HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
li-Ts 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 CBDG Funding
PERMIT APPLICATION FOR: rp n n 'r.
I PROPOSED IMPROVEMENT LOCATION:
.'�
Address: ' c A 1 V
Property Tax ID #: iU �U�,. (�I�tn ' ����� ` Lot No.1 )-(,2
Site Plan Name: Block No. '7)s
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10c)(7D .fi.
Gas Piping
Sprinklers
(Affidavit required)
_Shutters _Windows/Doors Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer
Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name j'
Address: �? C1 \Y
City: T Stater
Zip Code: l Fax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: V
Company:
Address: -'-J_J! a- J_�nnu"vsVL)
City: � + x _ 1 t, V D 1 State:
Zip Code: SAw Fax:
Phone No ` c
E-Mail e)A9fr-JN I Dd(r�\�Occhya p0mo J I,
State or Countylicense V
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.
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: _State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
UVVIvtK/ GUN I KALI UK AFFIDVIT: Application is hereby made to obtain a perrn.it 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 with 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 V the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorrAT before commencing work or rerordina vniir nlntlra nf rn r Anrom. r
Signature of f w r/ L •see/Contractor as Agent for Owner
STATE OF FLOR[CA.4
COUNTY OF lOr� t
Swor to (or affir ed) and subscribed before me of Physical Presence or Online Notarization
_
this cl,' f +' , 20'�i by
. ..
Name of person making statement.
Personally Known. OR Produced Identification
Tvpe of Identification Produced
(Signature of Notary Public- tat
a.BBL DANIELLE GONCALVES
• 232946
Commission No. MYCOMMISSIDN#fGG
ro EXPIRES: June 27, 2022
Bonded 7hru Nolary Public Underrvdtxr,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
M CIL110
-9- -
W-4
V.
*Treasure Coast 772-466-1095, 4252 Bandy 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 / Contract FPL :O-- 15� 7 a
Charles Rowe May 27, 2021
7901 Santa Clara Boulevard
Fort Pierce, FL 34951
202-294-4620
crowexvii@live.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) 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) 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 1st year dealer manage monitoring plan (price per year after 1st
year is $99.00).
9) 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 $395.00
Generator and Install: $10,700.00
Discount:-$500.00
For the sum of., $10,200.00
Licensed & Insured *EC13006279
Email: Energizedgenerators@gmail.com Website: www.Energizedgenerators.com
TERMS:
Charges & Payments: 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 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, Customer shall be responsible for any stop payment, charge backs or returned checks in the amount of
$25.00 or 311/o whichever is greater.
Proposal/Contract pricing good for 30 days from Proposal/Contract date
$2,995.00 due @ Signing
$4,500.00 due @ Release of Permits
$1,102.50 due @ Day 1 Electrical Work
$1,102.50 due @ Delivery of Generator
$300.00 due @ Final Inspection
$200.00 due @ Start U
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:
n MaruO/772-626-4691
Acceptance of Proposal
._��� I, �'`�'�`� (printed name), authorize Energized Electric
to complete the work in acc ce with the above specifications and conditions. I agree to pay as per
terms outlined above.
Signature
Date e-PI/
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
"Serving the Fast 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 which are typed or written, the typed or written language shall govern.
Page 2 of 3
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 ($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 beiq9. 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
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 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 Q
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 re uired.
By signing belowjja�e to all the terms stated above,
Printed name
Date /
Signature
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