HomeMy WebLinkAboutsigns permit & corresponding documents
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I City of Cape Canaveral, Florida I
I BUILDING PERMIT /3857 I
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I PHONE: 321-868-1222 INSPECTIONS & FAX: 868-1247 I
PERMIT INFORMATION ! lOCATION INFORMATION
Permit #:3857 Issued: 12/21/2005 r Address:-S959AsTRONAuT BL\TD~
Permit Type: SIGN PERMIT I CAPE CANAVERAL, FL
Class of Work: NEW INSTALLATION ! Township: 24 Range: 37
Proposed Use: Hotel I Lot(s): Block: Section: 15
Sq. Feet: 124,866 Est. Value: 10,932,019.001 Book: Page:
Cost: 19,000.00 Total Fees: 217.501 Subdivision: RESIDENCE INN
Amount Paid-=--____mm___J)~tePald_=___ I Parcel Number: ?4m?1!~L~_~ I
Name:[8~JI~CJ~~Jt~~~~~AIL01L . .f Name: .~~~~~!~~~~~~T~O~6UPTTD [[p I
Addr: 3941 ERNEST DR. ! Address: 3425 ATLANTIC AVE I
ZEPHYRHILLS, FL 33543 I COCOA BEACH, FL 32931
I Phone: (941)322-8540 Lie: ES12000355 i Phone: 321-799-4099 j
1......................W............o.. .rk.........I)...e...-...s.~...c. : -INSTALL (2) W......A.......L....L. S.....I.G..........N.....S.-......-. &._..._..{...1.....1.....'=O........ _.L. _.~...... ~!.G.........._~..........J=>....~.R... ....~...U.-.._........-.....B........M..... iTtEtfPLANS .
: APPLICATION FEES
I BUILDING OVER 2K 145.00 i PLAN REVTEW aVERzK-- -- . - --. 72.50 i
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- . APPLlCA TmNACCEPTED BY 4 .-.. ...... PLANS CHECKED BY: . APPROVED BY: e . l .-'
- NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUT ORIZEDls NOT COMMENCEDWm'IIN 6 MONTHS, OR j
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED. I
I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL .
I 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.
I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
I COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
I TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
[' YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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i BY/DATE fUTHORIZEqSI~ TU~/DATE I
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From: LU r:J! /Ul.I:::) U.). :)u ffUk) r .uu iI \ J( )','
CITY OF CAPE CANAVERAL ",#, - ;2'-lC)
BUILDING PERMIT APPLICATION
City of Cape Canaveral Bui1ding Department 105 Polk Ave. Capc CanavcrnJ, FL 32920
r /' (321) 868-1222 3' 8 h 7
Date: f ~II'-i /0 J Permit # '. (tj.
(You may download this applicatiDtl: www.myflorida,com/cape. You may fax to: (321) 868-1247.
--Impor1anL.A.chec lrn 51 15.ptmcided-on.-the-hack-oLthis.iom1.-Comp1ete:the-checklist-and-proWie..otheI:-documentation as
indicated on the checklist. A copy of contract may be required. Application packages will Ilot be accepted unless complete:
CONTRACTOR WILL BE CALLED WHEN PERMIT IS READY.
(ContraclOl'IOwner-Btlilderis required to sign fOr the building pennit, un]~s indicated otherwisc by affidavit. J.D. may be required)
Address of Job Site: ~5' 01 tl S' r t"'UY AI q c/7" D J i/ P
Legal description of property: TWN: R.."lG: _ soc: _ Sl}BD: BU<. _ LOT _ PB _ FG -
Name of Property Owner: ,,4 I /J ----;rJ CJ;QV JS'rl 0 h Property owner phone number:
Address of Property Owner: J yz-s jl...J /::;- FU::ti4 f-zc ~
Commuruty Appearance Board approval date: Site Plan approval date:
.Typeof-Permit~cc-~ -~Btieblescriptifm~Qfwo-rk:'frs:-rq'L'-l ('2-)Wq! CS-:.j C c_ - --- -
Buildin
Electrical
Plumbin
Mechanical
Other .r)
Type 0 f S""""eo..L' of I '_~f d~lling . of . of Total """"0" of wo,k- --1
...J Building Feet Type ~tori~S bedrooms bathrooms
v/ Comm~ciill $
SFR S
Townhouse $
Apartment S
Condominium $
i./ Oth~ V /<:7 ~ ~---
ArchitectlEngineer: Name of Qualifier:
Address:
State License No.: Phone (office): Phone (cell/pageL): Fax:
Primary Contractor: Name of Qualifier: r r
Address: '3 "J VI
State License No.: Phone (office):1YI-:?JJ.--i1Y<.l Phone (ceWpager.): Fax:
Electrical Contractor: Name of Qualifier:rl
Address:, C '7 q 1'1/.,5 :J ..-</,J -------
State License No.: <./F1P-J'fY() Phone (cell/pager.): _ Fax:
Plumbing Contractor: Name Df Qualifier:
Address:
State License No.: Phone (office): Phone (centpag.eL): Fax:
Mechanical Contractor: i' Name of Qualifier:
, Address:
State License No.: Phone (office): Phone (cell/pageL): Fax:
Specialty/Other Contractor: Name of Qualifier:
Address:
State!Local License No.: Phone (office): Phone (cell/pageL): Fax: 1
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O\Bldg.DeptFonns\ penn;l APPLICATION IO-Hl5
From: 1 1~)I2ClCJ5 03:~) 1 #(63 P .002/003
..J Building Permit Application Checklist (gelWrlll requiremt'IDls) Notes
Completed Permit Application Ii/' CwrOlt code edition: FL Bldg. Code 2004 (as revised)
Current survey showin&Jlll proposed constrUction V Al50 show lUly c::l\isting SUUCturetl. e&SCIllQJtS. utilitiCll. etc.
