recei t May be deferred until C.O. Capital Expansion Impact Fee receipt Maybe deferred until C.O. Sidewalk Im act Fee recei t [f sidewalk exists on lot Recorded Warran Deed /Proof of Ownershi Co of Recorded Notice of Commencement (over $2,500) Over $x,000 for Mechanical change out Current Worker's Com . Polic / Exem tion Record will be kept on file after initial submittal Communi A earance Board A royal For all work visible from Public Right-Of--Way Planning and Zoning Board Site Plan A royal For all new construction of four units or more ConcurrenC 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: 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 Mechanical Contractor Mechanical Contractor Roofing Contractor Roofing Contractor Swimmin Pool Contractor Swimming Pool Contractor Gas Contractor Gas Contractor Specialty Contractor Specialty Contractor Construction Drawings: Per F.B.C. 104 Two sets of sealed construction drawings (three sets if commercial) Per F.B.C. 104 Electrical Load Calculations Electrical Riser All new service must be located underground Plumbing Riser A/C la out Two sets of Energ Calculations Lot Drainage Surve Pool Barrier Re uirement 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 and laws regulating construction in this jurisdiction. 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: Applicant's Signature: Date: Site Address: l(~°~~ ~/..°eu ice. ~.~/'~>~i fi1~~',z= ti~i~~~~.-~r~°~ 'J~ ~~t For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this day of , 20 , by Name oY' Applicant who produced identification: or 8 is personally known to me. Seal: Signature -Notary Public At Large G:\B1da.Dept.Forms\BP APPLICATION This form may be duplicated. F=~i_f'i E'_~;'~Irifl =•~_kl,1CE_ _ _LEC-~ ic_: .~~i_ FH;; I~il. ..~1 =~5 ~r:~~? ~eL. ~3 wti_.t _•r~F,l'1 pc CC'1""~' (~F CAFE C.A,NA~'FR1~., t3~ZI.,DIN(:1 ~'FR.~1IT AFYI.ICAT'ION Clry of C e:.a.arai Ju:,d:ny Departmer.~ iAS Pclk /.~•c C'ape Canaveral, FI, 32930 (Yuu ,r.ey d,wnlae8 t'tiy/epp!icahon; ~~L°~S~L'.cllilC Y~aa may 1'E~x to: (321) =6$-1247. :utportant: A ~ix.vkiisl is provided on etc beck uf't:~is form, ~ompjatC the ~,ha~:kli5t xnd 17r6vtde otbd dVCUmcnU,.ir?n irtdtcatod oa ;he <r:cc.kiiat+,. A eQpy of nnntrac' rrt~.y br.:cgUired. Application, p.tc.kages wiU not be accepted uttks~ ; ~71•tetc. c;01~TR,~CTnR 1. Bi CALi.EU Vw"<-lEN PpP.IviCi' I5 )rtFAD`r'. rt.'~~ntr;u.,::u(lu't,.:•9uild~o i7 rcc~vtro4 to sign -t~r Ixnl:7iA~ pti:r,it, 4ntKS indlCatad ~r~r:,-+uire by alnd~tv3t, l.r) nyv be re~~uind, Addrt~a of~c,F, Site: _,~~r~i~~_.'7 T,1,_~~~:~_ii~?/,~~ r~ ~.~_.5`..?~'. _ l.e,~r; dCJG F7~7lit;:. ;,f pt'v~C'ty }~vc,,,y~i /r ~ C:...7,~ _ c~igi} f,: s"~l.!.«!4~ _ DLX: LtYI': PB:Ja~"S~ p 3' f +ame nf'Propcrty C~wrf.r: ~iaJ~e~±p!,~ }~.s:~•~C'.~.±.~ Property aw_ rMr phcane numl~er'.~~.. 5! A.~Idrsss of Prupert±.' CJwr,ar: fv ~Qe_}J~~~ s l=,~D 2~~/9.,3 ~ ~ ~ _ _ Cnn-~t+uri`r Appeararre EtOar~ at,~+rovnl date . - b'c Plao aporavai Dart . -_.W..-_.._._._____ - ---m- cal' work: ' T,yxx: c+fPet;r,i; Bt~iel'dtscnfxrpr. , -__~......__....___.____.,..r-_.__........_..~.__.._.__._ _ ..-..._._r.-...... fluEldirt _ _ _ _ Clrber _ .Y_ -_.~-_.._.•t- _ ~ T - it -"ype p~ Square Coast. ~ot' N of ~weltin~ A f N of Total valuation of work J ` Building ~ 'Peet Type . stories units - bedrexers6 } bxdYr~,ru _ . Caaunot~cial Gr s~ y..._.. __....,,.f _ ~ ~ ~ SCR .-a......__ - _----~~•--...-.M.... l _ .r - ~ _ ~ 'T'ownhouse i ~ ~ ~ - _ _ + Ar;hit~ct'~ro inccr ?VamC~ ~ ~i ,+l S ft`'-~_ Nerrte cif CCtt?~Yany:~l~~'~. ~ldtlress 'c1r.~.f~ /G~~ww~ic~~~.t°.~ _~s.~s=.~'f''~ ~~~Gw°~;a+4 i 5>,atc t.iccnsc T~;a. Pl'x ~ (r fi`tsel~ /rid-±GV.sL Phone (ccll/pa1~r Frsx: nt Noma ufCornPa~nY"~ _._._~....-_._.~----~.-._,_._.~_-»a Yr;inary Ctxttractor Narne~ _ _ address: _ S~ttp I.icensaN~.--~ UTt.,,te (.~ffic:e). ~____~Fhvnt (ceiJpager.): Fex.. _ _ lvlectriCal Ct~taxrsctor Name: ~ n~_'Fh,,~-_. Name,~f Ccst~I?at+y: 'Ml+~v .S~rGy~? q'G`~l~r~ at /~J4 riddress:P7s~''~~ 10~'~~ ~ ~i3%r~.7-iS ! L?'?.i~~r';s_._-~ ~ { Li ny. Pr or-• (ot!las): ~4a~f..~~ter:e (ccllipeq~er.): Fax' ,~~f'S'-,~'~.~ ce,tisc . P1,lmbit+g C~,ntractcx t~latttc: _.r._. _ Narrae o£ Contru3y:._..-.-..~,._. ~ Ad~tcss ~ - - - _ , SW*.a Lic.rvsc IVo.: Fh ,t,r (oFi:ce?. „_-._----._._._t't+ctte E~elllFia~er.l - -~1Fa.~; __Y~ ;~U.~~r.ha;~i: al COitttta~tor Name: .'.Verne of (:.arnp~7y: AUdre~s- ~ ~ State Licon~c Nv. Phc,r. (officer _ __.-_Pitttn~ rcelUPe$er•): Fay' I Krr~ialr/ Cimtrartor Nan1C: ~ Namc cf Company: ~ ~dc:rrtSt: _ _ ~ ~ S:ate~I..r,cat t,ice;i.~t No.: Pho ,e (,,ffi~c).~~_.~__...~phene (ctljJpaB~ F~ GiEiAr ~ r.,r;~i•D•A1oi.1C4T74~ „ ~/~~/oY . I• F9_f'1 E l'~f'IHPd '_~Ek ! l r. ~ ~ _LEL _h, [ i. r ! I'U: FH7; I '1:.1. : =t i .%5-~be ' F eY_+. - c M~Buildta P,ermlt ticr~tioo 4.bccWi+~t ofes l'ott~CtE lrrnit A i ~~.T~., urreai io~fa s ~:on; 1- _o~ 1 r.u~r"~',l,scd~~ nt sw~ey clxtwln~s>I? a'orxuod <Uu~ ~ ` ______tt ~ 'io'ta zed ai>it?k'~re - Ow~xlBuilder ARldavit _ ~irowiei'ii acz~,a„aeavvtur ~ jCwtt I~~e recd ^_.^V Mate tai detetrea Wltlt ,0. L4ucu ob it rerncddiaq .~..~.....~.r.r.._. _ _ _ ' County !s'11~C1 Fw ?ac~~_.... r Mar 6e ~rtbned~urxTC.t7. ~ Ca~itef -F.!~artsi;ln rrnprat Fie r~r~_,...._..-_ ~~;•aim~i C~ Sidr.~valle tm~atcr fee txcsipt ~ _ htwewa~k w+isss m-1x Rreerded R'ruran D~~d / PYaof of t.~wnarship . _ - Co vtRavtRaeoewd t+Fotlce ofCommencametn uvrr S?,500) ,Naffs bY~,xM~chanicaieh o„i -pY..