HomeMy WebLinkAboutBesanko genAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit
Number:
P a olk� U f 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: 21210 GLADES CUT OFF RD
Property Tax ID #: 4221-232-0039-000-6
Lot No.
Site Plan Name: 21210 GLADES CUT OFF RD
Block No.
Project Name: Kirsten A Besanko
C►ETAILED DESCRIPTION OF WORK:
Install) 16KW Generator and �,�5 ?l
n I!
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
— Windows/Doors Pond
Electric — Plumbing _ Sprinklers ', Generato
_ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6,495.00 Utilities: _ Sewer
Septic Building Height:
OWNER/LESSEE: _
CONTRACT
R:
Name Kirsten A Besanko
Name:Michael
Company: Energized
Address:4252 Bandy
taxman
Address: 21210 GLADES CUT OFF RD
Electric
City: Port St. Lucie State: T5.
Blvd.
Zip Code: 34987 Fax:
City: Ft. Pierce
State: FI
Phone No.772-464-7457
Zip Code: 3498
1 Fax:
E-Mail: KristenAlanna495@gmail.com
Phone No 772-
E-Mail energizeiJgenerators@gmaii.com
66-1095
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
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 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 a 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 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie Cou ity Amendments.
The following building permit applications are exempt from undergoing a full concu rency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and access ry 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 Oe public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend t btain financing, consult
with lender or an attorney beforg cgomV7rencing work or recording your Nptice Commencement.
Signature of Owner/
nt for Owner I Signature of C/6trctor/License Holder
STATE OF FLORID)STATE OF fLOIR
COUNTY OF'/ ,' COUNTY OF
S or, to (or affirmed) and subscribed before me of Sworn to (or affi med) and subscribed before me of
Physical Presence or Online Notarization 'Physical Pr s nce or Online Notarization
this ! #^ day of C t'i'll'ail Y , 2020 by this I \day of Y'e yf; 2020 by
n
�
�
Name of person making statement.
Name of person
Personally Known OR Produced Identification
Personally Know
Type of Identification
Type of Identific,
Produced
Produced
(Signa „P - i a
�;�;t'` `'�'••
. s MY COMMISSION # GG 232946
(Signa
�;!� .
Commi € }*' 27,2Q22(Sea
Commi
Oin
•�rFC �oc. BorK{ed Ttxu Notary Public
`" Underm9lats
'.� . _.....d
ng statement.
i OR Produced Identification
tion
MY COMMISSION # GG 23
-- EXPIRES: June 27, 2022 S I )
Bonded Tiau Notary Pubk UnderwrIbrs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
1700 Latham Rd #2. West Palm Beach, FL 33409
*Palm Beach 561-752-0214 *Treasure Coast 772-4 6-1095 *Fax 561-340-3311
Proposal / Contrast
Kirsten Besanko
21210 Glades Cut Off Road
Port St. Lucie, Florida 34987
772-464-7457
KirstenAlanna495@gmaii.com
September 2, 2020
Energized Electric hereby agrees to furnish all labor and materi is necessary for the completion of
services as specified below:
1) Remove existing generator and replace with 161
#7176 with wi-fi enabled monitoring device
2) Connect generator to existing 16 cir transfer sw
3) Deliver and set generator in place
4) Includes labor, battery for generator, materials,
5) Start up and test
6) Includes 7 year warranty
7) Includes first year silver maintenance plan
NOTE: Gas work to be quoted on separate proposal
NOTE: Energized Electric is NOT responsible for grass that d
replaced for proper installation of conduits. If replacement i
Generac generator model
and permitting
s or landscaping that has to be
Generator and nstall: $6,995.00
Cou on:-$500.00
For the sunk of: $64,95.00
Licensed & Insured *EC13006279
Email: Eneraizedgenerat2rg29n2Aj c1 Website:
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 chargec billed, applicable taxes, applicable legal fees and
other charges/fees.
Proposal/Contract pricing good for 30 days from roposal/Contract date
$1,995.00 is due @ Signing
$2,500.00 due @ Release of permits
$1,500.00 due @ Generator Installation
$500.00 due @ Start up
We appreciate the opportunity you have extended u to quote on this work and would
like to thank you in advance for yo r consideration.
Authorized signature:
Brian Orr
I, A�1� - azS� (printed name), authorize Energized Electric to
complete the work in accordance with the above specifications nd conditions. I agree to pay as per
terms outlined above.
u re
Thank you for choosing Ener(
Your Authorized Elite L
Paying attention to eve
"Serving the East Coast i
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 langu
For Generac 5 year Extended Warranty (
Date
!zed Electric
Baler.
y detail!
f Florida"
>tanding of the parties and supersedes all previous verbal or
icts exist in this agreement between terms which are printed
shall govern.
.00) Initial
Page 2 of 3
For Generac 7 year extended warranty ($65
For Generac 10 year extended warranty ($9
5.00) Initial
5.00) Initial
If additional load sheds are required, they will be
n additional $189.00 each
Proposal does NOT include disconnecting and reinstalling solar
apply if solar systems are installed and fed from the load side
Energized Electric recommends homeowner let the solar company
system being installed
systems. Additional charges will
of the automatic transfer switch.
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 p
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
$395.00 of the initial deposit is NON REFUNDABLE if customer
for any reason. No refunds will be given at all after permits
begins
cancels after signing this contract
have been applied for or installation
A site survey of your property showing property lines is required
along with this signed propose
to pull a permit. Please provide
Customer will be responsible for getting approval from their
liable for customer not obtaining final
H.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 Weather
or any electric service provider
for any delays caused by product
delays
Price does not include a sure start or hard start if required f
if required.
r A/C. Additional charges will apply
By signing below, I agree to all the terms stated al
Printed name
Date //
Stanature
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