HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U � t D 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVVIE�MENT LOCATION:
Address: �'
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF W011K:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _3<Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Ica
Cost of Construction: $ 1bu(-l-) Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name cOfi Al_ Name:
Address: r�S� rJ lb nas Pb'nr � Company:
City: jl\-Si-C x a State Address: " V
Zip Code: Gl (v Fax: City: State:
Phone No. ) Ly Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next p;�ge(if different E-Mail s a LAC�
from the Owner listed above) State or County License --LA12i(1
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 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. AI Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on jol'osite before the first inspection. If you intend to obtain financing, consult
with lender orarlptiorney re commencing work or recording our Notice of Commencement.
Signature of Ow er/Les e/Contractor as Agent for Owner
STATE OF FLO. D
COUNTY OF -- t A
)(A..
Swolrn to(or affirmed)and subscribed before me of '�Physical Presence or Online Notarization
this y° `"'day of 2 2Q�1 by
Name of person making statement.
Personally Known OR Produced Idehtification
e of Identification Produced
(Signature of Notary Public-State of Florida )
Commission No. (Seal r:F''��Puc;T DANIELLEGONCALVES
s,? * my cbWIMISSION#GG 232948
EXPIRES:June 27,2.022
11
Grr�nded Thou Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5
Flroposal / Contract
Robert & Deborah Malek May 4, 2021
8726 Thompson Point Road
Port St Lucie, FL 34986
734-748-2246
rrmalek5520@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) Supply and Install (1) :�2,000-watt Generac generator model #7042 with Wi-Fi
enabled monitoring device.
2) Supply and install (1) M-amp service entrance rated automatic transfer
switch with (4) 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 (price per year after 1st year for silver
maintenance is $329.00).
8) Price includes 10 year warranty.
NOTE: Gas work is quoted on a selparate 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 IMo So feet of sod for $395.00
Charges&Payments: Charges are due in full at time services are rendered unless otherwise stated below. Contractor may
[acpplircable
hage and customer agrees to pay a lute fee for all past due payments, such fees not to exceed the maximum allowed rate by
law. Customer shall be responsible and agrees to pay for all charges billed, applicable taxes, applicable legal fees and
Proposal/Contractricin other charges/fees
pricing good for 30 days from Proposal/Contract date
uue C� Signing
$4, 00,00 due CCU Release of Permits
. 1,3 2.50 due @ Day 1 Electrical Work
1. Z 50 due 0 Delivery of Generator
00.00 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:
John Maruri 772-626-4691
Acceptance of Proposal
"e `'-- (printed name), authorize Energized Electric
to complete the work in accordance with the above specifications and conditions. I agree to pay as per
terms outlined above.
Si
natur W, Date
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
I Payir,'V attention to every detail!
Serv"n9 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 whit'i are typed or written,the typed or written language shall govern.
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MUST BE PAID AT SIGNING
For Generac 5 yea Extended Warranty ($495.00) Initial
For Generac 7 year extended warranty ($695.00) Initial
For Generac 10 ye Br extended warranty ($995.00) Initial
Proposal does NOT include disconn ecting and reinstalling solar systems. Additions� chE-nrg
apply if solar systems are installe and fed from the load side of the automatic transf'e' ry t3 �a
Energized Electric recommends omeowner let the solar company know about >
system beinq installed
Energized Electric supplied labor and electric material are warrantied for (1) year frc,�a date of
final inspection or completion. If no permits were required, the equipment and parts are per
manufacturer's warranty policy
Customer is responsible for any additional cost for elevated concrete slabs and
the cost of engineering ftir the elevation certificate if required by building
department
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 responsib a for any delays due to F.P.L. or any electric service provider
for shutdowns. Energized Electr c will not be responsible for any delays caused by product
shortage, av ilability of materials or weather delays
Mart if required for AIC. Additional chalk ;;.
By signing below, I agree too all the terms stated above,
Printed name
Date T
Sig nature/
.
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