HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
All
4„
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
�urivCk'C-pC
PROPOSED IMPROVEMENT LOCATION:
Address: r �J Ffi L44c
Property Tax ID #: 1t`I�14 ' 1 � 1 l - 6(. DU ' (__�0p
0 ° p Lot No.
Site Plan Name: 1 fBlock No.
V i
Project Name: aC
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
_Gas Piping
Sprinklers
Shutters _ Windows/Doors _ Pond
Generator
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name r
Name: M 4`l � l
1
Address: -) (1 l �� C;t
Company:t
City: (�1�� �; C State:�L
j
Address: -1�� c� �V .�
Zip Code: ��`"/r1 Fax:
City: ' State:
Phone No. S��pOL E-
Zip Code:' cc'�k Fax:
Phone No ql) 4 V�D 1(�IS
E-MaiI _CV M LZe
Mail:
Fill in fee simple Title Holder on next page [if different
from the Owner listed above)
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.
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 property. Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on th obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneyb ore commencingwork or recordin our Notice of Commencement.
Signature of Con ra tq - or - Owner Builder as applicable
!
STATE OF FLORI
COUNTY OF A DC e 9
Swoxn to (or affir ed) ands bscribed beffj�re� me of
1`dayof _p.�i' 20d�Oby
Physical Presence or Online Notarization
this ..-" "'
Name of person making statement.
Personally Known OR Produced Identification
Ty f Identification Produced
(Signature of Notary Public- State of Florida)
';,
DANIEtLEGt)NCALVES
Commission No. (Seal) d, :*
My COMMISSION #G'Cr 232946
c> NRES June 27"022
F°
Bonded Thru Po4ry Putter Underu lers
IF
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Key 1U/12/2'1
*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*
*Sebastian 772-778-0131, 725 Commerce Center Drive Suite J, Sebastian, FL 32958*
Proposal / Contract
Ann Vargas November 1, 2021
127 Queen Isabella Court
Fort Pierce, FL 34949
(772) 466-5862.
avargarn65Cn)gmail.com
Energized flectnic is pleased to guote on your new generator purr-hp.-SCC & 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) 24,000-watt Generac generator model # 7209 with Wi-Fi
enabled monitoring device.
7) Supply and install (2) 200-amp 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 silver maintenance plan which is 2 pvisits.�The first %ng at your fu`
25-hour oil change, the second 6 months after.
8) Price includes 15' year of dealer managed monitoring pi -1. (p�-'� ��r yer m--+,E - Is'
9) Price includes 10-year warrant;,,. yew s qq` ° 0 %
rCMY 1 bow SJ
NOTE: Gas work is quoted on a separate proposal
Generator and Install: $13,195.00
Discount: -$500
t'For the sum o : $i2 695. o0
Licensed & Insured *EC13006279
Email: EneraizedgeneratorsOgmail.com Wehsite: www.Eneraizedaenerators.com
TERMS: I
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 30 days from Proposal/Contract date
$2,995.00 due @ Signing
$4,500.00 due @ Release of Permits
$2,350.00 due @ Day 1 Electrical Work
$2,350.00 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:
John Mauri 772-626-4691
Acceptance of Proposal
I, A I-) n 6 . Y C( r a ,3 (printed name), authorize Energized Electric to
complete the work in accordari with the above specifications and conditions. I agree to pay as per
terms outlined aaovie.
Signature
J, 'Date
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 verbai
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 shaif govern..
Page 2 of 3
MUST BE PAID AT SIGNING
For Generac 5-year Extended Warranty ($495.00) Initial
For Generac 7-year extended warranty ($695.00) Initial
For Generac 10-vear extended warranty ($995.00) Initial
If additional load sheds are required, they will be an additional $189.00 each l
Proposal does NOT include disconnecting and reinstalling solar systems. Additional charges will I
apply if solar systems are installed and fed from the load side of the automatic transfer switch.
t 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 warm liqr
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
deuartment
$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
:able 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
i if reguired.
By signing below, I agree to all the terms stated aoove;
/- V-1 k'
;Tinted name
Data
Signature
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