HomeMy WebLinkAboutBuilding Permit Application All 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
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Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Generator
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Address: 185 Sandia Ave Port St Lucie, FL 34983
Property Tax lD#: 3419-540-0074-000-3 Lot No.20
Site Plan Name: Block No. 45
Project Name: Burkhead gen
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Install 16kw generator, 200 amp transfer switch and load sharing modules
New Electrical Meter Second Electrical Meter
CON NUT ;Ad
101 MW I M
Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank —Gas Piping _`Shutters Windows/Doors Pond
Electric _Plumbing Sprinklers >!�Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8495.00 Utilities: —Sewer _Septic Building Height:
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Name Daniel Burkhead Name:Michael Flaxman
Address..185 Sandia Ave Company:Energized Electric
City: Port St Lucie State: Address:4252 Bandy Blvd
Zip Code: 34983 Fax: — City: Ft Pierce State:FL
Phone No.7723423931 — Zip Code: 34981 Fax:
E-Mail: Phone N07724661095
Fill in fee simple Title Holder on next page if different E-Mail energizedgenerators@gmaii.com
from the Owner listed above) State or County License EC1 3006279
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.
SU�PPLRMENTALCONSTRUCTIONLIENtIANVNFOitMATION
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1 Ict 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 jo.4ite before the first inspection. If you intend to obt ' financing, consult
with lender or an at)orogy bef9tSoeornmencing work or recording our N ti of CoyWencement.
Signature of Owner/L `see/C r
tractor as Agent for Owner Signature of Contra t`or/Lic se Holder
STATE OF FLORIDASTATE OF FLORI
COUNTY OF A'C 2 a COUNTY OF ��
Skvo�rn-to(or affirmed)and subscribed before me of Srn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization Phpical Pre pence or—Online Notarization
(9 this day of 202t by. this day of ,202D by
MIC,1(� A EG�C'(`tY�D _���i IDx`f` ,!D
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known _>�OR Produced Identification
Type of Identification Type of Identification
Pr uced Pro ced
(Signatu •, o:(: ar I^ . 'Z7 C Ly (Signature d�NC .5�
-.r :.€ r�rcaaMlssroNaco $q� ' '= raycoa+n+IssloN a zs
Co mmis .= 1) Commissio �10. :* q
,,, P �F°°'•r 9oMed TIN Notary PUN Urvds�µ,lters %�j?, :June 27,2 '
1".,r•. tme4 Thru Notary Pubk Uro ar*r1ers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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*Treasure Coast 772-466-t095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 1700 Latham Rd, Suite 2, West Palm Beach, FL, 33409*
Proposal / Contract
Daniel Burkhead June 23, 2020
185 Se Sandia Dr
Port Saint Lucie, FL 34983
772-342-3931
DanBurkhead4@gm_ail.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) Supply and Install (1) 16,000 watt Generac generator model #7176 with Wi-Fi
enabled monitoring device
2) Supply and install (1) 150 amp service entrance rated automatic transfer switch
with (2) load sharing modules if needed
3) Supply 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 1st Year Silver Maintenance
8) Price includes 7 year extended warranty through Generac
NOTE: Gas work to be done by Thompson Gas (quoted on 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 requested Energized
Electric will replace/install up to 100 SO feet of sod for $395.00
Generator and Install: $8,995-00
Discount: -$500.00
or the sum o : $85495•00
Licensed &Insured *Ec13006279
Email. Enernizedgenerators(amail.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
$1,995.00 is due @ Signing
$3,900.00 due @ Release of permits
$2.,100.00 due @ Generator Installation
500.00 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;
5d4�n ,til.arur,
Acceptance of Proposal
I, h iqL D (printed name), authorize Energized Electric to
complete the wor in accordanc with the abo e specifications and conditions. I agree to pay as per
ter lined o e.
/
Date rr
Signature
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 language shall govern.
Page 2 of 3
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
If additional load sheds are required, they will be an additional $189.00 each
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
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,
�zL-
Printed name
Date 5-0-
Signature
Page 3 of 3