Notarized silffiature - OwnerIBuilder Affidavit .j./ If owner is acting as contractor
Sewer Impact Fee receipt May be deferred Wltil C.O. Unless job i. remodcling
County Impact Fee receipt May be deferred until CO
f. Gapital.&PansiGD lmpa>:t--Fce.reccipt ..... . . . Maybe defmexluntilc.O. ....
Sidewalk lmoact Fee receipt If sickwalk e:dsts on lot
Recorded Warranty Deed I Proof of Ownership
Copy of Recorded Notice of Commencement (over $2 500) Prior to fin! inspection (Over $5,000 for Mech""ical)
Current Worker's Compo Policy I Exemption I I Record will be k.ept 011 file afUlr initial submittal I
Community Aooearance Board Aooroval For work viSible from Public Right-Of-Way
PlanninJ~ and Zoning Board Site Plan Approval For new construction of four unita ~_
Concurrency Forms For llew constrUction not part of approved si~ plan
Primary Contractor's State License Record will be kept on file after iI1itW5ubuUtlal
Subcontractor's I Authorizations: Re..:ord will be kept on file ~ initial6ubmittal
S tate License Notify 'Building Department of contractor clumge8
... PIUII1Qipg Contractor Plumbing Contractor
Electrical Contractor Electrical Contractor
Mechanical Contractor MechanIcal Contractor
-.. Roofin~Contractor ,., - '.Roo .
.-. - -- .-- ~~. ,. ';,'-,j
Swimming Pool Contractor Swi!l1ri1irigPool Contractor
Gas Contractor~~~-~-~--~ --- f...._. ---G$CO~
Specialty/Other Contractor SpecialtylOther Contractor
COlllitruction Drawings: Per FB.C. 104
Two sets of sealed construction drawings (three sets if commercial) Per 'F.B.C 104
Electrical Load Calculations
Electrical Riser MJ new services mllst be located Wlde.-ground
PlumbinJz Riser
NC lavout
Two sets of Enenrv Calculations
Four sets of Fire SUDoressionlSorinlder/AJarm Soecifications Roouires Fire DepartnJent review .and aporoval
Lot Draina2e Survey
Pool Barrier Requirement Form (siQlle(\) Pool ~ will not ~ inoed without barrier
Application is hereby made to obtain a permit t{) <10 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, applican1.afflIIDS that all.ahove is true and correct
and that he/she is an authonzed agent of the Contractor and the Owner and h.a thority to apply for this permit.
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Date: Address:
r\.l'(:;Lv~~.e...
For Notary use ~nly: State ofFl~rida, !1-~tyofUrc<'lil' . ~ L;;'-4/\ C-JL.. 0 [- I ,
Sworn and subscnbed before me tlllS t S day of \)e Ck:.3/V\. k~, 200 S ,by
f' Name of Applicant --J
tdiWhO pro.duced Uientification: .or
. is personaUy known to me.
- - .- -- .-. .- -- ~*k
. ,',......" BETH L FONSECA
Seal: l 1m _.......;._01_
. ~ . . ~ My Commission Expires Sep 1, 2009 ~
~~ ,..~ Commission ## 00 469619
~...~~ (I:~$'
l III,c;r.r,l\\ft> Bonded ~ National Notary Assn.
G \Bldll Pep! POJTllS --- -..... ......... ...... Thi6 form may be duplicated
K2Si ~kJ&!: I A.J}j
BUILDING PERMIT FEES: _ 'if9S-f /)-s-r7l.lJIJ/)]uT t3I.J~.
