HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S5Tra LLUC� 18- I
0
p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Property Tax ID#:3333a-- Iv(- W;},7-6)6 'J Lot No. nb
Site Plan Name: Block No.
Project Name: ,\P.ViPVtYICAi� 1
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit - check all that apply:
_Mechanical
'�5'Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ ('09w U0
—Gas Piping
Sprinklers
Shutters
(Affidavit required)
Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
QWNER�LESSEE ° � s � ,�.{r
COIVTR'AC70R` " I
NameV,coY\("%i Ucy-rf(\nrf,)
Name: " kumck �j(aX ,JO
Address:1�0� S(:A& 06c o'r
Company::
Address: L: 1dSa Gn U lyci
City: �1 RCCor- Stater
Zip Code: 2��1s1 Fax:
Phone No i ia��Q�O Lt As
City: RA:S��� G Ext r State.
Zip Code:a(A Q Fax:
Phone No. i ia' Sad ��� I
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ( d(`
State or County License
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.
SUPPL MFNTAhCON Tp0-47p� VNIAWNFORMATION
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 on th ' site before the first inspection. If you intend to obtain financing, consult
with lender oranb e commencing work or recording our Notice of Commencement.
Signature of Owner/ L ssee/Q ntractor as Agent for Owner
STATE OF FLO�I
COUNTY OFF a )ll d
Sworn to (or affir d) apd subscribed before me of Physical Presence or Online Notarization
this c°"day of � 1 2QA by
9 I � n( � Ltx'm CL�
Name of person making statement.
Personally Known +11_ OR Produced Identification
-TWe of Identification Produced
(Signature of Notary Public- State of Flori a)
Commission No. (Seal) yws"4%; -; DANIELLEGONCALVE$
MYCOMMISSION03232945
. •e; EXPIRES: June 27, 2022
''••
okp;,••+ BOOM Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Palm Beach 561-752-0214, 2758 Old Okeechobee Blvd. Suite 9. West Palm Beach, FL, 33409*
Proposal / Contract
Kenneth Lieberman
7981 Saddlebrook Drive
Port St. Lucie, FL 34986
772-828-9371
fragman5l@yahoo.com
June 2, 2021
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) Install customer supplied (1) 24,000-watt generator
2) Supply and install (1) 200-amp service entrance rated automatic transfer
switch with (3) load sharing modules if needed.
3) Price includes 80ft extended service.
4) Supply preformed concrete slab.
5) Deliver and set generator in place.
6) Includes labor, battery for generator, materials, and permitting.
7) Start up and test.
8) Price includes 1st year silver maintenance (price per year after 1st year for silver
maintenance is $329.00).
9) Price includes 1st year dealer manage monitoring plan (price per year after 1st
year is $99.00).
10) Price includes 10 year warranty.
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 95.00
Install:
Discount:
$7,300.00
-$500
For the sum of.- $6,800.00
Licensed & Insured *EC13005279
Email: EnergizedAenerators.Qgmail.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. Customer shall be responsible for any stop payment, charge backs or returned checks in the amount of
$25.00 or 3% whichever is greater.
Proposal/Contract pricing good for 30 days from Proposal/Contract date
$2,995.00 due @ Signing
$2,500.00 due @ Release of Permits
$ 805.00 due @ Day 1 Electrical Work
$300.00 due @ Final Inspection
$200.00 due @ Start Up _
We appreciate the opportunity you have extended us to quote on this work and would
like to thank you in agvance for your consideration.
Authorized signature:
John IAiruri 772-626-4691
�} Acceptance of Proposal
I, 11 �� r'*1 (printed name), authorize Energized Electric to
complete the work in accordy-I e with the above specifications and conditions. I agree to pay as per
terms outlined above. 7 J
Signature
Date �✓���
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, the will be an additional $199.00 each —
does NOT include disc- '- .J reinstalling sal,...
apply It solar systems are installed and fed from the load side of the automatic transfer -,-
Energized Electric recommends homeowner let the solar company knew about the generator
.sten7 be- installed
Energized Electric supplied labar• and electric material are warraniied fray (I) year from data of
filial inspection or Completion. If 1-10 permits were required, the equipment and parts aye per
_------ -_ manufacturer's w arrcant%j 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
A site survey of your property showing property litres 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. energlzed 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
if required.
By signing below, �I agree to all the terms stated above,
FYI 19 i' ��'
Printed name
f
Signature - --
-=-1-147
Date
Page 3 of 3