HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 9409 POINCIANA CT, FORT PIERCE, FL 34951
Property Tax ID #t: 1334-503-0028-000-5
site Plan Name: COMPLETE ELECTRIC/UFNER
Lot No. 16
Block No. 1
Project Name: COMPLETE ELECTRIC/UFNER
DETAILED DESCRIPTION OF WORK:
INSTALL 500 GAL UNDERGROUND LP TANK AND LINE TO GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical X Gas Tank K Gas Piping _ Shutters _ Windows/Doors
_ Electric — Plumbing — Sprinklers
Total 5q. Ft of Construction:
Cost of Construction: $ 4421.35
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name DORETHEA UFNER
Name: Tom Fite
Company: Ferrell as
Address: 9409 POINCIANA CT
City: FORT PIERCE State: FL
Address: 3232 SE Dixie Hwy
Zip Code: 34951 Fax:
City: Stuart State: FL
Phone No. 402-883-0492
Zip Code: 34997 Fax: 772-287-3456
E-Mail:
Phone No 772-287-4330
Fill in fee simple Title Holder on next page ( if different
E-Mail KimWilkins@Ierrellg s; com _
from the Owner listed above)
State or County License 3137Q
it value or construction Is 52500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: —Not Applicable
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 priorto the issuance of a permit.
St. Lucie County makes no representation that is granting a ermit 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 BEFOJZE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENG&ENTP
Signature of Owner/ Lessee/Con actor as Agent for Owner
Signature of ontr_actor_/Uce_ns7 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
this19thdayof JANUARY _,2o21 by
this19THdayof JANUARY_-___,,2o21 by
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 IdentificationLi;
Type of Identification
Prod ced
Produ d U VVVv __
(Signature of Notaryblic- State of Florida)
(Signature of Notary P iic- State of Florida)
Commission No. FF063105 (seal)
Commission No. FFO 3105 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
_
_
COMPLETED
_
Rev.
Doug Kelp
�?Naelljo
Accoun€ ARanager
772 210-2856 cell 772 287-3458 fax
dau kel Ferrell a .tom
Customer
ID 234295088
Complete Electric
637 Sebastian Blvd
Sebastian FL 32958
mmaclearyQcornpietealectriciRc_coal
MiXe
Macleary 772 386 0533
Date: 5-Jan-21
Purchase 500 Gallon UG LP Tank
Resident aorethea Ufner
Residence 9409 Poinciana Ct
Ft Pierce FL 34951
Phone 402 883 0492
To Install:
Sale and Installation of 500 gallon under round LP lank and gas line to generator.
Soo Gallon Propane Tank $ 2,050.00 •anada,anrhursystsm
UG Installation $ 900.00 'fostallatlon
Ext. Line up to 30' of gas piping _ ._ S 450.00 'Min€mumof$350.00addllbnatper foot@ $ 10,00
lnt Line up to 00' of gas piping -Minimum of$450.00additional per foot@ $ 12.50
400 Unforls at current BA for Corn late Elactric$1.63
Final connect and 1 outlet
Regulators
sub Total
Tax
$
225.00
$
180.00
$
3,805.00
7.00% S
266.35
Permit $ 350.00
TOTAL S 4,421.36
Yank & appliance lacalions must wmply vAlh all slate & Iotat gas and building codes.
$652.00 to he bl7led soperatety faxes not
Included
safety Chack andsten up
itegulators, shubdf Valves, Risers, etc.
st l.ucla county
A site survay is to be supplied by the customer For permuting purposes. Thera Is a Knimum 4.6-weeks period needed for permit processing (from tha data the deposit
& required documents arc recervadl prior to any work being performed on site
Revisions made aver petmdling veil require an Additional 3-6 meks for processing & them %Al be additional charges.
• Forrellgas Is not responsible for damage to ulg pipes or lines tinsluding irllgation, eloctrte, emj not marked by central locating service. Homeowner is responsible to
mark Iheirova sprinkler or low vollege lines
Fanell3as is nolrospansible for placement of physical adiuslmanl of appliances.
