HomeMy WebLinkAboutBUILDING PERMIT APPLICASTIONAll 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 TYPE: LP Propane
PROPOSED IMPROVEMENT LOCATION:
Aaaress: .quo oiiunvvvuuu vvey, Tort tierce rL 54y4ti
Property Tax ID #: 2310-412-0000-000-3 Lot No.
Site Plan Name: Biles/Bridlewood Block No.
Project Name: Biles
DETAILED DESCRIPTION OF WORK:
Install aboveground 500 gallon LP tank and line to generator
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical XGasTank XGasPiping_Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4153.85
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
— Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James E. Biles Jr.
Name: Tom Fite
Address: 308 Bridlewood Way
Company: Ferrellgas
city: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-519-8337
Address: 3232 SE Dixie Hwy
city: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-Mail:_jim.biles829(g)gmail. com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail KimWilkins@ferreligas.com
State or County License 31370
u,nc v6 pcovu or more, a wcwnueu notice or commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNE 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:
City:
Zip: Phone:
Zip: Phone:
I -- i cry wiv , nn i wn ftrrnfvl i : Appncauon a nereoy made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced priorto 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NnTff-F OF rnmmFNrFYFNT 11
Signature of Owner/ Lessee Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _ day of 20_ by
this_ day of 20_ by
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement:
Personally Known V OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Pro uced IN
Pro uced6�4.
(Signature of N a Public- St --
W9LKWS
ignature of No a Public- State of Flori a 1
§
w'vJC-., KIMBERLEYL.
Commission No. FF063 I9` `. 06w)1MISSION # FF 06310
,_
KIMB EY . WILKINS
mmission No. FF 3'� -
- 2021
EXPIRES: Nover:.ber 2(S,
MY COM=#FF061V5
N Notary Public Untlenvm
_
rs e EXPIRES: Nover.berR. 2021
REVIEWS
FRONT
ONING
SUPERVISOR
PLANS
VEGETA
RO E
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rev7/7719
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4711826 OR BOOK 4424 PAGE 2223, Recorded 05/26/2020 02:54:23 PM
NOTICE OF COMMENCEMENT
To he completed when construction volue exceeds $2,500.00
PERMIT#: TAX FOUOIs Q?`5 11a6boDCOD3
STATE OF FLORIDA COUNTY OF JAINT LUGIE
The undersigned hereby gives notice that improvement will be made to certan real property, and in accordance with Chapter 713, Florida
Statutes, the following information is provided in this Notice of Commencement. LEGAL: PORTION OF SECTION 10, TOWNSHIP
I FnAI nets.... rse 35, RANGE 39 OF SAINT LUCIE COUNTY
GENERAL DESCRIPTION OF IMPROVEMENT
T 11f1f
OWNER INFOr1a1A7AM R�LgSEE6FrA7ICN IF TyQJ.1F55EE CONTRACTED FOR THE IMPROVEMENT:
Name: 11lj
Address: n ' ULEL:oC�
Interest in o a�
P petty:
Name and address of lee simple.hoider pf dimerentfrom Owner listed #trove):
CONTRACTORT NAME: FERRELLGAS Phone Na.:(7721297-4330
Address: 3232 SE DIXIE HWY, STUART FL 34997
SURETY COMPANY (If applicableL a cp �Of the payment bond is attached):
Name and address: FJ J
LENDER'SNAME: N
Persons within the Stale of Florida designated by owner upon whom notices or other documents may be served a provided by Section 713.13
(1) (a) 7, Florida Statutes:
Name. NIA Phone No.:
In addition to himself or herself, owner designates __
receive a copy of the Lienor's Notice as provided in Section
Phone number of person or amity designated by Owner: _
Expiration date of Notice of Commencement:
(the expiration date may not be before the coroplation of construction and final payment to the commands, but will be 1 year from the date of
recording unless a different date is specRled):
Under " of peWlufy, i declaM that I h^Oad the foregoing and that the facts In it are true W the best of my knowledge and belief.
