HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
- Ir, WU*
L1�
O
i n "' 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:
Address:
M
PropertyTaxlD#:Lot No.
Site Plan Name: Block No.
Project Name: S\fY\IDscn
�J vV-n 1 Oack s y 6 s
New Electrical Meter Second Electrical Meter (Affidavit required)
0 ,Mk +, r
CONSTRUCTION INFORIVIA�i,
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: $ � C)scx�)w Utilities: _Sewer _Septic Building Height:
, �EE Room
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CfJNTRACTOR
Name AX-Y '\CA \YY\lV On
Name: Vk\(Y)aC\ ���lXM A0
Address:9,r�L-OS S \nb3 n �1ya ()r
Company�G 'r \ (�
City: MiTD Stater
Zip Code: QL2� Fax:
Phone No. ii i��` �7�\V
Addresss:::A''Sd Af1C�U �J�
City: 1 7nlfm State:
Zip Code: ax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License 1P-CAS(-)t9 0a
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. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on th�bsite before the first inspection. If you intend to obtain financing, consult
as
STATE OF FLORIDSj�
COUNTY OF
Sworn to � (or affirmed) and subscribed before me of Physical Presence or
this -l4J�-day of D-1 AL � 20a\ by
Name of person maakirir
Personally Known +�
Tie of Identification I
of Notary
Commission No.
OR Produced Identification
(Seal)
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
Online Notarization
MY coMMlsswry n.w
EXPIRES: June 27.2022
SUPERVISOR
RE IEW VEGETATION
S REVIEW LE
MANGROVE
REVIEW
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672
*Palm Beach 561-752-0214, 1550 Latham Rd, Suite 3, West Palm Beach, FL, 33409"
Proposal / Contract
Angela Simpson
4405 S Indian River Dr
Fort Pierce, Florida 34982
717-514-01 1 0
apsimpsonl8_@gmail.com
March 11, 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) Two man job to remove existing generator and TS. Supply and Install (1)
22,000-watt Generac generator model #7042 with Wi-1=i enabled monitoring
device.
2) Supply and install (1) 200-amp service entrance rated automatic transfer
switch with (2) load sharing modules if needed.
3)
4)
5)
6)
7)
8)
9)
Price includes sub panel.
Supply preformed concrete slab.
Deliver and set generator in place.
Includes labor, battery for generator,
Start up and test.
materials, and permitting.
Price includes 1st year silver maintenance (price per year after 1st year for silver
maintenance is $329.00).
Price includes 10 year warranty.
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 requested Energized
Electric will replace/install up to 100 SO feet of sod for 1395.00
Generator and Install: $11,000.00
Discount: -$500.00
For the sum a : $109500
Licensed & Insured *EC13006279
Email; En ergixedgeneratorsna gm ail -com Website; www.Ener ized enerators, om
TERMS.
Charges & Payments: Charges are duein fullat 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 due @ Signing
$4,500.00 Blue @ Release of Permits
$1,752.50 due @ Day 1 Electrical Work
$1,752.50 clue @ Delivery of Generator
$300.00 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
I,— Amps a- arAosrs() (printed name), authorize Energized Electric
to complet the work In accordance with the above specifications and conditions. I agree to pay as per
terms outlined above.
Date 7 i a-/ _
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
"Serving the East Coast of Florida
This agreement snail be construed under the laws of the State of Florida. This agreement contains the entire understanding of the parties and supersedes ail previous verbal or
written agreements: there are no other agreements, representations or warranties notset 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 cavern..
Page 2 of 3
MUST BE PAID AT SIGNING
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 warrantled 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 PROPERTIM
the cost of engineering for the elevation certificate If required by building
ti.'• !. . q i . n
f $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
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,
Printed harne
Date l t ---
Signatu e
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