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HomeMy WebLinkAboutBLDG1406-0149-ApplicationContact Person:
City of Parkland
Building Permit Application
www.citvofoarkland.ore
Phone#: E-mail: adam.kahn aerrenovations.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
Company Name Romanoff Renovations
Business Address
3560 NW 53rd Street
cityFt. Lauderdale State FL Zip 33309 Phone # 855-890-5686
Property Owner's Name Lisa Gleichman
Owner's Street Address 11177 NW 68 PL
city Parkland State FL ziP33076
Phone #
954-526-7894
Job Site Address 11177 NW 68 PL Lot 76 Block A
Work Description:
Master Permit Number •,it/66 - et,/549
Date a..17//
Construction Value ,50 u
Na
Engineer's Name
Engineer's License #
Phone #
Architect's Name
Architect's License #
Phone #
j>itivr ik:1146.'whiz. 4 4b,` rizieei:gad/ e3ia ',
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 permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: adam.kahn@rrenovations.com
Print Name of Qualifier/Builder:
Dan Muller
License number:
CBC059877
Signature of Qualifier:
On this i (,, day of :Tune , 20 /y before me, the undersigned
Vary `Public of the State of Florida, personally appeared
t 1F ..; f ) Ltl c'/ and whose name is subscribed to and within
the instrument, and he/she acknoviledges that he/she executed it.
).4% "VI 1\0_ rum t_c_tz
NOTARY PUBLIC, STATE OF FLORIDA
t
Y161 L- 1
PRINTED NAME OF NOTARY PUBLIC
❑ Personally known to me
0 Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
Produced identification
C] Oath not taken
, Brenda Danielian
' `Coaunissica#FF073671
s. •'Qc Expires: Dec. 01, 2017
.,nu .•• WWWAARONNOTARY.com
Property Owner
Notification E-mail:
Print Name of Property Owner:
Lisa Gleichman
Owner's Address:
11177NW68PL
Signature of Property Owner:
On this 24% day o r before me, the undersigned
Notary Public of� "the State of Florida, personally appeared
1.1:x:1 ( Lk-'1'Chm • and whose name is subscribed to and within the
instrument, and he/she acknorledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORID
bre d->Ck t(:
PRINTED NAME OF NOTARY PUBLIC
❑ Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
.]'Produced identification
❑ Oath not taken
Brenda Danielian
-,f-ricframission#FF073671
;ry
Expires: Dec. 01, 2017
��=` W W'W.AARONNOTARY.com
Electrical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor: Always On Time and Affordable Plumbina
Business Address: 729 SE
License#:CFC142 99
Phone #:954-213-4 50
Qualifier Signature:
The foregoing instrum 1t wa
who is personally krdow to rrl
Notary Public: j1`A,,�
Mechanical Contractor:
Business Address:
License #:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
3rd Avenue Delray Beach. FL 33483
Estimated Construction Value: 1,50
Nc fication E-mail:adam.kahn@rrenovations.com
1)(,)
��Print Name: Jahn Dollwet
s acknowledg d before me thus 2(c- day of �un� ,20 i1/4/
1\,
e or who produced J vin rye iiH;��f
T1LCu t -L, My Commission Expires: i .Z- - I - t ,,�� v r�6 • Brenda Danielian
• C
,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name:
day of
Landscaping Contractor:
Business Address:
License #:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
:: ;•' emission#FF073671
;w ; Expires: Dec. 01, 2017
,„„0www/i IRGNNOIArcumm
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name:
day of
Other Contractor:
Business Address:
License #:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name:
day of
,20 ,by the above named person
as identification who did/did not take an oath
THIS CARD MUST BE POSTED IN FRONT AT ALL TIMES
City of Parkland
6600 University Drive
Parkland, FL 33067
(954) 753-5447
BUILDING\ENGINEERING PERMIT
PERMIT NUMBER: BLDG1406-0149
PERMIT TYPE: INTERIOR REMODEL
SITE ADDRESS: 11177 NW 68 PL
TYPE OF IMPROVEMENT: NONE
Applicant Information
DESCRIPTION: BATHROOM REMODEL -TUB & WALLS
Contractor Information
ROMANOFF RENOVATIONS
3560 NW 53 STREET
FT LAUDERDALE, FL 33309
(855) 890-5686
ISSUED DATE: 7/18/2014
FOLIO NO: 484105040760
CODE YEAR:
Owner Information
GLEICHMAN,LISA
11177 NW 68 PL
PARKLAND, FL 33076 -
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 AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. (F.S. 713.135).
Notice: In addtion to the requirements of this permit there may be additional restrictions applicable to this property that may be
found in Public Records of the County, and there may be additiona permits required from other governmental entities such as
water management districts, state agencies or federal agencies.
PERMIT EXPIRES 180 DAYS FROM EITHER THE ISSUE DATE OR 90 DAYS FROM THE LAST APPROVED INSPECTION
For Inspections please call (954) 753-5447. Inspections are scheduled for same-day inspections up until 6:00 AM.
