HomeMy WebLinkAboutKING PERMIT APPLICATIONALL APPLICP. E INFO MUST BE COMPLETED F,)R APPLICATION TO BE ACCEPTED
Date: 7j �Zp
Permit Number:
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Planning on Devglopment5ervices Building Permit Application
Building and ode Regulation 6lvislon
2300 Virginl Avenue, Fort pierce FL 34982 v;
Phone: (77 462-1553 Fax: (772)462-1573
Commercial Residential _ PERMIT A PLICATION FOR: To Selectfrom dropbox, click arrow at the end of line
Address:l�✓cAlJr�
Legal Descrip on: ` �, (n� "
Property Tax q: 3q-Lp
Site Plan Na��—g
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Project Name
Setbacks F nt ;pd
Back: Right Side:
—__ Left Side:
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nfi 5 -Ivn Arc
Itlona w to e er orme '`ate
((Q�(( un ert Isp•rmlt—c ec a di�
C�`IHVAC Gas Tank ply:
nn ❑Gar' F_Shutters
L�JElectric � plumbing nn 1ping � windows/
USpI'gklers Generator
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Total Sq, Ft of onstruction: �
1�1 Roof
S Ft, of First Floor:
Cost of Constr ction: $ � 5 , 00 -
Utilities: Sewer []Septic p Building Heil
Name S� ✓un k `1.
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E-Mail: }' Zip Code: 01 Fax: "'4�
Fill In fee Simple Title Holder on next a i}' Phone No. �?2 - 46 t —►3) —`
from the Own r listed above) p ge (if di?¢Irent E-Mail:yt�A
State or Count
Y License: C14C G _ If value of const uctlan Is $2500 or more,
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FEE SIMPLE �TLE HOLDER: NOt Appllca'ble BONDING CAMPANY:
Name: I _Not 41
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in accordance in considergti of the grantingaPProve of this reyye�d Pem,k, t dp hereth, Alreo thottII ivgl is erg rESPajc�ts�, perform the work
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imp ovema WNER YoaJr failure to Record a 1ptka . Co
be the A free onr-0rOperty A Notice of CtitTimance m+nancan;g t nY rnstlit In yoar payire tw6
paction, If you ltttend to obe In tirsencfr ��o uSt t►e recortied. and posted ,on the j
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COUNTIiR REVIEW REIPkW REVIEW REVIEW REVkEW
PATE
COMPLETE
MMALS 1
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License Numbers'.
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CAC05
ls Fort Pierce Service Center CAC05740
774
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867
Ow
UA
CFC032576
1-1 ES0000336
EQUIPMENT PROPOSAL
PROPOSAL SUBMITTED TO 1 . �� CONTRACT # (� 7 q SALESPERSON DATE ), 3)_a
STREET I CITY, STATE AND ZIP CODE 3 Y1 ',
E-MAIL: PHONE # _ C)'a rJ92J NOTES
OPTION 1
OPTION 2
MANUFACTURER:
E
n�
AH MODEL:
ST
CU MODEL:
—
MOTOR
COOLING STAGES
SEER
TONS
HEATER
SUBTOTAL:
d c� n vo
OTHER DISCOUNTS:
e
TOTAL INVESTMENT:
a , 00
Installation shall include:
❑ New reinforced equipment pad
'New
to existing lines
Permit
included
Install new thermostat
❑ Install new H-stat
❑ Vertical Horizontal
❑ Filter Rack ❑ Stand
❑ 2nd Pan ❑ *6 ❑ Horz
❑ Hanging Attic ❑ Shelf
❑ UV paint
O'�27U Breaker Brand t��Sizeso
EZ,MH Breaker Brand TfXgize
0 Hurricane Brackets or Strapping
❑ /Corrugated pipe ft.
FF' set all code requirements
Jleom te system start up
year parts MFG warranty
i — 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.
Method of Payment Accepted:
`Check O Visa O Master Card O American Express O Cash O Financing O Deposit
Card number
Authorized Sig.
Exp. date Security Code
Note: This proposal may be withdrawn by us if not accepted within 30 days.
Billing Address
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
yaarair conditioning system. Including but not limited to attic access, staircases, Floors, trim, 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. Ourworkem are fully covered by Workmen's Compensation Insurance.
Acceptance Of Proposal - The above prices, specifications and conditions are satisfactory and are hereby Signatul
accepted. You are authorizeV to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: I 'i- Q rS "-X-C) Signature
All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.
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