HomeMy WebLinkAboutHayes gen app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCE TED
Date: Perm Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 4919 Tamoka Ct Fort Pierce, FL 34951
Property Tax ID #: 1312-801-0136-000-2
Site Plan Name:
Project Name: Hayes gen
DETAILED DESCRIPTION OF WORK:
install 22kw generator with 200 amp transfer switch and load sharing modul
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.333
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers XGenerato _ Roof Pitch
Total Sq. Ft of Construction: 4 8 Sq. Ft. of First FI or:
Cost of Construction: $ q"S Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Noreen Hayes
Name:Michael
Company: Ener
Address:4252 Elandy
City: Ft Pierce
Zip Code: 3498
Phone N07724
E-Mail energize
State or CountV
Flaxman
Address:4919 Tamoka Ct
]ized Electric
City: Ft Pierce State:fl_.
Zip Code: 34951 Fax:
Phone No.7729711752
Blvd
State: FL
Fax:
61095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
generators@gmail.com
License EC1 3006279
IT value oT Construction is LSUU or more, a KLCUKULD Notice of Commencement is jequired.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is rec Z.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGECOMPANY:
Name:
Address:
City:
Zip:
_ Not Applicable
Address:
City: State:
Zip: Phone
State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
Zip:
Not Applicable
Address:
City:
Zip: Phone:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pe mit 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 ar d 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 wi I, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie Cou ty Amendments.
The following building permit applications are exempt from undergoing a full concu try
ency review: room additions,
access
accessory structures, swimming pools, fences, walls, signs, screen rooms and uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commenceme t may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the j bsite before the first inspection. If you intend t�oRbtain financing, consult
with lender or an attorney b�,foco�mmencing work or recording our Ngtice QpCommencement.
Signature of Owner/ Lessee/C9Ahtractp� as Agent for Owner I Signature q oofnitrack6r/License Holder
STATE OF FLORID �— STATE OF FLCAI
'
COUNTY OF o :(X�, COUNTY OF
S or to (or affirmed) and subscribed before me of Sw rd to (or affi med) and subscribed before me of
Physical Presence or Online Notarization Physical Pr seance or Online Notarization
this I17 day of ;n�j;� ��.w°,i , 2020 by this °day of 2020 by
, RLN'��rky� 6 C Vlt' 9 -A I -
Name of person making statement. Name of person making statement.
Personally Known ` OR Produced Identification Personally Knot
Type of Identification Type of Identifi
V uced Produced
ti
(Signature of,Ngf*� iPufi Ictapr{d""-'"-`iE, (�igna reaf
tl t. �rC i.1/iIV l7SifV4h+L�r ICJ
:, MY COMMISSION ## GG 2 2946
Commission o,, ..r �. Commi ii5n
,, June �02
i ' E Ieonded Thu Nrrtary Public Underwriters �'kcrs
--
REVIEWS FRONT ZONING SUPERVISOR PLANS VEI
COUNTER REVIEW REVIEW REVIEW R
DATE
RECEIVED
DATE
COMPLETED
OR Produced Identification
on
MY COMMISSION # GG 232946
r�—c, PIRF=8 a 27, 2D22 (Se
Ponded Thru Notary Public Underwriters
'ATION SEATURTLE I MANGROVE
EW REVIEW REVIEW
"-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, We Palm Beach. FL. 33409*
Noreen Hayes
4919 Tamoka Court
Fort Pierce, FL 34951
772-971-1752
NNNHAYES@aol.com
Energized Electric hereby agrees to furnish all labor and mated Is necessary for the completion of
services as specified below:
1) Supply and Install (1) 22,000 watt Generac generator model#7042
2) Supply and install (1) 200 amp service entrance rated transfer switch and
supply and install (2) load shed modules as needed
3) Supply a preformed concrete slab
4) Deliver and set generator in place
5) Includes labor, battery for generator, materials, and permitting
6) Start up and test
7) Price includes 7 year extended warranty Through Generac Must call to Qualify
1-(800)-754-9439
8) Price includes 1st year silver maintenance
9) If invisible dog fence wire is damaged installers to repair
NOTE: Gas is quoted on a separate proposal (Gas work to be one by Thompson Gas)
NOTE: Energized Electric is NOT responsible for grass that di s or landscaping that has to be
replaced for proper installation of conduits. If replacement of sod is reauested EnPrai7M
Generator and Install:
Disc unt:
For the surrt ®f® . _ 10,'jw;-00
Ulcensed2---;'nsSuref1
Enq;,,,H. Eneraizedclenerators@amaii.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 P oposal/Contract date
$1,995.00 is due @ Signing
$5,000.00 due @ Release of permits
$3,000.00 due @ Generator Installation
$500.00 due @ Start
We appreciate the opportunity you have extende us to quote on this work and
would like to thank you in advance for your considera ion,
Authorized signature:
Ron Weime
******************************************
complete the work in a
terms outlined above.
Signature
nce with the above specifications
Thank you for choosing Energ
Your Authorized Elite DE
Paying attention to eveta
"Serving the East Coast o
This agreement shall be construed under the laws of the State of Florida. This agreement contains the entire ui
written agreements: there are no other agreements, representations or warranties not set forth herein. If any
and those which are typed or written, the typed or written
************************
3me), authorize Energized Electric to
d conditions. I agree to pay as per
Date iz �,?o
ed Electric
ler.
detail!
Florida
ling of the parties and supersedes all previous verbal or
exist in this agreement between terms which are printed
a shall govern.
Page 2 of 3
For Generac 5 year Extended Warranty ($49
For Generac 7 year extended warranty ($69
For Generac 10 year extended warran 99
.00) Initial
.00) Initial
.00 Initial
If additional load sheds are required, they will be
n additional 189.00 each
Proposal does NOT include disconnecting and reinstalling s
apply if solar systems are installed and fed from the load si
Energized Electric recommends homeowner let the solar c
system being installed
lar systems. Additiona` charges will
le of the automatic transfer switch.
3mpany know about the generator
Energized Electric supplied labor and electric material are warrantied
final inspection or completion. If no permits were required,
manufacturer's warranty PC
for 1) year from date of
the equipment and parts are per
lic
Energized Electric is NOT responsible for water or sewer line
for broken water or sewer lines that occur during
repairs, and will not be responsible
the installation process
FLOOD ZONE PROPERTIES:
Customer is responsible for any additional cost for
the cost of engineering for the elevation certificate
department
elevated concrete slabs and
if required by building
$395.00 of the initial deposit is NON REFUNDABLE if customer
for any reason. No refunds will be given at all after permits t
begins
cancels after signing this contract
ave been applied for or installation
iw sate survey of your property showing property lines is requ
L± --alongwith this signed proposal
red to pull a permit. Please provide
Customer will be responsible for getting approval from their I
liable for customer not obtaining final
I.O.A or P.O.A Energized will not be
approval
Energized electric is not responsible for any delays due to F.P.L.
for shutdowns. Energized Electric will not be responsible
shortage, availability of materials or
or any electric service provider
or any delays caused by product
eather delays
Price does not include a sure start or hard start if required fc
if required.
r A/C. Additional charges will apply
By signing below, I agree to all the terms stated
Printed name
SiOnature
Page 3 of 3