~._,_.__._..__._.,._,--.___.___...._S_____ _ _ Mw c?lrrant VVorh:ar't Coin P c ion ~ .~!~..~,.~i~t~..a~ . R .cure wui keM on fllaasia+tett5r swbagCet ~ OA7f[1~ ~1~D,~f4nCt ~OA~rClva{ _ f'ti Ni wtRt v~s~Ok from hblic Right<sf Wry _-T- Plannir~snd,~onin8 8ovd Site Plan Approval ~:r r~n.x ~~neavcMa? of K,,,? urub or ~oero ~ Cuncturat:~Ca~mc a sn„«oonarorttaaner)>~v iy/ro~ussiuplm ~Primat~C;Ciw~tx's Sutc Licrnse - tea.. ~L wi tw on atty iNtia194Cru1fal ~ - ' ~ SurK;e?ntriC,'tUf 9 /1YlI1UrIZM:iOr7 Roovr.~ wi~l W k~l v~'n ~i ~ItERr trulul wbr,i?ha1 S!iti L,iCern~ _ _ Nc~etryo~il~ingD~rRvns~tofeonxr.ce....l~..i~~ i Piurnh'~iri~ Cantreetor PlumLing Ccmttn.EOr ~ _ ~E3aap'iaxl Cwrtractcx Electrical Conu_~:tor ~ - _1 Metittu~ietl Contractor ~Icc:taniea: CoutrartcJr `~R_vuf~Cu~on~.Dvr~ _ ~~onmtetar - Sw~ irturtn Pool Gcutt?llctor Swimmin Pool Canrrxrtor - Gal Cnntrae~r _ _ oxs ContrKlot - - - 9pcciakry o~ _ S e~ciet~• Contrsnar ~ -J I Cnnsmrctivo Dtaw'ings~ ~fi'/w~F ~ ~irsi 1 Twv fees o~saaled eenatt',~ction dntwin8a (tMle 9~te if cornis~erctal) ~...-_~._••S.Ntt Yg4gt b0 00>rn a. !tl' IOw~.A' . It' r" Glyctticai R,~er ~ r._ _ _ 6 _ _ PAunbing Ritar A; C !a uc _ 7Wo eats o ~rri Cakulgtions M-_ ' - ~ Pa+t ~Rmicr tt uira,rtnt dorm a' - vaoi pcm~lt: ~n rtot stt isww N;:~~ iarrto _...J Applirption is h,rsby ttt,lde w obtain s permit IO do the work and installations ~ iJM1Qicv`d. I Ct ~ti~y~ li1#S h0 wprk iastatlation has cotnetnacsced prior to tf?e issuanec of a permit and that e!1 worse will be performeu to lit et the stanaRrdc and Isws re~tllallrtj; ppRStructian in this jurisdiction, By signing, rpplicant sf'!-Irms that alt 7tbove 9 rrL ' ~~d corm t and that tta~shc is art riuthvrited agtAt of the ['•yrrractoC~Owner and has the aurlu~ri to apply Toy. h . f. ~P, ~r. C Apr,licarrt's Narno: .,?~7"• 1'-tit-~'~ Applicar?t's Signature' _ ~ Date: ~ ~ i~~ Site ~ddre~..,,~_.~~~..~ ;.r,'~~~ ._.L' Fug N~ta:y' use ouIy. Scaca of t=iorida Caunt~ ~~f BrlWard Setiorn and subs:.ribed before rae this ~ ~ 34 • of. ~"`etr'' ~Qr~ ?0 Ui , by ~c'k~ 5m t+I'` _.r -prix of Apyticus wbu produced identification: ;,r iy persnrReliy JutAwn LO rna. ~c I1CC U(t~VttiaYl :~'`~~~~~'r'; { mmissign k~D195475 E.,.~irrs: Mar 23,24U~ r' Seal. : ~ _~,y~,t?-~ L 1•llk BnndinKC~.ln; sithrrtr!s•Tao 9N?iizAicLa?ge c:~aw~ [aep, F,rnE~f3Y at?I:IrAT~ON 7»,s r~rm +,ur be Jx?!. Fi i• !!((A(~~, `.'G'S:N'•.•,l y'~;: Betty J. Hu r*~ , C f,L.t jr; 7xs~ ~~1~, ti i_ i~ : MYCOMMISSION~R gueley ~ DDJ47226 EXPIRES ' Se to ~°9.jE l! ~ ~ J si ~ u~.. - _ ~'9,od~.Q:`° BONDEDTH nlrlel 2$, 2~5 u RU?ROY FAIN INSURANCE ING ~ ~ ~ HIIM A'1~OWU:1 f11J1'1g1€13t Q~.1NIkld as 03dA1 ~ 19r'IW NDiJ.M/~O~NI -nv Y ! v t'i r,'% a? ~ ~ ~ tY ~ ~ ~ _ :dl~f 1c sau~N Pfd 7'~ ~ o~ :iwwFt s,Q PIR ~4M Pue ' ~ ~ ~Z~tw 4iw ue P4 ~o aw q ~NI t! OyM V~-~ _ ~ a^ysuE!S ~ + ~ n ~ ~ 4 ~ 'tq wu ~r~7~W P Pue A4 u~S ~(P4lpr+~ ~ 4~J i~4lilp ~ ~IP~o+l~ ~ ~ ~1 ~4q+t L >f 4~P ~41e+}s6ta o4aJ i turu~uiiesuoQ p p e14P L3 'iS ~t+l4~+c~e q xy ,tq e0ln+p ~ `M~?n!~) ~4~ ~W 'q '~nuppa put ~M ~ ~.q P~ ~ 4Dfjptj E,30Il91"~ s4i ~ Fdoa a :48 eP4of;d .'!4~ L~L'£ i1 ~dS ~3 t4~~ WJ ~?Rl POOeuei'e4P ~aj+e0 'W4~++!4 ~ ~.PPe '9 ~"F~`/ b f5~. ' ~ Y'~ 'te~epeooe a xs; ~$R roM+K>k 'P~~ + •a ~6 ~rw+s ''1t+xLl~L~su ~ fr4P!ead ss ~?~+ee aq Few quaw~+oP ~atgD ~o ~C+t~ ~ +~q 3~eu~t~1P }o'Igtl7S ~i~ u1V'1A'? suoR1~! 'L ,P ~ . - , 00'O:xel~u~ 000 :6~W •{N4~ocM441~/+~~MN' •MQWrNJYe,~ y 00 0 •aslox~ 00 0 00'Z :Nag 00'9 :oaa 00' L :~sn~~ Maoyd '4 l'~1 s~wPPr.. KueN •e Z aaweN# L a6d#,~ , . -s peel . ; •g ~t;uno~ paena~8 's~no~ 10 ~al~ s!113 ~1o~S :{Y 41 ~1 ~ 4~~'`" . ` ~ww,u xed ,p . ruay~ 58L I. ~ 5ZZ5 :a6edl~loo8 2i0 - . ""'°'"N wd gq:l0 g00Z-Zl-EO 0999LOb00Z Nd0 :,tis,i~ •g L 8~~ tLZti :~aae~a•oo. ~ ~ ~ vofnia~ ~ ) ~gwnu xR,~ ro f,~'G C' ~'y s ~ f h ~j °1t° (~i~quMtiu ~+Q4d "4 ~ ~ :~eualw amp,~po rl+ePwu wM1 et~+Me ~4l11~ ee\ippe vue ewsM •a ~ur4 :~am>a u~ aereyu~ •Q x.~iyct. riq,aord • 'E ^$t~~?'~r'C?/~I "~t/`~i~~ t7~f~/ ~!A'~NWM~A~Qidui~l~wRol<~ a7((1 Re4~ 'Z ~d ..~a~ ~ci lf~Qn~ry erw~aY ~s~'~ sir ~c.~'. ~2~ p^e ,y 1Q ~IIaN 4l4~ w PN~!M+d 4! ta~tuo~p ~Ipl; +~p '4Wniels 4p~sq~ 'f IL IJ 4WM a~usp?aape W pue `Fi+~Na+d uie4+4o W dq ~ ~t+wnq+d?+k i4+R aogou +r~N,li,Sgs;+~4. Qsa~atrn 31•tL :~o u>Nnoo .L~N~111~I~PIMMOJ ~ ~~tLt~l+l ~~o a.~.vts ~Q1Ef x*l ~ ~ ~ ~ / ,11 S ! ~ :eeiu~7~ 111 ~f i 4!41 to ~~~d ,m. ~Eti6b8r tze e5 :a~ treadz~rz><zg FRL'f'i : hOs:J^9HhI '~W~!.!IIwF } ~ El-!=~_~'~[t_, lh~i~ F: t~C~. :~21--~85-268 F"a_b. "r'4J'efE; 19G:~e-'! F'i c,F c~~ ~~Av~L •~,L ~r~~~~~Ar~c~~r C9h~ a= {'"spt Cau,a~~x, Bui:4inK Llephunert 909 lrakPc A,c, ~npa C~tsavarat, FL )29F`,! (329.) g6S-3 Z,82 ,`You :rt r;o•~~~s.tad chic aot6uric.?i~a. ';~.~L>st'!.Y'Ylof_~r..ium~{y~. Y~Tw may fax ea' (32i):f6X•124i iJatc: %DNTR.,A~~~~C'KS AND SU$Ct 7NT.' .~.C'Ti)RS - P[:E ASb. Ft,,, ~'E YOUR SlGNATUR~ ~i+~~'~~~RJ7. I;P.a.ND SUBiviZ'~ :..HIS ~~~Kti~ WI7'Ff THE PFRtitl° ~^,PPI.ICATlpN. ~_~ifttt;.7:i~ly ~diLt°~ ~t~- ~ESr~ ~ ~ • ~ - _ ~ _ ~ ~C . ~~Zl~_ _ . cxxcby authar~zc ,.!/ss;? f~l"~0~~.~1 ~-.o.,,,...~_- (Sulc i.:,<na. Nuldtr'S Name - Puf 6. : sru,f N?} (°,ULtJ(IrtO PCIYW2 Pj,EA3E Fk (id~";; [c7 r~•"..~?t 7 x?Ef~Y;JI OR itt.v hCh81k l =~i,~r StaiF ~SCC'ASl i5 I~SaCr) h• t}:e f~epaCtSta~t i~t• 4>ur,;,:r::s ~c~~ Fr4tessi~~na1 keeu;a or: Cc!nscruction Inc)ustry Li.e;~sing F3o~d frr tt~c ;csh si>c des::ribet~ below !wi _T~Iv.;c_o~Pr:i~,£ i~____-__ X9_5. ~~~d/~,i~ ~~~ri~j~ ! ~1:iiric af~'rG}tKriv C~t~~:cr ~'IL"9]i7ing a~UL C'/,.,.