HomeMy WebLinkAboutSKOCZYLAS RESIDENCEALLAPPLIC. LE INFO
MUST BE COMPLETED FIR APPLICATION TO BE ACCEPTED
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Date: ;K
Permit Number:
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Planning on OevelopmentServlces Build
Ing Permit Application
Building and ode Regulation Dlvislon
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2300 Virginl Avenue, Foil Pierce FL 34982 hi
Phone: (77 46Z-1553 Fax: (772) 462 1578:J Commercial
PERMITA PLICATION FOR: Residential I� t
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Address: Is , g Uck�ib �r Mon,�y,
Legal Descrip on: S , t4 V% '"R G71
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Property Tax p: 3 Has-�i III ' ,�
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Site Plan Na I;
Project Name L ?�,� / S L No.
�� BI ck No.
Setbacks F nt s y
Back: �Y Right Side: I'
—__Left Side:
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ona w to e erormemin
un er t Is perhl t- c ec a
HVAC Gas Tank ❑aPp Y: °�'+7
Ga:iPiping _Shutters
Electric !
0 Plumbing nn ❑ V/indows/D ors
USP,inklers n
Total Sq, Ft of onstructio�nt: �I Generator Roof III
Cost of Constr ction: $ 7 �ys, o — S Ft, of First Floor:
Utilities:I]Sewer
Septic I
Heigh Building ;
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If value of coast uctfon is $Z500 or or County License: e V51
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(�,t.iNot(ce of Commencement IS required.
Name: — 11UL lippmrarlte
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REVIEWS
FRONT NINr4 SUPERV, I
COUNTER
PLANS
DATE
REVIEW
VEGETATION SEATURTLE
REVIEW MA1%
REVIEW
RE%EW RE,
INMALS
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License Numbers:
CAC056774
Fort Pierce Service Center CAC057400
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867
CFC032576
ES0000336
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PROPOSAL SUBMITTED TO o ,s�l CONTRACT # S J-0 el `1 + 2 9 SALESPERSON DATE�> 1. -2,D
STREET '3 VW CITY, STATE AND ZIP CODE Wz4 f
E-MAIL: PHONE # NOTES
OPTION 1
OPTION 2
MANUFACTURER:
1 �rf^
AH MODEL:
R SPf M Fi ot'I w
CU MODEL:
COOLING STAGES
SEER
/
TONS
HEATER
SUBTOTAL:
s L� ,OD
OTHER DISCOUNTS:
fcc)
0pi r�
TOTAL INVESTMENT:
tI
7 �f.5 JO
Customer responsible for any condo sociatie
Method of Payment Accepted:
O Check O Visa Master Card
Authorized Sip
Billing Address
7Ins Ilation shall include:
New reinforced equipment pad
❑ Reconnect to existing lines
E ermit included
El Install new thermostat
❑ Install new H-stat
❑ Vertical ❑ - Horizontal
❑ Filter Rack ❑ Stand
❑ 2nd Pan ❑ Vert ❑ Horz
❑ Hanging ❑ Attic ❑ Shelf
❑ UV paint
Additional work to be performed
0 C/U Breaker Brand Size 601
2�!H Breaker Brand Size
- Hurricane Brackets or Strapping
❑ .Corrugated pipe ft.
ej_,M eet all code requirements
'$ Co lete system start up
�year parts MFG warranty
�__4— 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.
approvals on changes to HVAC systems.
O American Express O Cash O Financing O Deposit
Exp. date Security Code
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
yoMir 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 apexlra 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. Our workers are fully covered by workmen's Compensation Insurance.
Acceptance of Proposal - The above prices, specifications. and conditions are satisfactory and are hereby Signature A - � , P�
accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ppoo f
Date of Acceptance 3 _ �z ._ ,t D .t D Signnture_h�P
:All sales are, final with no adjustments cr'rofunds.Ar,0rp;.F&Pc,. w Warramy-If registered by customer only r , ;+ue., 4: nri_Inal purchaser. L :