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 X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 356 MIDWAY RD Fort Pierce, FL 34982
Property Tax ID #: 3403-502-0053-000-3
Site Plan Name:
Project Name: Midway Specialty Care generator
DETAILED DESCRIPTION OF WORK:
Install 24kw generator with (2) 200 amp transfer switches and load sheds
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.28
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 iGenerator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 13895.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name MBA Business Enterprises LLC
Name: Michael Flaxman
Address:356 MIDWAY RD
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.7727429276
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No7724661095
E-Mail:
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
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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 on the jobsite before the first inspection. If you intend topbtain financing, consult
with lender or an attorney before commencing work or recording vour Niatice ofXommencement.
Signature a 0 ner/ ssee/Contractor as Agent for Owner
Signature of o ractor/L tense Holder
STATE OF FLORI
STATE OF FLO
COUNTY OF /L; (�_�
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
orn to (or affirmed) and subscribed before me of
�hysic l Presence or Online Notarization
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hysical Pre ce or Online Notarization
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t is 202 by
this day of 202f by
CAU , I rww'cs f\
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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
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EXPIRE S. June
MY COMMISSION # c3G 23M6
Commission {arypu4
Co `# } 'f p. EXPIRES. Ime27,2022 eal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/20
II' `
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palen. Beach 561-752-0214, 2758 Old Okeechobee Blvd, "State 9, West Palm Beach, FL, 33409*
Proposal /`Contract
Midway Specialty Care Center June 9, 2021
356 East Midway Road
Fort Pierce, Florida 34982
772-742-9276
khayden@midewaycare.org;
Energized Electric' Is oleased to quote on your new generator gurchase & 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) 24,000-watt Generac generator model # 7209 with Wi-Fi
enabled monitoring device.
2) Supply and install (2) 200-amp service entrance rated automatic transfer
switch with (3) 50-amp smm modules and (1) 100amp.
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 (price per year after 1st year for silver
maintenance is $329.00).
8) Price includes ist year dealer manage monitoring plan (price per year after 1st
year is $99,00).
9) Price includes 10-year warranty.
NOTE: Minimum size Lp tank suggested 250 gallons.
NOTE: Only one A/C at a time may run on this size generator. To run all 3 A/C may have to shut some
items off.
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 reouested Eneralzed Electric will replace/install
Generator and Install: $14,395.00
Discount: -$500
For the sum of, $13,8 5 00
Licensed & Insured *EC13006279,
Email; EneralzedgeneratorsdaMAI&M Website: www,Energizgdaeneralgrs.com
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 Pee 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/Pees. Customer shall be responsible for any stop payment, charge backs or returned checks in the amount of
$25.00 or S% whichever is greater;
$2,995.00 die @ Signing
$6,500.00 due @ Release of Permits
$1,650.00 due @ Day 1 Electrical Work
$1,650.00 due @ Delivery of Generator
$ 600.00 due @ Final inspection
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:
Mike Flaxman
name), authorize Energized Electric to
and conditions, T agree to pay as per
Date {I
Thank you for cheering Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
"Serving the East Coastof Florida
This agreement shall be construed under tha laws of the State of Florida.This agneornentcontains the entire understanding of the partiesand supersedesall previous verbal or
Written agreernents, there are no other agreements, representations or warranties net set forth herein. If any topelcts exist to thisagreement betweente"s which are printed
and those which are typed or written, the typod or written language shall. govern..
Page 2 of 3
MUST BE PAID AT SIGNING ONLY IF IT'S NOT INCLUDED
For Generac 5 year Extended Warranty ($495.00) Initial
For Generac 7 year extended warranty ($695.00) Initial
For Generac 10 year extended warranty ($99S.00) Initial
If additional load sheds are required ti ey 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 s�arrantypolicy
sewer
not be responsible
FLOOD ZONE PROPERTIES
Customers 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 MON 99EUNDABLF if customer cancels after signing this contract
or makes a deposit for any reason. No refunds will be given at all after permits have been
A site survey of your property showing property lines Is required to pull a permit. Please provr de
along with this signed proposal^u
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
F1"=Orlzodectwns. Energised Electric will not be responsllsle for any delays caused by product
shortage, ayaiNahilifiy of materials oweather delays
By signing below, I agree to all the terms stated above,
Printed
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