HomeMy WebLinkAboutBuilding permit appALL APPLIC� '
LE NFO MUST BE COMPLETED
c VOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Plonning01 Develo BU Id��g Permit Q
8ulldin and PmenfServlces ppIlCBtlOt1
9 ode Regulatlon 6ivlslon
1300 Vlrgini
PI venue, Foix Plerce FL 34982
hone: (77 $62-1553 Fax: (772)462-1578,
PER
MITA Commercial
Residential
PLICATION FOR;
To Sel t from dropbox, click arrow at the end of line
Address: 3
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Property Tax
Tax
Site Plan Nan
Project NamE
Setbacks F
E XC'
Back: I'
Side:
Left Side:
fa�C-
VAC Y IIJI1E—cnecka a �'
Gas Tank PP V
Electric a,'Piping Shutters
0 Plumbing
Total Sq. Ft of onst uction: _�— 'I' nklers nj�j
�.,I Generator
Cost of Constr ctian $ -7>300 60 S • Ft, of First Floor:
Utilities: SeWerSeptic
Name_
Address:
cty: P;
Zip Code:
Phone No,
E -Mail:_
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Title
nQ Winc
�.I Roof
Building
rF;Ir� Name:
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Address: 10B"I) t S'
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city: Pw j— S�
Zip Code: 3 H IS -J-
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L�W VEGETATIONFSATUJ;TLE�'REVIEWEviisw
Mi
License Numbers:
Xkc
CAC056774
Fort Pierce Service Center CAC057400
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867
CFC032576
ES0000336
EQUIPMENT PROPOSAL
Ins ation shall include:
Ne reinforced equipment pad
❑ econnect to existing lines
Permit included
❑ Install new thermostat
❑ Install new H -stat
❑
OPTION 1 OPTION 2
MANUFACTURER:
R
AH MODEL:
Filter Rack
CU MODEL:
Stand
MOTOR
I
COOLING STAGES
Vert ❑ Horz
SEER
Hanging
TONS
3
HEATER
to W
SUBTOTAL:
OTHER DISCOUNTS:
0too p
TOTAL INVESTMENT:
O 0a
Ins ation shall include:
Ne reinforced equipment pad
❑ econnect to existing lines
Permit included
❑ 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 %O
❑ QH Breaker Brand Size _
Z' Hurricane Brackets or Strapping
❑ .Corrugated pipe ft.
Meet all code requirements
omplete system start up
year parts MFG warranty
r::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.
Customer responsible for any condo association approvals on changes to HVAC systems.
Method of Payment Accepted:
O Check O Visa 0 Master Card O American Express O Cash 0 Financing O Deposit
Card number
Exp. date Security Code
Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 days.
Billing Address
Payment in full is due upon startup —AII 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
yd0rair 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 "ignature—/r i.
accepted. You are authorized to do the work as specif d. Payor, nX
made as outlined above.
Date of Acceptance: ���J SignatureAII sales are final with no adjustorAll sales are final with no adjustor ts�r MFG Parts Warranty if registered by customer only applies to original purchaser.
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