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
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u Left Side:
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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
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ZIP Code: I+j ( 0 e: Fax: — Address: b91
Phone No.
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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 $zsoo or morei. ,' State or County Llcense:G_PC
, a RECORD:: (,;Notice of Commencement Is required.
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inacmrdance S 6rantingofthfsregyd Your ! forrnyrestr anstshl triayapply.
the approved Perrtiit f do hereby agree that I In an respeci Psrforrd the work
tdaos' the Florfda gip44 Codes and st, tune fit+ Amendments.
The following6 Itdingp��tapppcetlon nm undera rrency revltw: roam Additions,
accessory svue rail swtmmin6 Povls, f Hs t, screen r ahal r°ncu
WARN Eva OyUNEkYourfaiiurenWEandac"issmUS$%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
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f (Sealy
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PLANS VEGETATION SEAT{1ATLE
REVIEW TEVIEW .. REVIEW
DES16kE NEER.
Name:—NtitgppliW
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Address: I i —y
MORTGAGF COMPANY:
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FEE SIMPLB BOLDER.,
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Address:
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Phone:
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Certify thob tn rk or inste.Jlatfon has cernmencgrj
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LV.,_e Cvtln kms no reer..s.»k.�_ .� .. Argr to the Issuance
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of a permit.
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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.