The foreeong Instrument wax anknewledgedbefore met ia_ tlZ/ of ///a/1�/ ae�_
gy:c.%giaYeS f.: (.5 as for
Name oI person n Type of allthOrity le.g. ofrker, truske) Parry on behalf of whom instrument waaexecuted
Personallyknown 0 or producedi entifiratbn ❑
Type of identification produced .O �,� CFrF.� `j 3.
L LONNL� V
C nPPu€,� rDpp tl A�ommcnccmentuucs Rcr. 4/INiI
ualwld NW Y sue'
$5 Ferrellgos
ID 233435519
James Biles
308 Bddlewood Wav
Fort Pierce FL 34945
lim.bttes829fa7amail coin
Phone 7725198337
Doug Kelp
Account Manager
772 216-2656 cell 772 287-3456 fax
tlouakeio(dfertellaas.rgm
Date: 22-Apr-20
Purchase 500 Gallon AG LP Tank
To Install:
Sale and installation of 500 gallon aboveground LP tank and gas line to generator.
Sao
Gallon Propane Tank
$
2,050.00 •.Made,anch..sYemen
AS
Installation
$
400.00 and uawn
Ext. Line
up to 70' of gas piping
$
700.00 Minimum of $30,00 additional per fort @
Int Line
up to 00' of gas piping
'Minimum of s450.00 additional pertoa K
RUMFlgQ lilsi x (MO) gellen
(S]8a.00) rM be6rlledsepera(Ny
Final Connect and 1 outlet
$
225.00 Santry chock and start up
Regulators
$
180.00 moors, Shut-off
rcvaroes, Risers, eta.
Sub Total
$
3,555.00
Tax
7.00% $
248.85 addlronat taxes may apply
Permit
$
350.00 nappgwme
TOTAL
$
4,153.85
Tank a tip mumak,lardifiand mum cormay with all argue a Ical gas and Wilding trades
$ 10.00
$ 14.50
AMe puree, Is to be supplied W ffm walana ea permtmng purPasec. There is a Minimum 43weeks period needed for pama vraceasine Youth tax data the
deposit a repuiral documents are rvxrved) alms m any wank baina Milmoned on site
• Reasons madeafter pemaine will mculre an addldmal%eseksfor proeaking 6 them will be addwnwl charges.
Fenellgas 6 ma responsible for daasgsto 1,plW+aline. (traducing bdgWpn, vieslric, ens.) nor meMed by se 1hooting service, ndnwxnp Is accomablem
mark their own spender or bx volume lines
Fa,rellpas is nor msP.N. for plaammt or phydrad adjusbnert a applianms.
• Fvrdlgas is nW ramone lae as- U,xmar,Mk,neaWlaMsrsgrp, campele sid.1kY w any electrical.
• Coal or is responsible for pwiditg labor and commr.Im Um convert any gas appliance for use of propane.
.� • Gcwmbrs are national to have a flesible line to omieq to ga..
• customers cmdb min to apprwad poor m commeica eta of any war.
• My Needing, drectlawl WIN, made, as canal mck whit MUM an WOW cadge.
y, • Sanding of gas lines m W dame by others.
T undagrwMlaake income oMWic pmkcbm.
• Aties deposit Is due upon acceptance. A 10%cancellation penalty will appl,
new sign If tom have read 8 egret W fie feral apposed cdntrac[ &accept k
The undersigned! as
ki, a.II anarey
Customer
Femellgas
Valid for N gays
Contact Inform:
Penny Randall
Kim Wilkins
Jane Conner
itrx1, IM1et Ma uMermpretl sM1all be respontible to Fertel'gea LP
Date:
Dater
561 746 4534 Ext 25104
772 287 4330 Ext 22578
772 287 4330 Ext 25101
3232 SE Dixie Highway, Stuart FL 34997