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HomeMy WebLinkAboutBuilding Permit Applicationr ALL APPLIC 4E I IFO MUST BE COMPLETEt, 1y � R APPLICATION TO BE ACCEPTED Date: - Permit Number: Planning an, Develo Build B Permit PMent Servlces Application " Building and ode Regulation Division ' 2 2300 Virgini. A enue, Fort Pierce FL 3ggg2 Phone: 77 ( 62-1553 Fax: (772) 462 1578 ' Commercial PERMITA P KATION FOR; Residential To Selectjfrom dropbox, click arrow at the end of line- d. Address: (p0 31 Legal De scrip o Q Ir t�Ywc ` L.- t.i Property Tax 3 LIF 10 Site Plan NaProject Name Name r. L No. M ��� n; II Qe S)1�' BI ck NO. L - Setbacks F nt M _Right Side: Left Side: 17 l J-e!(v l.,ML'l S7W H I lonal w t0 a per orme jjqqff) un er s nertnit-c ec a aPPy l/7FIVAC Gas Tank jj�� nas' Piping L �IElectric Plumbing _EJ Shutters iF(inklers n windows/D ors Total Sq. Ft of ons ruction: �1 Generator n �.l Roof I Cost Of Constr ctio —� - S Ft• of First Floor: S 300. co Utllitles:�$ev er 1 Septic Building Heigh Name ' __.4•r bo pp t Address: O' d g Q Name:t1[ndli r 'y„ I, City: >{ rlely LC f ; ✓�l f1 �' Zip Code: 3 18 Staia �C Company: �lru _ - Fax: Address: b g It 1 vI Phone No. -i��' ib`� 2 _ City:_ roxi�- cn7e �r v` ir' E -Mall: S lit/ Zip Code: 17.5C tatd: - Fill in fee situp a Titl Holder on next Page if it Phone -- Fax: a yb J- (y31 g ( t No. 17➢—�Ib) • 1313 - from the Own r listed above)rent E -Mall: V%,�:rnwr� y^c-Far o If value of const uctlon Is $25oo or 1 ,. State or County ^" my License: G ✓� LAOS=�-- more, a RECORL; Notice of Commence f mens Is re�— qulred. , i ' Name: Address: City: Zip: Phone: FEE SIMPLE i HOLD Name: Nott Address; CCty; I Zip: it Phone; certd tl Y +Mn C. whic of r°un kOrIrWAdlatlunhas cornmem ekes nar'TryZp ltruchture, Plea ct I I. ie, t tt g y PPIIt� #� Jtior� a 9 en�wlCwlth e In eonslderatla. IF' aceordanre Your ria 4wna ct the grentfng of this requesipd F rhe approved Pp :dans the Florida Thefoltowing6 It Penaitapuilcotlonseree accessary strut WARNINQ 7 rswJnlMfnBpoals,.lgrlcas,svag or irttproyeman be PP the fl OyJINEA; your failu to yaurfyro n to Rech P tY• A Notice l inspectlnn, com enclna. If you Omand to r»a ham.___-,. Na w.mrs{rya: Not AP +a Address; City; Zlp; Phonr:_t S tl tS111a NO eDINQ tSDMPANV. Apt `Not A Address: city. 21p Phone: y`p�prlgrta the lswsanca afa perm7t. �ftl go 1 nit�SlvfBr prltsthct"wtholdefI bu Stbhand rlY V 490pdEavenll(1ts�thet Ulfayd ��t! rW your Wld far MOWS aria whffi l. Mao Er t dg here>rt APP aereo that l A In ag respects, pat°rm the work Bsdiditg Codes and It tucfe Cdonty Amondments. m unde{J 04afA wfturrenwyrevlew, roPm additlons, I, :Blom "sant: and ac=ssary us" to anotMf non-residential jmmencce� Mt MUSt ba may result in yngr Pawrng tw& in Rmmncl ant must be recorded and posted on the consult 4rl�t lender or an attomwv Harr u?fC_amrnen dam« 1518nsture°f toryPubllc•Statear ork4 Pe.rsanaltyKn n ✓�,. DEP fat6s:pe0ltlen[iHeealo l rYPaof Iden tion Prodmd—d�,,,f.. CommlksJon ; Gj>7 _y J ' fSeatj (Yt'Si ta(E.Tf ltevls6d 071 5la04 ' R '�, �t7 PPIRE9;hHty e.n Brrud7lraeugpll iay REVIEWS FRONT ixme COU TER REVIEW S aPI+Uvls INITIALS ;q"y,f—ui r' lyesacknowledgedbeforeme .