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Home My WebLink Aboutwalker gas app, signed contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J. i` • "I`u 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: Generator PROPOSED IMPROVEMENT LOCATION. - Address: 12I92 NW Cinnamon Way, Palm City, FL, 34990 Property Tax ID #I: 4425-602 0034-000-2 Lot No._ Site Plan Name: Block No. Project Name: Walker- tank DETAILED DESCRIPTION OF WORK: Install 500 gallon underground LP Tank with gas fine to generator and final connect CONSTRUCTION INFORMATION; Additional work to be performed under this permit — check all that apply: —Mechanical Gas Tank —Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq, Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4295.00 Utilities: —Sewer —septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Elizabeth Walker Name: .v Address:12792 Cinnamon Way Company: Energized Gas City: Palm City State:_ Zip Code: 34990 Fax: Phone No.8022580656 Address:1786 SW Biltmore St City: Fort ST Lucie State: FL Zip Code: 34984 Fax: Phone No7727778'133 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 LicenseLG34747 II Vg1UC VI LUMAFULMUH is p/auu or more, a KtiUHutu Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION UEN 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI COUNTY OF STATE OF FLORID „( f COUNTY OF The ,fq going inst ume t w s acknowled before me this day of 20 }by -1 N The forgoing instru e t was cknowledged before me this day of 20Day (, 1\C _0 r-� � ),C"b � � I ( � v-e rr Q—k J I Name of person making statement. Name of person making statement. Personally Known - 7�!S— OR Produced Identification Type of Identification Personally Known _ OR Produced Identification Type of Identification Produced Produced CRY i (Signature of Notary .f_� i f� € .,ION # GG 2.32946 Na. un27D22 ,*d I�d Public Underwiters (Signaturex irk ...EXPiRFS:e2KYC MOMMI$SiON # GG 232946Commission Commissio.' Aune 27, jfi(�al) 1III .$� it,. Bonded Thru Nctary Public Underwriters REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 211119 Energized Gas Inc cAopane and ollratatal jlw (jpecia&t Proposal / Agreement Elizabeth Walker 12792 NW Cinnamon Wy Palm City, FL, 34990 802-258-0656 ELSWVT@gmail.com ERanslow@gmai.i.com April 3rd, 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 2}} Price does NOT include fillip the tank with propane NOTE: Tank and line to be installed by Thompson Gas or the sum o : $4,295•0 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 TERMS: 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/Contrac:t pricing good for 30 days from Proposal/Contract date $2,147.50 is due @ Tank Installation $2,147.50 is due @ Comlpletion vve appreaate the opportunity you have extended us to quote on this work and would like to thank you in advance for your consideration. Authorized signature: Roger Lussier Acceptance of Proposal I, _ \ (printed name), authorize Energized Gas to complete the work in accordance with the above specifications and conditions. I agree to pay as per terms outlined above. v Date 2'2 0Z Signature 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. Page 2 of 3 CONTRACT TERMS AND CONDITIONS Installation will comply with all local and state regulations and be consistent with standard industry code. Installers are not responsible for landscaping repairs as a result of installation*. This includes but is not limited to; damaged/broken sprinkler lines and/or damaged/broken water or sewer lines. This contract price does NOT include bonding gas lines, converting outlets, converting appliances or carbon monoxide detectors Additional charges may apply if rock and/or roots are encountered during the excavation process. Deposit will be forfeited if customer cancels after the permit process is initiated. Customer is responsible for obtaining HOA/POA approval. Installer is not responsible for customers failing to obtain final approval. If home is located in flood zone, the additional cost will be the responsibility of the homeowner if a tank tie down, or buoyancy pad is required per the building department A site survey of your property showing all property lines is required to pull a permit and can be submitted along with this signed proposal. *To include sod replacement a charge of $395 applies. CUSTOMER SIGNATURE FOR ACKNOWLEDGMENT OF ABOVE TERMS PRINTED NAME .Ilnilt�10�' SIGNATURE Lf Zo 2-01 DATE Page 3 of 3