HomeMy WebLinkAbout235 Bimini Drive Permit App. 8.9.16ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8.9.2016 Permit Number:
Ewe 14 10 h
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 235 BIMINI DRIVE, FORT PIERCE, FL 34949
Legal Description: CORAL COVE BEACH-SECTION ONE- BLK 2 LOT 3 AND 10 FT OF VAC ALLEY ADJ ON S
OR 3761-2204)
Property Tax ID #: 1425-701-0024-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE FOR LIKE 5 TON A/C SPLIT SYSTEM WITH 8 KW HEAT. INSTALL BRAND NEW
AMERICAN STANDARD 14 SEER 5 TON A/C SPLIT SYSTEM WITH 5 KW HEAT.
CONSTRUCTION INFORMATION:
A(Witional wor to be performed under t ispermi — c ec< III appy:
HVAC I_I Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
_
11 Electric ❑ Plumbing El Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor: 2264
Cost of Construction: $ 2399.00 Utilities:]Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CYNTHIA ROHN
Name: ROBERT HENNIS
Address:235 BIMINI DRIVE
Company: AIR CONTROL AIR CONDITIONING
City: FORT PIERCE State:FL
Address: 5415 SILVER OAK DRIVE
Zip Code: 34949 Fax:
City: FORT PIERCE State: FL
Phone No.772-370-7567
Zip Code: 84982 Fax: 772-460-6613
E-Mail:
Phone No. 772-460-2665
Fill in fee simple Title Holder on next page ( if different
E-Mail: AIRCONTROLAC@YAHOO.COM
State or County License: CAC1815015
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
ZONING
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name:
Name:
Address:
Address:
REVIEW
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:
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 thepermit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
L.UI I If I ICIIL.I I Ir, VVUIR UI IGLvI U I I Ir, YUUI IVULILe UI L.UI III I IVIIL.CI II CI I L.
s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me
this 11 of (��5I.9T , 20 Eby
WILLIAM PALLADI40
(Name of person acknowledging )
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me
this 9TH day of AUGUST , 20 % e- by
WILLIAM PALLADINO
(Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Pe
WILLIAM PALLADINO
Commission No. GG11r59 ycoan00011759
1pr gXP -, July 13, 2020
Revised 07/15/2014
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
COMMISSION k 0011739
E" RE& July l3, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS