HomeMy WebLinkAboutOneal gas 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
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR *7po F�
PROPOSED IMPROVEMENT LOCATION:
Address: 00 MAY, t-UKI FILNUL, FL, 34949
Property Tax ID #: 1414-701-0055-000-6
Site Plan Name: Oneal gen
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 500 gallon tank with gas line to dryer, range, water heater, outdoor grill and generator
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. B
Block No. 7
Additional work to be performed under this permit —check all that apply:
_Mechanical � Gas Tank _Gas Piping _ Shutters _ Windows/Doors Pond
Electric _Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7325.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert O'Neal
Name: Michael Flaxman
Address:3790 Wild Orchid LN
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34981 Fax:
Phone No.
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone N07724661095
E-Maik
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If unl..n of :,. -vrnn
E-Mail energizedgenerators@gmail.com
State or County License LQ31756
--- -- ---- -- ---- ...••••.I •• VL LC vwnu1ienCement IS requlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
te:
Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obt financing, consult
with lender or an attorney beforg„commencing work or recording your Nptipgof Cq encement.
i i i
Signature of Ovdner
STATE OF FLORI
COUNTY OF
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
Physical Pres n e or Online Notarization
this _day of f _, 2026 by
Name o person making statement.
Personally Known '�__ OR Produced Identification
Type of Identification
Produced
(Signat ;_ : • t` {y Pullik4i c�s icJ9
MY COMMISSION # GG 23294E
Commis i[y ;°`•` EXPIRES:June27,20(: eal)
Bonded Thru Nota ry Public Unrr;uri;oa
Signature of ContraEtor/Lic se Holder
STATE OF FLO�IDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
'Y—Physical Presence or Online Notarization
this 1V day of Vaf_(_� 20ft by
Name of person making statement.
Personally Known_ OR Produced Identification
Type of Identification
Rroduced
i
MY COMMISSION # GC- 232946
EXPIRES? hnr> 27, 2Q22
Bonded Thai Notary Public Undenvrilers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
r^,
Treasu►•e Coast 772-466-1095, 4252 Bandy Bkfd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 1550 Lathain Rd, Suite 3, West Palm Beach, FL, 33409`
Proposal / Agreement
O'Neal Residence
38 Sovereign Way
Fort Pierce, FL, 34949
772-971-4805
RobHometeamOomail com
March 51h, 2021
1) Supply and install (1) customer owned 500 gallon underground LP Tank with
(4) gas drops to:
• Generator
• Outdoor grill
• Range
• Tankless water heater
2) Obtain all permits & inspections needed
3) Price includes backfilling and removing dirt
4) Price does NOT include filling the tank with propane
NOTE, Price does NOT include the appliances, bonding the interior gas lines or plumbing
or the sumo : $6,725.o7o
TERMS:
Charges & Payments: Charges are due in full at time services are rendered unless otherwise stated below. Contractor may
charge and customer agrees to pay a late fee for all past due payments, such fees not to exceed the maximum allowed rate by
applicable law. Customer shall be responsible and agrees to pay for all charges billed, applicable taxes, applicable legal fees and
other charges/fees.
Proposal/Contract pricing good for 30 days from Proposal/Contract date
$495.00 is due @ Signing
$1,965.00 is due @ Tank Installation
$2,000.00 is due @ Gas lines installation
$1,965.00 is due @ Final Connection
$300.00 is due @ Final Inspection
We appreciate the opportunity you have extended us to quote on this work and would
like to thank you in advance for your consideration.
Authorized signature:
Michael Haman
Acceptance of Proposal
I, �' f` � � � e )I U i l Tj) & 4 c) (printed name), authorize Energized Gas to
complete the work in accordance with the above specifications and conditions. I agree to pay as per
terms outlined above. a'
Date
Signpture
This agreement shall be construed under the laws of the State of Florida. This agreement contains the entire understanding of the
parties and supersedes all previous verbal or written agreements: there are no other agreements, representations or warranties not
set forth herein. If any conflicts exist in this agreement between terms which are printed and those which are typed or written, the
typed or written language shall govern.
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CONTRACT TERMS AND CONDITIONS
Installation will comply with all local and state regulations and be consistent with standard industry code.
Installers are not responsible for landscaping repairs as a result of installation*. This includes but is not
limited to; damaged/broken sprinkler lines and/or damaged/broken water or sewer lines.
This contract price does NOT include bonding gas lines, converting outlets, converting appliances or
carbon monoxide detectors
Additional charges may apply if rock and/or roots are encountered during the excavation process.
Deposit will be forfeited if customer cancels after the permit process is initiated.
Customer is responsible for obtaining HOA/POA approval. Installer is not responsible for customers failing
to obtain final approval.
If home is located in flood zone, the additional cost will be the responsibility of the homeowner if a tank tie
down, or buoyancy pad is required per the building department
A site survey of your property showing all property lines is required to pull a permit and can be submitted
along with this signed proposal.
*To include sod replacement a charge of $395 applies.
CUSTOMER SIGNATURE FOR ACKNOWLEDGMENT OF ABOVE TERMS
yYl��r2ic 7
PRINTED NAME
SIG ATURE F
DATE
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