HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PLUME
Permit Number:
9Vo PLUME
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
I PROPOSED IMPROVEMENT LOCATION:
Residential Z
Address: _tL
Property Tax ID #: ����� ^-(fir Lp Lot No.
Site Plan Name: Block No.
Project Name: k f*_)
LDETAILED DESCRIPTION OF WORK:
9( A) �V, V\ G,YY� ltYA r) SNYIr' < r(A M rV1 14 0 A
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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: r Sq. Ft. of First Floor:
Cost of Construction: $ 111
11 s
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Y� k
Name : UA t {�1[�iL linC r
Address: k
Company.
City: 9UR'n- Stated_
Zip Code: Fax:
Phone No. I ' 3 " $
Address: 1,�}
City: 32rpycState:
Zip Code: ( Fax:
Phone No L S
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail (- ~L'sacyViraba
State or County License_ CI I(c._o`��Cf
11 VOIUC W LU113LI ULLl lI 02� cauv u1 IFlUre, a RLwrcuLu rvotice oT 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 the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attqrneefore commencing work or recordin our Notice of Commencement.
Signature of Owner/ s5 e/Cont or as Agent for Owner
STATE OF FLORIDA,
COUNTY OF IT) A-)C-t-,
Sworn to (or affir d) and subscribed before me of _ Physical Presence or Online Notarization
this day of Mk20 ) tt by
i
Name of person making statement.
Personally Known OR Produced Identification
T e of Identification Produced
(Signature of Notary Public- State of myGOMMIS510N#GG232946
Commission No. Qo; EXPIRES: June27,2022
pt + °.•' Bonded Thru WW Public Underw6ters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev
r j 41 — � ��• LL fir. r
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-0672*
*Palm Beach 561-752-0214, 2758 Old Okeechobee Blvd, Suite 9, West Palm Beach, FL, 33409*
Sebastian 772-778-0131, 725 Commerce Center Drive Suite J, Sebastian, FL, 32958X
*Energized Electric Gas Department 772-241-5279, 4�58 Bandv Blvd, Fort Pierce, FL, 34981 Y
q q q � C m4'��(
Thomas BieseliaV
Conifer Drive
Fort Pierce, FL 34951
631-943-1468
Tbees2@gmail.com
Proposal / Contract
August 9, 2021
Energized Electric is pleased to quote on your new generator ourchase & 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) 22,000-watt Generac generator model #7042 with Wi-Fi
enabled monitoring device.
2) Supply and install (1) 200-amp non -service entrance rated automatic transfer
switch with (3) load sharing modules if needed.
3) Price includes surge protector.
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 silver maintenance plan which is 2 visits. The first being at your
25-hour oil change and the 2nd in 6 months. (Price per year after 15tyear 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: Gas work is quoted on a separate proposal
Generator and Install: $11,200.00
Surge protector $495.00
Discount; -$500.00
For the sum of: $111195,o0
Licensed & Insured *EC13046279
generators.com
Email: EnergizecigeneratorsCcbamail.com Website: www.Enerciized,,,,__
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 ($595.00) Initial
For Generac 10 year extended warranty ($995.00) initial
If additional toad 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 warrantied 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
FLOOD ZONE PROPERTIES;
Customer 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 NON REFUNDABLE 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
applied for or installation begins
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 Sig7in below, I agree to all the terms stated above,
) -¢ ZrLs&-�"ram
Printed name
Signature
Date % G/
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