~f!?' ,S-r,,~'tij`~C y~ ~,ec~ical - Address of Jib Site _ Niechar9icat 1. ~ SYxSn:n,ing Pool - , :+i~sLa a of f,icatlae }.inl er Sfrecialty Structure Other - Specify. t •^r Notar}' u5c only; Stag ct•Flar:tia, Gour,n+ ~ f At ~~ati'~i i'Nl1Fry and CuZa'sCf'.F"i:~. bCIOCC 1110 thf5 Pf I any ~ ~,.:t}©~, by ~~Y..-_.v. ' 6! "iDP:itY:t wife prclQuWat~ identifrGati~tr. or wfi :s perarrrth;l y kauwn tc. me. Reneo E. Barvman C'ornmis>~on #U~14S475~ 1ta1. ~~}~~tr_ Expires. ?Aar3,?r3U7 -~~~~~w.e:~-~='-~~~~" i~R~`;~ 134tli1ttf ~ t1fU $1`1fa14flE - H llrj Fyr~llit ~1 ~ja --•e ':en«-' Ad3tlt~.e Bue~d:~E t_u... !nC C~ ~;,'v'f xst Fa~rn:• ~ ;:hnr' :auon Fu, „ This f'rcm R,aM bC Jupl~caa~ ~ITY OF CAPE CANAVL~AL AUTHORIZATION FORM City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920 (321) 868-1222 (You may download this authorization: www.myflorida com/cue. You may fax to: (321) 868-1247. Date: ~ Permit CONTRACTORS AND SUBCONTRACTORS -PLEASE HAVE YOUR SIGNATURE NOTARIZED AND SUBMIT THIS FORM WITH THE PERMIT_APPLICATION. Company Name: ~Si.~t-~/i~.~.-.Sj ~'~%_L 2i L, `/~vc1. I, 5~ ! ,hereby authorize ~ J- ~ ~ ~%,S (State License Holder's Name -PLEASE PRINT) (Authorized Person -PLEASE PRINT) to obtain a permit on my behalf under my state license as issued by the Department of Business and Professional Regulation, Construction Industry Licensing Board / ~ 7 (State License Number) for the job site described below. Oc t~tc~ ~~ll ~n ~T blli,,Kc7' .~u~o~t~`f~:,~, ~ Tvpe of Permit -~1~1~i~~~%~ ~,=-~y~~r~~ Building ~ Name of Property Owner Plumbing ~ Electrical ~ Address of Job Site Mechanical Roofing Swimming Pool Specialty Structure Signature of License Holder Other -Specify: For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this day of 20 6 y 8 who produced identification: Name of Applicant or is personally known to me. Seal: Signature -Notary Pubfic At Large G:1BIdg.Dept.FormslAuthorization Form This form may be duplicated. ~n~/ ~a5 City of Cape Canaveral, Florida ELECTRICAL PERMIT X3055 PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 3055 Issued: 3/03/2005 Address: 166 CENTER ST Permit Type: ELECTRICAL CAPE CANAVERAL, FL Class of Work: REPAIR/REPLACE Township: 24 Range: 37 Proposed Use: BUSINESS Lot(s): Block: Section: 23 Sq. Feet: Est. Value: Book: Page: Cost: 2,000.00 Total Fees: 60.00 Subdivision: Amount Paid: Date Paid:_ Parcel Number: 24 3723J1 E1 CONTRACTOR INFORMATION OWNER INFORMATION Name: BOWMAN SERVICES & ELECTRIC INC. Name: DELUCIA, JOSEPH L Addr: 2870 LIONEL RD. Address: 650 HERITAGE HILLS UNIT A MIMS, FL 32754 SOMERS, NY 10589 Phone: (321)264-2554 Lic: ER0013547 ( Phone: 386-446-7722 _ _ Work Desc: REPLACE 125AMP PANEL PER SUBMITTED DRAWING _ APPLICATION FEES E EC ICA - R /ALT UNDER ~ 60.00 _ ~ ins ections Re uired Final APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED BY: 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 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 C~OMMEN~'~EMENT _ 9 ~ ~ g y. ` ED B /DATE `l;f`THORI7~ D SIGNATURE/DATE ~k=3"i I'~ V~GI LJr~L~~F 16; ~F ?~1-3^5-~F8? EOl~1~~lAl~d c~F_"t;TRIC. P~sC;E ~~1 CITY O~ CAP'S ~.A.NAL~~AL $iJIL.~3ING P'ER11R~'~' APP'~,I~.ATI~ltil' c:icv ~a't; cernveaal Building tkparpnent til5 Fes: Avo. cape Lansvcasl, FL 329.A (YQU may dawrxload thRS application: www.mvfloridaJ,cotrs/cane. You. mad! fax fA; (32l j 8b8-1Z4?. - LnporGmnt: A checklist is pro~ride~i un the back of this #'arm. Complete the checklist and provide ottior ~c~me+~tati~ a~ indicated on dre checklist. A copy of crantract may be requited. Applic~iott packa~s will not be accepted unless cotnpl~ete. CtaN77i;ACTUt2 WI~.L BE ~ALI.>rI]'~J~iEN k'ER,MIT IS Rl~ADY. (Caaardcrtxlt)vvnerBoilder is repairer! to eigtr !"or tht b~ukliaE pt~nit, unEese inditadtod otbezwiae by atlldavit_ I.A. ~ be rec~retl! Address aflob Site: a' 1P~P" tr-?'?-~~~ S y ~ f D~ l.~$1 desraiption ctf propcrty:'~wN: 4TN[;~ _ sEC: sc~so~ T' t.c~ , Nprne ofPrcyperty (7wner `TOS~,~I~-5 ii-~ ~1r sa_ _~...M_ Property owner phone numtser: 3~~-445'- 4Si~ Address of Property Owner: _ CoitY aPPe &pafd approval date:` ~y. Site Plan sp~proval date: _ T ofFt:7mit Brief desct'ptio~, of work: - - ~t~ra - ~lectric$I ~"n t _~Ne w ~ a ~~~c~n e ~ Prumbi~_ - Type of Square Cotast. # of` # of dweliirxg t6-of # of Total valuatean of woaric Bttitding feet 'I~pe sraries ~ntits bedrooms btl~rootns ~C C~ercittl - - ~ ~ Sl~~ ~ Tawntatyuse ' r ~ _Apmrtxn~t _ _ ~ Cc~dotninil~ _ - _ ~ (~~r _ $ - - ArchiteatfEnginear: ~ Nan2G oaf QunEi~sr: Address: State Li~nae No_: ~~A._ !'hone (o#~ice): ~Pfzotae (cell/peger_): Fax: Primary Contractor: Y I~larrec of Qutilifarx: Address: __r ......_._M~..,,...._ _ - - ~~..,w~ Stets Lire~sse Nc~.: , Phone (ctfficel` _ _Phone (celllpeger,): ~ ~ Fax: Elextrical fbr~ra~tor~ W mA~ 5°J~ + ~.1 f'C'~k x~,,.Name of t~uali:tar: A rr, 1 ~h Addresu: ~..1 Cxl^E L 11-i ~n_~~1~~"7~~T - State I icense T'c~.: ~~?~,.t~~~,~~cL~.....,:._,wPhone fot7rice); ~b~, 55 Phrene (rellJpager.)~5'.57~-"~7 fax: ~85~,P~$ Plumbing Contractor: -v_._ _ "Name of t~ualif er: Address; ,-..v,,.._...~._......._. State Livenwe Aio..._~.w Fhon~e (office); ~_~~~-Phone (cellfpager:j: Fa~c: ~^.~m.. Mochanicat Cnntt+tc~tar: _ _ 1~Iarise of t~usl~cr: Address: - Static Licetaavc Nc?'..._..._~.._= ._.,..,,.x..~Photte (o~eej:.r__,,,,,,r .~~.___Phone (ell/pager.):.M.,._,~.~w..... F~~..,,,., SpecialtylClthet Cor~trttctar: !.Tama at'(~uali$ea. _ _ _ Addres,.¢ Staite/Loc~tl i.icense No.: Y_~___.......~...wm.,.--Phnt~e {office): Phone (rcliJpa}ter.j: >iaa~" s. _ G:18idQ.Cx~t.FnttnslpavutP.l'PL~CAIIUN 1f7.FwlM n ~~1~~, O'I?5~2~75 15: ~5 321-:~°~-258+ BOI~JPlraiv FI_EC7RIty f'r,~t &~wilditt}g !!emit Appliictttfbn Checlcliat i~aral reglUrement,R) Notes colRplettd Ptstttlt! AIII1i1C8tlOn _ Cgtrcatt code edition: FL F3kig. Cud "CBOT (es cev~td) C'urtertt SttrYC~tYYb'1fl~811 ~rGGCsS~d Cr?nStructte7ll-^~~~~ Alai elww eny Faci3tut6 nuvctm~s~ weemet,u, uLtililie& etc. Notsrizkd signatetre - t?wrier/6uiltler Affidavit !t'uwner is acting as tonaacnr Sewer Irrr~act Fet=, t'eipt _ f F~a ~,n~,i t~.a. trn~~ss jib ~ rapt Pmt Ftn rccei t rtrey ae ~Ienrm until c.o. Vital Exussisia~n Inapuct F~ t'eceipt - Ma~ti~aef~rnai anal c.(r 3idewal~ flnpatt Fee receipt Ir r>~t~ on tot Rtic_orded'1Ys~rranty De®r! 1 Proof of t~uverstui ~ Co apy f Reearded Nat~c~ of [.omtr~,carnent Inver S2,5Up} i~,-,a to t'~rst in~cu~,~ ~c~er 5,(x~ far chani~at, !<urr~rt Work's Co .Pali ~ ! F,xem tion,~ ! Raard w~11 be k - ~ on file aflir initml sutanitta! Cwrurtl~rrily ~ E9r8t7C~ I'~c?:7r'd rlpprova! For wpt vislh~e Fmm Pnb~ic ~1-C1f-lirav Planning arbd iartrng l3aexd Sits Plan AppAoval ~ Y"Qr aev+ casratw:~t, orrorrututa of moor. Concurrt3l Forms - ~ a' aew cnrutrucnnn rml pert n(_appmYVd aiu plan Primary Contractor S Stiua L1CtTl$e Rex:nrd will rw lk~Ft on flta• after init~oA y~b~xvit,xl StlbCQntf&CtOr's Au1}IOri ~Ittions: , record wx1) kg~$ r_at Htp elfter initie~E sutmi;tlaa SlAtC7 LiGCdtSO ~ Nc3tifg $rasiding Drpertrroent of c4cttraetor elwn~reA Plterrttsirg Contractor Pluttabin~ Contractor . Ivlttcttit:al Contractor -J Bltxtrical Contractor - Mechattic;al Contractor Mectnanical Co_ntra~;tcr ~ - Ranfxn~ Contrnctcrr Roofing Contractor R_ Swimrnin fool Contractor Swirnamiutg Pool Cunt_ractor _ _ - CFas Contractor.. Gas Contractor _ Spe<:ialtyttlther CorttraCtpr Spet`ialty!t7ther f:ontrttctar ~ Constrtrctiatt !]rawtttgs. ~ ?'er F.t3.C. tc~1 - 'I"wo se?c of sealed canstxtrclion drau'ings (thr sees if' c~nrmercia!) _'cc;~:tD.C~. 1a4 - Eltctrical Load Calcutatians _ - Elnctricai Itiset_~ _ ~ -._.m.,.~ All fu+v ! ~ccae t,c t terse i~ncietgtuu.~~a-- rilttmbl Riser _ ! Tura sets ofEnexgv Calculations ~ ~ - - p -----~~T_..__- Iras~r ACta Cif Fire Srlpt?res~avtt/S rtztklerlAlarm Specifics5ons Re e>ires Fire [>e artment review £uId ~ royal L.ot Areirl8~e Bu~Cvey - Paal Banker Reguirtsrtte~It Form si nedl _ Pool pe~uta wtt! nqt be basudi wlthutit bl~iir .Applie.2dan is hereby ry~ad~ to pbtain a perzerit to 3c~ the work a1ld irstrttiatinns s.~. indicxt~ed I ceriif'y that no work ar in.Iiral}xtiort ;lam contme~eed prior its the issuance of a per+nit and that a}1 wart; wi~i be nerfa>rxned to meet ttte sta»tfards ar?d laves re~u;atin,~ oanstructian in this Stttis~iictic~tt >3v signir3g, aPplcar?t affirxs that all move i.s true and carxeet arld t#tat tle!sht> is art autlsarized want of the Contractor and the Clwner and has the authority to apply ;Far this per~mjit~. ~J~~ Applit~nt's i+lame' ~ ~rYi t 4-h ----Applicant's Signature t:)ate_ _ ~ ~S ~ 0 - Address: 1'q3 ~3t~tal-y ttse only: Stale of Florida: C.t~unty of 13r~vettl Sworn anti subsoribexl btl'are the ttlis day af.. ~-ebfr<9ar 7p 45 e+y ~t cx ~rr.~!!~, Nemec of ~Lppiicent who produced idetttificnti~~n; , ctr is personally known to me. ,,,,~"~,,a, Renee E. $~rwmart Sal ~ Cant~ission lIDD195175 ~ , O wrx.c~ • =Expires; Mar 23, ZOU7~---. ~ ~ . . v,~`. V~Signeture-;~Jp~ryFubtisAtL+uge '~~ui Af1M1rtD B4eY~[lY;{ CO., t11C. G;~Hldq I~ept.t=nmia~~xatst APFLIC;ATICR~1 lt7-is-fl3 77ii5 fonlt may i?E ~dtlpiicst~d. l nuN~rvir,r; r.~r_~.,,:r~:14.; N+;i:~t ~~3 w,., ~vv~.nn ~ervi~~s .~l~~tri~, Z~c. tali i.tt v?.~ .std c~ ress ~itt~t~s~7 2S~'~ Li~n~l R~~ 1'1tir~s ~ 32'754 c~}~t~ lay 7 f y•,i ~:y~ ~ .....~.~c'unt'1E`~ ~'r~:s1,~n~•~ 1~ghfs t ~~v~~~,1.g r-- ~ S" k. ~ City of Cape Canaveral h,~t~,E, ~ PERMTTT~Z? F'~k S ~ ~ ."I'I~~l 3'gt~hMf ~Fvi~w~t~ t~.. S ~~cyi~ ~1' ff##s ~{~tr c1f;~g fir# c~~f#ty~izr vid#afi~n of m~;[ {wx{!1 r?Mw N{ {.,µ~,yµ? ~NM?~~, ,y{~IiiH{1{lN~~ NI ~MMhMM-v --~--~-__~...._1.~.-..._- ..1 4 I ~ ~ rn ~T'" fi a ~r ~ ,I~i' ~ d ~ ~ ~ L ~ s Phor~~: ~ ~ 1-2E+4-2'54 Fait: 32 ].-3~5-2G8'~ C)~'"'~' BUILDING PERMIT FEES: Building Permit per square footage Total Sq. Ft. (Living Area): ~ ®5 Total. Sq. Ft. (Enclosed Area): Building Permit based on valuation:.........~'~~~~..... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): eous: Building Permit miscellan Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Electrical Pl.umbing Mechanical Building Permit Plan Check Fee ~..1~~` Fire Dept. Plan Check Fee Radon Trust Fund: sq, footage Concurrency Management Fee Capital Expansion Fee Total Building Permit Fees:...... SEWER PERMIT FEES: Sewer Impact Fee Sewer Tap Fee Total Sewer Permit Fees ~ APpi.~tcwr.~e..~. ~ ~(8 ~ cab • a THIS IS ~iOT A PERMIT TD START WORK. TT IS AN APPLICATION ONLY AND W'II„I, BE PROCESSEIa AS SOON AS POSSffiLE. YOU WII„,I, BE CALLED ~/I3EN IT IS READY. COMPLETE T1~ INFORMATION BELOW AND INSURE'1~AT YOU NAVE ON FILE AC~FY OF Tl~ FOLLOWII~t~ (OWNED /B[JZI.DER PERMITS SHALL COMriLY F.S,, CFIAPTER 48~: Stale Certified and Re~isoered Cona~aoton: Stat+a Liaease ' General Liability Iasnrance (5100,5300,S2S Thou~nd) .Y(~~ Wodcers Co~p4asstiOA or Ex~etttptiatt ~ " (3) sealed plans molten required ~j ~~i ,4~ ~ 5 SPY of Coatraet and S uh-contracts wbea r+aquir~ed i V~~ ~ ' V" Type of PeJ Bidg.