Building Permit per square footage:............................................................ ~---
----_.~~~
------~-~~--_._~~----
---------- ~------------
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area): 8
B 'ld' P . b' d I'. ! r ~ ..- /" (f) .~
Ul lng ermlt ase. on va uation.......... i ......;..................., t? l -'
. Z;~~ ~S-
Total Sq. Ft. (Living Area): I~ 1.ItfJ.t) ?--- /7 XS:::- /4S~---
Total Sq. Ft. (Enclosed Area):
-~,~,,=~:I2!~~~9..,%h(1!yil1g:,Ar,~gJ: __ _ _ ___m_u_u_____ ______ n _ _____m_ ____
n ectrical. ~....................................................................... ........ ............................. ~
'I b' ~/
. urn lng......................................................... ....................................................
1:echanical........................................................................................... ................ ~
50
uilding Permit Plan Check Fee..............................................................:...... 7 Z. ---
--------"
i.r~_ B~pt. l':~~~ C.!:~S~ F ~~:.... . ~:__:...:.:: .._.... ::::~_::~:::_._:::_::=::_::_:_:..:.::_::: :::_:':_'''' .:::....' .~::_:__::_::.::..___ _ ,__.. "_m__ _ ..... ______________. _ ___m.____ ___
adon Trust Fund: sq. footage ................................. ~
r---.c-
oncurrency Management Fee.................... ......... .................... ....... .................
3.pital Expansion Fee.. .......;................................................................ .;.;.......... ~-
:5V
Total Building Permit Fees:...... 2/1 ;--
:nNER PERMIT FEES:
Sewer Impact Fee............... .................. ......... ....... .............. ..... ..... ............ ---
------------
Sewer Tap Fee.........................~...... ..................... ............. ...... ...................
Jotal Sewer Permit Fees............. D
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Letter of Transmittal
Date: I://;{~:~
To: 9':'
A",if~~'~
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From: tct YJ e~'
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- Re: ~ <\.'6{~'~€'- ,
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-"'"-_.,,..
pCermits TElEPHONE 941/}22/8540
FAX 941/}22/2424
E/MAil FORPERMiTS@AOl.COM
2630 223rd Street East. Bradenton. FL 34211
Date: :t::l::: L.. '1 2.00;("'
,
To Whom It May Concern:
SerYic~Qrjt'sslJbCQntrgc:1:Qr(slC'1Dc:llQri:l9~Dj:(S)LPc~rmiSSi()J1tqJi!~J()rS19IlCl!lc:l~I~g:rl@IJ?~rf'lli~
as-reqrnredandtocomptetethepermittedworkiortheinstaHationcl-thenewsigns-Cltthis--
State of
County of
The forgoing instrument as acknowledged before me this day of
2005.
By who is personally known to me, ~-~a.k~
p.FGduGeek::7 as identifica1iQnandwh&dki/~id,not
take-aA-Oattr.
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!/4Q~
~ of ~ UJ --- II..- I if),- JYl
proge~ Owner's ~nature t? --I:
-(~ElC u:c:: . --- E..st!)J~ V/1l?4(Jew'-.
name '3 31
~,ar- ~.I lctt:1
My Commission expires: Telephone Number
'I ~ $ ~,,~"" t ~,,~ ~ ~ ~. "... '*" ~ ~,. ~,,~ ~ t "." .' .". * ,', ., ~ fr ~ f ~ if $l
. MARGARET A. VONA
Notary Seal: : ,\\tioUlflll#. Comm# D00400248
: ;:.~~~y I'll ~~
: !~~~'i Expires 31512009
.., .. if
: \~1' ,p1 Elonded thru (80Q}432-4254
: <;""iRf~~i\..\f'''' Florida lnc
4-11$"."111 '" "'iliO J ~~*J>l\.I'~ ~ ~ &~ ~l\ ~., i " ~ ~ ~O..~i
. CITY OF CAPE CANAVERAL
.
. BUILDING DEPARTMENT
.
. PHONE 321-868-1222
. FAX 321-868-1247
.
. 105 POLK AVENUE
. P.O. BOX 326
CAPE CANAVERAL, FL 32920
To: Lott Sign Company Fax: 941-322-2424
From: Bob Haley Date: December 19, 2005
--- _ ____ _ Provide c:;ost fQr ~nj) io~rmit <!pj)licatio!l. __ _ __ un _ _____ __ ______________ _ ________ __n__ ______ _______ _____ __ __ __ ___ ___ ___ _ ________
Application will be on hold until this is received.
Sincerely,
~
Building InspectorlPlans Examiner
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