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HomeMy WebLinkAboutCrevier gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Sir. plmms ;;Opif �--!F ='- 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 p Y� 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 c F kV , .c _ (011W,( n f Y� 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 -_ :�;,•�= Commiss nTi�".., oonded T hru Notary Pubic Underwriters ; .. s ;� -;^ r ONCP.LV S MYCO it GC 2.32346 rm;r • 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 Page 3 of 3