~ Elect., PIumb.~ Mech., peher (specify), Fi tt.E St~,zi,~v kcrctZ.,, Froperty Ovvaer: T~GN, ~ESTi ~i.~?c . Add:~ss. ~2 Ca~.vG2aJ_. l.o P 3Z~ Zo Strert Address of Job Site: l b6 CE~rC R.. 5 i , PE ~,v Flo2.~ rs4 29 Zta troperty Owaet(s) Fhon~e Qo-1- S~ - 32 J ~ _ Type of Coostr~ction: ~~cv~,T~ Size of Hldg. ('Total Sq. FL). ~o i~ ~.'F~ . . # of Stories:, # of Dweilirtg Units: Zoning Dish.: ~ # o>~Pkg. Spaces: Type (check one): SFIt: T/H: _ Agt,: Condo.:„ Coiamercial: Otltez: Date Project Approved by the Comaauaity Appearaace Board if applicable: G~eaesati• Coatraetor Company Name: . Address: State Lic~ase No.: Phone: Electn"cai Contractor Company Name: Address• State License No.: Phone: Plumbing Coatcactor Company Name: Address: SJ~zC License No.: Fhone: , Mechanical Coatra~cror Company Name: AddJx~s: State Licrase No.: Phone: Specialty Contractor Company Name: •~-J Jz+a•.,t EJ_J... ~tlz~ ~tzcn'~To r..J 4ddress: 4702 Parr.~.wa Co,,,~,t~ , awp ~2.~r.?oo, FL. 328og, .icense No.: 8J20-T'Iooe 19io Phene~ 0'1- 29- 43o description of Work to be Performod (Be Specific): ~lSTAt.~. Fi¢E Prp-~-,~~or.~ 5~,2?~.1u.~Q- 5 s'~ ~w. tes wotZ. ~ ~ uNC~z ,ro~~t, ~.C-~.D . cis rya 50~ 'otaI Valuation of Work: S 34 (Copy of Coatrdct shall be submitted w/a~,pl,) )ate: 5 18 9 8 ~pplicant'o Naae CPriat)• /~o~r~c.,o L . ~/~co 5 ~~/l nplicant'x sib: t0 3~'~d -I~~l3(1 3dd~ 1,1I~ 66t888LL0ti 55 ~bt 866tf6t159 - !`>r~~ -~wr . Building Pe:~zits per square footage : Total Sq. Feel (Living Area): - - . ~ _ Total Sa..Fe~t (Enclosed Area): Building Pemii'ts base3 on valuation:.~. ~.7.7a:©~ .t"~?? ~'oo Total Sq. Feet (Living Area): Total Sq. Feet (Enclosed Area): Building Pe~.its miscelaneous: - ~ _ _ - Total Sq. Fe~~ (Living Area): ~ _ Total' Sq. Feet (Enclosed Area): ~ - ~ Electrical: . ~ Plumbing . _ _ ~ _ Mec$apical: - Building Permit Plan Checc Fee:.. " ~ ~ _ _ - - - _ Fire Dept. Plan Chec?s Fee ~ / ~ _ Radon Tres Fund:.. . - Sq. Ft. Assessed: ~ ~ - Concurrency Management Fee _ Capital Expansion Fey:.......... ~ ~ . . Total Building Peznit Fees:.... S~ . _ - _ _ W Sewer Impact Fey:......... Sewer Tai Fey: J ~ ~ Total Sewer Permit Fees:... ~ ~ ~ Serv~g~ #e city a,~ gape C~~al tutu~roerc~t Fort ~itit~'ity PLANS REVIEW Building Tech Vest Address: 166 Center Street Date: May 28, 1998 The sprinkler plans have been reviewed and the following shall be meta 1. This building shall be completely sprinklered unless the second floor is blocked so that it cannot be used far occupancy. 2. The FDC can not be attached to the double backflow . 3. The underground shall be inspected prior to cover up: 4. What type of waterflow alarm device is install on the system. Plans Review Fee: FDC 10.50 1st. {12) heads 15.00 186 heads x 1 186:00 d{" TOTAL $211..50 .J" ~ . 1- 1 James Watson Fire Marshal Cape Canaveral Fire Department 190 JACKSON AVENUE • CAPE CANAVERAL, FLORIDA 32920 • (407) 783-4777 «.~-+.wr.~r.~.rcr~ r~A•w•+:Ci'.~.r.:.::v-••:......_:iJ•~~twr'-..'•r:Lil:1~4,=~:t.'.~4~~•~:Yi~."~4'~r1'i'~?N~ii: 1:..~ :~~~'•'~1~. .13~ ~L~ ,/"alt f ~ S ~ /it,l S~~G, . , prepared by and xesturn to: Y NOT2CE OF CO?WENCEHENT TILE iJNI?8R8=GNEb, hereby gives notice that improvement will be ma~e 1 to cartnin real property, r?nd in accorriat:Ce with chapter ?1~, Florida Statutes, the rollowing information is provided !n this Notice of Gommencsment. 1, Description of property: (legal description oP property, and •atreet address it available) 2. General description of improvement: 3. Owner information: a. Name and .address: b. Interest i.n property: c. Nams and address of !ae simple titlaholder(it other than owner) Contractar:(nama and address) i. Surety , • a: Name and address b: an~oun~t o! bond g 6, Lender;(Name and address) • 7. Persons wi'~hin the .State of Florida designated by awnsr upon • ' wham notices or other documents may.ba served as providsd by Section Ti3.i3(1){a,)7.,~'lorida statutes:{Haas and address) s. In, addition to himsal=,ownar datigriatas the following par~aon(s) to receive a copy or the Lienor's tiotica as provided in Sectlon 713.13(i)(b), l~lorida statutes:(name and address) 19.• Expiration dttte of notice of comtaencemant (the Expiration dace is i year from the d2?te of recording unlass'a dittQrant date is 8pecitiad) . X (Signatuxe of Owner) Owner~a Nama (Print or Typo) • owners address Stat¦ or Florida Counfiy of The toragaing instrument was acknowledged before as this day t o! i 19 by wl~o is personally known to tie or has produced • as idsntificatian and who did/ did not take an oath: pr nt ar type Hama BTJILD~G P~IIT APPLIGATI~I+T . THIS IS NOT A PERI4IIT TD STARS . , ORK. TT IS AN APPLICAZTON OIv~, t AND WII.L BE PROCESSED AS SOON AS POSSI9LE. XOU R'ff.,L BE CALLED WIN IT IS READY. COMpI.ETE THE Il`1FORMATTON HELOT AND INSURE TEAT YOU Y;AVE ON FILE A COPY OF T>~ FOLLOWII~TG (OWNER /BUILDER pERriIITS SHALL COMPLY F.S., CI~[AP'i`ER 4$9): . , Stan Cerezfird and CQaaracmrs: Stage Liaease ' ' rseaersl Liability ?nsurance (a100,S30Q,S7.s ?hq a ,L Workc~s Coarp4assrioa or Exempdaa (3) sealed pleas wizen required , ~ ~ ~1 Copy of Cantra~cs and Sub-contracts when r+~gaired Type of Peaait: $Idg. Elect. Plt1mb., Mecb.