HomeMy WebLinkAboutgen app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
Residential >
PROPOSED IMPROVEMENT LOCATION:
Address: `l -
Property Tax ID 4: `, )a • S W ^% 7( • S Lot No. �3_
Site Plan Name: Block No.
Project Name: t bco
DETAILED DESCRIPTION OF WORK:
t
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers °'Generator Ronf
Total Sq. Ft of Construction:
Cost of Construction: $ 3R__�q S
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name
Address: lV
City: P Stater
Zip Code: Fax:
Phone No. 3 C(co1 1313 t E-
Name: l
. t\
Company: Ile
Address:
, V
City:
Zip Code: Fax:
Phone No �oq S
State:
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of rnnctmrtinn is 3rnn .
E-Mail_flNQfCk
�
State or County License t,13n�
9��_N
------ clll.clllclll IJ iuqulleu.
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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
mmnuFR/rnrwrDA!`TAo Arrmairr_ _
_ - - ----I _ .... ,,.., — , ,,,,,,,, , Hpp„cation is nereoy 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 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 on jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne Pfnra rnmm in nrinQ,.,-,L- ... .._ ei__ _
- - - -- v! u I I kJUI INuuce of Commencement.
Signature o ner/ L see/Contractor as Agent for Owner
STATE OF FLORI
COUNTY OF
Sworn to (or affir ed) and subscribed before me of Physical Presence or Online Notarization
this tP day of i `V' 20�! by
Name of person making statement.
Personally Known OR Produced Identification
De of Identification Produc
LLL�L
(Signature of Notary Public- State of Florida)
Commission No. DANIELLE tG.OIvft,AL. E3 i
MY COMMISSION r# GG 23'9 0 1I°"
FX?i':ES ,Iur e 27, 20<?2 !
•• , , , . Bonded Yhru ,Jatpry Nub:•ic Urde:wriiers ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev 572072r—
fly 2 - �QL
MW
� 34991, Fax 77?-318-667?,�
Blvd, Fort Pierce, FL, 334W
*Treasure ('oast 772-46(-1Q`�5, 4252 Bandy
'West
Palm Beach, FL-
*Palm Beach 561-752-0214, 2758 old Okeechobee Blvd, Suite 9,
Proposal / Contract '"W"
May 27, 2021
Jane Carollo
9669 Fairwood Court
port St. Lucie, FL 34986
(303) 907-7331
folola_ne333C. a�l- qom & in ►►ation:
on r new n ra or r ha
�r ized EI tri ► to d u for the completion of
Energized Electric hereby agrees to furnish all labor
anbelow materials necessary
services as specified
1) Supply and Install (1)
48,000-watt Generac liquid cooled generator #RG04845ANAX
with Wi-Fi enabled monitoring device.
I and install (2) 200-amp service entrance rated automatic transfer switch.
2) Supp Y
3) Price includes preformed concrete slab.
4) Deliver and set generator in place. materials, and permitting.
5) Includes labor, battery for generator,
6) Start up and test. (price per year after 1st year for silver
7) Price includes 1st year silver maintenance
maintenance is $495.00)• Ian rice per year after 1st year
8) Price includes 1st year of dealer managed monitoring p (p
is $99.00). ndard 5-year warranty.
g) Price includes sta
NOTE: Gas work is quoted on a separate proposal
S that dies or landscaping that has to NOTE: Energized Electric is NOT responsible s?f r gras laceme t of sod is requested Energ Zed be
replaced for proper installation of co 5.00
In to 100.50 feef sod for t o—
Generator and Install' $28,995.00
Discount:-$500.00
For the�.h $28495 007
Licensed & Insured*EC1300627Energizedgenerators.com
Email: Energizednenerators(aiamaii,com Website: www
— — --- TERMS:
ficable taxes, applicable legal fees and
may
a late fee for all past due payments, such fees not to exceed the maximum allowed rate by
Charges &Payments: Charges are due in full at time services are rendered unless otherwise stated below. Contractor
charge and customer agrees to pay
or any Stop payment, llchacharge backs or returned checks in the amount of
applicable law. Customer shall be responsible and agrees to pay for charges billed,app
other charges/fees. Customer shall be resp $25 00for 30% whichever is greater• osal/Contract date
Proposal/Contract pricing good for 30 days from Prop
$2,995.00 due @ Signing
$18,000.00 due @ Release of Permits
$3,500.00 due @ Day 1 Electrical Work
$3,500.00 due @ Delivery of Generator
$30000 due'nal @ Start UInspection
200
appreciate the opportunity you have extended us to quote on this work and would
We
like to thank you in advance for your consideration.
Authorized signature: Mike Flaxman
Acceptance of Proposal
(printed name), authorize Energized Electric to
I,
com lete%teork in accordance with the above specifications and conditions. I agree to pay as per
terms outlined above.ULM 1
Date 2-)
Signature
Thank you for choosing Energized Electric
Your Authorized Elite Dealer.
Paying attention to every detail!
"Serving the East 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
sent are or warranties
or written, typed herein, if
flany conflicts shall exist
i this agreement between terms which are printed
an
Page 2 of 3
Proposal does NOT inelude disconnecting and reinstalling solar systems. Additional charges w,L+
ide of the automa
apply if solar systemeC recommends homeowner let the solarcompanyknow about the generac transfer tor
Energized Electric s stem bein installed
Energized Electric supP
I+ed labor and electric material are warrantied for (1) Year from date of
final inspec#ion or completion If no permits were manop
ufacturer's warrantyI'reoliche equipment and parts are p
Energized Electric is NOT responsible for water or sewer line repairs, and will rocesso be responsible
for broken water o sewer lines that occur luring the installation p
FLOOD ZONE PROPERTIES:
Customer is responsible for any additional cost for elew�atei
the cost of engineering for the elevation
certificate if r u�r ai '�
$3g5.i)0 of the initial deposit is NON REFUNDABLE if customer cancels after signing this contract
or makes a deposit for any reason. alied for refunds
nstalwill
a given beg nst all after permits have been
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
for shutdowns. Energized Electric will not be respo�,�ible �o� aray deua�d�� �.a�s�� �'�J ���'`''���`
�i,,�a�P_ 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 reauired.
By signing below, I agree to all the terms stated above,
ICE re
Printed name
Date Un 2 111
nature
Page 3 of 3