SEQ INSPECTION TYPE
ID
6 TOP OUT
12 PLUMBING FINAL
Building Official or Authorized Signature Date
PLUMBING
STRUCTURAL
INSPECTIONS
INSPECTOR DATE
SEQ INSPECTION TYPE INSPECTOR DATE
ID
1 NOC
STRUCTURAL
SEQ INSPECTION TYPE INSPECTOR DATE
ID
9 FRAMING
10 INSULATION
11 DRYWALL SCREW
14 FINAL**
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
(BLDG14O6-0149)
PERMIT TYPE
STATUS
FEES CHARGED
JOBVALU E
DESCRIPTION
APPLIED ISSUED
FEES PAID BALANCE DUE
OWNER
INTERIOR REMODEL BATHROOM REMODEL -TUB & WALLS
APPROVED 06/27/2014
$667.06 $90.00 $577.06
$6,500.00 GLEICHMAN,LISA
•
0 R*7 aersovaturx s
r2,0 ey,a,v
Drintcrl• Frirl, , 11 1111%, 111111 1 of 1
Permit #
0-406-0 0,
Folio # 4841 05 04 0760
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real
property and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement :
1. Legal Description of Property:
Street Address if available:
INSTR # 112373628
OR BK 50888 Pages 925 - 925
RECORDED 06/26/14 10:20:32 AM
BROWARD COUNTY COMMISSION
DEPUTY CLERK 2090
#1, 1 Pages
Lot 76 Block A Unit # Bldg # L ILengthy legal attached
Subdivision / Condominium: PARKLAND ISLES
11177 NW 68 PL PARKLAND FL 33076
2. General description of Improvement : Bathroom Alterations
3. a. Owner name and address: Lisa Gleichman 11177 NW 68 PL PARKLAND FL 33076
b. Interest in property: Owner
c. Name and address of fee simple
titleholder (if other than Owner):
4. a. Contractor name and address: Romanoff Renovations 3560 NW 53rd Street Ft. Lauderdale, FL 33309
b. Contractor's phone number:
5. a. Surety name and address:
b. Surety's phone number:
c. Amount of bond:
6. a. Lender name and address:
b. Lender's phone number:
8,85-8.40-5686
7. a Persons within the State of Florida designated by Owner upon om notices or other documents may be served as provided
by Section 713.13(1Xa)7., Florida Statutes:
Name:
Address:
b. Phone number:
8. a. In addition to himself or herself, the Owner designates
b. Phone number of person or entity designated by owner
9. Expiration date of notice of commencement :
1 \\V
to receive 9 copy of Lienors Notice per Section 713.13(1Xb), Florida
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager
AAA-- (1 / � a y �(.t� By
15a /Kc,Print Name
TitlelOffice
By
Print Name
Title/Office
STATE OF FLORIDA
COUNTY OF BROWARD 2
The foregoing instrumept,was acknowledged before me this t, day of
by f Sa Eich man
L
Individually, or ❑ as EL c- for
Personally known, or E produced the following type of identification:
.2cf4
e ti?1iY PU ' L 1� �!. x��%,-k-
e r'BP. a 3 Danieli gnature of Notary Public: t . 4.41-4-----
1:1/45:4,....:.;,.'
1- 1---
i: :i'••,,"" C .1 i s ion#FF07367 Print Name: J(lCli1 �� �lr z -t fC a •
:�y'.l .�o: i'. 01 17 (SEAL)
y�� .. oQ= c :.;;7C�S: Dec. 20
�"s ;ii " W , ;'v.AAR0NNOTARY.00m
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signature(s)
f Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
47644#4
By Il L�Jf-fes / By
g trecordingltormstnoc - notice of commencement revised 7 3 07 doc
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Romanoff Renovations
3560 NW 53rd Street
Ft. Lauderdale, FL 33309
Dan Muller CBC059877
„0L
LISA GLEICHMAN
11177 NW 68`h PLACE
PARKLAND, FL 33076
In -
NOIII'IOI'Iaa
GUEST BATHROOM
42.5 SQUARE FEET
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KONA
4 1/2' BATHTUB
PORCELAIN ON STEEL
Standard Outlet
Description:
This 4 1/2' bath is dosiyrlod
for space Saving convenience.
Free standing on a full-length
sound deadening support pad.
for added strength. Great choice
Ordering Information;
when space Is at a premium cost.
Available irr loft or right hand with
a step resistant bottom,
Made in ilio USA.
Standard DutM
60"x30"x 151/'V'
011-2300 RH i)ratn, plain bottom (Canada only)
011-2301 LH Drain, plain bottom (Canada unNy)
011.2302 AH Drain, slip resistant bcrttrarn
011-2303 LH Drain, slip resistant bottom
Bentz Industries
1400 Park Street
PO Box 18010
Evansville, Itd 47711.3=1010
I'Itorm: (812) 423-5401 • Fax; (812) 428 22.;4
o-rt)r�il; wnIrrrr siet4boutz.curri
Daub stet;: www.buutz.eonl
James Hardie I-IardieBacker 51x 31 x'12 in.