~ Ottzer (sP~Y). ~ Property Owner; ~I~r~~~ ~ . Address ' Street Address of Job Site: Property Owaax(s) Phone ~ Type of ConstRresian: ~x ~ STI ht ~ Ste of Hldg. (Total 5q. FL) ~ ~ . # of Stones.`_„`; # of L~veilzng Units: ~ Zoning Distr.: # of PI£g. Spaces T check one • _ _ yPt C SFR: ~ T1H: _ Apt.: Condo.: Coazmerciat- Other: Date Project Approved by the Community Appearance Board if applicable: General Contractor Company Name: Address: State License No.: Phoaa: Elecaieal Contractor Company Name: Address: Scats License No.: Phony: Plumbing Contractor Company Name: Address: State License No.: Phone: Mecliani`cat Caatracwr Company Name: Address: State License No.: Fhane: Specialty Contractor Com any Ns~tne: ~ ada~e~:.4 :.icense No.: Phone: 'g kscri tioa of work to be Performed ($e Spec): ~ `r'at,,,,, ~j , R Wi~T )pt p ~ r" 'otai V 'oa of work: S )ate: (COPY of Contract shall be submitted w/appl.) ~pplicaat's Noma (Priat)• .DPliraat's Si~aatur+e: w~. ...E r ~~~~~G t ~ ~ V . 4 ~ 1 ~ ~~~~L V~?L;1~~""~ER ~ I~~PATA~NT, INC. Serving t1u city of Cape Canaveral Canaveral fort Authoraty PLANS REVIEW ~OpY To: Dennis Franklin, Building Official Building: Tech Vest Address: 166 Center Street Date: April 27, 1999 The sprinkler plans for the second floor have been reviewed and all Fire Department requirements have been met at this time. Plans Review Fee: 1st. 12 heads $ 1.5.00 151 Heads 151.00 Total.. $1 fi6.OQ James Watson U-°' Fire Marshal Cape Canaveral Fire Department 190 JACKSON AVENUE CAPE CANAVERAL, FLORIDA 32920 (407) 783-4777 a~ Grinnell® r ti~o Fire Protection Systems Company 4702 Parkway Commerce Blvd. Orlando, Fl. 32808 Tei. 407-299-3430 Fax 407-299-4727 Second Floor Office Bldg Renovation 166 Center Street Cape Canaveral, Florida Fire Protection Proposal 1 /4/99 Attn: Jim Morris Thank you for the opportunity. Grinnell will provide all design, permits, material, taxes, fabrication, delivery, installation and testing per NFPA and Cape Canaveral Fire Dept. Please review the following proposal and contact me with any questions you may have. Grinnell will provide a complete fire protection sprinkler system for the second floor. Pricing based on floor plan drawing by Angelo Corva Arch. dated 3/28/98. The design will be based on a Light Hazard Occupancy per NFPA 13. Design criteria will be based on a .10 gpm ever the most remote 1500 sq. ft. area with I00 gpm outside hose allowance. System hydraulics are based on having a water supply of 65 psi static, 60 psi residual, flowing i 190 gpm. This information provided by the City of Cocoa Water Dept. The test was conducted on 4/14/98. Grinnell will start at an existing 4" riser located on the second level. All associated pipe, fittings and hangers will be provided to make a complete fire protection system per NFPA 13. All material will be approved per NFPA. In addition, a control valve with a tamper and flow switch will be added for the elevator. Piping will be installed above ceiling with chrome pendent sprinkler heads below ceiling. Standard and extended coverage heads will be utilized. Heads will be laid out in a symmetrical pattern but not in center of tile. All testing will be provided as required by NFPA and the Local Authority. EXCLUSIONS All hard ceilings, ceiling tiles, T bar, and light fixtures will be removed and/or relocated, by others, to accommodate piping and sprinkler head installation. All wiring, conduit, or alarm work of any kind. PRICE 22,777.00 Sincerely, Ron Jacobs Branch Mgr. A Tyco IIV'IERNATIONAL LTD. COMPANY 1' ir` I G~:'tNtJC~_t, F~ iRE ~~LANDfl Ii'i : AQ7-299-47'7 JHN Lr~ ~ ag 9 ; 25 .4R3 P .~,2 ~rir~~eii~~' - Fir~ Protcc~an $ysitnts C.W{nprttty X702 P'tkway C~mmer;.a tltvd Urlnndc,, Ft, 329~R Tt}. +i~~~•299•~43U 6ax 4G1.~~Jh-477 Scsand l~lnor C?JTico i~ldg ltt:nov8tien l6b CentCt Streit CAl?0 CAt10~Y0tAI{ )+l4ti(iA ~ir'e Pt'Ot~tion prppp3a! 11A1 At1n~ Jim Morris Thank yuu for thr appor3wlity. Qrinncll wiii pruvido alt design, txrnlits, material, trxrs, fatsricnlltsn, dt'iiv~~ty, trtsta}tstion and #tsfiting per NFC'A and L'tyx, ~attavnral T''iev bcpt. P}easo CtviawtYie fallpt~irit; pr~pos31 and Contact ma with ~,ny clttr.stiona you mt?y have. CYriru~ell wi}l provide A cteit{~lne~ firs pYgtCCtiptt sprinkkr r~ysicrn for the second floor. Ar4oing based en floor plan drawing by Angelo C~,rvn r~r4h. t1~nlod 3/Z$1y$, deaiutt wil l kx~ based ore a Light Hard Clccupancy per Ni:'f~1113. DGsigt; crinria wilt t~+ baby txt ~ . ~ 0 gpm over the n?u~t reruot,^ i S!tQ sit, i~. urea with lull }dun oz<taida hose n}la~vuncc. ~yatem hy~ruutics are beset! on h.aving a ~vat~r supply of h6 pai static. ti0 r,ci residual, floi~~ing 1 is?p gprn. This in£osmatioit llravickd by the City ot'~,uocM V4'rttcr Ucyt.1'b~ 4trstwax cnnducteci nn ~llld/48. Gritmc;}I ~tiil! ctdrt at Aa rxirtb7ir riser mated nn thn second !suet, All asgeciated pipo, nttinga and ha»gara will ha proYid,d to makG;a cumpletc~ faro prOtectlan AyoM,nt per NHPA 13, All malarial will tfc Rpprev~d per Ni"PA, In addition, it coltttol ml vn with tt tasnpcr and qow switch will b<; added tot' tits ~'.