HomeMy WebLinkAboutFuel.Gas_Ferrante-3604 Twin Lakes Terr_App & ContractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMITTYPE: LP Gas
PROPOSED IMPROVEMENT LOCATION:
Address: 3604 TWIN LAKES TER FORT PIERCE FL 34951
Property Tax ID #: 1327-701-0010-000-2 Lot No._ 40
Site Plan Name: GARMENT AND CARMEL FERRANTE Block No.
Project Name: FERRANTE-GEN LINE
DETAILED DESCRIPTION OF WORK:
TEE INTO EXISTING LINE RUN UP TO 20' OF
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical _Gas Tank X,GasPiping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1511.05
Sq. Ft. of First Floor: —
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CARMEL FERRANTE
Name: Tom Fite
Address: 3604 TWIN LAKES TERR
Company: Ferrellgas
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 973-960-6634
Address: 3232 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E -Mail: coferrante(Maol.com
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E -Mail KimWilkins@ferreligas.com
State or County License 31370
If value of construction Is $2500 or more, a RECORDED Notice or commencement Is requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
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 Count Y 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
"WARNNG 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 AMID
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrTH Yroin I FNnFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
DESIGNE ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Tom Fite
Address:
Name of person making statement.
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
`�PQ`V VL •'
;zo,.... afi, KIMBERLEY L. WILKINS
Address:
Commission No. FF - „a MY CCM ION#FF 063105
City:
` �; EXPIRES: Novar.ber28, 2021
.,gepFF;°e`, Bonded Thm Nota Public UnderwriMrs
City:
REVIEWS
Zip: Phone:
ZONING SUPERVISOR
Zip: Phone:
VEGETATION
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 Count Y 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
"WARNNG 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 AMID
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrTH Yroin I FNnFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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 forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 6th day of October ,202,E by
this6th_dayof October ,202Q_ by
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification _
Personally Known I/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced ,
Y—I�\j"VMI'Q
( ignature of Notary , \
(Signature of Notary P Iii
`�PQ`V VL •'
;zo,.... afi, KIMBERLEY L. WILKINS
...YyB •.
; o.�.<�; KIMRERLEY L. WILKINS
Commission No. FF - „a MY CCM ION#FF 063105
Commission No. FF063 t._ titISff1�ISSION#FF 063105
` �; EXPIRES: Novar.ber28, 2021
.,gepFF;°e`, Bonded Thm Nota Public UnderwriMrs
,,'tic•, `:ii EXXPP]RES. Nover.ber28,2021
``.`{F'F°Bonded Thru Nota Public Undemrite
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ // 1`.i
Doug Kelp
l'9QS Account 56 cel Manager
772 216-2858 cell 772 287-3458 fax
cl a keilxa�feuylkvss cam
ua omer
ID 100614366
Cannel Ferrante Date: 14 -Sep -20
3604 Twin Lakes Ten Purchase Gas Line Only
Fort Pierce FL 34951
cofefranteGalaol.com
Phone 973 960 6634
To Install:
Run new gas line for generator and connect tc existing gas system.
Ext. Line
up to 20' of gas piping
$ 450.00 Mini... orusom addidnnd p»fame
$ 12.50
Int Line
up to 00' of gas piping
•Minimum a 1060.e0adilli par foot0l
$ 14.50
Final Connectand 1 outlet
$
225.00
saroy crook and Sony Up
Regulators
$
340.00
Regulators, snutoa vmwa, Rlaen, no.
Sub Total
$
1,015.00
Tax
7.00% $
71.05
adeawruf Nsinsmayappfy
Permit
$
425.00
aftod.couny
TOTAL
$
1,611.05
• Tank& applana+ Wctliuns nwst oro yMin all slala& Ncal lass and lwiJOgi andns.
Lane survey IafeN..planed by me mufonni Penni purpnu. TMss Is a kBnks. 4ifin,% ks period needed for ismR proosssip arcm tlw date kw
mpout & remuirnl aooumenN Mo recotnid) priori• any noM Isi AdemsM On eke
• Provisions, ri alterxi"IsOr,%e roeuiw an rdditiunal M antra rorp norsi& in= o on bo alldWM downs.
• FsralNn is mt resporynble Nrdanni to uiq Pipes or gnv (InsWtlinp MBatlon. oN4Wt aN.l not markatl by central loutin9 nnlw. Homca •oris maponsiblo W
msk their Ran aprnkkrsbw insUp Nes
ForMgas Is not wapondda for pWxmorn s priniol ediunmors or applNncn.
FersOri is owls noxi eis damps WsraplecameM of landscaping. sonnsb sye%aWs or sny decldcd.
• Cuelaror s rinsork m for providMg labor and mnvadon kit Wcpnan em'M ppranm In, ofpwpaN.
• Gnerawn ins's ked W Nea eflwdbls krw to mmOct in gas.
• Cuslamels cndk nwd be approved prior N cOrnmoninnal al sny work.
My denlp, dradionul borne, av ." ro ii or cod rods wa faeuin so adfdan dregs.
• eondip of pm Nws N on, donor by dWns.
• UMsgroune tanks Includes calhddk Pdaedon.
• AW% dswsR N don upon acceplanco.A10% wtoeladon oonelly will mply.
Plpaee sign k you Is. skid 8 pry to this, foregdp".Issd con"ascow &
'TN udarsignad pian not in IN event It bacamos--ry0el da`ot of MOki &ooMilbns of aRa conkack tlwlme urwenprad shall N raaponsibla In Ferrnllgax LP
fsany&MdbrnayfaneMNrrOns OY FartdIBBS LPr on fopnunlddtlsessi Cr7
Customer Signature: '��'�'--�. '�n1'�^f�� Date:
Ferrellgas Signature: `�H/'' Date: 09/2/2020
wild for 00 Myo _
Contact Information
Penny Randall
561 746 4534 Ext 25104
Kim Wilkins
772 287 4330 Ext 22578
Jane Conner
772 287 4330 Ext 25101
3232 SE Dixie Highway, Stuart FL 34997