���a W.�� 2Q 2p by -� .Lj Commispon Na; ,-State of Noddy ) OR Produced Idantlfkatlon l"a PIANS vEGETAT'0N SEATURTLE REVIEW REVIEW RMaW 1 STA P COU a I Ir RIt)A <. "` Slgr 5TH CO The (ofgaingl this I ! daq try�entwasadtrosyl ► ?Pn ed8ad hefprD rice; t 71ta -- ab A r bi gi this 1518nsture°f toryPubllc•Statear ork4 Pe.rsanaltyKn n ✓�,. DEP fat6s:pe0ltlen[iHeealo l rYPaof Iden tion Prodmd—d�,,,f.. CommlksJon ; Gj>7 _y J ' fSeatj (Yt'Si ta(E.Tf ltevls6d 071 5la04 ' R '�, �t7 PPIRE9;hHty e.n Brrud7lraeugpll iay REVIEWS FRONT ixme COU TER REVIEW S aPI+Uvls INITIALS ;q"y,f—ui r' lyesacknowledgedbeforeme .���a W.�� 2Q 2p by -� .Lj Commispon Na; ,-State of Noddy ) OR Produced Idantlfkatlon l"a PIANS vEGETAT'0N SEATURTLE REVIEW REVIEW RMaW 1 Fort Pierce Service Center 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 EQUIPMENT PROPOSAL License Numbers: CAC056774 CAC057400 CFC056667 CFC032576 ES0000336 PROPOSAL SUBMITTED TO'M / A a. j : 9,1– I CONTRACT # A OD q6 97$ I SALESPERSON DATE E-MAIL: PHONE # NOTES Installation shall include: ❑ Ne�ww reinforced equipment pad B—Connect to existing lines li�Pit included 9,1 stall new thermostat ❑ Install new H -stat ❑ Vertical ❑ .Horizontal B --Iter Rack Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint Additional work to be performed V U Breaker BrandArz Size LH Breaker BrandSize 0' Hurricane BracketscDina ❑ corrugated pipe ft. Meet all code requirements C?' Complete system start up Cff %(i year parts MFG warranty CI year labor BFS warranty ❑ �I� 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. MON , qr it l Y� Method of Payment Accepted: O 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 Vularair 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. Our workers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby SignatureDTLIA�i accepted. You are authorized to do the work as specified. Payment will be made as outlined above. C Date of Acceptance: Signature All sales 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: nJ�l Si CU MODEL: ,�TV MOTOR x COOLING STAGES SEER N TONS a HEATER SUBTOTAL: 00, 00 OTHER DISCOUNTS: TOTAL INVESTMENT. 00, tn NOTES Installation shall include: ❑ Ne�ww reinforced equipment pad B—Connect to existing lines li�Pit included 9,1 stall new thermostat ❑ Install new H -stat ❑ Vertical ❑ .Horizontal B --Iter Rack Stand ❑ 2nd Pan ❑ Vert ❑ Horz ❑ Hanging ❑ Attic ❑ Shelf ❑ UV paint Additional work to be performed V U Breaker BrandArz Size LH Breaker BrandSize 0' Hurricane BracketscDina ❑ corrugated pipe ft. Meet all code requirements C?' Complete system start up Cff %(i year parts MFG warranty CI year labor BFS warranty ❑ �I� 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. MON , qr it l Y� Method of Payment Accepted: O 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 Vularair 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. Our workers are fully covered by Workmen's Compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby SignatureDTLIA�i accepted. You are authorized to do the work as specified. Payment will be made as outlined above. C Date of Acceptance: Signature All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.