HomeMy WebLinkAboutgen app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O
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:
Address:
Property Tax ID##: �� ��(t"�Cx�IJLot No.
Site Plan Name: Block No.
Project Name:
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping Sin tters
Electric _Plumbing _Sprinklers L4Generator
Total Sq. Ft of Construction:
Cost of Construction: $ qq's
Sq. Ft. of First Floor:
—Windows/Doors _Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OUVNER/LESSEE;'CONTRACTOR:.,_.,,
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Name
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State: -
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailucl '' (
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State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S_ § E ,IVI�EfVTAL CONSTRUCTION
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RO$.,�`RMATIO'N ,75:,, r 3t .
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 propeVecommencina
otce of Commencement must be recorded in the public records of St.
Lucie County and posted on tte before the first inspection. If you intend to obtain financing, consult
with lender or an attorn,ev b work or recordine vour Notice of Commencement.
Signature of Ow r/IV ssee/Contr ctor as Agent for Owner
STATE OF FLORID
,� , ,� �
COUNTYOF l A
Sworn�oor affir d and subscribed before me of Physical Presence or Online Notarization
this 66_day of t6 20'D-( by
"C k1oi Q P GUCmu
Name of person makingstatement.
Personally Known K OR Produced Identification
T of Identificatio Produced
(Signature of Notary Public- State of For' �,-
_,i�;4:i,,�,,, DANIELLE fiONCALVES
�� °._ AfiY G0N1P1tY9ulONkVG Ld2�Jd6
Commission No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
neV S/ZU/Z1
*Treasure Coast 772-466-1095, 4252 Bandy Blvd, Fort Pierce, FL, 34981, Fax 772-318-6672*
*Pahn Beach 561-752-0214, 2758 Old Okeechobee Blvd, Suite 9, West Palm Beach, FL, 3340<3'"
*Sebastian 772-778-0131, 725 Commerce Center Drive Suite J, Sebastian, FL 32958*
*Energized Electric Gas Department 772-241-5279 4258 Bandy Blvd, Fort Pierce, FL, 349814:
Proposal / Contract
Bill Tyler
4940 Tree Top TR
Fort Pierce, FL 34951
772-979-2633
Btayler3@comcast.net
September 16, 2021
Enercized Electric is ®leased 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) 2.00-amp service entrance rated automatic transfer
switch with (2) load sharing modules if needed.
3) Price includes 20ft of extended service.
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 1st year for
silver maintenance is $329.00).
9) Price includes 15t 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: $10,195,00
Discount:-$500.00
For the sum af: $99695.00
Licensed & Insured *EC13006279
Email: Website; www.Energizedcieneratgrs.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 3% whichever is greater.
Proposal/Contract pricing good for days from proposal/Contrast date
$2,995.00 due @ Signing
$4,500.00 due @ Release of Permits
$ 850.00 due Cal Day I Electrical Work
$ 850.00 due @ Delivery of Generator
$300.00 due @ Final Inspection
$200.00 due @ Start Up
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 Flaxman
Acceptance of Proposal
I, Ni I, I i v—°'P A C ✓Xeti` (printed name), authorize Energized Electric
to complete the work in accord 4 nce with the above specifications and conditions. I agree to pay as per
terms outlined above:
Signature
Date
?hank 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 Ronda: This agreement contains the entire understandingof the parties and supersedes all previous verbal or
written agreements: there are no other agreements, repneSentatlOns or warrantles not set forth herein. It. any conflicts exist In this agreement between terms which are printed
and those which are typed or written, the typed or wmten 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,ach
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 warrantled 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
$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 ll
I 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 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
shYortage, 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 signing below, I agree,to all the terms stated above,
I t�'� Iqs —,Ic V
Printed name
Signature
Date ` �% J' 02
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