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HomeMy WebLinkAboutFuel.Gas Reigel - App-NOC-ContractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -yl r4 �s1111111111h,. 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 Tank A asib. asinine, near efrWywm.3 efaaN Wed .a an pedal Won.. safety cea kaM e4rt up aekW.an, of ..-se Val.. W.en..m .ddN.,a ryNt maY Way S 12.50 A Win reveal a R Mwppl by the aerxax(or emotions toMo....the. aa Wnkoum ad-aka.ka pollen medad for peamI pwmsig Ifrom the dace0 d.P«N N2,ryWd lannoo . am mobstll pror W any work Wlno ofarmad an the l a.ever,and, M., penMlkp Wm a. WatlMP1}N.0 be V..am A name be anemone tte eea. NII.M.1. np rnpenaba rordmlp.Id We Vlpos«nms linaaang better on, eWxbo.sobs -1 marked by urnrd auling«rvke. mamas.. arsubleases V am axe fora a pmeaer or 1pk vplbpe inns Fe.Nanl a not Resonant lM ve.s. Of el.Alnab haeas nl aPpYPxn. Pontoon, N sit 1«peaaable for dump. mor suntanned el aodeoapnp. aallxxa adeedis m on, aaltessl. • 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.. Any rabi dkedand bane,. Rotative rnw, at uralmU win mauke en wtlwn cMga. • etndkq denaasm Maene alma... UnMgawblmYl hldu0«aepMbpMaNen. AdO;tlappYla Waapan xtaDlwu.A 1pn uMNalan p.natlY'M..PPIy PaeN elan kyw N«treNlap« b 1M ldrpana Irop.«tl senMatN bus N. '1M ada.enea.ymta pa a na Racal eel a bvaln«mrosaevy a ae ale .M W as y want a anmr.w u.wa..mml,wn.ey...nbaaP.NyWa 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 ., • :;- 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 NOTICZ OF 0M6ffiN .NT FwaBNa p*V"T WN, M1240040204M sbbaBW"4 ca" 4f3L Lv4 'fie uwwalped hwAp stm WAN Wt4tparYaws1mmbeawda b=kin ftgiP"wgl nd4 atte,deaee wNa m 7fe,rA"84taI tM 0d WW"kbtaaWu L PWMW 4"NOUN efGwobwwnL efptepe7t7 aad ►ddemB'anBaW 6106 WOUN BEND LANE FORT O��a DAN03 REIf3EL ,mow 6106MW/BMLAN9FgO'FNL3iMFL34Wi Lew,t6pnp oV FEESMAnE en 84gda 11tla Yelbr <K e W r Bm ewrr) WA P►oaaA 77Z 8uA M-me-2411 pm"ll Bat A AbeutafBwd I.W. 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