HomeMy WebLinkAboutHarkcom gen app and contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
PERMIT TYPE:Generator
Permit Number:
Building Permit Application
Commercial
Residential
PROPOSED IMPROVEMENT LOCATION:
Address: �-R (3 5 kCj'if-4 k e) 4 A e c-e �G ,� Z/fl41t—
Property Tax ID #: aC_3 -.O " ,-o I' QQ'{a-'o go
Site Plan Name:,{_KLO+-1.
Project Name:
Lot No.
Block No. 3—
I DETAILED DESCRIPTION OF WORK: I
k
CONSTRUCTION INFORMATION:
Additional work to be performed Under this permit - check all that apply:
�Mec ical _ Gas Tank
lectric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name—J� fe o<-1 LUG
Name: Mike FLaxman
Address: !-Iy3 5 13(OG k'-5 M + A
Company: Energized Electric
City: + State: l=G
Zip Code: _"�`{gc-15r Fax:
Phone No.
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723/86672
Phone No772-466-1095
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 License ec13006279
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
y s ruct
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DE5IGNEI2/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:
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 huRd 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,
accessor t i
ures, swimming poo s, 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 FIN NCING, CONSULT
WITH YOUR LENDER OR AN ATTQRNFY RFFORF RFt f1nPnvr: rni iQ iunTirp,nip })
Signature of Owner/ L ss , /Con actor as Agent for Owner
Signature of C ntractor/l. nse Holder
STATE OF FLOR
STATE OF FLORID
_
COUNTY OF
,
COUNTY OF
The f r ing instr nt was acknowled d before me
thismay
The r ging instru ent was acknowled ed before me
of 4 20(by
this i�day of �L 2r by
CI
1
Name of person making statement.
Name of person making statement.
<
Personally Known OR Produced Identification
Personaily Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
- — 11
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1310 eCOIvIMISSION �
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" rXPiR�S: June 27 al
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J1ACommiss'
Commissi wdoTit!
-
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Ravi 1
E R, 4FG-i'1Z
*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 / Contract
Jeff Harkcom
2813 S Brocksmith Rd
Fort Pierce, FL, 34945
772-812-0009
JeffHarkcom(o)att. net
March 31st, 2020
Energized Electric is leased to quote on your new generator ourchase, & installation. -
Energized Electric hereby agrees to furnish all labor and materials necessary for the completion of
services as specified below:
1) Supply and Install (1) 22,000 watt Generac generator model #7042 with Wi-Fi
enabled monitoring device
2) Supply and install (1) 200 amp NON service entrance rated automatic transfer
switch with (3) load sharing modules if needed
3) Price includes 12 circuit sub panel
4) Supply preformed concrete slab
5) Deliver and set generator in place
6) Includes labor, battery for generator, materials, and permitting
7) Start up and test
8) Price includes 1st year silver maintenance
NOTE: Gas is quoted on separate proposal (Thompson Gas to do gas work)
NOTE: Energized Electric is NOT responsible for grass that dies or landscaping that has to be
replaced for proper installation of conduits. If replacement of sod is re nested Energized
Electric will re lace install up to 100 SQ feet of sod for 39S.00
Generator and Install: $10,495.00
Coupon:-$500.00
or the sumo : $9,995-00
Licensed & Insured *EC13006279
Email: Ener ized enerators mail.com Website: www.Ener-gizedgenerators.com
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
$995.00 is due @ Signing
$4,500.00 due @ Release of permits
$4,000.00 due @ Generator Installation
$500.00 due @ Start u
1Al_
VV� UPPY CA-IOLC Me uppurcunxy you nave extendea us to quote on this work and would
like to thank you in advance for your consideration.
Authorized signature:
Brian Orr
Acceptance of Proposal
(printed name), authorize Energized Electric to
complete the work in accordance with the above specifications and conditions, I agree to pay as per
terms outlined above.
Siap(at
Date
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
'"Serving the Fast Coast of Florida
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
For Generac 5 year Extended Warranty ($495.00) Initial
For Generac 7 year extended warranty ($695.00) Initial
For Generac 10 year extended warranty ($995.00) Initial
Price includes up to 3 load sharing modules, if additional load sheds are required, they
will be an additional $189.00 each
Proposal does NOT include disconnecting and reinstalling solar systems. Additional
charges will apply if solar systems are installed and fed from the load side of the
automatic transfer switch. Energized Electric recommends homeowner let the solar
com any know about the generator system being installed
Energized Electric supplied labor and electric material are warrantied for (1) year from
date of final inspection or completion. If no permits were required, the equipment and
parts are er manufacturer's warranty policy
Energized Electric is NOT responsible for sprinkler, water or sewer line repairs, and will
not be responsible for broken water or sewer lines that occur during the installation
process
FLOOD ZONE PROPERTIES:
The cost will be the responsibility of customer if elevation certificate is required
by Building Department
Extra charges will apply if generator has to be elevated
Deposit will be forfeited if customer cancels after permit process has begun. 500/o
cancellation fee applies if customer cancels after generator has been ordered
A site survey of your property showing property lines is required to pull a permit. Please
provide along with this signed proposal
Customer will be responsible for getting approval from their H.O.A or P.O.A Energized
will not be liable for customer not obtaining final approval
Energized electric is not responsible for any delays due to F.P.L. or any electric service
provider for shutdowns. Energized Electric will not be responsible for any delays caused
b roduct shortage, availability of materials or weather delays
Printed name
Signa
Date h-0-
Page 3 of 3