HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST.NINE
COU r7ry
F LQKIwwE)Jwft
Permit Number:
Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATMIN FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 56 Flores del Norte Fort Pierce, FL 34951
Property Tax ID #: 1301-500-0378-000-2
Site Plan Name:
Project Name: Hokes ele
DETAILED DESCRIPTION OF WORK:
install mechanical interlock with 50 amo inlet for
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to
be performed under
this permit— check
all that apply:
_Mechanical
_Gas Tank
_Gas Piping
_Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1495.00
_Generator
Residential X
Lot No.56
Block No.
_Windows/Doors _Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mary Sue Hoke
Name:Michael Flaxman
Address:56 Flores del Norte
Company: Energized Electric
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.
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 License EC13006279
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPkEMNTCI.GONSTRUCTICN LIEIU`I1W INFORMAtIQN
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: 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
fli which is in conct 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 t e public records of St.
Lucie County and posted on fjobsite before the first inspection. If you 'ntend t tain financing, consult
with lender r a orne efore commencingwork or recordin u otce/ Commencement.
//5G%
Signature of o e Less /Contractor as Agent for Owner
Signature Contra or/License Holder
STATE OF FLORIDA
STATE OF FLO
COUNTYOF
COUNTYOF (>t
Swor ,to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this _�(i4ay of �, 2020 by
this ay of 2020 by
r In
YC�
Name of person making statement.
Name of person making statement.
�OR
Personally Known Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
P duced
Propluced
0 ��LIM
(Signatur }'$79R}v'DA
MY COMMISSION>E Gt�T%; 23294fi
'':?�%'�iq';-. DANIELLE GONCALVES
(eal)
COmm1551
EXPIRE
Co'No:Juoe27!) rf2sO.MYCOMMISc10Nttr;023294fi
Bondod Thru Notary Public UndPMri(urs
=."9;. .p`; EXPIRES: Jute 27,2022
VEGETATION
SEA TURTLE
REVIEWS FRONT ZONING SUPERVISOR
PLANS
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
06/18/2020 11
36 FAX 7724648336
Sue Hoke (FL)
*Treasure Coast 772-466-1095,
4252 Bandy Blvd, I or(. Nerve, i'L, 119n 1, Nix 772-.3I
8-6672*
*11alui Beach 561-752-0214,
1700 Latham Rd, Suite 2.
West Prim Beach, I�I., :33409*
Proposal /Contract
Mary Sue Hoke
56 Flores Del Norte
Ft Pierce, FL, 34951
772-464-8336
SueHosplks@aol.com
June 10th, 2020
Energized Electric hereby agrees to furnish all labor;and materials necessary for the
completion of services as specified below:
i) Supply (1) 12kw Duromax dual fuel portable generator
2) Price Includes mechanical interlock kit
3) Price includes 50 amp outlet
4) Price Includes 15' 50 amp power cord
s) Price Includes all labor, material, permitting, startup and training customer
NOTIc� Price includes 4 BBQ tanks
or the sumo : � 6 .00
*If sure start Is needed for A/C additional charge will apply, If a hard start Is needed for A/C it
will be an additional $196.00*
Email: FneraizedaenerdtOrSLmaatdll GOM WCb51te: W�+[�([.EnergizedgeneraCors.com
06/18/2020 11:36 FAX 7724648336 Sue Hoke (FL) IaOO2
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
$2,200.00 is due @ installation
$500.00 is due @ Completion
We appreciate the opportunity you have extended qs to quote on tnfs work ana woufo
like to thank you in advance for your consideration.
Authorized signature:
Roger Lussler
�I AccetatagSe.ofE[Qpdsal
ICt. kNGc f �-__,4__(printed name), authorize Energized Electric to
complete the Ark in accordance with the above specifications and conditions. I agree to pay as per
terms outlined above.
DateCO18 'tom
Si na ature
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
"Serving the East Coast of Florida
This aere�mmt snail be construed under the laws of [ho SIaN of Plprlde. This epreament wntalna the antlr� underetending pf Me parties and supersedes all oreVloW wrbel or
wtltNn agreamente: there ere no other apn�menl%, representanpns or warranties not set forth h�aln. II eny conlllcts eKlst In this agreement between [arms wnlcn ere printed
end thou which ere typed ar written, the typed or written lan0uege shell govern.
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