HomeMy WebLinkAboutBLDG PERMIT #5999City of Cape Canaveral, Florida
ELECTRICAL PERMIT /5999
PHONE: 321-868-1222
Permit #:5999 Issued: 9/18/200E
Permit Type: ELECTRICAL
Class of Work: REPAIR/REPLACE
Proposed Use: Hotel (R-1)
Sq. Feet: 124,866 Est. Value: 10,932,019.0
Cost: 2,200.00 Total Fees: 65.0
Amount Paid: Date Paid:
Name: HOOG ELECTRIC COMPANY
Addr: 210 JEFFERSON AVENUE
CAPE CANAVERAL, FL 32920
Phone: (321)784-2529 Lic: EROOC
Work Desc: REPLACE PARKING
ELECTRICAL - REP/ALT UNDER, 65.00
INSPECTIONS & FAX: 868-1247
Address: 8959 ASTRONAUT BLVD
CAPE CANAVERAL, FL
Township: 24 Range: 37
Lot(s): Block: Section: 15
Book: Page:
Subdivision: RESIDENCE INN
Parcel Number: 243715
Name: A1A ACQUISITION GROUP LTD LLP
Address: 3425 ATLANTIC AVE
COCOA BEACH, FL 32931
Phone: 321-799-4099
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
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
I'`nRARACKlf%CRA0K1T
ISSUED BY/DATE
■0: R
Date: RECE"'D CITY OF CAPE CANAVERAL
SEP 12 2008 BUILDING PERMIT APPLICATION
Tracking # OR _0Q,;2 7
Permit # 5 999
(321) 868-1222
City of Cape Canaveral Building Department 7510 N. Atlantic Ave. Cape Canaveral, FL 32920
You may download this application: www.mvflorida_com/cape. You may fax to: (321) 868-1247. All applications must include the
backside of this form. Important: Please complete the checklist on the back of this form and provide other documentation as indicated
on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY.
(Contractor/Owner-Builder is required to sign for the building pennit, unless indicated otherwise by affidavit. I.D. may be required)
Address of Job Site: s ` % Com/ C� Zoning classification: Flood Zone:
Legal description of propert : TwN: RNG: SEC: SUBD: BLx: LOT: PB: PG: _
Property Owner art i 1 �° /-/,1V7/,C"c ' hone:
Address: l _ 11'7'4 --
Fee Simple Titleholder's Name (if other than owner):
Bonding Company:
Mortgage Lender:
Address:
Address:
Address:
Type of Permit Brief description of work:
Building
Electrical 1 k4,i o e5�-
Plumbing
Mechanical
Other
Type Of
Const.
Occ-
FPL lines
City Sewer
Will this
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Mame:
Square
Type
upancy
currently
available
structure
# of
# of
# of
# of
Valuation of work
Building
Feet
(IA,
Group
available to
to serve
have built-in
stories
dwel-
bed-
water
Name of Company:
(please
under
VB,
(B,Rl,
serve this
this
gas
Phone (cell/pager.):
ling
rooms
closets
Name of Company:
indicate as
roof
etc)
etc.
property?
P P Y'
ro
P P ert Y'
appliances?
PP
Phone (cell/pager.):
Lnits
Specialty/Other Contractor Name:
Name of Company:
a Iicable)
Address:
Yes/No
Yes/No
Yes/No
Phone (cell/pager.):
Fax:
Commercial
SFR
$
Townhouse
Apartment
$
Condominium
(Other I
I I
I
I
I
I
i
Architect/Engineer Name:
Name of Company:
Address:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Primary Contractor Mame:
Name of Company:
Address:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Electrical Contractor Name:
. 7
Name of Company:
—-=T
Address:` G o
State License No.i�i -2jL' -- Phone (office): , c--� Phone (cell/pager.):
Fax:
Plumbing Contractor Name:
Name of Company:
A
rvuui css.
State License INO..
Phone (office):
Phone (cell/pager.):
Fax:
Mechanical Contractor Name:
Name of Company:
Address:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
Specialty/Other Contractor Name:
Name of Company:
Address:
State License No.:
Phone (office):
Phone (cell/pager.):
Fax:
G:\B1dg.Dept.Fonns\BP APPLICATION Rev. August 20, 2008
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code 2004 (as revised)
Current survey showing all proposed construction and landscaping
Check with Bldg. Dept. for setbacks
Notarized signature — Owner/Builder Affidavit
if owner is acting as contractor
Sewer Impact Fee receipt
May be deferred until C.O. Unless job is remodeling
County Impact Fee receipt
May be deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
If sidewalk exists on lot
Recorded Warranty Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over $5,000 for Mechanical change out
Current Cert. Of Liability Ins./Worker's Comp. Policy / Exemption
Record will be kept on file after initial submittal
Community Appearance Board Approval
For all work visible from Public Right -Of -Way
Planning and Zoning Board Site Plan Approval
For all new construction of four units or more
Concurrency Forms
For 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:
State License
Record will be kept on file after initial submittal
Notify Building Department of contractor changes
Plumbing Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor Mechanical Contractor
Roofing Contractor Roofing Contractor
Swimming Pool Contractor Swimming Pool Contractor
Gas Contractor Gas Contractor
Specialty/Other Contractor Specialty/Other Contractor
Construction Drawings:
Per F.B.C. 104
Three sets of sealed construction drawings
Per F.B.C. 104
Truss layout and reaction summary
Cut sheets and shop drawings will be needed at time of insp.
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
Ali new service must be located underground
Plumbing Riser
Plans must indicate person responsible for design
A/C layout
Plans must indicate person responsible for design
Two sets of Energy Calculations
Plans must indicate person responsible for calculations
Lot Drainage Survey1
Four sets of Fire Suppression/ Srinkler/Alarmspecifications
Requires Fire Dept. approval prior to issuance of permit
Pool Barrier Requirement 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 print to the iscuanre Clf a peri it and that all work will he. performed to meet the standards
of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the
Florida Building Code. 2004 Edition. I understand that all permits require inspections as indicated. This permit
application is valid for six months from date of submission. By signing, applicant affirms that all above is true and
correct and that he/she is an authorized agent of the Contractor/Owner and has the authority to apply for this permit.
Applicant's Name' c Applicant's Signature: � , "Ixgt
-- ` — -
Dater `" Site Address: 9/X - 2;/ ,tA
For Notary use only: State of Florida, County of Brevard
Sworn and subscribed before me this 2 day of S�, —
Iqwho produced identification:
is personally known to me.
' 0C?Y LMBARDB
E
Seal: 1 *V �F' e MY COMMISSION # DD 486084
EXPIRES: August 8 2007
;pF Vie`. Bonded Thru Notary Public Understiters
G:\Bldg. Dept.Fonns\BP APPLICATION Rev. August 20, 2008
or
20o , by o A - i
Printed n e of Applicant
-----:��
Signature Public At Large
This form may be duplicated.
�
�
Addresa `
BUILDING PERMIT FEES:
9 99
Total Sq. Ft. (Living Area):
Total Sq. Ft(Enclosed Area):
Building Permit based on valuation: ..... ^
Total S
Total Sq. Ft. (Enclosed Area):
Total Sq. Ft. Area):,
[mta}Sq. Ft. cf Area):
-.}ectrival
-------'o—''—'---'----''—'---'-----'-----'--'—'---'—'-'--'
Jechanical-----''—'---''---'-''----'---'--'------'--
Ioncurrency Management Fee .----________.___.____^.__,...
Total Building Permit Fees: ......
;EWER PERMIT FEES:
SewerImpact Fee .................................... ................................................
'Sewer Tap Fee .................... ......................................................................
By: Date: