HomeMy WebLinkAboutBuilding Permit Application ip
ALL APPLIC
Date: LE INFO MUST BE COMPLETED
Fi,1R APPLICATION TO BE ACCEPTED
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Permit Nu
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Planning an Development5ervlces Building Permit Application
Building and ode Regulation Division
2300 Virgini Avenue, Fort pierce FL 34982
Phone: (77 462.1553 Fax:(772)462-157,, Commercial
PERMIT A PLICATION FOR: Residential _
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Property Tax #: 3
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Gas Tank EJC Piping piping
0Electric Shutters Windows/I
Plumbing 0Sr einklers
Total Sq. Ft of onstruction: �I Generator Roof
Cost of Constr ction: $ ;)0p S( Ft. of First Floor.
Utilities:Sewer ❑
Septic Building Heig
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from the Own r listed above) P (ff di Arent E-Mail:�✓+}ciy�orLJ 1,y
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State qr County L(cense: CIA CO
If value of const uctlon is $2500 or more, a RECORDF I
,% :Notice of Commencement Is required.
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Address I Name. T Not Appll ble
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Zip: I Phone: State
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FEE SIMPLE HOLDER: Nat Appifcable DONDIN13 COMPANY: � �a
Name: _Not Applic le
Address; Name:
Glty; Adtlressl
Zip: I Phone: - city:
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i certifythat n korinstallatlon has ccmmeacad prigrto the Issuance of a permit.
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be f ovthe fi ins ecr-ProPOrtY. A Notice of CdM hence ` � result In aur
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REViEWs FRONT 2CINING SUpERVI50A PIANS
COUNTER REVIEW REVIEW REVIEW REMEWON SEA REVEWLE
DATE -
COMPLETE
INITIALS {
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License Numbers:
�W� CAC066774
Fort Pierce Service Center CAC06740
ty 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFco 6867
r� U 576
ES0000336
EQUIPMENT PROPOSAL
PROPOSAL SUBMITTED TO &I)i &()7fIA/FjLN I CONTRACT # 0o%a-JD SALESPERSON u/A 1 ,IAC_ DATE ) -)o
STREET N (` b -G: 1 CITY, STATE AND ZIP CODE Z -Q j 4
E-MAIL: Fvarj � (� o ! PHONE # . NOTES
Installation shall include:
❑ New reinforced equipment pad
❑ ,Reconnect to existing lines
OPTION 1
OPTION 2
MANUFACTURER:
❑ Install new H -stat
AH MODEL:
5P, 0' -� /,
❑ Filter Rack ❑
CU MODEL:
❑ 2nd Pan ❑
Vert ❑ Horz
MOVE
Attic ❑ Shelf
❑ UV paint "
COOLING STAGES
SEER
ILI
TONS
HEATER
I O kW
SUBTOTAL:
f o r 00
b
OTHER DISCOUNTS:
TOTAL INVESTMENT
Installation shall include:
❑ New reinforced equipment pad
❑ ,Reconnect to existing lines
��rmit included
e Install new thermostat
❑ Install new H -stat
❑ Vertical ❑
Horizontal
❑ Filter Rack ❑
Stand
❑ 2nd Pan ❑
Vert ❑ Horz
❑ Hanging ❑
Attic ❑ Shelf
❑ UV paint "
crFit N -e --
to
9l� Breaker Brand &V! Size
�;,AJH Breaker Brand Size
H Hurricane Brackets or Strapping
corrugated pipe ft.
Meet all code requirements
Pf Complete system start up
year'parts MFG warranty
year labor BFS warranty
❑ year maintenance
❑ Crane service
Installation does not include any duct work or line set unless specified on proposal.
Drain cleaning or old line sets are not guaranteed. Maintenance must be performed
at least once a year to system to honor part and labor warranty.
Customer responsible for any condo association approvals on changes to HVAC systems. r
Method of Payment Accepted:
��a Check ® Visa O Master Card O American Express O Cash O Financing 0 Deposit T U 0�
Card Cnumber Exp. dategawSecurity Code j
Authorized Signature 1 a&0 Note: This proposal may be withdrawn by us if not accepted within 30 days.
Payment in full is due upon startup —All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. BFS will not be responsible for property damage when removing or replacing
yaurair conditioning system. Including but not limited to attic access, staircases, Floors, Vim, wall, etc. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an. extra charge
over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, and other necessary insurance. Ourworkers are fully covered by Workmen's compensation Insurance.
Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby SignatureA I _
accepted. You dic authori.-r:d to do.thr, work as specified. Pd dment will be made as outlined above.
rr=iund; -„rn, i ��. f,��;: r ,: r�<�Isi.;md by cuMomer only applies io uriyinai put: hare, ------------ — - - ---