HomeMy WebLinkAboutHigbee gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O ..
9 ° � ° p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORIP TANK
PROPOSED IMPROVEMENT LOCATION:
Address: 130 N Naranja Ave, Port ST Lucie, FL, 34983
Property Tax I D #: 3419-530-0252-000-4
Site Plan Name: Higbee gas tank
Project Name:
DETAILED DESCRIPTION OF WORK:
install 500 gallon underground gas tank with line to generator and final connect
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.30
Block No. 40
Additional work to be performed under this permit— check all that apply:
_Mechanical 1(Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3800.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dennis Higbee
Name: Michael Flaxman
Address:130 N Naranja Ave
Company: Energized Electric
City: Port ST Lucie State: _
Zip Code: 34983 Fax:
Phone No.
Address:4252 Bandy Blvd
City: Ft Pierce State: FL
Zip Code: 34981 Fax:
Phone N07724661095
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 License LQ31756
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:_
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in t ublic records of St.
Lucie County and posted on the j �ite before the first inspection. If you intend t ain financing, consult
with lender or an attornev bef a ommencine work or recording vour Notice C mencement.
Signature of Owner/ L s /Contractor as Agent for Owner
Signature of C tract, License Holder
STATE OF FLORIDA
STATE OF FLOR
COUNTY OF Ad (x-,
COUNTY OF_c LA
!,�
Swv to (or affirmed) and subscribed before me of
Sw�to (or affirmed) and subscribed before me of
ZJ Physical Pre nce or Online Notarization
,physical Presence or Online Notarization
thi ay of 2020 by
this 0)13ay of 2020 by
l ('0 P' f f�?iYi�C{ Y1
C�
Name of person making statement.
Name of person making statement.
Personally Know OR Produced Identification
Personally Known �= OR Produced Identification
Type of Identification
Type of Identification
Produced
Pro ced
(S na•i N9:lorida )
•''
(Signatur :*. '' a g46
EXPIRES: June 27, 2022
Com issi Pd �& d)i�ers
? •' t+,kY C0h1M15SlON # GG 2328aS ;4`,
Co a i 2022 $ea l )
m o;: F �p� Thru Hm.ry Public
o. ExPtRES: June 27,
Aonded. Thru Notary Publio tlndLi�+lriiar y
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 1550 Latham Rd, Suite 3, West Palm Beach, FL, 33409*
Proposal / Agreement
Dennis Higbee
561-512-3078
Dennishigbee20Qmail corn
July 17, 2020
1) Supply and install (1) customer owned 500 gallon underground LP tank with
gas line to generator and final connect
2) Price includes 20' extended service line
3) Obtain all permits & inspections needed
4) Price includes backfilling and removing dirt
5) Price does NOT include filling the tank with propane
or the sum of.- $3,800.00
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
Pricing other charges/fees.
Proposal/Contract
P g good for 30 days from ProposayC ntra da e �
$495.00 is due @ Signing '^ r ! 1q ` i ,r_57 �e
3,305.00 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:
'U-*vswdell 1 e-
Acceptance of Proposal
to complete the work In accordance with the above specifications eand �cond conditions. I agree pay
terms outlined above. 9 p Y p
Signature
Date'
. 2�r
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.
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