HomeMy WebLinkAbout8254 Riviera Way Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICAMON TO BE ACCEPTED
Date: Permit Number:
- Building Permit Application -
Planning and Development5ervices
SuNding and CadeRegulotion Dlvislan
2300 Virginia Avenue, Fort Plerce Ft 34982 Y ,
Phone: (772) 462.1553 Fax: (772) 462-I578 Commercial Residential ! .
PERMITTYPE:
Address: v°L7K'G, ti
property Tax ID #: 33Z_4- 7 i i - 0O Z5 - O00- 7 Lot No, >
Site Plan Name: __ &51 t v,1QA VI. -I s4e r%f Block No.
Project Name.• - _ _ f); i
21
Additional work to be performed under this permit-- check all that apply:
,Mechanical Gas Tank Gas Piping Shutters —Windows/Doors
_ Electric ^ Plumbing sprinklers _ Generator —Roof —Pitch
Total Sq. Ft of Construction:
-Cost of Construction: $ 3�3• l
Sq. Ft. of First Floor:
Utilities: _Sewer ,_,_,Septic
Name n; i
address: ral� �iV a WA �►1 �.
City _ .nrk Sir Lu l 4 C - _ State:
Zip Code; 3�j9& _ _ Fax.•
Phone No. _PZ - L40-3Mo-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Larry Licasiri
Building Height:,,��-.,.
Company:AmeriGas
Address-3301 Oleander Avenue
City; Fort Pierce State. FL 1
Zip Code: 34982 Fax: 77246545448 {
Phone ND772-63U740
E-Mail ArneriGas-7262@amerigas.c0m
State or County Ucense02707/28579
if value of construction is $2500 or more, a RECORDER Notice of Corn Mencement Is required.
If value of HVAC is $7,500 or more, a RECORDER? Notice of Commencement Is required.
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_
7
ilrIN
DESIGNE
ENGINEER: _NotApplicablB
MORTGAGE COMPANY:
�NotApplicable
Name:
Name -
Address:
Address:
qty..
State-
G1ty:
S€ltte:
Zip: _
Ptlone'
Zip: Phone:
FEE SIMPLE TITLE BOLDER: „_,,,,,,.
Not App!€cable
BONDING COMPANY:
__Not Applicable
Name,
name:
Address:
Address:
City:
'City:
zip: Rhone:
_ _
Zlp: Phone:
_
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worn d�tiu �[�s�aao�tutt tWt� w
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie Count�yy ma no reprree��entatien that Is ng a ermit will authorize the permit holder to build the subject structure
which is in corifiict +� tt► anj ppticabje home Owners Ass4dattan rules, bylaws or and covenants that may restrict car prohibit such
structure. Please consult W t yotu Home []wners.Associ$tion and review your deed for any restrlctians whl may app#Y•
In consideration of the granting of this requested permit, I do hereby ague that l 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 concurrenty review; room addltlons,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessary uses to another non-residential use
WARNING T0, OWNER: Your tenure to Record a Notice of "tw;su'
C
result In your paying twice for
Impro� nts t roperty. A Notice of Commencer and posted on theJobsite
befo the s inspeetio . if you Intend to obtain financtader r asti attorney before
as Agent for Owner I S%natuna of Cottrdctor/ticense
STATE Ottf�t� IDqA� 5TAlEF.iORI A& V�t�
COUNTY OF•�Lif-_A_ L:�n COUNTY OF
Thapriping ins merit was arknowiedwo before me Tha ing instr` ent VMS scknowled l > efore me
this day of 20L %y thW day of f � _ , Io d�� lay
(�L LU CcX �.I. C ski
Name of nt�aiting statement Name of pdagAmuriking statement
Personally Known _ OR Produced identification Personally Known OR Produced Identification
TWe of Identification Type of Identification
(signature -of Notary -Public- state of Florida)
REVIEWS
1 DX
Co
Rev.
W-----'�j ST I E k�MB Y
Notary p%lotic-Slate of Florid
r.nEnmis9lon GG g25370
REVIEW
it N Public -State of Florida I
� C I RI BY (5�
Notary pubionjc�# GG 925370
cl'mrnl ssi4 ..1— Fxoires
ANGR0VE
REVIEW I REVIEW
AmeriGas is pleased to offer the following proposal for your consideration:
Tank on Location
_ 8254 Riviera Way - - - _-- --
Street ...
Port Saint Lucie, FL 34986
City, State, Zip Code
Bruce Coberl
Sales Representative
Ft. Pierce
District Location
772-465-7886
Telephone
Description of work; Add new second stage regulator to existing as line to add cooking to s stem
Quanti
Description
Unit Cost Total
1 I
Dispatch
69.99
$69.99
1
Replace riser on exterior
205
$205.00
1
3/4 piping frorn riser to interior
135
$135.00
1
70312 install second stage regulator
185,99
$185.99
1
Gas hook up
177.99
$177.99
1
Convert range convertion kit notprovided)
152
$152.00
1
Permit
3.00
$300.00
1
Safety check
76
$75.00
TAX
7.00%
S91.14
All prices are exclusive of env aoolicable taxes, niumbina end electrical work. ITOTAL COST
$1,393.11
Al prices are based on a standard installation. Unforeseen circumstances such as poor soil condition, premature instaliaWn of concrste, landscaping, sheeltrock
etc may result in increased costs. Change orders must be approved prior to installation and are subject to approval by the authority having Jurisdiction. AmMIgRA
w1l not be res onslble for damp -go to un arked lines s rinkler water electric etc. .
ALL WORK SHALL BE PERFORMED ACCORDING TO FEDERAL, STATE AND LOCAL REQUIREMENTS.
Attachments:
Bruce Coberiy_
,accepted by: Cemai Ani[mIS Date 6/1/2021 Submitted by: Date 10/l/2015
This proposal is valid for 30 days from the date submitted.