HomeMy WebLinkAboutBarton tank permit app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
e r —
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
PERMITTYPE:GAS TANK
PROPOSED IMPROVEMENT LOCATION:
Address: 1329 NW LANCEWOOD TERR, PALM CITY, FL, 34990
Property Tax ID 9: 4426-804-0022-000-8
Site Plan Name: Barton- tank
Project Name:
�ILEDESCRIPTION OF WORK
Install 500 gallon underground LP Tank with gas line to generator and final connect
CONSTRUCTION INFORMATION:
Lot No,_
Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical XGas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4295.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameCarolynn Barton
Name: Blake Cowdell
Address:1329 NW LANCEWOOD TERR
Company: Energized Gas
City: Palm City State:_
Zip Code: 34990 Fax:
Phone No.7723362258
Address:1786 SW Biltmore ST
City: Port ST Lucie State: FL
Zip Code: 34984 Fax:
Phone No7727778133
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail energizedgenerators@gmail.com
State or County License LG34747
It 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
MORTGAGE COMPANY: Not Applicable
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-ame: - -- - -
-Name:...-------
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT. Application is hereby made to ohtain a permit to clothe 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 HE 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 RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORID
COUNTY OF
COUNTY OF
The forgoing ins rument was acknowled ed before me
thisLl�day oflJ r 2 by
The orgoing instr nt was acknowledged before me
�ay
this of 2by
Name of person making statement.
Name of person making statement.
Personally Known_ OR Produced Identification
Personally Known _11%s OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
[11.1% f -10 0, Q�cLalh
(-VIA,
(Signature of Notary a lic- a
[Signature
_,�u
is DANIELLE GONCALVE5 —�
G�-�SION#C�0j4fi
<�..: "' DANIELLE GdivCALVES
Commissiori'I�Ei:
Commission
: ; A €AYG4ViF91SSICiV#GG ;
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• a ,, •a,' EXPIRES: ,tune 27, 2022
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= "a �: EXPIRES: dune 27. 202?_
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
lit
Energized Gas ]Iic
d'lap=e a:ndoirataud fa' 8peata Ast
Proposal / Agreement
Frank Barton
1329 Lancewood Terr
Palm City, FL, 34990
772-336-2258
April 8th, 2020
1) Supply and install (1) customer owned 500 gallon underground LP tank with
gas line to generator and final connect
2) Obtain all permits & inspections needed
3) Price includes backfilling and removing dirt
4) Price does NOT include filling the tank with propane
NOTE, Tank and line to be installed by Thompson Gas
11-he Sum of:
1786 SW Biltmore St, Port ST Lucie, FL, 34984 *Licensed & Insured FL34747
Toll Free 855-PROGAS4 *Treasure Coast 772-777-8133 *Palm Beach 561-752-0214 *Fax 772-318-6673
i E RIM
Charges & Payments: Charges are due in full at time services are rendered unless otherwise stated below. Contractor may
charge and customer agrees to pay a late fee for all past due payments, such fees not to exceed the maximum allowed rate by
applicable law. Customer shall be responsible and agrees to pay for all charges billed, applicable taxes, applicable legal fees and
other charges/fees.
Proposal/Contract pricing good for 30 days from Proposal/Contract date
2,147 50 �S 4Ue @ Tank Installation
147.5-0 is dufs, @ CoMpIL-icj
we a -eclat
pp e the opportunity you have extended us to quote on this work and would
like to thank you in advance for your c�nirlPratlnn
Authorized signature:
Roger Lussier
Acceptance of Proposal
?C (printed name), authorize Energized Gas to
complete the work in accordance with the above specifications and conditions. T agree to pay as per
terms outlined. above.
natu
Date
This agreement shall be construed under the laws of the State of Florida. This agreement contains the entire understanding of the
parties and supersedes all previous verbal or written agreements: there are no other agreements, representations or warranties not
set forth herein. If any conflicts exist in this agreement between terms which are printed and those which are typed or written, the
typed or written language shall govern.
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