HomeMy WebLinkAboutBuilding PermitALLAPPLIC. LEI FO MUST BE COMPLETED Ff)R APPLICATION TO BE ACCEPTED
Date: )-D
�Permit Number:
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Planning an DevelopmenfSeryices BUIldFag Permit Application
Building and ode Regulation Division
23U0 Virgini Avenue, Fort Pierce FL 34982
Phone:(77 462-1S53 Fax: (772) 462-1578 'I COnlrperClal
PERMIT A PLICATION FOR: Residential _
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Address:F
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Legal Descrip Ion:
Property Tax #i; _ U�CH� —
Site Plan Narr
Project Name -
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Setbacks F1 nt -� ;�;
Back: ight Side:
_.; Left Side:
Igoe ry -G' k` j'/ LiK2 0
UHVAC e❑ under t ; e7mt_C ec<a
Gas Tank ❑Gav'Piplr!g
OElectric j� j''� _Shutters windows,
4C7 Plumbing
Total Sq. Ft of onstruction: 11splrpklers Generator n
t� Roof
Cost of Constr ction: $ 3 15 . 10 - S Ft, of First Floor:
t:. Utilities:�Se.wer❑Septic Building Hei
NameWill
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Address: b S Sa= Name: 2 r (per "��' R
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City: 11C it #— Company: rD�jv_la c
zipCode: State:— 2
�i Is'L Address: b�l) G; -�,
Fax:
Phone No. City: ►�oJa jr��
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E-Mail: ZIP Code: ` c/52 Fax: 11�
Fill In fee situp a Title Holder on next page ( If di ;I'rent Phone No. - yb)-13►3
from the Own t r listed above) E MaII:�Yi
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State or County License:C-fC056J
If value of const uctlon is $nOo or more, a RECORDEC•; of C� �iNotica ommencement Is required.-
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REVIEWS FRONT 20NING SC1MV:l411 PLANS
COUNTER REVIEW REVIEW REVIEW VfGETATIOM SEATt1ATLE MAP
PATE RE+y1EW RE1rtEW ap
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BROWARD FACTORY SERVICE INVOICE-
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❑COMPRESSOR
❑SUCTION PsI
,
ISERVICE: (772) 461-1313 (888) 237-7070 CONTRACT:
(888) 237-6060
10/15/19 19:52
❑HEAD PSI
❑VOLTS AMPS
U ELECTRICAL CONNECTIONS
O CONTACTS TIGHT& CLEAN
❑ OIL LEVEL & CONDITION
50562230
MCLOUGHLIN DOROTHY
AP562230
sERvICE1847597
❑CONDENSORCOIL
07/31/20
13 LAKE VISTA TRAIL #203
07/31/20
SCHEDULED
❑ CLEAN COIL & CHECK FIN COND.
❑ENT "FLVG°F
08/01188 E50
PT ST LUCIE 34952
07/31I94 n
DATE '1T9
772 878-4217 FPVISL
Jy
❑ REFRIGERANT
A13y
AC3y COD HTCy WH3y XR.
Qr22'. O'r410a COVERAGES
❑FAN AND MOTOR PREVIOUS 06/22/16 Problem .... LEAKING
O ELECTRICAL CONNECTIONSCALLS WH3 WATER HEATER 30 GALS. M-W-F
U CONTACTS TIGHT a CLEAN WH LEADS EM
❑ FAN PULLEYS (ADJUST BELT) SERVICE
Solution . 50 DRAIN CLOGGED 50
(AM) TUE-TH (PM)
❑ CHECK LUS BEARINGS& MOTOR REQUEST CS4 772-878-4217
❑ EVAPORATOR COIL (,7 3 4 ^'t /
❑ CLEAN a OIL a CHECK FIN
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❑ENT DB_°FILVGDB —°F
❑ENT WB_°F LVG WB—°F
O CONDENSATE AREAS
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D PtSPECT&GIENJ DRANI�IJ
UHSPEDTa D1FAN GRAN
uARFILTERS
OCLEANEn UREFtPLFD
FILTER SIZE
❑HEATINGASSY.�',.,
OBUwFR&HEATExaw <
OFI>EtamPLv&IXiESSIRtE
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URAMEADAISThffHI'
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UPliw✓FnREuva FLUE
UFANaTAdRSZMiCHOPFn
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❑R/VALVE
OSTRIPHEAT
UOEFTKY..TCYQE
❑ ELECTRICAL COMPTS.
OREIAYS ❑CONTACTORS
OVaEfiaw ❑PRESSSWITCH
❑THERMOSTAT '
Uox - ❑RIaiALE
URao n E
u DUCT SYSTEM
STATICFRESSURE
SUPPLY
FILTER
FLLTFR IMRRATING
lEh9'WBVTM
• DESCRIPTION OF fWJORK
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ECH "'= TIME TIME
IN OUT
ECHTIME TIME
F
IN OUT
--
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PAYMENT /
I have received and agree to the terms and conditions of my contract, and I understand
that this service is a .tetra algainat my contract.
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PART$ WARRANTY .f
Manufacturer Al t l //n��/ PART NEEDED
MODEL# O/,% OF () i`8 '9 �e2 y7 PART NEEDED hI�
SERIAL# �-A3 O - a . R P.O.# � X OZ / /T
BM OR#
P.O.#
All parm as recorded are warranted as per manuficturer specifications
LABOR GUARANTY
The labor charge as recorded here
PARTS
relalive to the equipment semlced as noted, is guaranteed for a period of 30 days.
LABOR
We do not of course, guaranty other parts Nan Nose we install. If repalm later became
necessary due to other detective parts, they will be charged separately.
No guaranty on any drain stoppages.
SERVICE
CHARGE
BFS WILL NOT BE RESPONSIBLE FOR PROPERTY DAMAGE WHEN
REMOVING
OTHER
--:DISCOUNT:
TO PERFORM NECESSARY SERVICE WORK AND IACCEPT
TAX
PERFORMED SERVICE AND/OR CHARGES AS BEING SATISFACTORY
All sales are final with no adjustments or refund.
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❑ COMPLETE
O PARTS ORDER
O NOT HOME
O RESCHEDULE
O OTHER
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- 2 Rev.8116 Licenses: CAC056778, CAC056774, CAC057400, CFC056867, ES0000336, 0040504, 0046467, 280095, 279402, 289307, 0081113, 0081114