HomeMy WebLinkAboutToth permit app, signed contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
affPs"1111111
COUNTY
F t n 19 1 T
Planning and Development Services
Building and Code RegulGtion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Address: 11039 Muller Rd Fort Pierce, FL 34945
Property Tax ID #: 2333-800-0007-000-4
Site Plan Name:
Project Name: Toth Elec
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
Install 200 amp transfer switch with 4 load sharing modules for existing generator
Lot No. 6
Block No.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
—Mechanical — GasTank Gas Piping Shutters
,ZElectric — Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construct -ion: $ 3295.00 Utilities: —Sewer —Septic Building Height:
Windows/Doors
Roof Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Daniel Toth
Name: Michael Flaxman
Address: 11039 Muller Rd
Company: Energized Electric
City: Fort Pierce State:
Zip Code: 34945 Fax:
Phone No. 7722013181
Address:4252 Bandy Blvd
City- Fo rt Pierce State: FL
Zip Code: 34981 Fax:
Phone No 7724661095
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail energizedgenerators@gmaii.com
State or County License ECI 3006279
IT vapue OT construction ls!�z5UU or more, a RECORDED Notice ot Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
city: State:
Zip: Phone
Zp: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: —Not Applicable
Name:
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,
RCCeSSGry 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 PNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENW&ENT."
A0 �v��
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signaturc*f Co tractor/Li rise Holder
t,
STATE OF FLORIDA
COUNTYOF
STATE OFF OR
J,� I
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
The f gr oing iqrVi-rient was acknowle, e before me
2 by
t day of1d C&Ijn Z&
Name of person making statement.
Name of person making s atement.
7
Personally Known OR Produced Identification
Personally Known - ':" OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
(Signature of Notary Public- State of Florida
Commission No, (Sea 1)
(Signature of No ry-ftii C; : CALVES
N232946
MYCOMMISS111#
Commission T\ EXPIRE& J 22
Aded Thru Natary bficUndewters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev. Z17119
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Proposal / Contract
Danny Toth
11039 Muller Road
Fort Pierce, FL, 34945
772-201-3181
Danny IsLcla..���scOr-Ist,"Uctioo-@y4hoo.con-i
January 31st, 2020
Energized Electric is Pleased to
Energ�zed Electric hereby agrees to furmsh all labor and materials necessary for the complebon of
services as specified below7
1 SuWy and install (1) 200 amp service entrance rated transfer switch for
existing generatc)r
2) Supply and install (4) load sharing modules
3) Includes labor, materials, and permitting
4) Start up and test
NOTE. Energized Electric is NOT responsible for grass that dies or landscaping that has to be
replaced for proper installation of conduits. If replacernent of sod is reguested Energized
Electric will repfgEtLjn�i�tall up to 100 SO feet of sod.for $395.00
For the surtz of:
L c, d 8t I e 1 3,,j c. c,:
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 tate fee for all Past due payments, such fees not to exceed the maximum alfowed rate by
applicable law. Customer shall be respons�hle and agrees to pay for alf charges bilned, applicable taxes, applicabfic legal fees and
other charges/fees.
Proposa I/ Contract pricing good for 30 days from Proposal/Contract date
$295.00 is due @ Signing
$1,000-00 due @ Release of permits
....... $21,000.00 is due @ Completion
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:
c el Flaxman
** *** >i- ****** *Dtc ** ** �K ** ** ** ** * ** * * ** ** * ** * * **
Acceptance of Prociosal
(pr�nted name), authorize Energized Electric to
comp ete the �ork in accordance with the above specifications and conditions, I agree to pay as per
terms outlined above,
Date 1-,;? 6
Signa re
Thank you for choosing Energized Electric & Energized Gas
Your Authorized Elite Dealer.
a Y a
". , - L_ --- V C:
T1 Serving the East Coast of Florida
I h: ' agreement shal� be ronStrued under th-P ldirv% of till SM, of Fl,rida I hl� agreernent contains rhe �tlt,re understanding Of the parties anb SuPersedes ail previous verbai or
'mtten agreements: there are no other a�reement�, oi� v,,arraltres rc,� set fc,-,h herin IF 3nY ccoPl!cts 9x-St in this agrei�rneht beiveen tern'S �f)Kh are printed
and thol� wh;cli are typed or tter,, 1he tvv��Ci or wri"Len shall g':iverri.
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Price includes up to 4 load sharing modules, if additional load sheds are
r��q-Ujrf!�k.. they will be an additional $189.00 each
F—Energized 1C SU I ied labor and electric material are warrantied for (1)
1year from date of final inspection or completion. If no permits were required, the
equipment and Darts arq
_per maqqfa4qturer's warranty policV
o' r a n ", e 1 e C t
T'or �huZrIovv e C -Z C� fl, I r'Fc n, G a s
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oil- mabarials or vvea�,�;er
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Printe-d name
SignMure
Date --C; (--�? b
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