• Fenellgas Is net responsible. for damage to or replacement of landscaping, concrate aidawalks or any elecidcal,
• euslamer is responsible for providing labor and conversion kil to convert any gas appliance for use of propane.
Generators ere required to have a gexibte line to connect to gas.
Customers credit must be approvsd prior to commencement of any work.
• Any sleaving, daactional baring, excessive reels, or carat rock udl eequire an addition charge,
• sending or gas lines to he done by others.
underground tanks lneludes cathodic preleclion.
• A35%deposit €s due upon araxplance. A 10% cancellation penalty will apply_
please sign it you have read & agree to tho foregoing proposed contract & accept it. _-
'The undersigned agrees that In the event that B becomes necussary to Neale any al the Il�ms & conditions oTillin, contract, that the undersigned shall be responsible to Feueligas
LP for any a a6 allorney lees andror casts incurred by Fenollgas LP relalhu to the enIcAameni of this aonlrac ' J�
Customer Signature;
Ferrellgas Signature; Date: ZO
valid for 30 Days
Contact Information
Penny Randall 561 7464534 Ext 25104
Kim Wilkins 772 287 4330 Ext 22578
Sary Francis 772 287 4330 Ext 25106
3232 SE Dixie Highway, Stuart FL 34997
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4798586 OR BOOK 4530 PAGE 2350, Recorded 12/30/2020 11:15:34 PM
7
PaRMI'T IIIIMa81F !'Idn.h•Oatt In rciN'vml rnM1'uprdinµ Info
NOTICE OF COMMENCEMENT J
The undersigned hereby given notice that improvement will be made to certain reel property, and in accordance with Chapter 713,
Florida statutes the tbllowing information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 1334-503-0028.000.5
eTmralVlCTAar MEADOWODDTorA mnA[ IAT 20 nT nn TIM"
9409 POINCIANA CT FORT PIERCE. FL 34951
2. GENERAL DESCRIPTION OF IMPROVEMENT: molvclwlvrs liwlnl.va uvry t o IA-
3. OWNER INFORMATION: In Name DOROTHEA F UFNER
b, Address 9409 POINCIANA CT FORT PIERCE, FL 34951 c. bacrostinpropertyraaslMPte
d. Name and address of fee simple titleholder (if other than ovnur)
4.CONTRS ACTOR'NAME, ADDRESS AND PHONE NUMBER: nDMMEr MCI= INC ear SESASTAN atyD SEWItu1. R 3205e
"1�2' 3 k�'-as�
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: NIA
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: NIA
7. Persona withln the State of Florida designated by Owner upon whom natives at other documents may be served as provided by
Section 713,13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
S. In addition to himself or herself, Owner designates the following to mecive a copy of the Lienor a Notice as provided In Seotim
713,13 (I)(b), Floida Starmes:
9. Expiration date of notice of commencement (the expiration data is 1 you from the date of occurring unless a different date is
speciRed) 20_
Signature of Owner Print Name and Provide Signatory's TiRrIOMrn
Owner's Authorised Off' eeHDireetor/PartneHManager
Stale of Florida
Countyof :gn.l',u, rL+vclr .� tt�,�
The foregoing Instrument was acknowledged before mp� e this �dsy of
By..... :'rl1..i°-q f i "7'h C / ,as [�(Y'l' —S
(Name of person) (Type of authorily...eg, Owner, officer, trustee, attorney in fact)
For
(Nmm of party on behalf of whml instrument was executed) Personally Known_or prod f eoflD:
COURfNEY
$1 rd
(Printed Name of otary public) (Signature of story Public)/ -y (Sal'1 �4w �dth Qlasd M9, 424
Y NateryAun,
Under penalties of perjury, I declare that I have reed the foregoing and that ma facts in it sm tree to the best of my knowledge
belief (section 92.525, Florida Statutes).
Signatures) of Owner(s) or Owmr(s)' Authorized OlRcerlDirector/Parmer/Manager who signed above:
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