HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
01ro LCE =aR.
T"T0
,
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: CZf-
PROPOSED IMPROVEMENT LOCATION:
Address: , ( t V--0 T �'(
Property Tax ID #: ` . D- • Lot No.
Site Plan Name: Block No.
Project Name:]
DETAILED DESCRIPTION OF WORK:
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 Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
e �
Cost of Construction: $ � )3C�L J Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ON ij P— --
Name: hi K
Address: qsos
City flin-C.Q Stater
Zip Code: c�,c, Fax:
Phone No. ��{ —�T5 " a
Company: A
Address: Y 9
1 u
Q
City: �u lid Lip State
Zip Code: Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Wbgna ;rc lt�C
State or County License
IT value or construction is z!)uu or more, a KtCUKUtU Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
r
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 proper,y-- Notice of Commencement must be recorded in the public records of St.
Lucie County and posted o"- jobsite before the first inspection. If you intend to obtain financing, consult
with lender or gn at me fore commencing work or recording our Notice of Commencement.
Signature of O neri Lessee/Contractor as Agent for Owner
STATE OF FLORI A ,
COUNTY OF
Sworn to (or affirT ed) and subscribed before me of `�-" Physical Presence or Online Notarization
this day of (A 2G)k by
Name of person making statement.
Personally Known - — OR Produced Identification
TyPZ!,of Identification Produced
I
(Signature of Notary Public- State of Florida )
Ilk, DANIELLEGONCALVES
Commission No. (Seal) "- *_ MY COMMISSION#GG232946
>, . EXPIRES: June 27, 2022
F'•'F,Fi
Bonded fti Notary Public Undenvn'crs
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21
*Treawre Coast 772.466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-0672*
*Palm Beach 561 752-02:14, 2758 Old Okeechobee Blvd, Suite 9, West Palo) Beach, FL, 33409*
'Sebastian 77-778-0131, 725 Comm rrce Center 4)rive Suite J, Sebastiao,'FL 32958*
*Energized trod Electric, flan Department 772-241-5271, 425$ BandyVvd, :port Pierce, FL, 34981�
Proposal I Contract
Christine Breena. July 15, 2021
2405 Trowbridge Road
Fort Pierce, PI- 3494
814-599-2393
breene257@msn,com
Ene`ralzed Electric Fs pkdgad' to uupte on your new aenerater aurchase & installation,
Energized Electric hereby agrees to €tarnish ail labor and materials necessary for the completion of
services as specified below;
1) Supply and install,(X) 22,000-watt;Generac generator model #7042 with Wi-Fi
enabled monitoring device.
2) Supply and install (1), 200-amp non -service entrance rated autornatic transfer
switch with (3)load sharing modules If needed.
3) $upply prgfbrrmed concrete slab,
4) Deliver and set generator in place.
5) Includes labo'r, battery for generator, materials, and'Rermitting.
6) Start up and test.
7) Price includes silver maintenance plan which is 2 visits. The first�bging at your
8) 25-hour oil change and the 2°d in 6 months. (Price per'year after istyear for
silver maintenance is $329,00).
9) Price inciudes'i$r year=;dealer manage monitoring plan (price per year after 1-It
year is $99.`'00).
10) Price includes 10 year warranty.
NOTE: Gras Work is quoted on a separate proposal
Generator and Install. $10,000.00
p`iscount. ;$500.00
Charges & Psymentm 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 feesnot-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,rcharge backs or returned checks in the amount of
$25.00 br2l% whichever Is greater.
Proposal/Contract priChiq good for 30 days from Proposal/Contract date
$2,095.00 due 0 Signing
$4,$00.00 due @ Release of Permits
$1, ,52.50 due @ Day 1 Electrical Work
$1,152.S0 due @ 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
/*r_ Acceptance of Proposal
I, l Vlcj�ne, '2&yAe (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.
—J�.'t6 U e. Oate
SignatUee
Thank you for choosing .Energized Electric
Your Authorized Elite Dealer.
Paying attention; to eery detaill
"'Serving the East :Coast of Florida"
"n}t6hffr ""618hall be wa%4ueN
m.
Zoom Zroa a..ot5.4 therk: Ory 0l
'Page 2of 3
MUST BE PAIR AT SIGNING ONLY IF ITS NOT INCLUDED^
For Generac 5 year Extended Warranty ($495.00) Initial
For Generac 7 year extended warranty ($¢95.00) initial
For Generac 10 year extended warranty ($995.00) Tnitial "
If additional load sheds sheds are required, they will be an additional $189.00 each I
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.
s stem being In alled
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
manufactur is warranty policy
FLOOD ZONE PROPERTUil
Customer is responsible for any additional cost for elevated concrete slabs and
the cost of engineering for the elevation certificate if required by building
or makes a deposit for any
FM
A site survey of your
customer cancels after signin,
Il be given at all after permits
Is required to pull, permit. Pie
been
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 decays 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 mafertlais or weather delays
Price does not include a sure start or hard start, if required for A/F's Additional charges will apply
If required.
By signing below;.^ agree to all the terms stated abever
C kV -(
Printed name
Bate Adi &
Signature
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