HomeMy WebLinkAboutFuel.Gas_Sean Sanz - 2366 S Brocksmith Rd_APP AND SIGNED CONTRACTAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Permit Number;
Building Permit Application
Commercial Residential X
Address: 2366 S BROCKSMITH RD, FORT PIERCE, FL 34945
Property Tax ID #: 2320-501-0016-000-2
Site Plan Name:
Lot No. 16
Block No. 1
Project Name: SEAN SANZ-LP GAS
SEAN SANZ-LP GAS
DETAILED DESCRIPTION OF WORK:
INSTALL 1000 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 X Gas Piping _ Shutters _ Windows/Doors
— Electric —Plumbing _ Sprinklers Generator _ Roof Pitch
Total Sq, Ft of Construction:
Cost of Construction: $ 6219.05
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SEAN SANZ
Name: Tom Fite
Company: Ferrellgas _
Address. 2366 S BROCKSMITH RD
city FORT PIERCE state: FL
Address:_ 3232 SE Dixie Hwy
wy
Zip Code: 34945 _ , Fax:
City: Stuart state: FL
Phone No. 772-218-0896
zip Code; 34997 Fax: 772-287-3456
E-Mall: smsanz@me.com
Phone No 772-287-4330
Fill in fee simple Title Holder on next page (if different
E-Mail KimWilkins@ferrellgas.com
from the Owner listed above)
State or County License 31 370 _
If value of construction Is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7,540 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: s Not Applicable
Name:
Address:
Address:
City: _ _
Zip: Phone
Stater
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 prior to the issuance of a permit,
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co5ict 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 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 forggoing instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
thislMdayof JANUARY 2o21 by
this19THdayof_JANUARY 2o21 by
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement.
Personally Known Gfi`rouo C7
�YNwa �l t F�tlClcaa�
Typ of Identification i s °
r Iv1Y CC2fAM1,�51ON fIfF 06310�
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Personals Known v� Prod Ud9diild'�h6ic''flb`h'
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Type ofldentificatlo hhVG0u�1I,lONSfF08.,T17> >
071
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Ep. �°' Thru Notary Fublic Undownlsrs
r duced +'W rZ! IRFS Hoverter is
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onded
i
(Signature of No ry Public- State of Florida)
(Signature of tary u lia State of Florida )
Commission No. ,FF063105 (Seal)
Commission . FF063105 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19
$1-o Ferrellgas
Customer
ID 234344602
Sean Sanz
2366 S Brocksmith Rd
Ft Pierce FL 34945
smsanz'Ntre com
Phore 772-218-0896
To Install:
Doug Kelp
Account Manager
772 216-2656 cell 772 287-3456 fax
douokeil)(WIN rrellgas_cout
Date: 5-Jan-21
PURCHASE 1000 Gallon UG LP Tank
Sale and installation of 1000 gallon underground LP tank and gas fine to generator
1000 Gallon Propane Tank
LIG Installation
Ext. Line up to 40' of gas piping
lint Line up to 00' of gas piping
(800() Gallons
Fimt fill@$2.29a(a3CLliprllon
Final Connect and 1 outlet
Regulators
Sub Total
Tax
Permit
TOTAL
$ 3,150.00 "anode, anchor system
$ 1,200.00 •lnahuation
$ 500-00 'Minimum of $450,00 additional per foot @ $ 12.50
$ 225.00
$ 340.00
$ 5.415.00
7.00% $ 379.05
$ 425.00
$ 6,219.05
• Tank & appliance locations must comply with all slate & local gas and building codes.
"Minimum of $550.00 additional per foot @ $ 14.50
(1632.00) tote billed separately taxes not included
(Mil W) To be billed separately. Additional
faxes & required fees might apply.
Safety Check and Start Up
Regulators, Shut-off Valves, Risers, etc.
county
. A site survey is to be sapplied by the customer for permitting purposes. There is a Minimum 4-6weeks period needed for permit processing (ham the date the
deposit &required documeata are recelvedt prior to any work being perfosmrad on site
• Revisions made after permitting will require an additional 3-6 weeks for processing & there will be additional charges.
• Ferellgas is not responsible for damage to ulg pipes or lines (including irrigation, electric, etc.) not marked by central locating service. Homeowner is responsible to
mark their own sprinkler or low voltage lines
• Ferrellgas is not responsible for placement or physical adjustment of appliances,
Ferellgas is not responsible for damage to of replacement of landscaping, concrete sidewalks of any electrical.
• Customer is responsible for providing labor and conversion kit to convert any gas appliance for use of propane.
• Generators are required to have a flexible line to connect to gas.
• Customer's credit must be approved priorto commencement of anywork.
Any sleeving, directional boring. excessive roots, or coral rock will require an addition charge.
• Banding of gas lines to be done by others.
• Underground tanks includes cathodic protection.
• A 60%deposit is due upon acceptance. A 10% cancellation penalty will apply
Please sign if you have read & agree to the foregoing proposed contract & accept it.
'The undersigned agrees that in the event that it becomes necessary to lifi fe any of the terms & conditions of this contract, Thal the undersigned shall he responsible to Ferrellgas LP
for any & all attorney fees andfor coals Incurred by Fei as LP relating t e enforcement ofthis contract.'
Customer Signature; Date: 2
Ferrellgas Signature; L Date: 01/1312021
Valid for 30 Days
Contact Information
Penny Randall 561 746 4534 Fad 25104
Kim Wilkins 772 287 4330 Ext 22578
Jane Conner 772 287 4330 Ext 25101
3232 SE Dixie Highway, Stuart FL 34997