HomeMy WebLinkAboutPermit Application - Unit 1502 - KaplanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-8-2020 Permit Number:
ti
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Master Bath Remodel
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Drive, Unit 1502, Jensen Beach FL 34957
Property Tax ID #: 4502-620-0110-000-1 EMPRESS CONDOMINIUM UNIT 1502 Lot No.
Site Plan Name: Block No.
Project Name: KAPLAN MASTER
DETAILED DESCRIPTION OF WORK:
Master Bath Remodel / New flooring in Master Bedroom - Remove existing flooring, tile, tub, shower, toilet, vanity, counters, shower walls.
Capping off plumbing in old shower. Extending plumbing at old tub location tub for new shower head- tub drain will be used for new shower drain.
build new shower curb, Install pan in new shower, relocate any switches/outlets from walls removed or lowered. (see attached scope sheet for additional info)
New Electrical Meter Second Electrical Meter /✓//-
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ ' _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
✓ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: .3 S 15G Sq. Ft. of First Floor: K IA
Cost of Construction: $ 39 Utilities: _ Sewer _ Septic Building Height: _
OWNERAESSEE:
CONTRACTOR:
Name LOUISE KAPLAN
Name: FRED ROESEMANN
Address: 9600 S Ocean Dr, Unit 1502
Company: FDR CONTRACTORS INC
City: Jensen Beach State: FL
Address: 221 SW MONTEREY RD
City: STUART State. FL
Zip Code: 34957 Fax:
Phone No. 561-315-9626
Zip Code: 34994 Fax: 7'%?-c2a1- 71� °� 1
E-Mail: LTKAPLAN1502@GMAIL.COM
Phone No 772-221-7791
Fill in fee simple Title Holder on next page ( if different
E-Mail FDR@FDRCONTRACTORS.COM
from the Owner listed above)
State or County License CBC1252876
is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordin our Notice of Commencement.
-�1
Signature of Owner/ Lessee/ContracLvf' as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ¢ f� %r/ W
STATE OF FLORIDA
COUNTY OF X 4 �/ Ai
Swor o (or affirmed) and subscribed before me of
P/� vsical Presen�a nr Online Notarization
this f (O day of �1 U1�% 2020 by
Sworn to (or affirmed) and subscribed before me of
' Physical Presence or Online Notarization
t i s day of 2020 by
f-A- b 005,eMAA6()
Name of person making statement.
Name of person making statement.
Personally Known _L__ OR Produced Identification
Personally Known _� OR Produced Identification
Type of Identification
Type of Identification
Produced
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Produced
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