}PVRi(tP. r~ Pipitog tvili be installed ttkxivc eeiting with chrotna pat?dent cprinkl~' hat<da aelow Cviilrig. Stxttdard 8ttd cxtcrtdtd CC~ve?rge heads wiii ~ utilixrxl. Nt'at{s will bB laia out in a sytnmotrioai pattern but ,mot in cctiser of tile. 1~t1 tc3tiag will tie pr~uvide¢ as required 11V t~lFl:'A. And the l.oc+~i At,t}iattity. l:X~t.IISi{1tJa , All hart} ce}}inga, c,,f}trg tiles, 'i' bar, Rod light fixtures will ba tWnuv,oc! atKUur ro3acatad, by athorg, ro act•om,z~otl,ctC piping: and sptinkter ttea~i in~tall,~tion. A}} H'irin~, conduit, tx' alarnt work afat?y kind. ,NittCt~ ~ , t ~ ~ Sao 0 Sincerely. ~,,,..r- ~ ~ ~ ~ k4r ,l'i~cnb~ f ~irpnch Mgr. • A 91~e INl}:iZN1'r7ANN. t,Ti~. L<iyl'ANY CITY OF CAPE CANAVERA UILDING DEPARTMEN PLAN REVIEW PROCESSING SHEET _ _ _ PROTECT NAME: TYPE OF STRUCTURE: ~ , DATE DEPT. RECEIVED: ROUTING ORDER 1. Zoning Comments: S. BaDp Approval Initials: Date: 2. Structural Comments: K. Grinstead Approval Initials: Date: 3. Electrical Comments: D. Franklin Approval Initials: Date: 4. Plumbing Comments: D. Franklin Approval Initials: Date: 5. Mechanical Comments: D. Franklin Approval Initials: Date: 6. Fire Dept. Comments: J. Watson Approval Initials: Date: 4 C Date sent to fire: Date returned from fire: 7. Misc. Comments: / G. Mullins Approval Initials: CzS~. Date: 5"- ~ ~y ~ Date review completed, permit ready for issue: ~ ~ ennis E. Franklin, C O, Building Official Additional comments on reverse side. BUILDING NEW CONSTRUCTION CITY OF CAPE CANAVERAL PERMIT 97-00084 MASTER PERMIT - PROJECT 95- AT DATE ISSUED: 02/24/97 PROJECT ADDRESS: 166 CENTER STREET PCL#: E LOCATION: 166 CENTER STREET LOT SUBDIVISION: BLK OWNER NAME: TECH VEST PHONE: (407)-783-7030 ADDRESS: 400 W. CENTRAL BOULEVARD CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 GEN. CONTR: BERGER, ARTHUR W. JR. DBA AEDILE CONTR. PHONE: (407)-868-6700 ADDRESS: 8660 ASTRONAUT BOULEVARD, SUITE #1 LIC CGC0032922 CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 WORK: INSTALL (8) 2' X 2" GLASS BLOCK WINDOWS IN EAST WALL PER SUBMITTED DESC: PLAN (NON-STRUCTURAL). ELEC. CONTR: PLMB. CONTR: MECH. CONTR: SPECIALTY: VALUATION: 1000.00 BLDG:aS.co PLAN REV: SQ.FT. ELEC: FIRE IMP: OCC. TYPE: CONTT TYPE: PLMB: RADON: FIRE ZONE: USE ZONE: MECH: CONC: CAPITAL EXPANSION: TOTAL DUE: 25.00 TOTAL PAID: 25.00 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ~ M ~ . Cam: ~..me. N O T I C E 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 OBTAI N y~CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECQ~^~-~ CE OF COMMENCEMENT. ~/apt / (SIGNATURE O CTOR OR AUTHORIZED AGENT DATE (APPROVED BY) DATE ~.1~ ~`?~24'045 ~ *25.00 S1TY OE GAPE GANAVLRAL. 2-~ 2 ~ GS?+1 BUILDING PERMIT APPLICATION ~ ~ ` ~ Uo TIiIS IS NOT A nrirn,rrr T(1 START WORK. IT IS AiN ALU•IC:~TION ONLY AND WILL BT; I'RUCESSED AS SUUN AS I'USSIBLE. Y )U ~•VILL. BL CAL.L.Lll WHEN I'I' [S REAll_C1 . CUhIPLL'I'L'I'IIL INFUIi11IA'TIUN BELOW AND INSURE THAT YOU HAVE ON FILE A COPY OF THE FOLLOWING: (UtiVNER/BUILDER PERMITS ARE EYEIVIPT.) STATE REGISTERED CONTRACTORS: State License County Occupational License and Competency Card General Liability Insurance ($!00,5300,525 Thousand), Workmens Como. or Exemption STATE CERTIFIED CONTRACTORS: State License General Liability Insurance ($100.5300.$25 Thousand), Wori:cns Comp. or Exemption _ _ _ _ _ _ _J~ 'T'YPE OF PERMIT BLDG _ ELEC. _ PLUMB _ MECH. _ OTHER-~"~~~~ ~s~'~ • 1 ROPE'I'Y OWNER:/ AUURESS: ~Cv ~7~".~=.~~. ~J•c~.,~ ~~rl~~'z'-~,-.°" ~-C STREE"I' ADDRESS OF JOB SITE:~~ r~ C~'~ `-j~`''s~ ~a~'~~` `~~ZE~ 'TYPE OF CONSTRUCTION: ~ ~ SIZE OF BUILDING (TOTAL SQ. FT.} GO NO. OF STORIES MAX.000.LOAD NO. OF DWELLING UNITS USE ZONE NO. OF PARKING SPACES l'YPE OF OWNERSHIP (CHECK ONE): DETACHED SWGLE FAMILY RESIDENCE '1'OWNIIOUSE A ARTM T. C 1 OMINIUIv1 COti1MERCIAL,~_ CUN"I'RACTOR ~Z 4 ATE LIC. b ~~L D~`~y AUURESS~ .-~-ird» 'f" ~~~et,~td~;'~f PHONE ~70~ ELECTRICAL STATE LIC. b AUDRESS PRONE PLUMBING 1'I,/~- STATE LIC. If r\llURESS PHONE NIECiIANICAL rl~~ STATE LIC. a AUURESS ` PRONE U'CIIER J'1/R~ STATE LIC. N ADDRESS PH PONE NATURE OF WORK 7'U BE DONE (I3E SPECIFIC) -~~'~,f ~t~/~} ~ ~`°~'?~I Y ~ iL?' iU'l~'lc'~ < %`I G°.et~ ~ /r~~// - I?~i"? ~7i'~GcG77siL~C Vr1LUATION OF WORKICONTRACT PRICE: 5 NO'T'E: T)~L4 apptlCallUn is valid for i5 working clays after which time, unless a permit Las been drawn, this Corm and all attrctunentc will be dcstnrycd. ' Date: , Signe ~~f SECTION LIVING ENCLOSED 'TOTAL AREA AREA BUII.DING PERMIT BUILDING PERMITS PER SQUARE FOOTAGE 82A BUILDING PERMITS BASED ON VALUATION 82A x°~ l BUILDING PERM MLSCELLANEOUS 82A ELECTRICAL 82C ,r PLUMBING 82B MECIIANICAL 82ll BUILDING DEPT. 82E PLAN CIIECK FEE FIRE DEPT. PLAN CIIECK FEE 18-94 BOTTLED GAS INSPECTION FEE 38-5 1/2 FOR BUILDING PERMIT REVI:NU_E _ _ _ _ 1/2 FOR FIRE INSPECTION FEES _ ^ RADON TRUST' FU1~ID F.A.C. lOD-91 PER SQ. FT. UNDER ROOF llCA 1/2 CENT PER SQ. FT. UBR 1/2 CENT PER SQ. FT. CONCURRENCY MANAGEMENT FEE 90-22 CAPITAL EXPANSION FEE 2-231 TOTAI~r%BUII,DINGPERMIT~FEES~: ~G~ EWER PERNIIT EWER IMPACT FEE 9423 EWER TAP FEE 82-3 ~TOTAL-SEWER'PERMIT.:FEFS: ~ ~ -r , ~p3~ ~~4+Y ~/1!]rw S ,yz~it~c~~l cL r rte. r~ a'~a ; r PLAN A~i9ROiiQL ®Oi+~ Or O~i1€ ~ - ~Ii0i~~70N Oi= ~C:~6~1~~^~~L. 00®~~ - t ~ 4~,~ ~n`4 ~ ~ ~~s i < 1 S ~ , ' ~ ~ t ~ ~ ~ ~ ~ ~ ~ ~~~1~ { i 'f~ I ~ I i ~ e i .C'~ka l ~._.__.Y..._....-.,.... ~ ~~~1 ' ^~...,1 ,el=.... _.I~ l ~ y ~ _ , ,,5`. T- > ' S'~~, ' 4d L~~~ r r J ~ / r` `4 ! 1 1 ~ gl . ~.f *y,...!! .mat w^- t `y„9 .`4y ~ ..y. ~.