HomeMy WebLinkAboutFuel.Gas Reigel - App-NOC-ContractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: LP Gas
PROPOSED IMPROVEMENT LOCATION:
Address:01Ub Indian tsenO Ln, t-ort Fierce, FL 34951
Property Tax ID #: 1312-800-0020-000-3 lot No. 189
Site Plan Name: Complete/Reigel
Block No.
Project Name: Complete Reigel
DETAILED DESCRIPTION OF WORK:,
Install 500 gallon UG ID tank and line to generator
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical V Gas Tank V Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ _
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Daniel Reigel
Name: Tom Fite
Address: 5105 Indian Bend Ln
city: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-882-4061
Company: Ferrellgas
Address: 3232 SE Dixie Hwy
City: Stuart state: FL
Zip Code: 34997 Fax: 772-287-3456
Phone Nc 772-287-4330
E-Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail_ KirriNikins0ferrellQas.com
state or county License 31370
a value or consrruaaon is pLDVu or more, a KCctANen Nonce or commencement is required.
If value of "VAC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
r*ffellgw
Doug Kelp
Account Manager
772 216.2656 cell 772 287-3456 fax
douokelNADlenelhas.eom
omen
ID 233621300
Complete Electric
Date: 24-Jun-20
637 Sebastian Blvd
Pu"fiew
500 Gallon UG LP Tank
Sebastian FL 32958
Resident
Daniel Reigel
MMacl�nrtaCamoleteelenlrfehe.eom
Residencn
5105 Indian Bond Lane
Anne
Macdeary 7723860.533
Ft Pierce FL 34951
Panne
//2.8824061
To Install:
Sale and Installation of 600 gallon UG LP gas tank and
gas line to generator.
500 Galion Propane Tank
UG Installation
ExL Une up to 25' of gas piping
lot Line up to 0a of gas piping
$ 2,050.00 sacra anmxsyarxn
$ 900.00 9nsyN(xan lot«re.rrowarcnyn.na
$ 350.00 •amiseare of$360.0p.dannear per root® S 10.00
'Maine. F114130.011.4101...I per foot dad
ae eWae a eemml. aN r« cmgaa sbdd4 a.0 /ital.eq ro a xd«aepor+an
Finalconnect and 1 outlets
Regulators
$ 225.00
$ 190.00
Sub Total
$
3,705.00
Tax
7.00% $
259.35
Permit
$
350.00
TOTAL
$
4,314.36
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am
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• Clsbmer as meenu a ar wasift unw.all as to omen any ea ae for Na al sense.
• eve a. are .eYMa n.«. lass Me le ennnaE be au.
• Conamat neat meal M seasonal bear acammaaeMeet a any sea..
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Data:
Ferteligas Signature' T�e��i¢u/o- Dote:
yew for an ease
Contact Information
Penny Randall 561 746 4534 Ext 26104
rim WRkins 772 287 4330 Ext 22578
Sary Francs 772 287 4330 Ext 25106
3232 SE Dixie Highway, Stuart FL 34997
06/24/2020
DESIGNE ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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/ essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
)Uk"b
this L day of 2 "ice 20� by
this � day of . 20 Zcby
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement.
Personally Known V! OR Produced Identification _
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Prod ed
Produced
(Si nature o Notary
iG�.,.,, e,o FICOMMRLEY L. Wn063105
(Signature of Nota
L. WILKINS
FF
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:;- MYC05IMISSION4
F
S.?X?,"• KI
'`' MY CO"1'il ONO, FF063W5
O5
Commission No.
:�- EXP�INoverbeCommission
No.
d
PIhIdS: iwvP3i_.Ver28, 2021
''FO�FbP` Bonded Thru Notary Publ
;r -�,o
',9otFl;g:' Bonded Thu Notary Public undomdters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
I
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4723168 OR BOOK 4438 PAGE 4, Recorded 06/29/2020 10:31:54 AM
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