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Home My WebLink AboutBUILDING PERMIT APPLICATION) +� g s ALL APPLIC . LE 1 FO � lMUST 8E COMPLEJED:F Date: f. _ rf ' i�1, i Planning an' Deveio Build Building and ode pmla-'ervices ReguiotIon Division l' 2300 Virgini, Avenue, Foil Pierce FL 34982 Phone: (77 462-1513 Fax: (772)462-1578 PERMITA PLICATION FOR: �— _ r„a, _ To Selecti Address: Legal De: Property Tax g; Site Plan Na _ Project Name Setbacks F' n I,- 1-1000 [ J Electric Total Sq, Ft of Cost of Constr Nam City: _ Zip Code; Phone No E -Mail:_ Fill in fee from the ( If value of u!� 004 Back: I II L --J Gas Tank Q Plumbing truction: _— n:S 34�-n. ca APPLICATION TO BE ACCEPTED Permit Number: Permit Application Commercial—_ Residential_ n dropbox, click arrow at the end of line M Side: '_ _ eft Side: rel' I1111L—cnecka i.'Piping Shutters L' hklers nj� , Windl Flenerator Roof �= S Ft, of First Floor: �— Utilities:nSeWer Septic Building lea C I ��' W v-�j_; me: �� --` ��Luv r C ovt - NY CoNampany: rnww Fax; S'ile' — CAddiress: t b� v W Q ; Z �WKt ZIP Code: -5'f �}S� Title Holder onnextn Phone No. 3 3— listed above) page ( If Is $2500 or More, a State or County License: i f lii'lotice of Commencement nt Is required. k. Y. 1 is Fax: t, L No, Block No. I!'` ' i, Ofi5t6N£ '17MEE ' ' 1 Name: otAppl. TRAtaE`CdMPANY: Address: I �'" Namm: Not Appilc ble cnY, Address: gip' Phon..et St? City: " FEE SIMPLE I State " Zlp: HOLDER: { --„�----phone: -- Name: Not APPle BONDING COMPANY: Address; Name: ,_NotAgplic le zip: �� Addram !I Phone: City: 21p; „ Phone: lUprtaythot nc HarkorinstWIMIOnhas rnm tvhkyy e�In makes no, red �� ma"6g4,WIgrtothe lswanteo{a"er hus In eon with an p PlfmdtFtion thi (s a mh. structure, Plea” eonswtVAth HOH owm in ttingapetmityrlOA,Rt.., fac t ho��,to,hulPdthe )ect u ure ineonsideratlo Your me. "^"'�'s�+�aftthu,an. DEIN _�y n nagstrtetimay et or in accordance thChoarantlnedAlaftregtsestgd Pero."E�andr Yqur duforany.restrktiary:.wltl� p ts+rch Pproved Dlarts the FIOr1dt BSE h�Yagroothal t I teaR may apply. Thef011owingir I hstodosandSt.LUcfatotln resptuts,porform.theWork accessoryatrUt �gwj mIL �ptlaOtlnnsare emsmAlLmundergt�afhtl[ancJR �unMdments, WIARNIFN3 T OWryER' Ynvr errcos wa%s, sgatn rY revltw: ropm addrtloos, Imp ovemen to your' o , failure to ° tsandaceeraary usratn another P Aetorii iot"Ot n rasidenitatuse be the f) inspeehprn, I YouA t °tlCe o{ 7lmence an may result Inyottr Paying twke f r CD m cretin end too In flnanci Onto ust be reooided and Posted on the )obs to din r Notic . Cowl wlt eofCanrnen lender or ar,ent attorne Ybefore Signat_-taf ?v STA F IRloq bfgt ureo Co ce da Hold COU 0 .i: STA OF' RIBA The for 111111 trunwntwasa� thlsL day �y ed8ad ficfota I76e. i iila fni4tsttUr nt'Wment- thisKatyorf s`sacknOwle*dbeforeme / ---__ 1*0 by (tsemeorPers aeJmwa Bing) t� (N of ' f owJedgln� ) 1518natureof• taryPuhlk�Stateor f� � 1 PRIM a �,,f k,. ryPyhgc' State Or Florid*) TVPe of ldentIN tion Prodeieerf r � ItlanttikatJon; t Persil alH Bnown f Ott r TYPaofldarrtlHcadon Produ_d� tdentlfhcation Commlzsion t?i Ln.�1J i {y '"' (Seat) Commlrslon Nl, . 7// --- (5 I ItgyJsrsd 071 512014 ' Co TON :jh EtiHPAS:fbtf't4,2M J,tYt;O , pqy brn BmWTn mom l♦d':ay3rnYar . WRE&AW ,421 REVIEWS r 9osladtirr&Hpu, av tm FRdNT ZONING 5t1Pfn;111SOR ' AT COUNTER REVIEW REtgF.W REV�� irEEVIEWON 5 REV RILE MAN ROVE DATE REVIEW COMPLETE R IEwr IMMALS 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 OPTION 1 CRS $S"J CONTRACT # �CL'f�S�7S SALESPERSON �.� DATE STREET 10014U S. V D o CITY, STATE AND ZIP CODE - E -MAIL: PHONE # �'7 �,aa�- 5 1 NOTES Installation 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 �+ GE f/U Breaker Brand ThrJ tze 0310dEA/H Breaker Brand MgSlze — ❑ Hurricane Brackets or Strapping ❑ Corrugated pipe ft. ❑ Meet all code requirements ❑ Complete system start up ❑ year parts MFG warranty ❑ year labor BFS warranty ❑ year maintenance ❑ Crane service to be performed SU�L �oV�e� W 1, ^ Lu 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 Authorized Sim Billing Address Exp. date Security Note: This proposal may be withdrawn by us if not accepted within 30 days. Payment in full is due upon startup -All material is guaranteed to be as specified. Al 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 70011iir 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 Signat r accepted. You are authorized to do thew rk as specified. Payment will be made as outlined above. Date of Ac ec pMace'. " ° f f 3 2 d " `Avm*' Signature Ail 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: R 11 V - F_ � 1 AH MODEL: II � 1TO~I r✓ CU MODEL: O 1-1-3 A MOTOR COOLING STAGES SEER TONS a r HEATER SUBTOTAL: `70, fjc7 OTHER DISCOUNTS: TOTAL INVESTMENT 137 `l Or � Installation 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 �+ GE f/U Breaker Brand ThrJ tze 0310dEA/H Breaker Brand MgSlze — ❑ Hurricane Brackets or Strapping ❑ Corrugated pipe ft. ❑ Meet all code requirements ❑ Complete system start up ❑ year parts MFG warranty ❑ year labor BFS warranty ❑ year maintenance ❑ Crane service to be performed SU�L �oV�e� W 1, ^ Lu 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 Authorized Sim Billing Address Exp. date Security Note: This proposal may be withdrawn by us if not accepted within 30 days. Payment in full is due upon startup -All material is guaranteed to be as specified. Al 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 70011iir 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 Signat r accepted. You are authorized to do thew rk as specified. Payment will be made as outlined above. Date of Ac ec pMace'. " ° f f 3 2 d " `Avm*' Signature Ail sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.