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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 " r'i h v_nd .�orw4s ended ihru t�c�tarY � E?G� �r ti � G ru P: �i�li� l i,rirsvw c�c 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