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
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Address: (p0 31
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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
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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: -
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If value of const uctlon Is $25oo or 1 ,. State or County ^"
my License: G ✓� LAOS=�--
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Fort Pierce Service Center
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070
EQUIPMENT PROPOSAL
License Numbers:
CAC056774
CAC057400
CFC056667
CFC032576
ES0000336
PROPOSAL SUBMITTED TO'M / A a. j : 9,1– I CONTRACT # A OD q6 97$ 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.