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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONN 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 ", �I Stgl?. L ALL APPLIC . Date: LE NFO MUST BE CO b MPLEIEC '1R APPLICATION TO BE ACCEPTED � l s.. Permit Number: City: o/ eyj Y,' AL1- r� Zip Code '3 Ll CI tate:) ' ( _ hrent Plm+ningan� ' Budd DevelopmenfServlces �g P2ifillt AppjlCatl011 Building and 2300 Vir inl ode Re 9ulatlon Division �6 State qr County 9 Phone: (77 ?'� Avenue, FOfYPlerceFL34982 ':.. 462-1553 Fax; (772 } Ifs+i I' Commercial sir PERMITA —� Residential PLICATION FOR; To Selectfrom dropbox, lil a :, click arrow at the end of line Address: 3 $a rjJ Legal Descrip on: Property Tax Site Plan Na r 0 Project Name ^ L ✓��4 F - A deM No, i'' I 1 Setbacks F' BI nt --� Back: ck No. t. r i' .Right Side: Left Side: N 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 $2500 or mare, a ItECOR ors ", Name: W Stgl?. L Company: - Address: I. =ice City: o/ eyj Y,' AL1- r� Zip Code '3 Ll CI tate:) ' ( _ hrent Phone No,�l�a— Fax. tib I- 131 fo -163) E-Mall:wl 13) (i l:ar ";. �6 State qr County �1 [4a 0tl License: SCO b } ce of Commencement Is required. r I' f sir N'amm 11 - .,._irocApplople MO[i7idgr;t C4 AddressMOANY: , Not A : I Name; Ppll, City; Address: Lp: St{es, �_ City: Phone; FEE SIMPLE HOLO , • , . 21p — — _ _ Phtsna: — Stab Name: fi ER: — Not Ap , BONDING COMPANY:Address—MIL Name: —Not Applic erty: Address ZI; : Phone: city; zipt Icertgfiythatn korinstaplatlonhas 0arnm SL hA le CWn akes norep r�ertrt t grta the Iswance oia P�mR. structure.nPjp with any appltq Lo t}{d„a�namtinga pe lt4rii ronsuatwitts ur me. kaItga�thpe�errsaRh,pdE�ta,hultdrb(ect inrtnsideratio. 01 the laWM.Mrayl yya,�ies6tlfart �?nRnkspbItmaY: rtarpAyll In accOrdanm th0 Brantthg °f this re4'uesCed I y rdat ll 1 may apppy, PDr0ved pfapg the Flortda 6� �,�* aft Lurjs twill In aA respects. p0rform the work Tlsefblb 5kfuc Irel,twer tapailcetltmsareeHamd{ dwand sr LucfesaontYAmandments. accessoryatrut rp.hyJmmin ry�-� meAAdergpi�e{��ncu YEARNING T 0 6 poufs, Itktsca�' W° ,t, strewn R"y review: roam additions, WNERtiyaaJrfailury I aamsandacj:** ustatOanarg�er itllproyeman to your o to Racari �: lotice aiCamunacent n nsidentlar use beFF the fl inspection Pf tY• A Notice or mmancer�petit rntles burp restitlt InyuGr Ml rt twke G COM encln 1"ou ntend too +in Rrtancfrj� eonust wl�t le deer and Posted antherjob, di r Notice 4i t otnmen d t 5ra TqkOP MUNN RIDA -a 0$Ti The foba�olndl this-- day —" --. tr mentWasactm0vd �f6ad before rMl i CO 1110 201uby ., ,: this Irl Name 0f parsatkw eEin I•,� TYPaof IdengR tlo�n ,d P Igontifkdtloq Produced CommlzJi0n (� ( 07i 11 _`­�� OM ISeaip ITIES lievlser107/ 5!2054 " °•n�EMPAS;µn PawdlJw[Wrgrl, REVIEWS FRONT ZdNIN COUNTER REVIEW S PFV 1 dTG INi7JALS SII. `0 f � Instru-ttten`wU'CkMWladBed hefor0 me y zdja11EI ,i 14P ... .'Ml - flit Produced td4ntlf c&tlon a of Jdantitfcattah Produced Commbsaon Nol �a �.. ISO I&TwC 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.