HomeMy WebLinkAboutFuel.Gas_McGrath_30000 Bent Pine Dr_ App &ContractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: LP GAS
Permit Number:
Building Permit Application
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION - --
Address, 3000 Bent Pine Dr., Fort Pierce, FL 34951
Property Tax ID #: 1327-701-0084-000-1 Lot No. 264
Site Plan Name; Complete/ McGrath Block No.
Project Name: Complete/ McGrath
DETAILED DESCRIPTION OF WORK:
Install 500 gallon under round LP tank and line to penerator
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical VGas Tank V Gas Piping ^ Shutters _ Windows/Doors
_„- Electric _ Plumbing _ Sprinklers Generator _ Roof Pitch
Total 5q. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas McGrath
Name: Tom Fite
company: Ferrellgas
Address: 3000 Bent Pine Dr..
city: Fort Pierce state: FL
^_
Address: 323_2 SE Dixie Hwy
Zip Code: 34951 Fax:
City: Stuart state: FL
Phone No. 845-279-4247
Zip Code: 34997 Fax: 772-287-3455
E -Mail:
Phone No 772-287-4330
E-mail pennyrandall@ferreligas.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License 31370
• ..d +. �++.i.��.uraev�� �a,,��w v1 111uIc, u nrwnucu nonce or 4ommencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable 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 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 VTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCENT."
APM
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The fRrgoing inst ment was acknowledged before me
this - day
The forgoing instr ent wa acknowledged before me
rt
of Y' 201D by
this c day of , 20_2Q by
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement.
Personally known ✓ OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
R
V
(Signature of Not Public- S _
y(111E EfiLtY L. V'IL{ll
S {Sig ture of Notary P c S#of Flontl"FRLEY L. �dlL `
pLe .
T1s, A.1 Cti' i,1S�itli l # F`r 0
Commission No. FF06310 �flv,I �r �C,
t t'� Ct„"A4Salf3�l# rf x6310
31U r,i�aot�i mgr 2& 2021
'bm 'ssion No. FFQ6
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.�orw4s ended ihru t�c�tarY
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i
REVIEWS FRONT ZONING SUPERV150R
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Phone 8452794247
To Instal l:
Sate and Instal lation of 500 gallon underground LP flank and gas line to generator.
500 Gallon Propane Tank S 2,050.00 -anode, anaharsysfem
UG Installation 3 900.00 •insleflatioa
Ext, Line up to 40' of gas piping 3 400.00 Mfnrmvm nr sasg.da addibaaat per rave $ 10.00
Int Line up to 00' of gas piping 'Minimum of $450.00 additional per foot $ 12.50
400 gallons at current BA for Complete Electric $1.67
Final connect and 1 outlet
Regulators
Sura Total
Tax
Permit
TOTAL
S
Doug Keip
$
II
Account Manager
3,755.00
fE
772 218.2656 cell 772 287-3458 fax
$
dougApip@ferrellgas.com
$
4,367.85
Customer
omer
Ferrellgas Signature;
ID 233826329
Complete Electric
Date: 8 -Sep -20
637 Sebastian Blvd
Purchase 500 Gallon UG LP Tank
Sebastian FL 32958
Resident Torn MGGaratht
mmaclearyCaZcompleteelectricinc.com
Residence 3000 Bent Pine Dr
I e
Kim Wilkins
Macleary 772 3880533
Ft Pierce FL 34951
Phone 8452794247
To Instal l:
Sate and Instal lation of 500 gallon underground LP flank and gas line to generator.
500 Gallon Propane Tank S 2,050.00 -anode, anaharsysfem
UG Installation 3 900.00 •insleflatioa
Ext, Line up to 40' of gas piping 3 400.00 Mfnrmvm nr sasg.da addibaaat per rave $ 10.00
Int Line up to 00' of gas piping 'Minimum of $450.00 additional per foot $ 12.50
400 gallons at current BA for Complete Electric $1.67
Final connect and 1 outlet
Regulators
Sura Total
Tax
Permit
TOTAL
S
225.00
$
180.00
contract. Ihaf hie tindersyned shalf be responsible to Feneligas Uo
3,755.00
7.00% $
262.85
$
350,00
$
4,367.85
Tank d appliance tucaQuns must cempt"Alh all stale 8 local gas and building cones.
$652.00 to be billed seperarefy
Safely Check and Start Up
Regulators, shin-aff valves, Risers, etc.
additonal taxes may apply
ifapplfcablo
• A she survey is to ba supp400 by the customer for parmiiting purposes. Thera Is a Minimum 4-6meeks period needed far permit processing {from the dale the deposit
d required dacumonis are recafvedi print in any work being performed an Bile
• Rowlis ns made after permitling will require an additional 3-6 weeks for processing S there will be additional Charges.
• Farreligas isnal raspansibla far damage to big pipas or tines [including irrigation, electric, etc.] not marked by central locating service. Homeowner Is responsible to
mark their erre[ sprinkler or lay votlage apes
• Femillpas is nut responsible for placement of physical adiusimem of npptienc ei,
Fenehijas is tint responsible rardamage to orieplacoment of loadscaping, concrete sidewa9ks or any electrical.
CuVozmr Is respersiWe rorpceviding labor and conversion ktf to convert anygas appUnnta for us. of proper..
Generators are tagoked to have a peAble We to connect to gas.
• Customer's credit must be appmvad prior to cammancemenl of nay vrvA.
• Anysleewil, din ctiotrai baring, excessive roars, orcofal rock win require an addhfun chargc.
• bonding ofgas lines to be done by others.
• UrWefgmund ranks I -Stades cathodic prolculion.
• A 60.96 depa0 i5 due npan .-aplaaex, A lit% canrehalion penalty will apply.
Pinata sign if you have read 6 agree to the foregoing proposed contract 6 accept it.
'The undersigned agrees that in Ilm
avant that it becomes necassary to M.gain any of l farms d condgit o this
contract. Ihaf hie tindersyned shalf be responsible to Feneligas Uo
krr any S ah aharney Saes antllar ensts Incdrsotl by Faneligas LP rali'nta the enfancmant of this carilraci'
" " -�—��
`
Customer Signatwe-
Date:
~
r�
Date: O��✓
Ferrellgas Signature;
Valid for 3D Days
Contact Information
Penny Randall
561 746 4534 Ext 25104
Kim Wilkins
772 287 4330 Ext 22578
Sary Ffancis
772 287 4330 Ext 25106
3232 SE Dixie Highway, Stuart FL 34997