HomeMy WebLinkAboutFuel Gas.Monroe 3403 Avenue K_App-NOC-ContractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
i t O
R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34g82
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE: LP GAS
Address: 3403 AVENUE K FORT PIERCE, FL 34947
Property Tax ID q: 2405-701-0092-000-2
Site Plan Name:
Lot No. 8
Block No. 42
Project Name: CHARLES MONROE
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply;
_Mechanical XGas Tank XGas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5972.85 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHARLES MONROE
Name: Tom Fite
Address: 3403 AVENUE K
Company:_Ferrellgas
City: FORT PIERCE state: FL
Zip Code: 34947 Fax:
Phone No. 772-971-0049
Address: 3232 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-mail: cmon58@bellsouth.net
Fill in fee simple Title Holder on next page ( If different
from the owner listed above)
If value of construction is Szgm nr.... . aernoncn .,_.,__ _...____
E-mail KimWilkins@ferreligas.com
state or county License 31370
-
- - ---- -- ----- -...._. - - •.-- ,ssaa o, s.vmmencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement B required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ rnNTRAPTnD ACCInv17..__u
- - - -- -- - • •— --• —• • • -• • •— • • ^vP�".wn a nereuy mane to obtain a permit to do the work and installation as indicated.
I certify that no y work or installation has commenced prior to the issuance of a permit.
St.
is 1n contlict with any applicable lHome Owners ASSOCIdtionf rulesabylaws or areld covenants that build the
trict 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
"WARNWG 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 INSPECTInN_ IF vnu Ilurclun to nnruu .......-....- —
.,�enawre or uwnep Lessee/L.ontrattor as Agent for Owner Signe of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 229Ray of June 20220 by this2ajday of June 2o2O by
Tom Fite
Name of person making statement.
Tom Fite
Name of person making statement.
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
taiga m.w a ui rvu.ply onpn Race or r1�0KEY L. WILKINS (Sighature of Notary
�f BC.,
g' t MY CG"".MISSION # FF 063105 ; x:.W... , KIMB RLEY L. WILKMS
Commission No. FF EXPIf. bVerber28,2021 Commission No. FFII ''F'PJ' c h1YC� ION#FF 063106
*: �7�to1 Jae,��7
'%<p'd2y°�• Bontled Thin Notary PublicUnderwriters :a,Q,°; EXPIRES'. NOVer..ber 28, 2021
oVi�4,' Bonded Thru Notary Pu6licUftderNdters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED 06/10/2020 10:45AM 772-287-3456 FERRELLGAS
Jun 1020,11:19a Charles Monroe 7724654702
fA Fe�l9� Doug Kelp
fr"` Recount Manager
772 216.2656 cell 772 287 3455 tax
u omer d��f rceNaac rip
ID 233422966
Charles Monrae M
3403 Avenue K
Fart Pierce FL 34947
cnon58 Nibelisin ar
Phone 7729710()49
To Instal
1000 Galion Propane Tank
DG Installation
EcLL.ine _L�pto30'otoa 'oln
int Line uP to 9o' of pas piping
pal A 0 s1Pp xaamBuba
Final Connect and 1 outlet
Regulators
sub Total
Tax
Permit
TOTAL
Dare: z u .J'' .20.20
Purchase 1000 Gallon UG LP Tank
�50'00 wwe bapr.ryalan
3 -- ,250.00 roroaBarbn
$ 35000 •YWmandto9p.paaa4hlaal par lom0
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(x1m¢wf mbY¢YrlaePvxwy.
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7.00%$ 367.85
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_S Sr972.&S
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a4uawndtumm•!'+ePb
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$ 10.00
$ 14.50
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Custonor Signature; 0
-- Dabs:
Fertet€gas Signature;
val4 tpraPDps Dare' O
I Ontaw Information
Penny Randall 5617464534 Ext 25104
Kim Wilkins 772 2874330 Ext 22578
Jane Conner 772 287 4330 Ed 25101
p.2
=2 SE Dixie Highway, Stuart FL 34997
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4723206 OR BOOK 4438 PAGE 150, Recorded 06/29/2020 11:35:47 AM
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SWE OF FSOItum �1—
COUNTY OF 5 f c
The undersigned hereby ones noon that lmprovunant Will be made to cameas real sop
Stawtec. Ma foaowiig inforsnatbnb P arty, and in ummann with Chapterm, fkride /
LEfI1S� r� prwdedtithisNodceorCanmencemen�/,L'o-A3—.Stin/z,0A rI/
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OWNER WFOM TS"OR/FSSEE INFo�� AT�ON, IF THE IFSSUCoNtpACRO FOR TIE IMPROYLMfNn
Name: � µONl�bf�
Addsess:
ktevest in property:_ ' ��I s>• -r
Name and address off" shpole Stle hakle Nit nw....e r.... n...�. �:.__.
CONTRACTOR'S NAME FERR'ELLGAS Phone Np.:R72)267+1390
address: 3232 SE OIWE HWY S7lJ/sR. FL 349g7
SURMCOMPANY (If applivahq Is copy of the Payment bond is attached):
Nome eM address:
Phone No.: Boroamoun;:
LENOFR'SNAIAE:
penonsw]Min the Sate Of FWIMdtligpad by OefalafUpon Wham noBQap OtNar daane is may be lersednprasvded bit section 71i.15
(1) (a) T, R"Wa statutes:
Address:
In addition to nirm eiF or honep, owner de,lanatas Of a
'weive a copy of the Liana's Notice as provided in Section 713,13I3)Ib), floridastaWes,
Phone numberof pasoo w entity designated by Owner,
EKPiFatbn date of Notice of Commw wont:
Ill* atmtntice daft may sat be batons the cemplelien OF ewn,nadc. and final pryrnam to toe OOntador, but will be 1 year from the daft of
molding unless a 6Neront data Isspodfkdl:
Ueda aenaM of perpry, t declare that t he-rW the /ongoing and that tiff facO In It are Weathe beet o1 mY W—ledge and belief.
1
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SknatoNs ntN/cMtw �-�
the fe aryinstrsmmt was acanawkdged before me this.�deYW
ey: 1pQ✓ for
NameoFpanon TvOo OOffaaulbotisy 0.p officer, trwNe)) on bNNN of wbem h%a.. nt vgseaewad
J) r v ! Paspnelb Iarown�0 ps produced Identification E7
N s9ananne iYPe ofidendllo[bn pfodaced
(PtNt Type, astamo Commisk ed Name of Notary)
,.• -. LKIMBIERLEYL.WILMNS
AphcnrisWT .wa[.rCQjcbnNanCCanLD'P' ''`. MONpfF 0R3105Rcv 9jf17
Dec.be, 2R, 2021
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