HomeMy WebLinkAboutBuilding Permti ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1122/20
Permit Number:
• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 604 NW Winters Creek Rd Palm City, FL 34990
Property Tax ID #: 4422-810-0004-000-3
Site Plan Name:
Project Name: SHOWER PAN
DETAILED DESCRIPTION OF WORK:
SHOWER PAN AND DRAIN FLANGE REPLACEMENT, NO MODIFICATION
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Lot No._
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: r
Cost of Construction O f °'_)C>
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name In-Suk Oh
Name: RICHARD BASSOFF
Address:604 NW Winters Creek Rd
`.Company: ADMIRAL PLUMBING SERVICES, LLC
City: PALM CITY FL State: _
Zip Code: 34990 Fax:
Phone No. 914-374-9721
Address: 2895 JUPITER PARK DR STE 700
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No 561-746-1180
E-Mail: lisakim50@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PERTMITTING@THEADMIRALPLUMBER.COM
State or County License CFC-1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR-CENDER OR AN ATTORNEY 13EFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat of Owner/ lessee/Contr ctor s gent for Owner
Signature of Contractor/Liceny Ho r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PAu+eeACH
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledge4 before me
this 22 day of JAN 20.15by
this 22 day of JAN 20,Zf>by
RICHARD BASSOFF
RICHARD BASSOFF
Name of person making statement.
Name of person making statement.
Personally K wn x OR Produced Identification
Personally Known x OR Produced Identification
Type of Ide t'Fication
Type of Identification
/PTpduc
yA Nda y Public State ofFWda
i MY 233150
06128=22
Produced Notwy Publk State odt
Jac**** Gewgesou
�a OMM22 233130
( lgn tur f o ary P
(Si ture of N t u lic- S ate o on a
Commission N (Seal)
C mission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.2/7/19
Admiral Plumbing Services
Estimate 27533188
9
A Service Experts Company
Job 26891372
ALSMBIrvice ExGSERVICESperts Company
2895 Jupiter Park DR#700
Jupiter, FL 33458
Estimate Date2/14/2020
561-746-1180
Customer PO
License: CFC 1426115
Billing Address Job Address
In-Suk Oh Lisa Kim
604 Northwest Winters Creek Road 604 Northwest Winters Creek
Palm City, FL 34990 USA Road
Palm City, FL 34990
USA
Estimate Details
Shower Pan:
1. Customer is responsible for demo. Admiral Plumbing is not responsible for any demo.
2. Install new shower pan with drain flange in master bathroom.
department.
3. Permit is required. Customer is responsible for any additional requirements by the building
4. Admiral Plumbing for the of any tile, drywall, or any other finishes.
is not responsible repair or replacement
5. Includes repair of shower drain.
6. Replace tub waste and overflow in master bathroom.
Total $2,406.00
50% deposit is required with the signed estimate and the balance is due upon installation.
Task# Description Quantity Your Price
Your Total
T70989 INSTALL SHOWER PAN AND DRAIN FLANGE - DEMO IS ADDITIONAL 1.00 $1,732.00
$1,732.00
Permit GENERAL PERMIT 1.00 $225.00
$225.00
A10530 REPAIR SHOWER DRAIN 1.00 $173.00
$173.00
T42200 TUB WASTE & OVERFLOW 1.00 $276.00
$276.00
Sub -Total $2,406.00
Tax
$0.00
Total
$2,406.00
Terms: ALL ESTIMATES ARE GOOD FOR 30 DAYS. All material is guaranteed to be as specified. All work is to be completed in a
professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be
executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon
delays, beyond our control. All payments are due upon completion of installation. All payments not received upon completion are
subject to 1 1/2% service charge per month, or the maximum rate permitted by law, whichever is less. In the event of non-payment, all
costs incidental to collection, including without limitation reasonable attorney's fees shall be added to the unpaid balance.
**CANCELLATION OF WORK AFTER DEPOSIT IS PAID: In the event ajob is cancelled after the deposit is paid, a refund will be given
minus any permit (if applicable) and administrative fees that were paid by Admiral Plumbing.
This is an electronic signature. Please type your first and last name.
Customer Signature:
1/g/2020
t A Service Experts Company
In-Suk Oh
604 Northwest Winters Creek Road
Palm City, FL 34990
• SHOWER PAN, DRAIN FLANGE REPLACEMENT, NO MODIFICATIONS
VALVAI
SHOWER HEAD
•
5'
• 5.5'
2" DRAIN
ROti
T
2895 Jupiter Park Dr. Suite 700, Jupiter, FL 33458
Jupiter (561)746-1 180 Stuart (772)286-1888 Fax (561)250-6650
tbeadmiralplumber rr.email.com
License #CFC1426115
SHOWER HEAD
•