-s. . ` _ _ _ _ , ~ ,r ~ * / ! ~ ~ _ . y ~ y, s \ i A ~ _..,f. _ ~ ELECTRICAL PERMIT CITY OF CAPE CANAVERAL PERMIT 95-00156 MASTER PERMIT - PROJECT 95- AT DATE ISSUED: 04/28/95 PROJECT ADDRESS: 166 CENTER STREET PCL#: E LOCATION: 166 CENTER STREET LOT SUBDIVISION: BLK OWNER NAME: ED HRADESKY PHONE: (407)-783-7030 ADDRESS: 400 W. CENTRAL BOULEVARD CITY: CAPE CANAVERAL STATE: FL ZIP: 32920 GEN. CONTR: TRIBBITT, RICHARD DBA BEACH ELECTRIC PHONE: (407)-783-7030 ADDRESS: 121 MANATEE LANE LIC ER0010265 CITY: COCOA BEACH STATE: FL ZIP: 32931 WORK: INSTALL 600 AMP SERVICE ON SOUTH SIDE OF NORTH WEST CORNER OF DESC: COMPLEX. ELEC. CONTR: PLMB. CONTR: MECH. CONTR: SPECIALTY: VALUATION: 2000.00 BLDG: PLAN REV: SQ.FT. ELEC:SC)~~C~ FIRE IMP: OCC. TYPE: CONST TYPE: PLMB: RADON: FIRE ZONE: USE ZONE: MECH: CONC: TOTAL DUE: 50.00 TOTAL PAID: 50.00 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY S . CGL tmc~r~ ~I~~Uin ~ ~le_~in~ * * * * * N O T I C E * * * 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 PAYI G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO O TAIN F LING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE I R NOTICE OF COMMENCEMENT. / ~z- / 9~ F ONT T R OR AUTHORIZED AGENT DATE PR EDP Y DATE ~z~~ ~ - r~ ~ ~ BUILDING PERMIT APPLICATION Jurisdiction of ~ ~ CITY OF CAPE CANAVERAL m ~ ~ 105 Polk Avenue ~ o TELEPHONE: (305} 783-1391 ~;r„ ° rn JOB ADDRESS ut c , , _ ~ _ ~ , : , DATE . ~r ' ' ~ ' LOT NO. BLK. TRACT LEGAL 1 (?SEFr-ATTACHED SHEET) ~ DESCR. Owner Mailing Address Zip Phone 2 a i - ~x Gen. Contr. Mailing Address Phone License No. 3 Elec. Contr. Mailing Address Phone License No. 4 Plmb. Contr. Mailing Address Phone License No. 5 Mech. Contr. Mailing Address Phone License No. 6 ROOting Contr. Mailing Address + ? ~ Phone License No. _ - Specialty COntr. (Other) Mailing Address Phone License No. 8 USE OF BUILDING 9 10 Class of work: ?NEW ?ADDITION ?ALTERATION ]REPAIR ?MOVE ?REMOVE 11 Describe work: NOTE: REQUIRED INSPECTIONS MUST BE ARRANGED 1 2 Valuation of work: TEL: 783-1391 ,ALLOW 8 HOURS RESPONSE TIME SPECIAL CONDITIONS: Type of Occupancy Contt. Group Division Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load SETBACKS: F R RS LS Fire Use Fire Sprinklers Application Accepted By: Plans Checked By: Approved For Issuance By. zone Zone Required Yes ~ No OFFSTREET PARKING PACES REQUIRED No. of Dwelling Units Covered _ Unc_o_vere_d _ N O T I C E Special Approvals Required Received Not Required FOUNDATION SURVEY SHALL BE SUBMITTED NO LATER THAN FOUR zONING DAYS AFTER PLACEMENT OF SLAB. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT. AUTHORIZEDISNOTCOMMENCEDWITHIN6MONTHS,ORIFCONSTRUC- SOIL REPORT TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 OTHER (Specify) MONTHS. I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE PERMITS& FEES CODES COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Building Southern Standard' OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU- Electric National Electric• EATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Plumbing Standard Plumbing* ' ~ ~ Mechanical ~ Standard Mechanical• Signature-of Contractor or Authorized Agent (Date) /n Y' O[her ..r' Signature of Owner (If Owner Builder) (Date) T O~T A L ;r .?u *as adopted by ordinance. THIS APPLICATION, WHEN SIGNED, BECOMES A PERMIT TO START WORK: BU-1'LDING OFFICIAlL / ~ ~r~ CITY OF CAPE CANAVERAL BUILDING PERMIT APPLICATION ° THIS IS NOT A PERMIT TO START WORK: IT IS AN APPLICATION ONLY AND WILL BE PROCESSED AS SOON AS POSSIBLE. YOU WILL BE CALLED WHEN IT IS READY. COMPLETE BELOW AND INSURE THAT YOU HAVE ON FILE A CURRENT COPY OF THE FOLLOWING: (HOMEOWNER PERMITS ARE EXEMPT) State License County License and Competency Card Liability ($10, $20, $5 Thousand) and Workman's Compensation Insurance Surety Bond payable to this City ($1,000) (Only if City Occupational License required.) TYPE OF PERMIT: BLDG. ELEC. PLUMB. MECH. OTHER PROPERTY OWNER: ~ ~ ~a PHONE ADDRESS: ! G, C~.'~\'Cp e.~~ ~ 1 ~ STREET ADDRESS OF JOB SITE: LEGAL DESCRIPTION: LOT BLOCK SUBDIVISION OTHER TYPE OF CONSTRUCTION: SIZE OF BUILDING (TOTAL SQUARE FEET) NO. OF STORIES .MAX. OCC. LOAD NO. OF DWELLING UNITS USE ZONE NO. OF PARKING SPACES TYPE OF OWNERSHIP (CHECK ONE): DETACHED SINGLE FAMILY RESIDENCE TOWNHOUSE APARTMENT CONDOMINIUM CONTRACTOR STATE LIC.# ADDRESS PHONE # ELECTRICAL STATE LIC. # ADDRESS PHONE # PLUMBING STATE LIC. # ADDRESS PHONE MECHANICAL STATE LIC. # _ ADDRESS \ ~ PHONE ~Q ROOFING ~ ~ STATE LIC. # '(L~'_~ NATURE OF WORK TO BE DONE: U ~ ~,0-- f VALUATION ~ WORK/CONTRACT: $ ~ ~ NOTE: This application is valid for 15 working days after which time, unless a permit has been drawn, this form and all attached material will be destroyed. Date: L-~ Signed: _ _ _ Lice_ see, Agent ecord or Owner OFFICE USE ONLY: VERIFICATION: General Contractor Electrical Plumbing Mechanical County License Competency Card Insurance SUCEty Bond City License State License Work for a lessee, renter, manager, agent must have approval of legal owner of record. Homeowners, condominiums, townhouses or others*, with an association control, architecture and building criteria, must have approval signed by the governing body. *Others is to include covenants, conditions and restrictions as recorded on deed; however, this office is responsible only for obtaining compliance with the Zoning Ordinance. August, 1985