HomeMy WebLinkAboutCrevier gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO
BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GaS
PROPOSED IMPROVEMENT LOCATION:
Address: 7417 LAURELS PL, PORT ST LUCIE, FL, 34986
Property Tax ID #: 3322-501-0008-000-2
Lot No.S
Site Plan Name: Block No.
Project Name: Crevier gas
DETAILED DESCRIPTION OF WORK:
disconnect exisitng generator, reconnect to new generator
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank AGas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 695.00 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Mark Crevier
Name: Michael Flaxman
Address:129 Walmsley Lane
Company: Energized Electric
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City: Saunderstown State: �
Address:4252 Bandy Blvd
Zip Code: 02874 Fax:
City: Ft Pierce State: FL
Phone No.4013383389
Zip Code: 34981 Fax:
E-Mail:MCrevier1@cox.net
Phone N07724661095
Fill in fee simple Title Holder on next page ( if different
E-Mail energizedgenerators@gmail.com
from the Owner listed above)
State or County License LQ31756 / L145030
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ORTGAGE COMPANY: _ Not Applicable
Name:
DESIGNER/ENGINEER: _ Not ApplicableTAddress:
ame:
Address:
City:
State: ity: State:
Zip: Phone ip: Phone.
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
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 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 t , jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne
ore commencingwork or recordin our Noti, e of Comm'— ment.
may_
00
Signature of Ow er Less / /Contractor as Agent for Owner
Signature of ontfactor/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUNTY OF�i/1) c
COUNTY OF Y�_
Sw rn to (or affirmed) and subscribed before me of
hysical Presence
Swop to (or affirmed) and subscribed before me of
or Online N tarization
this 9rJ day of 202T by
C► Physical Presence or Online Notarization
thi [> day of ` 20* by
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Name of person making statement.
Name of person making statement.
Personally Kno OR Produced Identification
Personally Known � OR Produced Identification
Type of Identificatio
Type of Identification
Pr uced
_1 hKy� ,
Produced
I AA-i L
(Signature of i -
�t QYPUyr�s [)L .� VES
(Signature of Notary Public- State of Florida )
Commission HAY COMMISSION1 GG 23-1
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Commiss nTi�"..,
oonded T hru Notary Pubic Underwriters
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MYCO it GC 2.32346
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X I ,ES: June 27, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS-- '` f.... ' Thr t r rite ----����� ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW RE �° REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
"Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 1700 Latham Rd, Suite 2. West Palm Beach, FL, 33409*
Proposal / Agreement
Mark Crevier
7417 Laurels Place
Port St Lucie, Florida 34986
401-338-3389
WillcowdellCabgmail com
March 5, 2021
1) Energized Electric to disconnect existing generator and reconnect new
generator to gas line and final connect
2) Obtain all permits & inspections needed
r the Sum 0U ter,
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 due e@ Signing
$ 0.00 due @ Gas Line Installation,
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:
John Maruri 772-626-4691
Acceptance of Proposal
I M 4�'✓ P. C 02 E-v lc--n
(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.
Signature
Date
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.
Page 2 of 3
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
M�r-v' '
!:. C(ZL.vICP-
PRINTED NAME
IM44-�
SIGNATURE
312--f12,42-1
DATE
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