HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONN
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ALL APPLIC .
Date:
LE NFO MUST BE CO
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Phone: (77
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fG^.If'rVt.,}
tr ]HVAC
11 Electric
Total Sq. Ft of
Cost of Constr
LJGas Tank
0 Plumbing
$ _ Lj (o
e—IML—crieckaapp Y as'Piping _Shutters
pl �klers n 0 Wind
hJ Generator C.( Roof
S. Ft, of First Floor: �—
Utilities:�SeVer
Septic Building
Address: 3R
r n
City;
Zip Code: &
Phone No. Fax:
1 ►J'S I -65b>
E -Mail:
Fill in fee slurp a Title Holder on next Page if
from the Own r listed above) g
If value of const uctlon Is
$2500 or mare, a ItECOR
ors
",
Name: W
Stgl?. L
Company:
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PIE VE�iETATION SEATURTLE
REVIE W
License Numbers:
CAC056774
Fort Pierce Service Center CAC057400
6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867
CFC032576
ES0000336
EQUIPMENT PROPOSAL
PROPOSAL SUBMITTED TO Nt)F>F-RT
DAVCys I CONTRACT # 3aaVJg9
SALESPERSON (d 4,j
DATES/*•aQ
STREET E N A a- A
fl -V -E I CITY, STATE AND ZIP CODE
IJ5 L
L el 6
E-MAIL:
CU MODEL:
PHONE# ") /� �7 �6S(�(o
NOTES UV Lr^ T
nth &,V/y1
K lam?
COOLING STAGES
Onus'plation shall include:
New reinforced equipment pad
Reconnect 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
I2�' aU Breaker Brand CY Siam
�H Breaker Brand Si e
urricane Brackets or Strapping
❑Corrugated pipe ft.
Veet all code requirements
omplete system start up
/0 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 for any condo association approvals on changes to HVAC systems.
Method of Payment Accepted:
O Check O Visa O Master Card O American Express O Cash O Financing O Deposit
Card number
Exp.
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Authorized Signature Note: This proposal may be withdrawn by us if not accepted within 30 days.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 —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
yaw air 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 O*bture
accepted. You bre authorized io do th work as specified. Payment will be made as outlined above.
Date of Acceptance: 15-1 1a Signature
All 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:
N tlJ z,�
CU MODEL:
4414 Ll 0A
MOTOR
K lam?
COOLING STAGES
SEER
TONS
HEATER
) pKAA.)
SUBTOTAL:
,i' x,00
OTHER DISCOUNTS:
cv'
TOTAL INVESTMENT:
95, cu
Onus'plation shall include:
New reinforced equipment pad
Reconnect 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
I2�' aU Breaker Brand CY Siam
�H Breaker Brand Si e
urricane Brackets or Strapping
❑Corrugated pipe ft.
Veet all code requirements
omplete system start up
/0 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 for any condo association approvals on changes to HVAC systems.
Method of Payment Accepted:
O Check O Visa O Master Card O American Express O Cash O Financing O Deposit
Card number
Exp.
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 —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
yaw air 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 O*bture
accepted. You bre authorized io do th work as specified. Payment will be made as outlined above.
Date of Acceptance: 15-1 1a Signature
All final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.