HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit 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:ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 113 SE Camino ST Port Saint Lucie, FL 34952
Property Tax ID #: 3419-515-0248-000-6
Site Plan Name:
Project Name: Mouilleseaux elec
DETAILED DESCRIPTION OF WORK:
install mechanical interlock and 50 amp inlet
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
Mechanical
�ectric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1295.00
Gas Piping
Sprinklers
Lot No.12
Block No. 29
_ Shutters —Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Donald Mouilleseaux
Name:Michael Flaxman
Address:113 SE Camino ST
Company: Energized Electric
City: Port ST Lucie State: �
Zip Code: 34952 Fax:
Phone No.7728342356
Address:4252 bandy Blvd
City: Ft Pierce State: FL
Zip Code: 34981 Fax:
Phone N07724661095
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail energizedgenerators@gmaii.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.
INEER: Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:—
- Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 on the jp*ite before the first inspection. If you intend to obtain ' ncing, consult
with lender or an attorney befyGi4ommencing work or recording vour Notice of C, rrie5eement.
d,
Signature of Owner/ see/C tractor as Agent for Owner
Signature of Contractor I ense older
STATE OF FLORI�A
STATE OF FLORIDA—,
COUNTY OF �}1 A �(" L ,
COUNTY OF _\kG s
Sw r (or affirmed) and subscribed before me of
Sw� (or affirmed) and subscribed before me of
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Physical Prese c or Online Notarization
Physical Pres nce or Online Notarization
thi day of ,2021 by
tC�IY e o Q (CA nwL in
this day of 202¢ by
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Name of person making statement.
Name of person making statement.
Personally Known — /S:/OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
P uced
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_ _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S/b/ZU
Ofil
a
NO
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-319-6672*
*Palm Beach 561-752-0214, 2758 Old Okeechobee Blvd, Suite 9, West Palm Beach, FL, 33409*
Proposal / Contract
Don Mouilleseaux April 30, 2021
113 Southeast Camino Street
Port St. Lucie, Florida 34952
772-834-2356
Donald Mouilleseaux icloud.com
Energized Electric hereby agrees to furnish all labor and materials necessary for the
completion of services as specified below:
1) Customer will supply (1) 13kw portable generator.
2) Price includes mechanical interlock kit.
3) Price includes 50 amp outlet and 50 amp breaker.
4) Price includes 15' 50 amp power cord.
5) Price includes all labor, material, permitting, startup, and training customer.
or the sum of; $1,z95.00
*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 $195.00*
Licensed & Insured *EC13006279
Email: Enerc:izedcuenerators@gmail.com Website: www.Energizedgenerators.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
$495.00 due @ Signing
$ 800.00 due @ Installation
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,
John Maruri
Acceptance of Proposal
I, ar`b"`���r;S�Lt� (printed name), authorize Energized Electric to
complete th work in accorda with the above specifications and conditions. I agree to pay as per
terms ou 'ned �bove„ , ZZ /
Side- ture
Date S - (- "--) I
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every 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 kanguage shall govern.
Page 2 of 3
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
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 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 signing below, I agree to all the terms stated above,
Date _57- b a
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