HomeMy WebLinkAboutBahl gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U1]% CO) t�UEr)) Q
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
PERMIT APPLICATION FOR: GAS
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: dU44 Nlantation Lakes DrPort St Lucie, FL 34986
Property Tax I D #. 3321-803-0038-000-5 Lot No. 32
Site Plan Name: Block No.
Project Name: Bahl gas
DETAILED DESCRIPTION OF WORK:
ins oo Goof) uroexcocx
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
W
Additional work to be performed under this permit —check all that apply:
_Mechanical XGas Tank —Gas Piping _ Shutters
— Electric — Plumbing — Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4000.00
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameVinesh Bahl
Name: Michael Flaxman
Address:8044 Plantation Lakes Dr
Company: Energized Electric
City: Port ST Lucie State:
Zip Code: 34986 Fax:
Phone No.7724606242
Address:4252 Bandy Blvd
City: Ft Pierce State: FL
Zip Code: 34981 Fax:
Phone No7724661095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail energizedgenerators@gmail.com
State or County LicenseLQ31756 / L145030
-IWO IUO VI LVIgL1UL.LIV1I IJ LJVV Uf more, a Kt1-VK1Jt1J 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:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: _ State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 the jobsite before the first inspection. If you intend to obtai financing, consult
with lender or an attorne be Pcommencin work or recordingour N tice f Co ncement.
Signature of Owner/see/ ntractor as Agent for Owner
Signature of Contra /Lice se Holder
STATE OF FLORID
COUNTY OF ��C—��
STATE OF FLORI�DD
COUNTY OF
Ses to (or affirmed) and subscribed before me of
Physical Prce or Online Notarization
this � day of 2024 by
M« Y)rL o a t clfty n,.ln
S Wn to (or affirmed) and subscribed before me of
'C Rb-vsical Pres nce or Online Notarization
this day of AQC ti = 202b by
k 1� aA Q �ca?�m�►�
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known OR Produced Identification
Type of Identification
Pr cedA
Produced
"Afy-wAa
(Signat a ` 69ir,a�
_ MYCOMM SS10N CO '.''2946
Commis (oft . 27 eal)
. ,
LTF�F Bonded T nru Notary Public Undemiter3
(Signature of Notary Public- State--of-Flo i
,
Corn s , DANIELLE GONCALVES I)
# Gr 23294�
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.. C: a Explrl Ir S: ,Rune ?7 2(?.?
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLA
REVIEW
Bond,. fU Not
_ AN.
REVIEW
3ry u i ._1
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
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*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fart Pierce, FL., 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 1550 Latham Rd, Suite 3, West Palm Beach, FL, 33409*
Proposal / Agreement
Vinesh Bahl March 15, 2021
8044 Plantation Lakes Dr
Port St Lucie, Florida 34986
772-460-6242
vineshbahl@comcast.Net
1) Supply and install (1) customer owned 500 gallon underground LP Tank with
gas line to generator and final connect.
2) Obtain all permits & inspections needed.
3) Price does NOT include filling the tank with propane, price per gallon will be
based off Thompson Gas' market prices.
4) Add T and ball valve.
or the sum of: $4, 000. 04
Charges & Payments: Charges are clue 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 othercharges/fees
Proposal/Contract pricing good for 30 days from Proposal!/Contract date
$ 495.00 due @ Signing
$1,602.50 due @ Gas Line Installation
$1,602.50 due @ Gas Line Connection
$300.00 due @ Final Insneetinn
We appreciate the opportur7ity you have extended us to quote on this work and would
like to thank you in advance for your consideration.
Authorized signature:
Brian Orr 772-353-8734
Acceptance of Proposal
(printed name), authorize Energized Gas to
complete �he work in accordance with the above specifications and conditions. I agree to pay as per
terms outlined above.
Signatu e
Dated--�
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
TED NAME
C'�
(' , 4
SIGNATURE
DATE
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