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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA 3LE INFO MUST BE COMPLETED Date_: I 3 _ Planning an Building and Develo Build 2300 Virgini ode Regulation 6ivis'ervices on Avenue, Fort Pierce Phone: (77 FC. 34982 462-1553 Fax: (77Z)462-1578+ PERMIT A PLICATION FOR' -- To Sel �c Address: Legal Descdp on: Visor, Property Tax Site Plan Nan Project Name Setbacks F 3` ,aa APPLICATION TO BE ACCEPTED Permit Number: Permit Application Commercial —� Residential n dropbox,,'pclick arrow at the end of line e31 51 d Back: S Right Side: u Left Side: 9R'P4v'rRi! � =A 1Lr I `' ri ti=P. x v a luhA�►Iq jl S� unaerthis[ermlt–ctec<a app V: ? ♦- N C HVAC Gas Tank ((�� °fl L_J(as'Piping Electric Q PlumbingShutters Winds Total S Ft of PI14klers n 4• ons uction: � �-�1 Generator � Roof Cost of Constr ctlo I: $ 3�; S• Ft. of First Floor: —� Utilities:11Sewer °, jrvw�mn Septic Building Address: "M t� .}L. ou� Name: " City: : TCompany:r �lUv�n-✓� �ci,/L ZIP Code: I+j ( 0 e: Fax: — Address: b91 Phone No. �� City:9 — (vin C E -Mail: Zip Code: _ '34 Sa FIII in fee situp a Title'I Holder on next �I �— Fax: • Phone No. 7 from the Own r liste}I page if C.I gent E -Mail: vvk above) f value of const uction is $zsoo or morei. ,' State or County Llcense:G_PC , a RECORD:: (,;Notice of Commencement Is required. ineonslderati of he --- ""^"'�+L7snCfaNhnand�R-"- �,w i °seYenAnti tfiay �`�turPrtMulf inacmrdance S 6rantingofthfsregyd Your ! forrnyrestr anstshl triayapply. the approved Perrtiit f do hereby agree that I In an respeci Psrforrd the work tdaos' the Florfda gip44 Codes and st, tune fit+ Amendments. The following6 Itdingp��tapppcetlon nm undera rrency revltw: roam Additions, accessory svue rail swtmmin6 Povls, f Hs t, screen r ahal r°ncu WARN Eva OyUNEkYourfaiiurenWEandac"issmUS$%tvanvtPcernskhrasidentlatusc !mp oyt a tj t your property. A to a of �' mkaee Cammenorntettt may result In your corn the f! inspection, If a nt ertt mast be rerott►ed. And Posted on than job, com encln , end to o ;in ftnAn consult wit lender gran attomav din r NofUCe of Cgnman The for v g l this 4ZIlia before mii i r by 41Fa ProdUcedPro itlent (}7 i f i"y G4 1armBwdTN7 ZONINGTER REVIEW IMMALS this f dey nF�sttUment "acknowledged before me this r nquwn TWO of tOR Produced Identification produced t:omrnIMINo: GGD7/14ION f (Sealy 'tr r OMTWE `�tIVP` gvdb PLANS VEGETATION SEAT{1ATLE REVIEW TEVIEW .. REVIEW DES16kE NEER. Name:—NtitgppliW 1:,. I .,. . Address: I i —y MORTGAGF COMPANY: NamEj Not A ppllC r ble City, , 4p' Phone. city, City: II FEE SIMPLB BOLDER., Zip: Phoma: State Warne: _ _ Not Applka�ile 90N Q MPAhi Address: Name: �—NotApplic le CCty: Zip: Address: j Phone: ------ Zip: Phone, I� Certify thob tn rk or inste.Jlatfon has cernmencgrj 1 St LV.,_e Cvtln kms no reer..s.»k.�_ .� .. Argr to the Issuance whn___ of a permit. I .: ineonslderati of he --- ""^"'�+L7snCfaNhnand�R-"- �,w i °seYenAnti tfiay �`�turPrtMulf inacmrdance S 6rantingofthfsregyd Your ! forrnyrestr anstshl triayapply. the approved Perrtiit f do hereby agree that I In an respeci Psrforrd the work tdaos' the Florfda gip44 Codes and st, tune fit+ Amendments. The following6 Itdingp��tapppcetlon nm undera rrency revltw: roam Additions, accessory svue rail swtmmin6 Povls, f Hs t, screen r ahal r°ncu WARN Eva OyUNEkYourfaiiurenWEandac"issmUS$%tvanvtPcernskhrasidentlatusc !mp oyt a tj t your property. A to a of �' mkaee Cammenorntettt may result In your corn the f! inspection, If a nt ertt mast be rerott►ed. And Posted on than job, com encln , end to o ;in ftnAn consult wit lender gran attomav din r NofUCe of Cgnman The for v g l this 4ZIlia before mii i r by 41Fa ProdUcedPro itlent (}7 i f i"y G4 1armBwdTN7 ZONINGTER REVIEW IMMALS this f dey nF�sttUment "acknowledged before me this r nquwn TWO of tOR Produced Identification produced t:omrnIMINo: GGD7/14ION f (Sealy 'tr r OMTWE `�tIVP` gvdb PLANS VEGETATION SEAT{1ATLE REVIEW TEVIEW .. REVIEW License Numbers: CAC056774 �O V Fort Pierce Service Center CAC057400 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC032576 30 V V ES0000336 s_ Nationwide boS EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO NO L yW 2 i L t2 CONTRACT # I SALESPERSON )y.e/` DATE 3- E-MAIL: tW.34n 3N (e �(�111 /� �i��'lara I PHONE# ���J' %�% Yl/.91 (NOTES Installation shall include: ❑ flew reinforced equipment pad El onnect to existing lines It included Install new thermostat ❑ Install new H -stat ❑ Vertical ❑ HHqrizontal ❑ Filter Rack Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint ■' Breaker Brand Size Breaker Brand SizeQ ❑ Hurricane Brackets or Strapping ❑ Corrugated pipe ft. ?eet all code requirements omplete 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 forany condo association approvals on changes to HVAC systems. Method of Payment Accepted: O Check 0 Visa O Master Card O American Express O Cash gjFinancfng .' O Deposit Card number Authorized Sia _ 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 yomeir 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. Ourworkers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal -The above prices, specifications and conditions are satisfactory and are hereby Si nature • _ s" 9 accepted. You are authorized o d he work s specified. Payment will be made as outlined above. o Date of Acceptance, > Signature �c/r Allbs are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser. OPTION 1 OPTION 2 MANUFACTURER: AH MODEL: RbIl? n_A-065w CU MODEL: q R Ila`�' A MOTOR a COOLING STAGES SEER TONS HEATER SUBTOTAL: (�r c9i) OTHER DISCOUNTS: TOTAL INVESTMENT. 0• Installation shall include: ❑ flew reinforced equipment pad El onnect to existing lines It included Install new thermostat ❑ Install new H -stat ❑ Vertical ❑ HHqrizontal ❑ Filter Rack Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint ■' Breaker Brand Size Breaker Brand SizeQ ❑ Hurricane Brackets or Strapping ❑ Corrugated pipe ft. ?eet all code requirements omplete 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 forany condo association approvals on changes to HVAC systems. Method of Payment Accepted: O Check 0 Visa O Master Card O American Express O Cash gjFinancfng .' O Deposit Card number Authorized Sia _ 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 yomeir 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. Ourworkers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal -The above prices, specifications and conditions are satisfactory and are hereby Si nature • _ s" 9 accepted. You are authorized o d he work s specified. Payment will be made as outlined above. o Date of Acceptance, > Signature �c/r Allbs are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.