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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S .1 LUCIE C©UNT�Y L O R.;I 'A' Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:GENERATOR PROPOSED IMPROVEMENT LOCATION: Address: 116 Island Dunes Cv Jensen Beach, FL 34957 Property Tax ID #: 3534-503-0006-000-5 Site Plan Name: Project Name: Williams gen Residential X Lot No.5 Block No. DETAILED DESCRIPTION OF WORK: Install customer supplied 24kw generator with customer supplied 200 amp switch and load sharing modules 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 Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 6495.00 Utilities: Sewer Windows/Doors _ Pond Roof Pitch Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Roy Williams Name: Michael Flaxman Address:116 Island Dunes Cv Company: Energized Electric City: Jensen Beach State: 'li Zip Code: 34957 Fax: Phone No.7724850503 Address:4252 bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: Phone N07724661095 E-Mail:Roy748Roy@aol.com 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 VO UC UwiixI uLAwn is tauu or more, a KtLUKUtu Notice or 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 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 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, 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 the public records of St. Lucie County and posted o the jobsite before the first inspection. If you intend to obtain financing, consult with lender or, an for - before commencin work or recording our Noti e of Compencement. Signature of n / Lessee/Contractor as Agent for Owner Signature of4 ntr6ctorXense Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF �'�,t 1C. COUNTY OF �— �r t Swan to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of CJ Physical Preserxce or Online Notarization 202p by h sical Presence or Online Notarization day MYT202$ by this day of this of tAU anC,!! A (.lKl/M V) C low I tark�jmn 0 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known_ OR Produced Identification Type of Identification Type of Identification PMd �+ Produced —N"n i LA D I( ff(I U? , (( . Sin is g gCLe (Signature of Notary Public- State of Florida ) *_ MY COMMISSION # GG 23296 Com sio a. `- ( ea o: 27, 2022 <'YP�F,.• DANIELLE GOON Commission " ' �: f a$) =*; - 9 •. Bonded Thru Notary Public Underwriters ( MMISSION # GG 232946 .. � ;y^- EXPIRES- Jim �17 -- -I Thra Notary Pul,fc �,iijde REVIEWS FRONT ZONING SUPERVISOR PLANS VE A GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20 •---tea r,, r 17=; 1r4 "EE:a(A; *Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672* 'FPahn. Beach 561-752-0214, 1550 Latham Rd, Suite 3, West Palm Beach, FL, 33409* Proposal / Contract Roy Williams March 10, 2021 116 Island Dunes Cove Jensen Beach, Florida 34957 772-485-0503 roy748roy@aol.com Energized Electric is pleased to quote on your new generator purchase & installation: Energized Electric hereby agrees to furnish all labor and materials necessary for the completion of services as specified below: 1) Disconnect & remove existing generator. Homeowner will supply (1) 24,000- watt generator. 2) Homeowner will supply 1) 200-amp service entrance rated automatic transfer switch and remove existing transfer switch. 3) Energized to supply (3) load sharing modules. 4) Supply stand for generator. 5) Price includes sub panel. 6) Supply preformed concrete slab. Aiyw',?wq 7) Deliver and set generator in place 8) Includes labor, battery for generator, materials, and permitting. 9) Start up and test. 10) Price includes 1st year silver maintenance (price per year after 1st year for silver maintenance is $329.00). NOTE: Gas work is quoted on a separate proposal 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 reauested Eneraized Electric will replace/install up to 100 SQ feet of sod for $395.00 Generator and Install: Discount: For the sum. of.- $6.94E95•oo Licensed & Insured *EC13006279 Email: Energizedaenerators@amaii.com Website: www.Eneraizedgenerators.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 $1,995.00 due @ Signing $4,000.00 due @ Day 1 Electrical Work $300.00 due @ Final Inspection $200.00 due @ Start U 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: Brian Orr 772-353-8734 0 Acceptance of Proposal I ! (printed name), authorize Energized Electric to com et the 6rk in accordance with the above specifications and conditions. I agree to pay as per terMs otitlined above. Signatu Date ' ► � Thank you for choosing Energized Electric Your Authorized Elite Dealer. Paying attention to eery detail! "Serving the East 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 MUST BE PAID AT SIGNING 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 I If additional load sheds are required, they will be an additional $189.00 each I 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 company 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 per manufacturer's warranty policy Energized Electric is NOT responsible for 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: Customer is responsible for any additional cost for elevated concrete slabs and the cost of engineering for the elevation certificate if required by building department $395.00 of the initial deposit is NON REFUNDABLE if customer cancels after signing this contract for any reason. No refunds will be given at all after permits have been applied for or installation begins 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 Eneraized 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 by product shortage, availability of materials or weather delays Price does not include a sure start or hard start if required for A/C. Additional charges will apply if required. By sigiping below, I agree to all the terms stated above, "I I (( j A- rF Printed -Name Signatu Aj Page 3 of 3