Loading...
HomeMy WebLinkAboutSchmeid app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: oILLCc;1 Building Permit Application Planning and Development Services Commercial Residential Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG FLinding PERMIT APPLICATION FOR: E�-CC=f t_ PROPOSED IMPROVEMENT LOCATION Address: L.L '' � .� � � . � Lot No. 1 � Property Tax ID #: �(� ' Block No. J Site Plan Name: Project Name: ( t DETAILED DESCRIPTION OF WORK: l New Electrical Meter. Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) it's Additional work to be performed under this permit— check all that apply Windows/Doors Pond Gas Tank —Gas Piping _ Shutters Mechanical — Pitch — Sprinklers Generator Roof Electric � Plumbing — P — 5q. Ft. of First Floor: Total Sq. Ft of Construction: uu Utilities: Sewer —Septic Building Height: Cost of Construction: $ — OWNER/LESSEE: Name 11 Address: Stater City: 1�{_ Zip Coder Fax: Phone No. Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: 1 Company: Address: : State: City E- Zip Code: ` Fax: Phone Nab E-Mail `&EP4— � State or County License if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. ED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORD Name: _ Address: City: _ Zip: EER: _ Not Ap 11 State MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wNth your Homeowners 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 jobs' before the first inspection. If you intend to obtain financing, consult with lender or an attornev before 2 mmencing work or recording vour Notice of Commencement. Signature of Owner/ Le e Contra or as Agent for Owner STATE OF FLORIDA COUNTY OF a C j -A Sworn to (or affir ed`) and subscribed before me of Physical Presence or _ Online Notarization this ` day of { 1C 5 20DI by n Name of person making statement. DANIELLE GONCALVES ' MY CbMMISSION # GG 232946 Personally Known OR Produced Identification `.`. EXPIRES: June 27, 2022 T of Identification Produce 1. z° � Bonded Thru Not&ry Pub�o Undererller¢ LEI (Signature of Notary Public- State of Florida) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21 *Treasure Coast 772.466-1095, 4252 Sandy 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 / Agreement Alan Schmied 519 paurotis Ln Fort Pierce FL 34982 401-996-9348 AlanSchm'ei d(c),gmail com July 14, 2021 i) Supply Labor & material for the following Scope of Electric work, 2) Supply & Install mechanical Interlock with existing 50-amp genetor breaker 3) Remove existing genertor circuit that passes through meter, 4) Install new 50 -amp rated generator circuit from existing Reliance PBSO generator inlet to 50- amp generator. Backfeed breaker, 5) Supply & Install now panel schedule, copy from existing scheduler 6) Test and train customer on customer supplied portable generator system. 7) Obtain all permits, drawings and inspections. or the sum of.. $ o.00 0 Charges e. Paymentai 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: paxments, such fees not to exceed the maximum allowed rate by applicable low. Customer shall be responsible and agrees to pay or all charges billed, eppifcabie taxes, applicable legal fees and other charges/fees. Customer shall be responsible for any stop payment, charge backs or returnee checks in the amount of $25.90 or 3% whichever is greater. Proposal/Contract pricing good for 30 days. from Proposal/Contract date _ $750.00 is due @ Completion 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: Mike Fiaxman Acceotanceof Proposal /'� complete the work In accordan terms outlinedjabgvlr., Signature ad name), authorize Energized Gas to and conditions. I agree to pay as per Date ;Z., I $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 This agreement shall be construed under the laws of the State of Florida. This agreement contains the entireunderstanding 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 2 Charges e. Paymentai 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: paxments, such fees not to exceed the maximum allowed rate by applicable low. Customer shall be responsible and agrees to pay or all charges billed, eppifcabie taxes, applicable legal fees and other charges/fees. Customer shall be responsible for any stop payment, charge backs or returnee checks in the amount of $25.90 or 3% whichever is greater. Proposal/Contract pricing good for 30 days. from Proposal/Contract date _ $750.00 is due @ Completion 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: Mike Fiaxman Acceotanceof Proposal /'� complete the work In accordan terms outlinedjabgvlr., Signature ad name), authorize Energized Gas to and conditions. I agree to pay as per Date ;Z., I $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 This agreement shall be construed under the laws of the State of Florida. This agreement contains the entireunderstanding 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 2