Ceramic Tile Backer Board
PRODUCT OVERVIEW
The James Hardie HardieBacker 5 ft. x3 ft. x 1/2 in. Ceramic Tile f3acher board offers protection ayainsI inolrl and water for wood
substrate and helps provide great tile bond strength.
• Helps protect wood substrate and maintain tile adhesion on Hoofs, countertops and walls
• Water and mold resistant
• Contains no paper facing,.whic_h serves as a food source for mold, or gypsum, which can disintegrate with continuous
moisture exposure
• Single score and snap for easy installation
• Great tile bond strength
• Lightweight
• Ready for painting, texturing, wallpapering or tiling
• Recognized as an interior substrate
• Non-combustible
• MFG Model It : 220023
• MFG Part # : 220023
SPECIFICATIONS
ASTM D 3273 test results 10 Assembled Depth (hi.) 60 In
Assembled Height (in.) .42 In
Assembled Width (In.) 30 in
Color/Finish Naitnal Commorclal / Residential Residential
Commercial / Residential Residential ENERGY 5 fAR Gratified No
Flooring Product Type Backer Board Form Fiber cement
Manufacturer Warranty Limited Lifetime Moisture Resistant Yes
Package Quantity 50 Pioducl Length (In.) 60
Product Weight (Ib.) 44.55 Pioduct Width (in.) 36
Size 3x5 Width 35,00
www.homedepot.com/p/James-Hardie-HardieBacker-5-ft-x 3 -ft -x 1-2-in-Ceramic-Tile-Backer-Boarcl-220023/100170507//specifications
1/2
DIESCiiiP1110N
I+1
• Brass construction
1/2" CC or IPS connections
• Pressui e balancing, four port, cycle valve
OPERATI
• Adjustable temperature lirnit stop to control
maximum hot water temperature
- Pressure balancing mechanism maintain selected
•Fx" a discharge temperature to ± 2°F
CARIFitIlDGE-
• 1222 cartridge design
• Nonmetallic/nonferrous and stainless steel materials
• Accommodates back to back installations
STA1ND1 8119
• Third party certified by aitt to meet (3A 13.125,
ASMEA112.18.1M and all applicableroquIrenc-Its
referenced therein
WAV
• Lifetime limited warranty against leaks, drips and
finish defects to the original consumer purchaser
• 5 year warranty if used in commercial installations
4-1/2" (114mm) PLASTER
GROUND SIZE AND
WALL OPENING
SHOWER
2" CC (51rnnr)
1 7/0" IPS (40mm) --.
MAX WALL
FINISHED WALL UNE
1/2" CO
SUPPLY
TUB
—�— 2-3/4" (70mm) C.C.
— FLOOR
c
1"11
L. L.
_Syecifications
,f,;•114 f-4 1=r',�;�_ "dl (h) 14 it
(.,
?.a�4!(�
P061 - 1131/11P Vi41-.VIE
p stee-Eblanchi Valve
Modals: 2520 (a), 2510 (IPPS) - Biro e Pack
62320 (Op, 62300 (IPS) - WI( Packed
(Buil( paathed 12 per carton)
NOTE See teaaeme gill
O�xr aaaaa&balled pads
"—FACE OF STUD
▪ 1/2" MIN. CC (13mm)
5/0" MW. IPS (1Gmm)
• . 2 1/2-" MAX.
(031nm)
3/0"
(35mm)
3-1/2" (09mrn) MAX.
2-1/4" (07mrn) MIN.
DIAMETER
WALL
OPINING
45" (1143rnm)/
40" (1219nim) - SHOWER
32" 013mrn) - TUB OR
UB GI loWeR
'ROIL OMENS OS
pros sal 9
matiiisktinEn"SERVICES .1-000-3221-0tJO9 C•�ch. 2 5t1
FLOOR LINE — kr
— 3116" (typ) (Omm)
PLASTER GROUND
1 1/2"
(30mm)
I
'13/0"
(35mm)
PLASTIC
TUB/SHOWER
SURROUND
Rev. 0/00
CITY OF PARKLAND BUILDING DEPARTMENT 954-753-5447
Date Received: 6/27/14 Permit Number: BLDG1406-0149
Lot: 76 1 Block: A Subdivision: PARKLAND ISLE
Job Address: 11177 NW 68 PL
Work Description: BATHROOM REMODEL -TUB & WALLS
Contractor: ROMANOFF Phone: 8558905686
RENOVATIONS
DEPARTMENT Date Denied Date Approved Initials
ZONING
LANDSCAPING
ENGINEERING
FIRE ,
STRUCTURAL 7/&/(4 _CP
ELECTRICAL
PLUMBING (-33.4,1 yr°
MECHANICAL