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Home My WebLink AboutChancler gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYRE: LP TANK PROPOSED IMPROVEMENT LOCATION: Address: 5610 PALEO PINES CIR, FT PIERCE, FL, 34951 Property Tax ID #: 1312-500-0037-000-4 Site Plan Name: Project Name: Chacler tank DETAILED DESCRIPTION OF WORK: Install 5010 gallon underground LP tank with gas line to generator and final connect Lot No. 36 Block No. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit – check all that apply: _Mechanical )eGas Tank _ Gas Piping _ Shutters — Electric — Plumbing ` Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 4295.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name3ames Chancier Name:Slake Cowdell Address: -5610 Paleo Pines Cir Com pany:Energized Gas City: Ft Pierce State: Zip Code: 34951 Fax: Phone No.7724669521 Address: 1786 SW Biltmore St City: Part ST Lucie State: FL Zip Code: 34984 Fax: Phone No COUNTY Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail energizedgenerators@gmail.com F L 0 IR I D A Permit Number: Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYRE: LP TANK PROPOSED IMPROVEMENT LOCATION: Address: 5610 PALEO PINES CIR, FT PIERCE, FL, 34951 Property Tax ID #: 1312-500-0037-000-4 Site Plan Name: Project Name: Chacler tank DETAILED DESCRIPTION OF WORK: Install 5010 gallon underground LP tank with gas line to generator and final connect Lot No. 36 Block No. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit – check all that apply: _Mechanical )eGas Tank _ Gas Piping _ Shutters — Electric — Plumbing ` Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 4295.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name3ames Chancier Name:Slake Cowdell Address: -5610 Paleo Pines Cir Com pany:Energized Gas City: Ft Pierce State: Zip Code: 34951 Fax: Phone No.7724669521 Address: 1786 SW Biltmore St City: Part ST Lucie State: FL Zip Code: 34984 Fax: Phone No 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 Lice nse LG34747 it value or construction is !�Zsuu or more, a HECORDED Notice of Commencement is required. If value of HVAC B $7,500 or more, a RECORDED Notice of Commencement is required, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicabie MORTGAGE COMPANY: Not Applicable Name: 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 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 Cortes 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, wails, 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." Etdl x Sig natu reof Owner/ Lessee/Contractor as Agent for Owner + " 14M Signature of Contractor/License Holder STATE OF FLORIDASTATE COUNTY OF OF FLOR COUNTY OF � .E%L The for oing instrument was acknowledged efore me this ay of 7 L 20 v The f going instru ent was acknowledgV,dd,� before me _ y this day of 200 by I odQ awai, 0 Name of person ma ing statement. dame of person making statement. Personally Known ./ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pu 9 tot Flo" a I _ t;�y Cep ;SwINI #i GG 23 9�6 {Signature of Nota%, iRr5:.'u e 7, 20'2 Commission No. r �e .6�Fu959s:91ndrr+mt4r - w a� DANIELLE 130`4CAE y'ES �. `Commission No Y00MVuds, 1,G2u2w48 Enrds CXPIRES:.lune 2r, 2r,22 j - m en a •_ I i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7VI999 -- - - E -4 -RL-) N�., E - Rim E I M - *Treasure Coast 77'1-406-1095, 4252 BandN, BIN (I. Fart Pierce, H., 34981, Fax 772-318-667_* 'Palm Beach 561-752-0214, 1700 Latham RGI, SuiLe 1, XVest Paan Beach, FL, 33409-$ Proposal / Agreement Jim Chancler 5610 Paleo Pines Cir Fort Pierce, FL 34951 772-466-9521 JSFPCHAN@aol.com May 4, 2020 1) Thompson Gas to supply and install (1) customer owned 500 gallon underground LP tank with extended 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 Thom son Gas �sum 0 o $4,.295.00 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/Contract Pricing good for 30 days from Proposal/ Contract date $495.00 is due @ Signing $3,800.00 is due @ Generator startup We appreciate the opportunity you have extended us to quote on this work and would like to thank you in advance for your consideration. Authorized signature: Brian Orr Acceptance of Proposal (printed nape), authorize Energized Gas to complete the work in accordance with the above specifications and conditions. I agree to pay as per terms outlined above. �J. gnature Date uS " This agreement shale 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. Paco 2 of 2 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 I ` �C� � PRINTED NAME - GNATORE r DATE Page 2 of 2